There is widespread agreement that care and support services must change radically if they are to meet the rights and needs of the rapidly growing number of people who require them. For the first time, Supporting people explores with service users, practitioners, carers and managers what person-centred support means to them, what barriers stand in its way and how these can be overcome. It provides a unique roadmap for the future, offering theoretical insights, practical guidance and highlighting the importance of a participatory approach. Based on the largest independent UK study of person-centred support and written by an experienced team that includes service users, practitioners and researchers, it demonstrates how change can be made now, and what strategic changes will be needed for person-centred support to have a sustainable future.
After the death of her father, a legendary landscape photographer, Claire begins to lose faith in her own work as a photographer and to become jealous of the success of her daughter, a rising painter, until she helps prepare a retrospective of her father's work and uncovers life-altering revelations.
This valuable handbook makes the U.S. health care system understandable, reviews the Affordable Care Act (ACA) or "Obamacare," describes past health care reform efforts, and covers the important organizations and people involved in U.S. health care reform. Why does the United States produce poorer outcomes for Americans in terms of health care than most other developed countries that spend a lower percentage of their Gross Domestic Product (GDP) on health care? Should health insurance be private or should it be managed by the government? The second edition of Healthcare Reform in America: A Reference Handbook addresses these complex and difficult questions and many more in its thorough treatment of one of the most controversial issues in contemporary American discourse. The work provides a broad introduction to the history and key issues in the development and reform of the U.S. health care system. It then addresses the recent passage of the Affordable Care Act and the myriad of significant expected changes due to the Act, thereby providing readers with information essential to understanding the current issues regarding health care reform. This work serves as a valuable resource to high school and college students as well as to general readers wanting to learn about the history and current focus of health care reform in the United States.
Windsor may look picturesque and old-fashioned, but policewoman Charmian Daniels knows all too well that the charming village is not immune to the realities of modern life and crime, most recently evidenced by the disappearance of eight-year-old Sarah Holt. Charmian's worst fears are exacerbated by the discovery of a young male corpse, lying next to the skeleton of a baby buried nearly a century before. Could the two deaths and Sarah's disappearance be somehow related? As Charmian races toward the truth, a killer races to stop her -- and to keep an ancient secret dead and buried.
Research into the rehabilitation of individuals following Traumatic Brain Injury (TBI) in the past 15 years has resulted in greater understanding of the condition. The second edition of this book provides an updated guide for health professionals working with individuals recovering from TBI. Its uniquely clinical focus provides both comprehensive background information, and practical strategies for dealing with common problems with thinking, memory, communication, behaviour and emotional adjustment in both adults and children. The book addresses a wide range of challenges, from those which begin with impairment of consciousness, to those occurring for many years after injury, and presents strategies for maximising participation in all aspects of community life. The book will be of use to practising clinicians, students in health disciplines relevant to neurorehabilitation, and also to the families of individuals with traumatic brain injury.
Travelers' accounts of the people, culture, and politics of the Southern coastal region after the Civil War Charleston is one of the most intriguing of American cities, a unique combination of quaint streets, historic architecture, picturesque gardens, and age-old tradition, embroidered with a vivid cultural, literary, and social history. It is a city of contrasts and controversy as well. To trace a documentary history of Charleston from the postbellum era into the twentieth century is to encounter an ever-shifting but consistently alluring landscape. In this collection, ranging from 1865 to 1947, correspondents, travelers, tourists, and other visitors describe all aspects of the city as they encounter it. Sojourns in Charleston begins after the Civil War, when northern journalists flocked south to report on the "city of desolation" and ruin, continues through Reconstruction, and then moves into the era when national magazine writers began to promote the region as a paradise. From there twentieth-century accounts document a wide range of topics, from the living conditions of African Americans to the creation of cultural institutions that supported preservation and tourism. The most recognizable of the writers include author Owen Wister, novelist William Dean Howells, artist Norman Rockwell, Boston poet Amy Lowell, novelist and Zionist leader Ludwig Lewisohn, poet May Sarton, novelist Glenway Wescott on British author Somerset Maugham in the lowcountry, and French philosopher and writer Simone de Beauvoir. Their varied viewpoints help weave a beautiful tapestry of narratives that reveal the fascinating and evocative history that made this great city what it is today.
