In the past 35 years, the hospice movement has undergone major changes and has grown enormously. Palliative care is of growing importance to society as our culture struggles with how to provide compassionate end-of-life care to a growing segment of the population. This book provides professionals with a comprehensive overview of the hospice practice, as well as the challenges faced by and the future direction of the hospice movement. Chapters address the fundamentals of hospice and palliative care, including key topics such as the goals and importance of community involvement, outcome measurement, and the manner in which hospices address death, grief, and bereavement. Also provided is a detailed analysis of the business side of hospice and offers strategies for proper management for those working in hospice programs that are growing and bringing in new staff and volunteers. This book is being published in partnership with the National Hospice and Palliative Care Organization (NHPCO).
The mammalian central nervous system is a remarkable structure which has attracted many new investigators, as evidenced by the dramatic increase in scientific publications dealing with neurobiology. Every day basic scientists conduct new and exciting experiments, resulting in remarkable discoveries des tined to help mankind. Unfortunately many of these new findings are slow to be accepted by the clinical world. This is especially true in the area of brain trauma, where the present prognosis is usually very poor. We have known for quite some time that the mammalian central nervous system is capable of compensating for severe damage in many different ways, and under some circumstances behav ioral compensation can be observed. However, much is still to be learned about the various factors and events that lead to functional recovery and those condi tions that do not. It is this challenge that originally excited a number of the contributors to this volume to explore the subject of recovery from brain damage. One factor in particular that is known to change the prognosis of recovery is the age of the organism at the time of the damage. This book is an attempt to explore this important variable. Most of the literature concerning aging deals with widespread degenerative changes and paints a grim picture for the aging central nervous system in terms of recovery of function following trauma.
This final volume of ""Death and Bereavement Around the World"" reflects on some major themes: death and after-life, religion and spirituality, rites and rituals, secularist approaches, cultural variations, suicide, and other issues. The first few chapters describe progress in end-of-life care, including some new tools to evaluate hospice care (chapter 1); what children know, when they know it, and how parents can respond to questions, with some guidelines for support by schools (chapter 2); the importance of ritual (chapter 3); and, gender differences in death customs around the world (chapter 4).The transcript of a 1997 interview of John (Jack) Morgan by Pittu Laungani is presented as chapter 5. The following chapters discuss death systems and suicide (chapter 6); HIV/AIDS, including the role of cultural and economic factors in the spread of the disease (chapter 7); and grief and bereavement in the developing world, taking the AIDS pandemic as a specific challenge (chapter 8). Chapter 9 covers issues related to dying and death in Romania. In chapter 10 the focus is on the various functions and uses of names in a cross-cultural context. Roadside memorials as a pivotal healing strategy are the topic of chapter 11. Chapters 12 and 13 focus on spiritual experience with loss.The final chapter presents some conclusions, and in the Epilogue, Mary Ann Morgan honors the life, career, dying, death, and achievements of John (Jack) Morgan. The 'Final Word' includes the words of Pittu Laungani, from a book published just weeks before his death in February 2007.This work is for anyone interested in or working in death and bereavement issues, particularly academics, educators, librarians, chaplains, clergy, funeral service directors, hospice care providers and volunteers, palliative care providers, nurses, immigration officers, psychologists, social workers, psychotherapists, and counselors, especially bereavement counselors.
Written as an introduction for professionals, this book gives the reader an overall grasp of how hospice care is practised, the challenges hospices currently face, and the direction the movement is taking. The author claims that in spite of expansion, people are not aware of the work of hospices.
The efficient management of trees and other woody plants can be improved given an understanding of the physiological processes that control growth, the complex environmental factors that influence those processes, and our ability to regulate and maintain environmental conditions that facilitate growth. - Emphasizes genetic and environmental interactions that influence woody plant growth - Outlines responses of individual trees and tree communities to environmental stress - Explores cultural practices useful for efficient management of shade, forest, and fruit trees, woody vines, and shrubs
Fully updated for its Fifth Edition, Principles and Practice of Psychopharmacotherapy summarizes the latest data on hundreds of drug and device-based therapies and offers practical, evidence-based guidelines and treatment strategies for virtually every psychiatric disorder. Highlights of this edition include expanded coverage of pharmacogenomics, updates on treatments for elderly patients, and discussion of mechanisms of action for drugs used in sleep disorders, especially narcolepsy.
This authoritative, timely, and comprehensively referenced compendium on the bacteriophages explores current views of how viruses infect bacteria. In combination with classical phage molecular genetics, new structural, genomic, and single-molecule technologies have rendered an explosion in our knowledge of phages. Bacteriophages, the most abundant and genetically diverse type of organism in the biosphere, were discovered at the beginning of the 20th century and enjoyed decades of used as anti-bacterial agents before being eclipsed by the antibiotic era. Since 1988, phages have come back into the spotlight as major factors in pathogenesis, bacterial evolution, and ecology. This book reveals their compelling elegence of function and their almost inconceivable diversity. Much of the founding work in molecular biology and structural biology was done on bacteriophages. These are widely used in molecular biology research and in biotechnology, as probes and markers, and in the popular method of assesing gene expression.
The document provides a background to the need for managing fishing capacity and a review of technical and policy issues that arise in doing so. A summary of recommendations is included.
The world's leading source of evidence-based guidance on caring for patients at the end of life. Featuirng the content of the world's most widely read medical journal, plus completely new, never-before-published content. Perfect for medical students, trainees, and clinicians alike. Market / Audience Medical students: 18000/yr US, 250,000 global NP and PA students: 25,000/yr US, 50,000+ global IM and FP residents: 30,000 US, 60,000 global IM and FP clinicians: 140,000 US, 300,000+ global Palliative medicine: 3000 US Oncology: 20,000 US, 60,000 global Social workers About the Book In the tradition of the User's Guides to the Medical Literature, and The Rational Clinical Examination, JAMA/Care at the Close of Life is based on a widely successful series of articles appearing over the course of the last ten years in JAMA, the world's most widely read medical journal. The series is directed by Stephen McPhee, a leading authoriity of end of life care, and the chief editor of our market leading Current Medical Diagnosis and Treatment text. The articles in the series cover fundamental topics and challenges in caring for patients who have been given a terminal diagnosis. Featuring a strong focus on evidence-based medicine, and organized by clinical cases, the articles are widely read by faculty, medical students, and clinicians who, frankly, have not been given a solid educational experience on this very important medical issue. The book will be physically modeled after The Rational Clinical Examination, in a full color format that highlights the clinical cases. It will be well suited for use as an required or recommended textbook for medical, PA, and NO students, and as a clinical reference text for trainees and practicing physicians and nurses. Key Selling Features Based on highy regarded content from the world's most widely read medical journal All content is completely updated, and extensive new, never-before-published content has been added Case-based, and evidence-based, so its a perfect fit for the way medical students and residents like to learn Focuses on practical, real-world issues for primary care physicians, and avoids esoteric issues of interest only to specialists in palliative care Full color format, modeled after the highly regarded Rational Clinical Examination Includes multimedia materials available on line: Power Point slides for teaching, and video interviews with patients in end-of-life care, so that faculty and students get supplemental resources for learning the art and science of care at the end of life Evidence-based guidance from the world's leading medical journal, on a critical topic that has been neglected in medical education and training until recently. Author Profile JAMA is the world's most widely read medical journal, and has a reputation for excellence in evidence-based medicine. Stephen McPhee has high visbility on account of his editorship of CMDT, and for his driving role in enhancing end of life care in medical education and training programs. He is: Professor of Medicine, UCSF School of Medicine, San Francisco CA
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