3,076 research outputs found

    The uptake of advance care planning by older adults in New Zealand : a thesis presented in partial fulfilment of the requirements for a Master of Arts in Psychology at Massey University, Manawatu Campus, New Zealand

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    Advance Care Planning refers to planning for end-of-life care in a proactive and comprehensive manner, preferably using a planning template. This is the first nationwide study since the formal introduction of Advance Care Planning to New Zealand in 2010, to look at the level of uptake among older adults in New Zealand. Four thousand and twenty-eight participants were surveyed about completion of living wills, enduring powers of attorney and advance care plans. Participants were also asked who they had discussed end-of-life matters with. The data was analysed using descriptive and inferential methods, including analysising demographic data for correlations with Advance Care Planning activities. Following the survey, nine participants were chosen by convenience sample to be interviewed. Thematic analysis was applied to the interview data. The interviews explored the contextual factors and decision-making processes underpinning end-of-life-care choices. The study found that uptake was low for all forms of planning documentation although enduring powers of attorney were the most commonly completed document. Advance Care Plan discussions occurred very regularly, with nearly half of the participants having discussions in the six months preceding the survey. These were most often with family and friends and seldom with health professionals. Bivariate correlation analysis showed weak to moderate correlations between age, physical health, gender, ethnicity, and Advance Care Plan activities. Logistic regression was used to explore the completion of advance care planning templates. This revealed that the most influential factors were completing a living will or enduring power of attorney; having a discussion with a legal representative; speaking with a spiritual advisor; and being non-M膩ori. The qualitative interviews found seven major themes covering knowledge of ACP, the process and timing of planning, independence, who should be part of the planning process and what had been learned from previous experiences. Overall, this study reveals that, despite health promotion efforts, uptake of formal Advance Care Planning remains low in New Zealand. Further work is needed to educate the public about Advance Care Planning and to support health professionals to initiate and maintain the ACP process

    Desiring walls

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    Este fragmento es el cap铆tulo de un libro de Wendy Brown que trata de ofrecer unas pautas te贸ricas para poder explicar la proliferaci贸n de los muros internacionales en las 煤ltimas d茅cadas. Describe una de las contradicciones de la globalizaci贸n liberal (un proceso de integraci贸n global provocado por la libre circulaci贸n de capital, bienes y personas), sosteniendo que estas construcciones representan un intento fracasado de revertir sus efectos para volver a imponer el poder del Estado-naci贸n. Este texto explora las posibles explicaciones sobre por qu茅 existe un deseo de tener muros en la modernidad tard铆a. En particular, Wendy Brown analiza si se podr铆a relacionar este fen贸meno con las nociones de defensa identitaria en el trabajo psicoanal铆tico de Sigmund y Anna Freud. Brown argumenta que los muros sirven para reforzar la identidad y la soberan铆a perdida por el estado-naci贸n a causa de la globalizaci贸n, y que ofrecen monumentos visuales que esconden la crisis del poder soberano fortaleciendo la idea de que estos pueden parar los efectos de la globalizaci贸nThis fragment is part of a book that tries to offer theoretical insights that may allow us to explain the proliferation of international walls over the last decades. It describes one of the contradictions of liberal globalisat ion (a process of global integration provoked by the free movement of capital, goods and people), arguing that these constructions represent a failed attempt at reversing its effects in order to impose the Nation-states power. This chapter explores possible explanations for why there is a desire for walls in late modernity. In particular, Wendy Brown analyses whether it would be possible to relate this phenomenon to the notions of identity defense developed in the psychoanalytic work of Sigmund and Ana Freud. Brown argues that walls serve to supplement the identity and sovereignty lost by the Nation-state, caused by globalization, in offering visual monuments that hide sovereign powers crisis and reinforce the idea that it can stop globalisation鈥檚 effects

    Vinculaciones injuriadas

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    Power Without Logic Without Marx

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    Also CSST Working Paper #119.http://deepblue.lib.umich.edu/bitstream/2027.42/51310/1/546.pd

    Flying outreach clinics in the Northern Cape - a student perspective

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    Important Lessons from History

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    Book review of Mark Curriden & Leroy Phillips, Jr.\u27s Contempt of Court: The Turn-Of-The_Century Lynching That Launched A hundred Years Of Federalis
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