Karen Sacks offers the first detailed account of the hospital industry's nonprofessional support staff---their roles in day-to-day health care delivery, and why they fought so tenaciously throughout the 1970s to unionize. This case study of the relationships between work life and unionization in Duke medical Center highlights women's activism in general and black women's leadership in particular. In addition to an analysis of the dynamics of women's activism, Caring by the Hour provides a comparative study of Duke Medical Center's treatment of both black and white female workers. Sacks links patterns of racial segregation in clerical jobs to the relationship between race, working conditions, and unequal opportunities for black and white women, and to their differing work cultures and patterns of public militance. She also discusses recent changes in service, clerical, and professional work and their effects on white and black women, placing them in the context of national changes in health funding and policies.

The 36-Hour Day is the definitive dementia care guide.

Changes in health care have dramatically altered the experience of dying in America. At the turn of the twentieth century, medicine’s imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, The Inevitable Hour demonstrates that professional attention and resources gradually were diverted from dying patients. Emily K. Abel challenges three myths about health care and dying in America. First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become dehumanized. Abel shows that hospitals resisted accepting dying patients and often worked hard to move them elsewhere. Poor, terminally ill patients, for example, were shipped from Bellevue Hospital in open boats across the East River to Blackwell’s Island, where they died in hovels, mostly without medical care. Some terminal patients were not forced to leave, yet long before the advent of feeding tubes and respirators, dying in a hospital was a profoundly dehumanizing experience. With technological advances, passage of the Social Security Act, and enactment of Medicare and Medicaid, almshouses slowly disappeared and conditions for dying patients improved—though, as Abel argues, the prejudices and approaches of the past are still with us. The problems that plagued nineteenth-century almshouses can be found in many nursing homes today, where residents often receive substandard treatment. A frank portrayal of the medical care of dying people past and present, The Inevitable Hour helps to explain why a movement to restore dignity to the dying arose in the early 1970s and why its goals have been so difficult to achieve.

Dementia is a little understood and currently incurable illness, but much can be done to maximise the quality of life for people with the condition. Contented Dementia - by clinical psychologist and bestselling author Oliver James - outlines a groundbreaking and practical method for managing dementia that will allow both sufferer and carer to maintain the highest possible quality of life, throughout every stage of the illness. A person with dementia will experience random and increasingly frequent memory blanks relating to recent events. Feelings, however, remain intact, as do memories of past events and both can be used in a special way to substitute for more recent information that has been lost. The SPECAL method (Specialized Early Care for Alzheimer's) outlined in this book works by creating links between past memories and the routine activities of daily life in the present. Drawing on real-life examples and user-friendly tried-and-tested methods, Contented Dementia provides essential information and guidance for carers, relatives and professionals.

Among other revolutionary developments of today's world is tie so-called "knowledge explosion." So much is being written so fast about so many things that it is becoming well nigh ir-retrievable. One consequently can never be sure that he knows what there is to know about many kinds of phenomena or types of problems existing in the modern world due to the chance that something exists in written form that simply cannot be found, so bulky is the load of literature. The common idea that only the sick child, and never the well, needs special emotional supports and helps from the adult is simply an error. For the well child is not immune from pile-ups of severe emotional intensity when overwhelmed by confusion and conflicts from within. Certainly, the normal kid can be ex-pected to handle such crises either from within or without better than his sick peer on the average, but that does not mean always; and the critical issue for the well child is: is he ready at the time they hit? If not, he needs, quite unmistakably, emotional first aid from the adult--parent, teacher, camp counselor (or what have you)--who is in charge of his life at that moment. The reader will find that what the authors describe in The Other 23 Hours as the everyday requirement diet, as far as child handling is concerned for their disturbed children, is transferable to the normal crises of normal child-hood.

When Blanche Stone was diagnosed with bone cancer, her daughter Susan interrupted an unusual life -- in a Buddhist monastery -- to return home and become a full-time caregiver. With practical wisdom, humor, and an eye for telling detail, Susan relates their experiences sharing a house, dealing with finances, participating in family and holiday rituals, finding ways to ease Blanche's discomfort as her health declined, gratefully accepting the support of the local hospice, and coming to a greater appreciation of each other as individuals.Readers of any faith (or none) can benefit from these accounts of living moment by moment, responding without preconception to each evolving situation, embracing one's own needs along with the needs of a person facing death. Susan shows how such living happens: within a sacred place where there is room to honor and be awed by what is at hand, however difficult, and where one gains the freedom to enjoy it all.At the Eleventh Hour presents a model for how children can offer parents the gift of a good death. Like a wise and supportive friend, it can lift spirits and be a reminder that, hard as it is, it's okay -- and sometimes even fun. (In this way, the book is similar to Tuesdays with Morrie which has lifted the spirits of millions).