The failure of long-term care is the country's best-kept embarrassing secret. Almost every adult in the United States will either enter a nursing home or have to deal with a parent or other relative who does. Studies show that 40 percent of all adults who live to age sixty-five will enter a nursing home before they die, while even more will use another form of long-term care. Part memoir, part practical guide, part prescription for change, It Shouldn't Be This Way is a unique look at the problems of long-term care. Robert L. Kane, a highly experienced physician and gerontologist, and his sister, Joan C. West, tell the painful story of what happened to their mother after she suffered a debilitating stroke and spent the last years of her life in rehabilitation, assisted-living facilities, and finally a nursing home. Along the way, her adult children encountered some professionals who were kind and considerate but also many frustrations—inadequate care and the need to hire private duty aides, as well as poor communication and lack of coordination throughout the system. The situation, they found, proved far more difficult than it needed to be. As the authors recount their mother's story, they impart various lessons they learned from each phase of the experience. They alert those who are confronting such situations for the first time about what they will likely face and how to approach the problems. Closing with a broader look at why long-term care is the way it is, they propose steps to make necessary reforms, including the development of national organizations to work for change. Their message to families, care professionals, and policy-makers could not be more urgent.
A wrenching, firsthand account of how the longterm care system can defeat even the best prepared of us - with the lessons they learned to help others dealing with it, too.
A History of Kershaw County is a much anticipated comprehensive narrative describing a South Carolina community rooted in strong local traditions. From prehistoric to present times, the history spans Native American dwellers (including Cofitachiqui mound builders), through the county's major roles in the American Revolution and Civil War, to the commercial and industrial innovations of the twentieth and twenty-first centuries. Joan and Glen Inabinet share insightful tales of the region's inhabitants through defining historical moments as well as transformative local changes in agriculture and industry, transportation and tourism, education and community development. Kershaw County is home to some of South Carolina's most notable prehistoric sites as well as the state's oldest inland city, Camden, thus giving the region an impressive and richly textured human history. Still the most familiar icon of the county is an early weathervane silhouette honoring the Catawba Indian chief King Hagler for protecting pioneer settlers. An important colonial milling and trading center, Camden was seized by the British under Lord Cornwallis during the American Revolution and fortified as their backcountry headquarters. Eight battles and skirmishes were fought within the modern boundaries of Kershaw County, including the Battle of Camden on August 16, 1780, and the Battle of Hobkirk's Hill on April 25, 1781. Named for Revolutionary War patriot Joseph Kershaw, the county was created in 1791 from portions of Claremont, Fairfield, Lancaster, and Richland counties. Kershaw County developed its local economy through plantation agriculture, an enterprise dependent on African slave labor. Distinctive homes were built on rural plantations and in Camden, and a village of well-to-do planters grew up at Liberty Hill. Six Confederate generals claimed the county as their birthplace, and the area also was home to Mary Boykin Chesnut, acclaimed diarist of the Civil War. In their descriptions of Kershaw County in modern times, the Inabinets chronicle how the railroad and later U.S. Highway 1 brought opportunities for the expansion of tourism and led to Camden's development as a popular winter resort for wealthy northerners. Small towns and villages emerged from railroad stops, including Bethune, Blaney (later Elgin), Boykin, Cassatt, Kershaw, Lugoff, and Westville. The influx of new money coupled with local equestrian traditions led to an enthusiasm for polo and the creation of the Carolina Cup steeplechase at the Springdale Course. Aside from early developments in textile manufacturing, industrialization proceeded slowly in Kershaw County. The completion of the Wateree Dam in 1919 gave the region a valuable source of electricity as well as much-needed flood control and a popular new recreational area in Lake Wateree. Despite these incentives for new industry, agricultural ways of life continued to dominate until World War II influenced advances in aviation, communication, and industrialization. In describing these changes, the Inabinets map the circumstances surrounding the building of the DuPont plant which opened in 1950 and the expansion of several other industries in the area. Through perceptive text and more than eighty images, this first book-length history of Kershaw County illustrates how the region is steeped in a rich history of more than two centuries of struggles and accomplishments in which preserving lessons of the past holds equal sway with welcoming opportunities for the future.
