Remember me this way: the role of clothing in contemporary British death practice

This study examines the role of clothing in contemporary British death practice. It explores the way in which clothing supports the negotiation of loss and curation of memory in present-day Britain; considering both the historical origins of clothing practices and the reasons for their persistence. Having considered the clothes placed upon the dead body, the disposition of the clothes the dead leave behind, the clothes worn by mourners and the use of clothing as, or in memorials, the study argues that these contribute to a small number of critical objectives. They idealise the dead, refining their memory until they can be considered exemplary ancestors; they provide points of imaginal contact with these ancestral figures and they connect both the living and the dead to imagined communities which provide spaces within which the bereaved are permitted to mourn, and the dead are afforded a rudimentary kind of immortality. Despite the critical role played by clothing in personal and communal recovery from loss, this thesis also argues that clothing has affective power which, if not carefully controlled, may be experienced as a haunting

07. Appropriate Levels of Care

Consumers of long-term care are primarily the elderly, whose numbers are approaching 25 million; they comprise almost eleven percent of this nation\u27s population.1 They experience higher incidents of chronic disease and long term illness, with the most serious health care problems occurring in those over 75.2 These health care problems are usually costly because of the need for hospital and nursing home care, as well as other forms of intervention, and the unavailability of suitable, less costly alternatives, particularly in rural areas. In addition, these problems are compounded by lack of mobility, poor nutrition, lack of primary care and other elements often related to limited financial resources

Optimal distribution and utilization of donated human breast milk: a novel approach

Background: The nutritional content of donated expressed breast milk (DEBM) is variable. Using DEBM to provide for the energy requirements of neonates is challenging. Objective: The authors hypothesized that a system of DEBM energy content categorization and distribution would improve energy intake from DEBM. Methods: We compared infants’ actual cumulative energy intake with projected energy intake, had they been fed using our proposed system. Eighty-five milk samples were ranked by energy content. The bottom, middle, and top tertiles were classified as red, amber, and green energy content categories, respectively. Data on 378 feeding days from 20 babies who received this milk were analyzed. Total daily intake of DEBM was calculated in mL/kg/day and similarly ranked. Infants received red energy content milk, with DEBM intake in the bottom daily volume intake tertile; amber energy content milk, with intake in the middle daily volume intake tertile; and green energy content milk when intake reached the top daily volume intake tertile. Results: Actual median cumulative energy intake from DEBM was 1612 (range, 15-11 182) kcal. Using DEBM with the minimum energy content from the 3 DEBM energy content categories, median projected cumulative intake was 1670 (range 13-11 077) kcal, which was not statistically significant (P = .418). Statistical significance was achieved using DEBM with the median and maximum energy content from each energy content category, giving median projected cumulative intakes of 1859 kcal (P = .0006) and 2280 kcal (P = .0001), respectively. Conclusion: Cumulative energy intake from DEBM can be improved by categorizing and distributing milk according to energy content

What works for whom, how and why in mental health education for undergraduate health profession students? A realist synthesis protocol. [Protocol]

It has been shown that mental health education can support positive attitudes of health profession students towards people with mental health challenges, which supports them to provide optimal healthcare to this group. There are many different approaches to designing and delivering mental health education to health profession students. Each has their own advantages and disadvantages, and often mental health education programmes incorporate a multimodal approach in order to reap the benefits of a variety of teaching and learning approaches. The aim of this study is to understand the current landscape of teaching and learning approaches to mental health education for undergraduate health profession students. We will examine the features of successful outcomes for health profession students for: Learning environment. Knowledge development and retention. Confidence. Motivation. Preparedness for professional practice. For this, a realist synthesis has been chosen in order to review the literature. Realist synthesis lends itself to the review of complex interventions such as mental health education for undergraduate health profession curricula because it seeks to uncover the range of different mechanisms and context configurations that produce different outcomes. Health profession education and education practice, in general, is complex. A patient and public involvement (PPI) group is involved throughout this study and includes undergraduate health profession students, and members of the St John of Gods Hospital Consumers and Carers Council who are involved at every stage of the research. This study will engage with a stakeholder group who will support the refining of the programme theory

The Health of Children and Young People with Chronic Conditions and Disabilities in New Zealand 2016

This report aims to assist district health boards to plan to meet current and future demands in order to improve the quality of life for children with disabilities and chronic conditions by providing: 1. Information from a range of routinely collected data on children and young people’s disability and chronic conditions, including prevalence of conditions arising in the perinatal period 2. Information about children’s and young people’s use of secondary health services 3. Evidence for good practice derived from current policies, guidelines and evidence-based interventions for each of the indicators presented The choice of indicators included in this report was informed by an indicator framework developed by the NZ Child and Youth Epidemiology Service and by recent peer-reviewed literature about chronic conditions in children and young people. Chronic conditions and disabilities often affect people for life. Having a good quality of life and flourishing to your best ability is dependent, at least in part, on what happened as you were growing up. Understanding the dimensions of chronic conditions and disabilities among children and young people is essential to planning and developing good quality health services for New Zealand’s children and young people