Hugely popular with students, Health Promotion is now in its third edition, and has been thoroughly updated to provide the theoretical framework that is vital for health promotion. It offers a foundation for practice that encourages students and practitioners to identify opportunities for health promotion in their area of work. • Fully updated to reflect the many changes in health promotion theory, practice and policy • Illustrative examples, activities and discussion points encourage interaction and reflection• Unique, user-friendly approach makes learning easy Fully revised and updated information, guidelines, and reference provide the latest information for clinical practice New illustrations clarify important health promotion concepts
Health care in the United States at the end of the 20th century occupies a completely different place in the economy, in the public consciousness, and in its impact on government, than it did at the beginning of the century, or even in the early years of the Clinton Administration. Health care is now a multi-billion dollar industry; one that consumes more than 15 percent of the nation's GNP. Citizens now regard health care as essential to the quality of their lives, and a steady stream of new medications and procedures point to ways to extend the lives of our aging population and restore those injured on or off the job. At the same time, the changing patterns of health care have stirred a national debate over the growth of managed care and the role that government can play in providing solid health care standards—a medical safety net—within tightening budgetary restraints. This book explores the role of the federal government in health care policy development from the years of the Founding Fathers to the present. Kronenfeld reviews the key features of the American health care system, its infrastructure, and federal legislative process and outcomes in the health care arena. The current situation in health care is examined, with particular attention given to the attempt at major reform in the first Clinton administration, and to the modest changes that were ultimately passed. She closes with an examination of the future of health care and the role of government, emphasizing how current health care issues and concerns may set the stage for a changed federal role in funding and delivery of health care services in the next century. This comprehensive examination of the role of government in the health care system will be of great interest to students and researchers of public policy and the social aspects of American health care.
This book takes a deep dive into the design and planning, and unique challenges of settlements in the European Arctic. Attractive Arctic Cities require job opportunities, good societal and commercial services, and importantly, high-quality built environments in order to thrive. The cities of the European Arctic are generally small and sit in sparsely populated regions, with large travel times between places, making them uniquely challenging from a planning and design perspective. The chapters detail the planning process and place-shaping in the Arctic. Emphasis is placed on the importance of urban design, microclimate, cultural heritage, and movement and transport. The objective is to provide an overview for students and practitioners of architecture, urban design and town planning, of the design and planning of Arctic settlements in the European Arctic (Finland, Norway, Sweden) as well as in North America, Canada, Russia, Iceland, Greenland, and China.
This book offers a systematic review of major issues and trends in health care policy, including those related to physical health and disease trends, mental and behavioral health concerns, reorganizing the U.S. health system, and managed care and health care personnel. Kronenfeld addresses the problems, challenges, issues and trends in the policies that determine the role and future of health care in the United States. Also covered are special populations, such as the elderly and children, reproductive health, and issues cost, quality, and access to care. Health care policies affect all Americans. Managed care has been a major trend in the past decade's reorganization of the U.S. health care system, yet its future is uncertain. Despite unparalleled spending and the world's most technologically sophisticated health care, measure such as life expectancy and infant mortality rates indicate that the country's health outcomes may not be the best. Mental health and behavioral health problems are major impediments to quality of life for some Americans, and roughly 17% of the population under 65 does not have insurance coverage for necessary health care services. Despite calls for a major overhaul of the U.S. health care system, incremental reform is more likely than major, comprehensive reform.
It is the not-too-distant future, and the rapture has occurred. Every born-again Christian on the planet has, without prior warning, been snatched from the earth to meet Christ in the heavens, while all those without the requisite faith have been left behind to suffer the wrath of the Antichrist as the earth enters into its final days. This is the premise that animates the enormously popular cultural phenomenon that is the Left Behind series of prophecy novels, co-written by Tim LaHaye and Jerry Jenkins and published between 1995 and 2007. But these books are more than fiction: it is the sincere belief of many evangelicals that these events actually will occur--soon. Plotting Apocalypse delves into the world of rapture, prophecy, and tribulation in order to account for the extraordinary cultural salience of these books and the impact of the world they project. Through penetrating readings of the novels, Chapman shows how the series offers a new model of evangelical agency for its readership. The novels teach that although believers are incapable of changing the course of a future that has been preordained by God, they can become empowered by learning to read the prophetic books of the Bible--and the signs of the times--correctly. Reading and interpretation become key indices of agency in the world that Left Behind limns. Plotting Apocalypse reveals the significant cultural work that Left Behind performs in developing a counter-narrative to the passivity and fatalism that can characterize evangelical prophecy belief. Chapman's arguments may bear profound implications for the future of American evangelicalism and its interactions with culture, society, and politics.
Deals with macro-level system issues and micro-level issues involving provision of health care as related to major health problems. This work examines social, demographic and structural problems, and a variety of health problems including chronic illnesses, mental illness, serious acute health problems, and disabilities that require health care.
