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 First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become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.

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).

Forget the 10,000 hour rule— what if it’s possible to learn the basics of any new skill in 20 hours or less? Take a moment to consider how many things you want to learn to do. What’s on your list? What’s holding you back from getting started? Are you worried about the time and effort it takes to acquire new skills—time you don’t have and effort you can’t spare? Research suggests it takes 10,000 hours to develop a new skill. In this nonstop world when will you ever find that much time and energy? To make matters worse, the early hours of prac­ticing something new are always the most frustrating. That’s why it’s difficult to learn how to speak a new language, play an instrument, hit a golf ball, or shoot great photos. It’s so much easier to watch TV or surf the web . . . In The First 20 Hours, Josh Kaufman offers a systematic approach to rapid skill acquisition— how to learn any new skill as quickly as possible. His method shows you how to deconstruct com­plex skills, maximize productive practice, and remove common learning barriers. By complet­ing just 20 hours of focused, deliberate practice you’ll go from knowing absolutely nothing to performing noticeably well. Kaufman personally field-tested the meth­ods in this book. You’ll have a front row seat as he develops a personal yoga practice, writes his own web-based computer programs, teaches himself to touch type on a nonstandard key­board, explores the oldest and most complex board game in history, picks up the ukulele, and learns how to windsurf. Here are a few of the sim­ple techniques he teaches: Define your target performance level: Fig­ure out what your desired level of skill looks like, what you’re trying to achieve, and what you’ll be able to do when you’re done. The more specific, the better. Deconstruct the skill: Most of the things we think of as skills are actually bundles of smaller subskills. If you break down the subcompo­nents, it’s easier to figure out which ones are most important and practice those first. Eliminate barriers to practice: Removing common distractions and unnecessary effort makes it much easier to sit down and focus on deliberate practice. Create fast feedback loops: Getting accu­rate, real-time information about how well you’re performing during practice makes it much easier to improve. Whether you want to paint a portrait, launch a start-up, fly an airplane, or juggle flaming chain­saws, The First 20 Hours will help you pick up the basics of any skill in record time . . . and have more fun along the way.