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According to the US Census Bureau, the US population aged 65+ years is expected to nearly double over the next 30 years, from 43.1 million in 2012 to an estimated 83.7 million in 2050. These demographic advances, however extraordinary, have left our health systems behind as they struggle to reliably provide evidence-based practice to every older adult at every care interaction. Age-Friendly Health Systems is an initiative of The John A. Hartford Foundation and the Institute for Healthcare Improvement (IHI), in partnership with the American Hospital Association (AHA) and the Catholic Health Association of the United States (CHA), designed Age-Friendly Health Systems to meet this challenge head on. Age-Friendly Health Systems aim to: Follow an essential set of evidence-based practices; Cause no harm; and Align with What Matters to the older adult and their family caregivers.
This volume is divided into five parts and fifteen chapters that address these topics by examining ethnogeriatric foundations, research issues, clinical care in ethnogeriatrics, education and policy. Expertly written chapters, by practicing geriatricians, gerontologists, clinician researchers and clinician educators, present a systematic approach to recognizing, analyzing and addressing the challenges of meeting the healthcare needs of a diverse population and authors discuss ways in which to engage the community by increasing research participation and by investigating the most prevalent diseases found in ethnic minorities. Ethnogeriatrics discusses issues related to working with culturally diverse elders that tend not to be addressed in typical training curricula and is essential reading for geriatricians, hospitalists, advance practice nurses, social workers and others who are part of a multidisciplinary team that provides high quality care to older patients.
Drawing on both sociological and anthropological perspectives, this volume explores cross-national trends and everyday experiences of ‘parenting’. Parenting in Global Perspective examines the significance of ‘parenting’ as a subject of professional expertise, and activity in which adults are increasingly expected to be emotionally absorbed and become personally fulfilled. By focusing the significance of parenting as a form of relationship and as mediated by family relationships across time and space, the book explores the points of accommodation and points of tension between parenting as defined by professionals, and those experienced by parents themselves. Specific themes include: the ways in which the moral context for parenting is negotiated and sustained the structural constraints to ‘good’ parenting (particularly in cases of immigration or reproductive technologies) the relationship between intimate family life and broader cultural trends, parenting culture, policy making and nationhood parenting and/as adult ‘identity-work’. Including contributions on parenting from a range of ethnographic locales – from Europe, Canada and the US, to non-Euro-American settings such as Turkey, Chile and Brazil, this volume presents a uniquely critical and international perspective, which positions parenting as a global ideology that intersects in a variety of ways with the political, social, cultural, and economic positions of parents and families.
This book provides a comprehensive and systematic state-of-the science review of major primary care delivery models, how they address specific needs of older adults, and available evidence for their efficacy. Written by experts in the field, this book explores the patient-centered medical home model (PCMH) in depth and dives into the complexities of the “medical neighborhood”. It describes and analyzes primary care specifically directed toward special, complex populations, such as the Health Home for safety net patients with mental health needs, and intensive primary care for older adults. It reviews an array of primary care models related to dual eligible patients including the GRACE primary care consultation model and PACE models. It describes primary care with Advanced Practice Nurses and Physician Assistants and explores in-depth the massive effort within the VA to develop the Patient Activated Care Team (PACT), a VA form of the PCMH that also has several offshoots that address complex older veterans and veterans with severe mental illness. Finally, it illuminates rarely discussed primary care that occurs within the home and within long-term care. Throughout the entire book, experts navigate the workforce, care quality, and financing challenges of primary care for older adults. Primary Care for Older Adults is a valuable resource for clinicians, researchers, patients, caregivers and their advocates, and policy makers who have an interest in designing, promoting, and implementing high quality primary care for older adults.
This book explores new developments in the dialogues between science and theatre and offers an introduction to a fast-expanding area of research and practice.The cognitive revolution in the humanities is creating new insights into the audience experience, performance processes and training. Scientists are collaborating with artists to investigate how our brains and bodies engage with performance to create new understanding of perception, emotion, imagination and empathy. Divided into four parts, each introduced by an expert editorial from leading researchers in the field, this edited volume offers readers an understanding of some of the main areas of collaboration and research: 1. Dances with Science 2. Touching Texts and Embodied Performance 3. The Multimodal Actor 4. Affecting Audiences Throughout its history theatre has provided exciting and accessible stagings of science, while contemporary practitioners are increasingly working with scientific and medical material. As Honour Bayes reported in the Guardian in 2011, the relationships between theatre, science and performance are 'exciting, explosive and unexpected'. Affective Performance and Cognitive Science charts new directions in the relations between disciplines, exploring how science and theatre can impact upon each other with reference to training, drama texts, performance and spectatorship. The book assesses the current state of play in this interdisciplinary field, facilitating cross disciplinary exchange and preparing the way for future studies.
My mother still wants me to get a 'real' job. My father, who is retired after 44 years in the merchant marine, has never read my work. When I visited recently, the only book in his house was the telephone book.
The standard view of philosophical methodology is that philosophers rely on intuitions as evidence. Herman Cappelen argues that this claim is false, and reveals how it has encouraged pseudo-problems, presented misguided ideas of what philosophy is, and misled exponents of metaphilosophy and experimental philosophy.
Using a rich array of archival and quantitative sources, and oral testimony from ex-students across Canada, Axelrod explores the characteristics and significance of university life during a trying decade. He describes who went to university, what they were taught, how they amused themselves, how they responded to the pressing political issues of the day, and what became of them after graduation. Axelrod argues that these students shared the aspirations of middle-class communities elsewhere. Dreading the prospect of downward social mobility, they craved the status a university degree and professional credentials might produce. Accordingly, they forged an associational life on campus that challenged the control of paternalistic authorities, perpetuated the values of middle-class culture, and helped them cope with the stresses of the time. Women composed almost one-quarter of the student population -- and faced discrimination inside and outside the classroom. How they coped with this, how they adapted their own expectations, and how they contributed to campus and community culture are extensively discussed. Through the prism of the student experience, Making a Middle Class furnishes fresh insights into the social history of higher education, the history of youth, the history of the middle class, and the history of the Depression.
"As part of the statewide celebrations for this bicentenary year, the Library is presenting a major exhibition, The Governor: Lachlan Macquarie 1810 to 1821."--P. ii.