The Art of Enduring Contradictory Goals: Challenges in the Institutional Co‐construction of a ‘Good Death’

This paper focuses on the normative notion of ‘good death’, its practical relevance as a frame of reference for ‘death work’ procedures in institutional elder care in Switzerland and the ways in which it may be challenged within migrant ‘dying trajectories’. In contemporary palliative care, the concept of ‘good death’ focuses on the ideal of an autonomous dying person, cared for under a specialised biomedical authority. Transferred to the nursing home context, characterised by long-term basic care for the very old under conditions of scarce resources, the notion of ‘good death’ is broken down into ready-to-use, pragmatic elements of daily routines. At the same time, nursing homes are increasingly confronted with socially and culturally diversified populations. Based on ethnographic findings, we give insight into current practices of institutional ‘death work’ and tensions arising between contradicting notions of a ‘good death’, by referring to decision-making, life-prolonging measures, notions on food/feeding and the administration of sedative painkillers.

International science & technology : emerging trends in government policies and expenditures.

Shipping list no.: 96-0268-P.

Medicaid managed care : challenges in implementing safeguards for children with special needs : report to Congressional requesters /

"B-281045"--P. 3.

Challenges in international civil aviation negotiations.

"February 26, 1988"--P. 1.

Future challenges in renewable natural resources : proceedings of a national workshop, January 22-25, 1979, Rosslyn, Virginia.

Issued Sept. 1979.

FAA staffing : challenges in managing shortages in the maintenance work force : report to congressional requesters /

"B-228783"--P. [1].

Study guide to accompany Principles of sociology (rev. ed., Century co. 1930) and Test and challenges in sociology (Century co. 1931) by Edward Alsworth Ross,

Mode of access: Internet.

Proceedings on "Emerging Patterns in AIPR". Abstracts

On cover, 1978 : NBS-EIA

The psychotogenic effects of cannabis use: challenges in reducing residual uncertainties and communicating the risks

No Abstract

Challenges in implementing evidence-based practice into mental health services

This paper highlights challenges in implementing mental health policy at a service delivery level. It describes an attempt to foster greater application of recovery-orientated principles and practices within mental health services. Notwithstanding a highly supportive policy environment, strong support from service administrators, and an enthusiastic staff response to training, application of the training and support tools was weaker than anticipated. This paper evaluates the dissemination trial against key elements to promote sustained adoption of innovations. Organisational and procedural changes are required before mental health policies are systematically implemented in practice.

Challenges in the diagnosis of Marfan syndrome

Marfan syndrome (MFS) is a multisystem disorder of connective tissue that is inherited in an autosomal dominant fashion, and results from mutations in the FBN1 gene on chromosome 15. Diagnosis is challenging as it requires definition of diverse clinical features and input from a variety of specialists. Genetic testing of FBN1 is time consuming, expensive and complex, and may not solve the diagnostic dilemma. Failure to make a diagnosis or making an inappropriate diagnosis of MFS has social, lifestyle and medical consequences for the individual as well as the family.