First published in 1985, this book considers the financial consequences of parents and other relatives caring for severely disabled children at home. At the time of publication little reliable information was available on the costs incurred by 'informal carers', which this book set to rectify. The volume interweaves hard statistical material about money with the detailed personal responses of parents. It examines the claim that disablement in a child reduces parents' earnings while simultaneously creating an extra expense. The author compares the incomes and expenditure patterns of more than 500 families with disabled children and 700 control families of the time showing that the financial effects of disablement in a child can be far-reaching and pervasive. This book discusses contemporary policy implications of these findings in a chapter dealing with the rational for compensating families with disabled children, and in the final chapter. Although the book was original published in 1985, it references issues that are still important today and, whilst its main concern is families with disabled children, it will also be useful to anyone caring for other kinds of dependent people, such as the elderly.

First published in 1990, this book was the first informed study to focus on care within the voluntary sector. Written with the child in mind, it is a sensitive work which explores the administration, strategy, and problems facing carers in children's homes, at that time. Centring on small, community-based facilities, the authors discuss the processes involved in setting up and running such facilities. They examine the difficulties of evaluating progressive services that are influenced by the philosophy of normalisation, and highlight the lessons from which other providers of services are able to learn. Written by experienced researchers with contributions from service managers, Normalisation in Practice offers pragmatic advice on managing innovation efficiently without neglecting the needs of the child. Detailed interviews are combined with theoretical insight to provide an important guide for students and practitioners and a model for academics undertaking evaluative research. Although written at the start of the 1990s, this book contains discussions and material that are still very relevant to the subject today.

First published in 1986, this study explores the increased public concern with policies of 'community care' and their effects on informal carers, at that time. It looks at the widespread evidence that one particular group of informal carers- parents looking after their severely disabled child- lack information, advice and a co-ordinated pattern of supporting services. The author, who carried out research on disabled children and their families for a number of years, describes in detail a low-cost experimental project in which specialist social workers set out to remedy these shortcomings. Drawing on the results of this particular study, the author argues strongly for widespread assignment of 'key' social workers to this and other groups of informal carers. Despite being written in the mid-1980s, this book discusses topic that will still be of interest and use today.

Examines regulatory and other strategies for improving chemical risk management in small enterprises in the European Union. This book considers what supports are necessary to secure the implementation of these strategies and is particularly concerned with the role of chemical product supply as envisaged by REACH.

Rapid changes in healthcare and public health offer tremendous opportunities to focus on process improvement. Public health departments and agencies increasingly work collaboratively with hospitals and other community partners to promote knowledge and improve collective impact through public and private sector coalitions. Solving Population Health Problems through Collaboration brings together population health experts and leaders to examine evidence-based intervention strategies, case studies in health departments and hospitals, health equity issues, core competencies, public health campaigns, step-by-step collaboration advice, and much more. Each chapter is written by a population health leader shaped by his or her experience implementing change in a community's health, to demonstrate innovative methods and tools for building and leading sustainable community coalitions to effect real change. Designed to prepare population health workers in public health and healthcare settings to develop strategies for improved population health, this book is required reading for public health managers and health administrators as well as students enrolled in population health courses.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

* Provides valuable guidance for all student and practising SLTs who are working with older people with communication and swallowing difficulties. * Offers a holistic approach, not only looking at the physiological/biological effects, but taking into account the psychological and social impacts of aging. * Bridges theory and practice, with an emphasis on practical strategies and advice for clinicians to use in their daily work. * Dispels the myths which sound aging (due to a lack of knowledge of what is considered to be within normal range), which can lead to misdiagnosis.

Today, healthy ageing and active, meaningful lives are core values and aims for international and national health policies. Health services are challenged to ensure that the recipients of their services are active participants in their own care and beyond. Participation allows patients to become less dependent on healthcare providers, increasing their control over their own treatment and health. Increasingly, the idea of 'participation' is shifting, from participation in services to participation in mainstream society. This book examines the concept of participation, as well as the different meanings it takes on in the context of health and welfare services. It asks how services can enable and stimulate participation outside of those services. The contributions in this volume particularly focus on participation as engagement in daily life and 'everyday life' in order to develop the field of participation beyond the sphere of health and social care services. This book will appeal to researchers in the fields of health and social care, social services, occupational therapy and the sociology of health and illness. It will be of interest to practitioners of health and welfare services.

