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.

(Table 1) Characteristics of breeding male Adélie penguins (Pygoscelis adeliae) treated with varying degrees of corticosterone, Adélie land, Antarctica

Breeding individuals enter an emergency life-history stage when their body reserves reach a minimum threshold. Consequently, they redirect current activity toward survival, leading to egg abandonment in birds. Corticosterone (CORT) is known to promote this stage. How and to what extent CORT triggers egg abandonment when breeding is associated with prolonged fasting, however, requires further investigation. We manipulated free-living male Adelie penguins with CORT-pellets before their laying period. We then examined their behavioral response with respect to nest abandonment in parallel with their prolactin levels (regulating parental care), and the subsequent effects of treatment on breeding success in relieved birds. Exogenous CORT triggered nest abandonment in 60% of the treated penguins -14 days after treatment and induced a concomitant decline in prolactin levels. Interestingly, prolactin levels in treated penguins that did not abandon their nest were higher at the point of implantation and also after being relieved by females, when compared with abandoning penguins. Among successful birds, the treatment did not affect the number of chicks, nor the brood mass. Our results show the involvement of CORT in the decision-making process regarding egg abandonment in Adelie penguins when incubation is associated with a natural long fast. However, we suggest that CORT alone is not sufficient to trigger nest abandonment but that 1) prolactin levels need to reach a low threshold value, and 2) a rise in proteolysis (i.e. utilization of protein as main energy substrate) seems also to be required.

The Voting rights act : unfulfilled goals /

Cover title.

A review of Alliance for Progress goals : a report by the Bureau for Latin America, Agency for International Development.

"March 1969."

The voting rights act, unfulfilled goals : a report of the United States Commission on Civil Rights.

Item 288-A

Employment and inflation goals of the Humphrey-Hawkins act and the conduct of monetary policy [microform] : hearings before the Subcommittee on Domestic Monetary Policy of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-sixth Congress, first session, March 13 and 14, 1979.

Reuse of record except for individual research requires license from Congressional Information Service, Inc.

Monetary policy : goals and conduct for the 1980's : hearings before the Subcommittee on Domestic Monetary Policy and the Subcommittee on International Trade, Investment, and Monetary Policy of the Committee on Banking, Finance, and Urban Affairs, House of Representatives, Ninety-sixth Congress, first session, November 13, 27, and December 4, 1979.

Mode of access: Internet.

Ten generations of corn breeding /

Cover title.

Reprocessing of irradiated fission reactor fuel and breeding material : a literature search /

May 1, 1959.

Reprocessing of irradiated fission reactor fuel and breeding material : a literature search /

"January 1960."

Reprocessing of irradiated fission reactor fuel and breeding material : a literature search /

"October 1961."

Fuel breeding : a literature search /

"August 1959."

The Horse : its treatment in health and disease with a complete guide to breeding, training and management /

Mode of access: Internet.

Integrated analysis of small cities intercity transportation to facilitate the achievement of regional urban goals. Intercity transportation in rural regions: volume I - inventory and analyses. Final report.

Transportation Department, Office of University Research, Washington, D.C.

Determination of breeding sites of nematodes in a municipal drinking water facility /

"Grant No. R804292010."