How literature of the British imperial world contended with the social and environmental consequences of industrial mining The 1830s to the 1930s saw the rise of large-scale industrial mining in the British imperial world. Elizabeth Carolyn Miller examines how literature of this era reckoned with a new vision of civilization where humans are dependent on finite, nonrenewable stores of earthly resources, and traces how the threatening horizon of resource exhaustion worked its way into narrative form. Britain was the first nation to transition to industry based on fossil fuels, which put its novelists and other writers in the remarkable position of mediating the emergence of extraction-based life. Miller looks at works like Hard Times, The Mill on the Floss, and Sons and Lovers, showing how the provincial realist novel’s longstanding reliance on marriage and inheritance plots transforms against the backdrop of exhaustion to withhold the promise of reproductive futurity. She explores how adventure stories like Treasure Island and Heart of Darkness reorient fictional space toward the resource frontier. And she shows how utopian and fantasy works like “Sultana’s Dream,” The Time Machine, and The Hobbit offer imaginative ways of envisioning energy beyond extractivism. This illuminating book reveals how an era marked by violent mineral resource rushes gave rise to literary forms and genres that extend extractivism as a mode of environmental understanding.
Long-Term Care Skilled Services: Applying Medicare's Rules to Clinical Practice Avoid common mistakes that compromise compliance and payment Take the mystery out of skilled services and know when to skill a resident based on government regulations, Medicare updates, the MDS 3.0, and proven strategies. Long-Term Care Skilled Services: Applying Medicare's Rules to Clinical Practice illustrates the role played by nurses, therapists, and MDS coordinators in the application and documentation of resident care. Don't miss out on the benefits and reimbursement you deserve, as author Elizabeth Malzahn delivers clear, easy-to-understand examples and explanations of the right way to manage the skilled services process. This book will help you: Increase your skilled census and improve your facility's reputation with the support of your entire staff Avoid under- and overpayments from Medicare with easy-to-understand explanations of complex rules and regulations Provide necessary skilled services to each resident through a complete understanding of eligibility requirements Accurately document skilled services using proven, time-saving solutions Properly assess skilled services under the MDS 3.0 Improve communication to increase resident and family satisfaction Reduce audit risk and prove medical necessity through accurate documentation Table of Contents Rules and Regulations Original law - Social Security and Medicare Act CMS publications Manuals Transmittals MLN matters National and local coverage determinations RAI User's Manual Hierarchy of oversight CMS-MAC/FI, OIG, GAO, etc. Technical Eligibility for Skilled Services in LTC Eligibility basics Verification of current benefits How enrollment in other programs impacts coverage under traditional Medicare Hospice HMO/managed care/Medicare Advantage Medicaid/Medi-Cal Hospital stay requirement 30-Day transfer rule for hospital or SNF Understanding benefit periods Care continuation related to hospitalization How does a denial of payment for new admissions impact Medicare SNF admissions? Meeting the Regulatory Guidelines For "Skilled" Services Skilled services defined Regulatory citations and references Clinical skilled services Therapy skilled services Physician certifications and recertification Presumption of coverage Understanding "practical matter" criteria for nursing home placement Impact of a leave of absence on eligibility MDS 3.0 - Assessments, Sections and Selection...Oh My! Brief history of MDS 3.0 Types of MDS assessments The assessment schedule Items to consider Importance of timing Review of each care-related section of the MDS 3.0 Proper Communication During the Part A Stay Medicare meeting Timinng Agenda What to discuss for each resident Ending skilled services Notification requirements Discharging Other notification requirements and communication Other Important Things to Know Medicare myths Consolidated billing Medical review Audience Administrators, CFO/CEOs, directors of nursing, MDS coordinators, directors of rehab, therapy directors, PT/OT/ST, DONs.
What if the American experiment is twofold, encompassing both democracy and tyranny? That is the question at the core of this book, which traces some of ways that Americans across the nineteenth century understood the perversions tyranny introduced into both their polity and society. While some informed their thinking with reference to classical texts, which comprehensively consider tyranny's dangers, most drew on a more contemporary source—Napoleon Bonaparte, the century's most famous man and its most notorious tyrant. Because Napoleon defined tyranny around the nineteenth-century Atlantic world—its features and emergence, its relationship to democratic institutions, its effects on persons and peoples—he provides a way for nineteenth-century Americans to explore the parameters of tyranny and their complicity in its cruelties. Napoleon helps us see the decidedly plural forms of tyranny in the US, bringing their fictions into focus. At the same time, however, there are distinctly American modes of tyranny. From the tyrannical style of the American imagination to the usurping potential of American individualism, Elizabeth Duquette shows that tyranny is as American as democracy.
For each chapter, the Study Guide provides an introduction, fill-in-the-blank chapter review, learning tips with graphical analysis, 4-5 comprehensive problems and exercises, 20 multiple-choice questions, and solutions to all fill-in-the-blank, problems, exercises, and quizzes found within the Study Guide.
