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Palliative care is the interdisciplinary specialty focused on improving quality of life for people with serious illness and their families. This interdisciplinary care is provided by doctors, nurses, social workers, chaplains and others who work together with the patient's other doctors to provide an extra layer of support. Such care is appropriate for people at any age and at any stage in a serious illness, and can be provided together with curative treatment to address clinical, emotional, psychosocial and spiritual concerns of the patient and their family. To better understand how the principles of palliative care can be integrated into the overall provision of care and services to those facing serious illness, the Roundtable on Quality Care for People with Serious Illness held a public workshop in April 2017. This publication summarizes the presentations and discussions from the workshop.
Childhood Onset Severe Neurological Impairment confronts the uncertain decisions resulting from the intersection between what is intended and what is possible, to achieve the best certainty that lessens decisional regret. Evidence-based and hypothesis-driven strategies are offered to improve health, while a framework covers when and how to reflect with parents and guardians, utilizing an iterative process. Specific circumstances include intractable symptoms, feeding intolerance, intestinal failure, and use of technology. Communication is a cornerstone of this book, with strategies offered throughout and for each specific problem. This book will reinforce and expand skills, while promoting resiliency for individuals and teams. It provides innovative tools from a combination of evidence and the author's 27 years of experience. The content will inform research and quality improvement projects, advancing the quality of our care for children with severe neurological impairment and their families.
From the history of state terrorism in Latin America, to state- and group-perpetrated plunder and genocide in Africa, to war and armed conflicts in the Middle East, militarization--the heightened role of organized aggression in society--continues to painfully shape the lives of millions of people around the world. In Security Disarmed, scholars, policy planners, and activists come together to think critically about the human cost of violence and viable alternatives to armed conflict. Arranged in four parts--alternative paradigms of security, cross-national militarization, militarism in the United States, and pedagogical and cultural concerns--the book critically challenges militarization and voices an alternative encompassing vision of human security by analyzing the relationships among gender, race, and militarization. This collection of essays evaluates and resists the worldwide crisis of militarizationùincluding but going beyond American military engagements in the twenty-first century.
In this book the author examines the activities and reception of the Germania Musical Society, an orchestra whose members emigrated from Berlin during the revolutions of 1848. These two dozen "Forty-eighters" gave nearly a thousand concerts in North America during the ensuing six-year period, possibly reaching a million listeners. Drawing on a memoir by Henry Albrecht, the author provides insights into the musicians' desire to bring their music to the audiences of a democratic republic at this turbulent time. Eager to avoid the egotism and self-promotion of the European patronage system, they pledged to work for their mutual interests both musically and socially. "One for all, and all for one" became their motto.
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Picking up where she left off in Where the Blind Horse Sings, Kathy Stevens regales us with more tales of the rescued animals at Catskill Animal Sanctuary (CAS), some touching, some hilarious, all provocative. We meet Barbie, the broiler hen found hiding under a blue Honda in Brooklyn who falls for the animal ambassador Rambo, a ram with an uncanny sense of what others need. Then there’s Norma Rae, the turkey rescued from a “turkey bowl” just before Thanksgiving. There’s also Noah, a twenty-one-year-old stallion, starved and locked in a dark stall for his entire life until he came to the safety and plenty of CAS. Claude, the giant pink free-range pig, is but another of the “underfo...
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