Responding to the public concern caused by recent hospital scandals and accounts of unintended harm to patients, this author draws on her experience of analysing the health care systems of over a dozen countries and examines whether greater regulation has increased patient safety and health care quality. The book adopts a new approach to mapping developments in health care systems in Europe, North America and Australia and pieces together evidence of which regulatory strategies and mechanisms work well to ensure safer patient care. It identifies the regulatory bodies, the regulatory principles and the implementation strategies adopted to improve governance in health care systems and suggests a conceptual framework for responsive regulation. The book will be of interest to government actors, health care professionals and medico-legal scholars.

The NHS Experience is an accessible and engaging guide for all those journeying through the NHS, whether as patients, carers or professionals. It draws on the experience of staff and families at Great Ormond Street Hospital to provide good practice guidance for both users and providers of health care. Based on the successful Snakes and Ladders drama programme developed at Great Ormond Street Hospital, this unique book uses the story of Daniel, a fictional child with the life-limiting disease cystic fibrosis, to provide insight into the enormous challenges faced by patients, their families and the professionals involved in their care. Asking difficult questions about how we can improve the NHS experience for everyone at the front line, Daniel's story builds on information from a wealth of sources to highlight: the practical, ethical, resource and financial dilemmas integral to the NHS the vital issues around communication, trust, management of clinical errors, consent, shared decision-making and bereavement the realities of fragmented care, bed shortages, uncertain diagnoses, and complex and difficult treatment choices. This is a book that should be read by all healthcare professionals and everyone who uses the NHS.

The terror of yellow fever conjures images of mass infection of soldiers during the Spanish-American War and horrific death tolls among workers on the Panama Canal. Medical science has never found a cure and the disease continues to present a threat to the modern world, both as a mosquito-borne epidemic and as a potential biological weapon. Drawing on firsthand accounts and contemporary sources, this book traces the history of the viral infection that has claimed countless victims across the United States, Central America and Africa, and of the global effort to combat this challenging and deadly disease.

'Northern Exposures' is an important and thought-provoking book that shows how the labor movement has embraced environmental protection and is beginning to create a new and more sustainable vision for the future. Dave Bennett's knowledge and commitment shine through. He is, by turns, the skeptical philosopher sifting the evidence and the passionate partisan arguing for the rights of the people. It makes for a rich and exhilarating mixture.-Nigel Crisp, Permanent Secretary, U.K. Department of Health, and Chief Executive, National Health Service (2000-2006), Author, Turning the World Upside Down: The Search for Global Health in the 21st Century (Royal Society of Medicine Press, 2010)

AIDS: Setting a Feminist Agenda" presents an overview of the important issues raised for feminist theory and practice by the HIV/AIDS epidemic, and outlines the direction in which feminist debates about the subject are developing. It makes essential links between feminism and HIV/AIDS work, and not only demonstrates that AIDS is a feminist issue, but also suggests areas where feminism is long overdue. The essays discuss medical issues; the specific social and political impact of HIV/AIDS on the lives of women of colour, lesbians, injecting drug users and prostitute women; And Current Health Educational And Health Promotional Practice As It relates to women.; The volume is theoretical and practical - suggesting theoretical models for understanding and challenging the social factors which are conducive to the spread of HIV among women and among men, as well as offering models of good practice for working with and for women.

Unequal Health examines the reasons why stark differences in health and well-being persist, even as the health care industry and access to health care grow. The third edition of this powerful book retains the accessible style and focus on inequality from previous editions while featuring significant new material throughout. After an overview of key themes, the book introduces the concept of epidemiology-measuring the number of people who are sick or dying-and offers an overview of health trends over time. Author Grace Budrys distills the latest research to consider the relevance of sex, race, income, and education, and relative social status on health. The book discusses disease, habits that contribute to health, the relationship between health care and health status, genetics, socioeconomic inequality, health policy, and more. The third edition features a new chapter on diet, an increased discussion of substance abuse and the attention it receives based on who is engaging in this behavior, new material on income and education variables and inequality, a new discussion of the Affordable Care Act and its impact, and more.

Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this 'ask' is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge their existence. From a range of international standpoints and perspectives, contributors to this book focus on aspects of EBP that require development. This focus is always robust and at times it is unashamedly provocative. Contributors challenge readers to engage with anomalies that surround the subject and readers are asked to consider the often precarious assumptions that underpin key aspects of EBP. While both conflict and concord are evident among the various offerings presented here, the book nonetheless creates and sustains a narrative that is bigger or more substantial than the sum of individual parts. And, across contributions, a self-assuredly critical stance towards EBP as currently practiced, conceptualized and taught coexists alongside respectful admiration for all who make it happen. Exploring Evidence-based Practice: Debates and Challenges in Nursing should be considered essential reading for academics and postgraduate students with an interest in evidence-based practice and nursing research.

The Handbook of Traumatic Loss adopts a broad, holistic approach that recognizes traumatic loss much more fully as a multidimensional human phenomenon, not simply a medical condition. Initial chapters build a foundation for understanding traumatic loss and explore the many ways we respond to trauma. Later chapters counterbalance the individualistic focus of dominant approaches to traumatic loss by highlighting a number of thought-provoking social dimensions of traumatic loss. Each chapter emphasizes different aspects of traumatic loss and argues for ways in which clinicians can help deal with its many and varied impacts.

The Handbook of Traumatic Loss adopts a broad, holistic approach that recognizes traumatic loss much more fully as a multidimensional human phenomenon, not simply a medical condition. Initial chapters build a foundation for understanding traumatic loss and explore the many ways we respond to trauma. Later chapters counterbalance the individualistic focus of dominant approaches to traumatic loss by highlighting a number of thought-provoking social dimensions of traumatic loss. Each chapter emphasizes different aspects of traumatic loss and argues for ways in which clinicians can help deal with its many and varied impacts.

The Routledge Handbook of Health Tourism provides a comprehensive and cutting-edge overview of the philosophical, conceptual and managerial issues in the field of health tourism with contributions from more than 30 expert academics and practitioners from around the world. Terms that are used frequently when defining health tourism, such as wellbeing, wellness, holistic, medical and spiritual, are analysed and explored, as is the role that health and health tourism play in quality-of-life enhancement, wellbeing, life satisfaction and happiness. An overview is provided of health tourism facilities such as thermal waters, spas, retreats and wellness hotels and the various challenges inherent in managing these profitably and sustainably. Typologies are given not only of subsectors of health tourism and related activities but also of destinations, such as natural landscapes, historic townscapes or individual resources or attractions around which whole infrastructures have been developed. Attention is paid to some of the lifestyle changes that are taking place in societies which influence consumer behaviour, motivations and demand for health tourism, including government policies, regulations and ethical considerations. This significant volume offers the reader a comprehensive synthesis of this field, conveying the latest thinking and research. The text is international in focus, encouraging dialogue across disciplinary boundaries and areas of study and will be an invaluable resource for all those with an interest in health tourism.

Women's Health Matters, like its sister volume Women's Health Counts, is an invaluable practical guide to doing feminist research on women's health. Written by experienced researchers and practitioners, these lively accounts of research work range from getting the research idea, through obtaining the funding and doing the research, to the practical problems faced, and eventual publication. The book provides an ideal antidote to textbooks and manuals, giving the reader a taste of the problems and pleasures of doing real research.