In Blood at the Root, winner of the SUNY Press 2009 Dissertation/First Book Prize in African American Studies, Jennie Lightweis-Goff examines the centrality of lynching to American culture, focusing particularly on the ways in which literature, popular culture, and art have constructed the illusion of secrecy and obsolescence to conceal the memory of violence. Including critical study of writers and artists like Ida B. Wells-Barnett, Richard Wright, William Faulkner, George Schuyler, and Kara Walker, Lightweis-Goff also incorporates her personal experience in the form of a year-long travelogue of visits to lynching sites. Her research and travel move outside the American South and rural locales to demonstrate the fiction of confining racism to certain areas of the country and the denial of collective responsibility for racial violence. Lightweis-Goff seeks to implicate societal attitude in the actions of the few and to reveal the legacy of violence that has been obscured by more valiant memories in the public sphere. In exploring the ways that spatial and literary texts replace lynching with proclamations of innocence and regret, Lightweis-Goff argues that racial violence is an incompletely erupted trauma of American life whose very hiddenness links the past to still-present practices of segregation and exclusion.
Dear has helped countless patients, families, and caregivers cope with the many challenges of the dying process, ... [demystifying] the experience of dying for everyone whose lives it touches. She spoke to doctors, nurses, and caregivers, as well as families, friends, and the patients themselves. The result is [an] ... account that combines the latest medical findings with ... human insights to offer ... emotional support and answers to some of the questions that affect us all, [such as whether it hurts to die, if there's a better way to cope with dying, and what the last few hours of life feel like]"--Publisher marketing.
Expansion of Publicly Funded Health Insurance in the United States introduces the issues, policies, and future concerns of health care within the United States to scholars of social sciences. Through research and outreach projects with the Child Health Insurance Program, Jennie Jacobs Kronenfeld expresses concerns with the United States health care system with a focus on government regulations in conjunction with the health care of children and less affluent Americans.
Born in 1916 into an Irish Catholic family, Jennie Hawthorne spent her formative years in the heart of the East End, in a truly multicultural community. This vivid account of growing up is told with passion and humour - even though her drunken father struggles from crisis to crisis, and illness and crime are part of everyday life.
Experts agree--the U.S. has achieved the most technologically advanced medical care system in the world and it provides the highest quality, most comprehensive medical education available. Can we conclude that our health care system is one of America's success stories? It appears--we cannot. However, amid growing concern over our health care system, there is far less agreement on what to do about it. Jennie Kronenfeld addresses major health care controversies confronting American society, health care professionals, and policymakers. This intriguing book focuses on the overlapping area between policy sciences and health care studies, particularly the cost, access, and quality of health care. Kronenfeld discusses whether our system can solve its problems, or whether we have a health care "system" at all. Do we have a national health care "policy," or a web of state, county, and city policies? And, what of fundamental changes being adopted in the midst of the controversies surrounding reproductive health and abortion, mental health and behavioral health, disease patterns/physical health/AIDS, aging and long-term care, as well as the professions and facilities who provide care? A provocative examination of these important issues, Controversial Issues in Health Care Policy is essential reading for students of policy studies, health services, and sociology, as well as for policymakers, and health care professionals.
Bible teacher Jennie Afman Dimkoff takes readers on a journey by reinvigorating ancient stories with new life and practical application. With fresh, dramatic glimpses into the lives of such intriguing Bible characters as Rebekah, Miriam, Lazarus, and Zacchaeus, Jennie urges readers to dig deeper and see the relevance for their lives. Using brilliant detail and a lively imagination, Jennie brings to life many universal themes including love, humility, courage, obedience, and sacrifice. Readers will be captivated by Jennie's imaginative storytelling and encouraged, affirmed, and supported as she illuminates spiritual truths. A new study guide included in this latest edition makes it user-friendly for small groups and Bible studies. Previously published as Night Whispers
A History of Medical Libraries and Librarianship in the United States: From John Shaw Billingsto the Digital Era presents a history of the profession from the beginnings of the Army Surgeon General’s Library in 1836 to today’s era of the digital health sciences library. The purpose of this book is not only to make this history available to the profession’s practitioners, but also to provide context as medical librarians and libraries enter a new age in their history as the digital information environment has undercut the medical library’s previous role as the depository of the print based KBI/information base. The book divides the profession’s history is divided into seven eras: 1. The Era of the Library of the Office of the Army Surgeon General and John Shaw Billings – 1836 – 1898 2. The Era of the Gentleman Physician Librarian – 1898 to 1945 3. The Era of the Development of the Clinical Research Infrastructure (NIH), the Rapid Expansion in Funded and Published Clinical Research and the Emergence of Medical Librarianship as a Profession – 1945 – 1962 4. The Era of the Development of the National Library of Medicine, Online digital Subject Searching (Medline) and the Creation of the National Health Science Library Infrastructure– 1962 – 1975 5. The Medline Era – A Golden Age for Medical Libraries – 1975 – 1995 6. The Era of Universal Access to Information and the Transition from Paper to Digitally Based Medical Libraries – 1995 – 2015 7. The Era of the Digital Health Sciences Library – 2015 – Each era is reviewed through discussing the developments in the field and the factors which drove those developments. The book will provide current and future medical librarians and information specialists an understanding of the development of their profession and some insights into its future.