Most people have to communicate with colleagues every day and persuade them to understand their opinions or to accept their views. This handbook is intended for anyone who is interested in such goal-oriented language. It extracts 300 persuasive tactics from research findings in communication, linguistics, pragmatics and related fields, and presents them in a clear, concise and consistent manner. Such tactics as analogy, argument presentation, humour and metaphor are included. Each tactic is presented on a separate page with an analysis of its persuasive value. Two indexes - one by persuasive need and the other by tactic - allow readers full flexibility to use the handbook in their own way. This work should be of interest in courses which deal with the management of interaction, pragmatics, discourse analysis and communications.
[This book is] an ... examination of how we can respond to suffering, live our fullest lives, and remain open to the full spectrum of our human experience"--Amazon.com.
Until very recently, studies of the environmental movement have been heavily biased towards the North Atlantic worlds. There was a common assumption amongst historians and sociologists that concerns over such issues as conservation or biodiversity were the exclusive preserve of the affluent westerner: the ultimate luxury of the consumer society. Citizens of the world's poorest countries, ran the conventional wisdom, had nothing to gain from environmental concerns; they were 'too poor to be green', and were attending to the more urgent business of survival. Yet strong environmental movements have sprung up over recent decades in some of the poorest countries in Asia and Latin America, albeit with origins and forms of expression quite distinct from their western counterparts. In Varieties of Environmentalism, Guha and Matinez-Alier seek to articulate the values and orientation of the environmentalism of the poor, and to explore the conflicting priorities of South and North that were so dramatically highlighted at the Rio Earth Summit in 1992. Essays on the 'ecology of affluence' are also included, placing ion context such uniquely western phenomena as the 'cult of wilderness' and the environmental justice movement. Using a combination of archival and field data,. The book presents analyses of environmental conflicts and ideologies in four continents: North and South America, Asia and Europe. The authors present the nature and history of environmental movements in quite a new light, one which clarifies the issues and the processes behind them. They also provide reappraisals for three seminal figures, Gandhi, Georgescu-Roegen and Mumford, whose legacy may yet contribute to a greater cross-cultural understanding within the environmental movements.
Once upon a time, the London theatre was a charming mirror held up to cosiness. Then came Joan Littlewood, smashing the glass, blasting the walls, letting the wind of life blow in a rough, but ready, world. Today, we remember this irresistible force with love and gratitude.' (Peter Brook) Along with Peter Brook, Joan Littlewood, affectionately termed 'The Mother of Modern Theatre', has come to be known as the most galvanising director of mid-twentieth-century Britain, as well as a founder of so many of the practices of contemporary theatre. The best-known work of Littlewood's company, Theatre Workshop, included the development and premieres of Shelagh Delaney's A Taste of Honey, Brendan Behan's The Hostage and The Quare Fellow, and the seminal Oh What A Lovely War. This autobiography, originally published in 1994, offers an unparalleled first-hand account of Littlewood's extraordinary life and career, from illegitimate child in south-east London to one of the most influential directors and practitioners of our times. It is published along with an introduction by Philip Hedley CBE, previously Artistic Director of Theatre Royal Stratford East and Assistant Director to Joan Littlewood.
In More than Chains and Toil, Joan Martin explores the experiences of enslaved women and the realities of their social world to uncover the interrelationships among moral agency, work, and human meaning. She then reflects ethically on the implications such a distinct perspective on labor might have for women in contemporary African American communities and for broader discussions about the meaning of work in American society.
The first two chapters outline the causes of circulation patterns in the atmosphere and oceans, emphasizing the interactions between them. Chapter 3 deals with the surface circulation (including mesoscale eddies), using a minimum of mathematics. Chapter 4 reviews the history of ideas about ocean circulation (with special reference to the North Atlantic gyre), and Chapter 5 describes the major current systems at high and low latitudes. The final Chapter returns to the theme of ocean-atmosphere interaction, especially the global transport of heat and freshwater, and the formation of sub-surface water masses. Fully illustrated in four coloursFully illustrated in four colours
An engaging, nontechnical discussion of the infectious diseases and other biological threats that pose the highest risk to humans, presented in the context of relevant environmental and sociological trends. What biological agents should we truly be afraid of? Which have garnered more attention than they warrant? Emerging Biological Threats: A Reference Guide is the antidote for the confusion surrounding the potentially devastating impact of pathogens on the human community. Written by a frontline professional in epidemiology, it is the most authoritative yet engagingly written resource available on the real risks we face, and the countermeasures used to confront them. Emerging Biological Threats provides the information needed to understand significant direct threats to human health, as well as those that impact us indirectly by destroying livestock and crops. Focused primarily on the United States, it offers science-based yet accessible explorations of HIV, influenza, drug-resistant pathogens, tuberculosis, meningitis, and more. In addition, the book assesses current predictions about the future spread of various diseases as a result of climate change and overpopulation. The book concludes with chapters on relevant environmental and sociological trends and a discussion of current public health strategy.