Since the late 1990s approaches to women's reproductive health has shifted from a service-based model to a human rights approach. This approach associates reproductive health with freedom from discrimination and enjoyment of a satisfying and safe sex life, and full access to information and services related to reproduction. In spite of this shift, and the global effort to promote women's reproductive health through the enhancement of human rights and gender equality, progress has been very slow. In this book the author fills a much-needed empirical study of women's reproductive health. The author assesses data from 137 developing countries (or areas) and challenges the prevailing bioscience and public health models by linking women's reproductive health to gender equality measures and development policies. Discussion on abortion rights, regional variations and reproductive health needs among refugees and internally displaced persons are also discussed. This is a timely study which provides a theoretical and social policy basis for monitoring and improving women's reproductive health in developing countries. This is particularly important in the light of insufficient research in the field and a lack of analysis on the empirical and theoretical linkages between reproductive health and gender equality. The book will be of interest to researchers, professionals and students interested in women's health issues, gender/women's studies and human rights.

Focusing on the struggles of youth in the Arabian Gulf to find their place in their encounters with modernity, Everyday Youth Cultures in the Gulf Peninsula explores how global forces are reshaping everyday cultural experiences in authoritarian societies. A deeper understanding of Gulf youth emerges from reading about the everyday lives and struggles, opportunities, and contributions of youth who, in the process of developing their personal identities, are also incrementally transforming their societies and cultures. Based on ethnographic fieldwork in Kuwait, Oman, Saudi Arabia, the UAE, and Qatar, the chapters bring fresh insight into Gulf youth microcultures from the ground and invite dialogue by engaging young local and foreign academics in the discussion. In light of the general difficulties of accessing Gulf societies, the book's nuanced, richly detailed depictions of everyday life can be of interest to academic research in Middle East studies, youth sociology, political science and anthropology, as well as to business and governmental decision-making.

Counselling Ideologies draws our attention to the dilemmas inherent within the therapeutic ideologies commonly subscribed to by psychotherapists and counsellors working with those who challenge heteronormative models and approaches. Identifying the modernist, heteronormative understandings of the world implicit in the more popular models, this book employs queer theory to challenge these ideologies, drawing on disciplines both within and outside of counselling and psychology, as well as sociology, cultural studies and various ethnographic accounts. It highlights the dilemmas faced by those who may wish to practise as 'queer therapists', addressing not only therapeutic dilemmas, but also issues such as: identity, race, coming-out experiences, 'internalised homophobia', 'empathy', 'ethical issues', bisexuality and pathologisation. Comprising contributions from both academic experts and practitioners from the UK, USA and Australia, this book represents a new approach to counselling and psychotherapy that will appeal not only to sociologists and those working in the field of mental health, but also to scholars of race and ethnicity, gender, queer studies and queer theory.

Abortion politics are contentious and divisive in many parts of the world, but nowhere more so than in Ireland. Abortion and Nation examines the connection between abortion politics and hegemonic struggles over national identity and the nation-state in the Irish Republic. Situating the abortion question in the global context of human rights politics, as well as international social movements, Lisa Smyth analyses the formation and transformation of abortion politics in Ireland from the early 1980s to the present day. She considers whether or not the shifting connections between morality, rights and nationhood promise a new era of gender equality in the context of nation-state citizenship. The book provides a new sociological framework through which the significance of conflict over abortion and reproductive freedom is connected to conflict over national identity. It also offers a distinctive in-depth consideration of the connection between gender and nationhood, particularly in terms of its impact on women's status as citizens; within the nation-state; within the European Union; and as members of a global civil society.

Critical Interventions in the Ethics of Healthcare argues that traditional modes of bioethics are proving incommensurable with burgeoning biotechnologies and consequently, emerging subjectivities. Drawn from diverse disciplines, this volume works toward a new mode of discourse in bioethics, offering a critique of the current norms and constraints under which Western healthcare operates. The contributions imagine new, less paternalistic, terms by which bioethics might proceed - terms that do not resort to exclusively Western models of liberal humanism or to the logic of neoliberal economies. It is argued that in this way, we can begin to develop an ethical vocabulary that does justice to the challenges of our age. Bringing together theorists, practitioners and clinicians to present a wide variety of related disciplinary concerns and perspectives on bioethics, this volume challenges the underlying assumptions that continue to hold sway in the ethics of medicine and health sciences.