Now in its second edition, Parenting Culture Studies seeks to understand how parenting is taken as a particular mode of childrearing that reflects broader social trends. Ten years after the initial volume's groundbreaking publication, the authors once again closely examine how the main aspects of parenting have been established, explored, and critically evaluated. Chapters revisit phenomena such as intensive parenting and politics around parenting, as well as controversial issues including policing pregnant women's bodies and parental determinism. In addition to updates throughout the volume, including those addressing literature that has built from the book’s original publication, the book features a new third part discussing parents dealing with risk assessment, school closures, contradictory care arrangements, and vaccine hesitancy during the COVID-19 pandemic.
Breast cancer made Jennie Nash a wise old woman at the age of thirty-six. She learned, among other things, that her instincts are good, her kids are really resilient, and that, in the fight against breast cancer, the journey for patients, family, and friends can be a surprisingly positive, life-changing experience. Some five years younger than the AMA-recommended age for mammograms, Jennie Nash insisted she be tested, not because of a lump but because of a hunch brought on by a friend's battle with lung cancer. Jennie was as shocked to discover as her friend had been that cancer knows no age limits. From detection and surgery to reconstruction and recovery, Jennie gives readers a road map for a journey no one chooses to take. She details both the large and small lessons learned along the way: the importance of a child's birthday cake; the pleasure of wearing a beautiful, provocative red dress; how to be grateful rather than guilty when someone brings lasagne to the door; and that sometimes the only difference between getting to live and having to die is luck. A celebration of survival, Jennie Nash's account transforms one of life's most harrowing experiences into a story of reassurance and enlightenment.
Infection control is a major issue in clinical practice. The revised third edition of this highly successful book provides a comprehensive guide to the principles and practice of infection control and prevention, and the basic elements of microbiology and epidemiology that underpin them. The contents are firmly based in clinical practice and are relevant to both hospital and community settings. The information is research-based and extensively referenced and therefore provides an invaluable resource for evidence-based practice. Presentation is clear, concise and accessible to a wide audience including diploma and degree course students, nurses and allied health professionals working in clinical settings, and infection control specialists. This revised third edition includes completely updated source material and references, along with extensive revision of chapters on prevention of surgical site infection, IV device and urine catheter associated infections to incorporate the most recent evidence. There are updates to many other sections including new microbiological methods, application of protective isolation, Clostridium difficile, gram negative pathogens, VHF and blood-borne viruses, the management of sharps injuries and management of waste, as well as entirely new sections on: . Implementation of infection prevention and control policies . Infection risks of water systems . Protective clothing - use of gloves and masks . Hand hygiene compliance . Prevention of ventilator-associated pneumonia . Management of norovirus outbreaks . Decontamination of isolation rooms . Emerging pathogens including MERS-CoV and Zika . Antimicrobial stewardship
The forth edition of this well-established text has been updated to reflect the most current guidelines, terminology, policies and procedures. Australian Nurses' Dictionary 4th edition retains its user-friendly style and compact size and continues to provide Australian nursing students with local content, relevant, clinically focussed diagrams, the pronunciation guide, easy cross-referencing and useful appendices. More than 5,500 entries Compact size and user friendly format Written specifically for our local market
While growing up in the middle of the twentieth century in the Virgin Islands, Boysie becomes known for his boldness and pulling creative pranks. Mr. Smith owns the finest genip tree in East End and already knows that Boysie likes to sneak into his orchard to taste the produce. One day when Boysie recruits two friends to help him pick the fruit while Mr. Smith is napping, the adventure doesn’t go as planned. Soon after being punished for his previous prank, Boysie makes an ill-fated choice to “borrow” a bundle of wood for his mother and realizes there are consequences for lies. When Boysie decides to learn how to swim, he is mentored by a friend who teaches him the importance of believing in himself rather than showing off in front of others. As his experiences continue, what will Boysie learn next? Pass It On shares stories that weave historical events and life into a tapestry that recaptures the bittersweet essence of the past lifestyle of the people of two small Virgin Islands villages.
This edited collection is about the use of complementary and alternative medicine (CAM) and traditional medicine (TM) within the context of women’s reproductive health. It adopts a perspective drawn from different social sciences (sociology, medical anthropology, history, and health studies) to discuss topics such as fertility, menopause, pregnancy, child birth practices, post-natal care, breastfeeding, and breast cancer. The contributors explore the uses and values attributed to CAM and TM for women’s reproductive health across diverse cultures from the point of view of patients, CAM/TM practitioners, and other health care providers. This text provides insights into the wide spectrum of practices, approaches, and beliefs that define CAM and TM, and situates women’s health issues within the local socio-cultural, geographic, economic, historical, and political contexts in which they exist. It also explores some challenges to the integration of TM and CAM with biomedicine.
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