In Unbending Gender, Joan Williams takes a hard look at the state of feminism in America. Concerned by what she finds--young women who flatly refuse to identify themselves as feminists and working-class and minority women who feel the movement hasn't addressed the issues that dominate their daily lives--she outlines a new vision of feminism that calls for workplaces focused on the needs of families and, in divorce cases, recognition of the value of family work and its impact on women's earning power.Williams shows that workplaces are designed around men's bodies and life patterns in ways that discriminate against women, and that the work/family system that results is terrible for men, worse for women, and worst of all for children. She proposes a set of practical policies and legal initiatives to reorganize the two realms of work in employment and households--so that men and women can lead healthier and more productive personal and work lives. Williams introduces a new 'reconstructive' feminism that places class, race, and gender conflicts among women at center stage. Her solution is an inclusive, family-friendly feminism that supports both mothers and fathers as caregivers and as workers.
This ambitious and long-awaited volume brings together foremost nursing scholars, researchers, and educators to review and critique the state of research across areas most relevant to clinical practice. The contributorship appears as a veritable "who′s who" of nursing research and the contents comprise primary areas in the vanguard of nursing science. In the first section, the authors explore theoretical issues, the variety of philosophical approaches to scientific inquiry in nursing, factors shaping nursing research, and the relationship of the philosophical perspectives to research methodologies. In later sections, the scientists review and analyze the state of nursing science in relation to community health, practice strategies, family care, health promotion, biobehavioral investigations, women′s health, gerontologic nursing, and health system perspectives and outcomes. For physiological as well as psychological research, the most relevant theories driving the research are presented along with the review of multiple diverse instruments and measurement issues. Comprehensive in scope, cogent and truly thought provoking, a book such as the Handbook of Clinical Nursing Research arrives only once or twice in a career. It is a must-have shelf reference for every nurse and for those who would teach them.
As the elderly population swells with the aging of 77 million baby boomers, Americans increasingly face the challenge of trying to understand and cope with problems associated with cognitive decline. This popular reference work can help those facing the cognitive problems associated with aging.
In this innovative work of autoethnography, Caroline Picart weaves across letters, diary entries, newspaper articles, and visual art in an attempt to reconcile her personal experience with her professional identity as a philosopher and scientist living in the U.S. In part a dialogue with her past and ancestry-she was raised in the Philippines and educated in England and the United States-and in part a scholarly analysis, Picart asks what it means to be defined as a member of a specific "race," especially as a "foreigner" married to an American, living within multi-cultural America. Inside Notes From the Outside wrestles with issues that have loomed over anyone who has had to come to terms with concrete, pragmatic questions regarding identity within the interacting spheres of race, gender, class, and power. Based on the premise that discourse regarding these issues tend to be cast into a relationship of powerful vs. powerless, the author contends that power is not a fixed thing, but a subtle, complex matrix that shifts over time. A thoughtful approach toward issues of cultural difference, Inside Notes From the Outside provides a sincere and uniquely interior perspective on identity formation.
There is nothing else eleven-year old Marty Preston enjoys more than spending time up in the hills behind his home in Friendly, West Virginia. But this time is different. This time Marty sees a young beagle on the road past the old Shiloh schoolhouse. Marty feels sure the dog is being abused by his owner. When the dog turns up at Marty's house, Marty's parents say he must take him back. But it hurts Marty to return the runaway dog to his cruel master. That's when Marty secretly decides he'll do anything to save the dog he names Shiloh. Novel by Phyllis Reynolds Naylor. Reproducible chapter questions, plus comprehension questions, a story summary, author biography, creative and cross curricular activities, complete with answer key.
A companion to the highly successful What Works for Women at Work, this workbook offers women a hands-on guide filled with interactive exercises, self-diagnostic quizzes, and action-oriented strategies for building successful careers. The Workbook helps women understand their work environments and experiences and move up the professional ladder. Readers will discover the four patterns of gender bias--Prove-It-Again, the Tightrope, the Maternal Wall, and the Tug of War--and they can use the toolkit to learn how to navigate the ways these patterns affect their careers. Williams and her co-authors also introduce the new concept of "Gender Judo," which involves doing a masculine thing in a feminine way, in order to avoid a backlash.
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