What is social policy and why is it relevant to nursing and other caring professions? How has the welfare state changed in response to new social problems? What roles do professionals and lay people play in providing welfare services? This fully revised text is one of a series of books providing coherent and multi-disciplinary support for all client groups involved in the provision of health and social care. The book examines the relationship between welfare and health and includes discussion of key policy issues such as; changes in health care delivery, regulation of professionals, privatisation, welfare pluralism and the tackling of health and social inequalities. The significance of social policy in preventing ill health and disability, as well as supporting the sick and disabled people, is emphasised throughout the book. This new edition is updated throughout and includes new chapters on: Health policy in the post-war period The role of health and social care professionals The future of social policy and health in the 21st century Social Policy for Nurses and the Helping Professionsequips students with a lively, readable and well-illustrated introduction to social policy. The reader is guided through the material with the help of chapter summaries, further reading and a glossary, as well as new examples and case studies to reflect the different client groups within nursing.
In a painful year of personal and national sadness, can walking bring about healing? The Long Path to Motherhood is a nature memoir that explores how engaging with nature through walking can help us recover from difficult times in our lives.
In this small desert town, secrets bubble up from the desert floor, and history is written on the canyon walls. Seven friends will gather at the crossroads, because in Cambio Springs, everything—and everyone—changes. Jena Crowe escaped the Springs ten years ago. Now, she’s heading home with two boys to start a new life. With her husband’s ghost keeping her company on the road, Jena will learn that moving back and moving backward aren’t necessarily the same thing, and sometimes the places you try to escape are exactly where you need to fall. Three nights to say goodbye. Three days to come to grips with the future. For Jena and her two sons, it’s going to be a long ride home. Long Ride Home is a prequel short story to Shifting Dreams, the first novel in the Cambio Springs Mysteries.
Journeying backward in time—from 1950 to 1926—this masterpiece of women’s literary fiction presents an indelible portrait of a marriage Forty-three-year-old Antonia Fleming is preparing a dinner party for eight at the house in Campden Hill Square she shares with her husband, Conrad. The occasion is the engagement of their son, Julian. Their other child, Deirdre, hates her father and resents her mother—a reality Conrad ponders, along with the disastrous state of Deirdre’s single life, as he leaves the bed of his current mistress. In illuminating the quotidian details of domestic life, The Long View perfectly captures a long relationship, with its moments of joy and intimacy, loneliness and regret, and of the roads not taken. As the story moves backward in time, we learn about the events that led up to Conrad and Antonia’s fateful first meeting—including a startling secret in Antonia’s past. With brilliant use of reverse chronology, the bestselling author of the Cazalet Chronicles paints a realistic and revealing portrait of a marriage and the decisions, good and bad, right and wrong, that shape lives.
Sharply observed, bitter and humorous, The Long Prospect is a story of life in an Australian industrial town. Growing up neglected in a seedy boarding house, Emily Lawrence befriends Max, a middle-aged scientist who encourages her to pursue her intellectual interests. Innocent Emily will face scandal, suburban snobbery and psychological torment.
The year is 1916 and twenty-year-old Poppy Barlow is clearing the desk of her late father when she comes across a faded photograph of her father with his two sisters - aunts that Poppy never knew she had - along with their address. Poppy contacts her aunts, and is thrilled when they invite her to stay with them in Sheffield. But while Dale House might look grand from the outside, on closer inspection, the place is run-down and crumbling. Poppy determines to change all this and applies for a job at the local scythe works - to the horror of her aunts. As Poppy learns to survive, she is tormented by many unanswered questions. Why had her father rejected Dale House? Why had he never mentioned his sisters or the past? And what could have happened between her aunts and Frederick Kenton, her new boss, that could cause them so much anguish every time his name, or the scythe works, is mentioned?
Prepared by two of Missouri's most distinguished conservationists, The Wild Mammals of Missouri has been the definitive guide to mammals of this state for over forty years. Now the University of Missouri Press is pleased to release an updated edition, revised by Elizabeth R. Schwartz, reflecting the changes in Missouri's mammalian fauna and including the latest taxonomic revisions. Maintaining the original's successful format and the language that made the book accessible to both professional and lay readers, the revised edition incorporates throughout new knowledge of the various species of mammals of Missouri. Most notable is the addition of a new resident species, the nine-banded armadillo. Several other taxonomic and distributional changes are reflected and the range maps have been revised to show significant changes. Charles Schwartz's meticulously rendered drawings capture the spirit of his subjects while remaining technically accurate. These drawings range from fully rendered portraits to illustrations of dentition and skulls, tracks, and other identifying characteristics, to vignettes showing the mammals engaged in characteristic behaviors. Also included in this volume are discussions of all biological and ecological aspects of the mammals including distribution and abundance, habitat and home, habits, food, reproduction, adversities faced, and conservation and management concerns. The Schwartzes' lifelong dedication to state and national conservation and their vast biological knowledge are apparent throughout the pages of this attractive reference guide. People of all ages and backgrounds will find The Wild Mammals of Missouri an invaluable guide to the study of Missouri's mammals.
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