Public health nursing--with its focus on compassionate, holistic care and service to the poor, the aged, those suffering from social injustice, and those without adequate health facilities--had its origins over a century ago with the founding of the Henry Street Settlement in New York City. Embracing the same foundational principles, Nurse-Led Health Clinics is the first book to describe innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventative health care, these clinics provide a full range of services, including primary care, health promotion, disease prevention, and behavioural health care to residents of underserved communities throughout the U.S. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it takes a concrete look at what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness clinics, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform. Helpful appendices include a start-up checklist, sample by-laws and a managed care contracting toolkit. Key Features: Describes key business, policy, medical, financial, and operational considerations for running a nurse-managed health center Addresses the pros and cons of a variety of business models for nurse-led care Identifies the most common clinical services offered Presents quality metrics, best practice models, and case studies Includes state and federal policy and regulatory challenges and opportunities

Set in the 1960s and 70s, Nirvana on Ninth Street is loosely based on residents who lived on and near Ninth Street between Avenues B and C in Manhattan, in what is now known as the East Village, during an extraordinary period when the area was a mecca of political radicalism and avant-garde poetry, music, and art. Rachel, a wholly fictitious character, ties the vignettes together. She is a woman who lives largely in a world of her own creation, remembering people from her past who live once again through her imagination. This book is the theater of the absurd, a comedy of errors, and brutal realism all rolled into one delightful, poignant, and sometimes tragic fantasy.

The Little Russian spotlights an exciting new and assured voice in historical fiction. The novel tells the story of Berta Alshonsky, who revels in childhood memories of her time spent with a wealthy family in Moscow  a life filled with salons, balls, and all the trappings of the Upper Class  very different from her current life as a grocer's daughter in the Jewish townlet of Mosny. So when a mysterious and cultured wheat merchant walks into the grocery, Berta's life is forever altered. She falls in love, unaware that he is a member of the Bund, The Jewish Worker's League, smuggling arms to the shtetls to defend them against the pogroms sweeping the Little Russian countryside.Married and established in the wheat center of Cherkast, Berta has recaptured the life she once had in Moscow. So when a smuggling operation goes awry and her husband must flee the country, Berta makes the vain and foolish choice to stay behind with her children and her finery. As Russia plunges into war, Berta eventually loses everything and must find a new way to sustain the lives and safety of her children. Filled with heart-stopping action, richly drawn characters, and a world seeped in war and violence; The Little Russian is poised to capture readers at every turn.

These are exciting and challenging times for gerontological nursing. N urses are at center stage for defining and improving health care for o ur nation's older adults. "Ways of Knowing and Caring for the Older Ad ult" is a powerful resource on the broad range of issues that face nur ses seeking excellence in this increasingly important specialty. Any h ealth care professional who works with the elderly will benefit greatl y from this outstanding collection of scholarly and experiential paper s.

May Sarton's love for Juliette Huxley, ignited that first moment she saw her in 1936, transcended sixty years of friendship, passion, rejection, silence, and reconciliation. The letters chart their meeting, May's affair with Juliette's husband Julian (brother of Aldous Huxley) before the war, her intense involvement with Juliette after the war, and the rich, ardent friendship that endured until Juliette's death. While May's intimate relationship with Julian was not a secret, May's more powerful romance with Juliette was. May's fiery passion was a seductive yet sometimes destructive force. Her feelings for and demands on Juliette were often overwhelming to them both. In fact, Juliette refused all contact with May for nearly twenty-five years. Their reconciliation, after Julian's death, wasn't so much a rekindling as it was a testament to the profound affinity between them. Theirs was a relationship rife with complications and misunderstandings but the deep love and compassion they shared for one another prevailed. Included in this book are Sarton's original drafts of an introduction to these letters.

Appearing in book form for the first time, this treasure trove of letters illuminates the life of the beloved poet/writer from early childhood into middle age.

All her life, May Sarton carried on a voluminous private correspondence—with family, friends, and lovers. From the beginning, as these remarkable letters show, the essence of an extraordinary human being was present, her gifts ready to unfurl and mature.

Fittingly, an early letter thanks parents for books. Later we enter the world of the theater, then years rich with study, travel, teaching, and the discipline of craft. Sarton's deep anguish as World War II approaches pervades many letters, but readers will also encounter the things that gave Sarton joy: her love of flowers, her affection for animals, her celebration of beauty in all its guises.

As Sarton divides her time between America and Europe, in an era when ocean voyages were the norm, illustrious acquaintances and intimates are introduced, among them Eva Le Gallienne, Elizabeth Bowen, Virginia Woolf, Muriel Rukeyser, Julian and Juliette Huxley, and Louise Bogan. Always, Sarton's voice is clear and courageous, startlingly candid about her passions, her moods, and her vulnerabilities. Her words, seeming as fresh as when they were written, stand against the backdrop of the crucial events of the century as she invites old and new readers into her personal world.

Forty years’ correspondence from one of America's most beloved authors, chronicling her life with compelling candor.

The engrossing drama begun in May Sarton: Selected Letters 1916–1954 culminates in this gathering of 200 quintessential letters, culled from thousands. Copiously annotated, they propel the reader with passionate immediacy through the rich years of this beloved author's maturity and world-wide fame, to her death.

"Sarton is one of the great letter writers of our time," Library Journal affirmed of the first volume. And here once again we see her in every aspect: the hard-pressed writer, the tormented lover, at her fiercest and most fond; the friend, confidante and passionate traveler, intensely engaged by public issues, ceaselessly searching for the elusive muse which made poetry and the creative transformation of life possible.

In addition to longtime friends and intimates familiar from Volume One—Louise Bogan, Eva Le Gallienne, Bill Brown, Muriel Rukeyser and the Huxleys—the more than 150 recipients in this volume include Robert Frost and Elizabeth Bowen, Carolyn Heilbrun and Doris Grumbach, Madeleine L'Engle, Pat Carroll, and Marianne Moore.

"No topic escapes her," Susan Kenney wrote of the first volume, and in the breadth and amplitude of these vibrant missives to friends and strangers, poets and scientists, actors and scholars, teachers and editors from every corner of the States and throughout Europe, the reader will partake of her joys, and learn well her griefs; it is no coincidence she always capitalized Hell.

Particularly rich are her letters to members of the religious community who were drawn to the spiritual center in her work; her magnificent letters of condolence; her fiery replies to critics; her trenchant, generous responses to the many young writers who touched her; and her life-enhancing responses to hordes of admirers.

Here, too, we are privy to several intense love relationships, and live beside her through the landmark publications of Mrs. Stevens Hears the Mermaids Singing and her revolutionary Journal of a Solitude. We accompany her as she writes the celebrated lyric poems which, with missionary fervor, she brought alive in dynamic readings to standing-room-only audiences across America, as long as she could do so. And finally we are witness to the gradual diminishments of age as, with characteristic courage, she charges into her ninth decade, "ardent and alone."

Selected Letters 1955–1995 offers new insights and throws fascinating sidelights on Sarton's multi-faceted character, presenting an awesome self-portrait—more revealing than anything yet published—of this truly singular woman who, faithful to her "vision of life"—and like the legendary phoenix which marks her grave —never ceased to be reborn over and over again.

As critic William Drake put it, "May Sarton always seems to be speaking to each one of us personally, as if we were a friend." In this richly moving and nourishing collection—the capstone of her literary legacy—this unforgettable woman speaks to each of us, as to each correspondent, once again in her timeless voice.

"Readers will find this volume a valuable companion to Sarton’s other work; reading it put me back in touch with her keen intelligence, her restless but rich spirit, and I enjoyed it tremendously." —Eleanor Dwight, author of Edith Wharton: An Extraordinary Life

"In a century of cruel inhumanity, 'life-enhancing' poet, novelist and journal-keeper May Sarton showed us, most of all, how to be human. . . . That is why we find in her a friend, and will keep rereading these thoughtful letters and her books for clues about the journey ahead." —Father John Dear, author of Living Peace

"Those who know her journals will find here a Sarton willing to examine the underside of creativity, a Sarton who refuses to stay stuck in life or work. This book passes on that courage to readers." —Alexandra Johnson, author of Leaving a Trace: On Keeping a Journal

"A searingly honest self-portrait of a complex and many-sided woman. . . . What a feast!" —Dr. Claire Douglas, author of Translate This Darkness: The Life of Christiana Morgan, the Veiled Woman in Jung's Circle