Audit report on the City of Robins, Iowa for the year ended June 30, 2009

Audit report on the City of Robins, Iowa for the year ended June 30, 2009

Audit report on the City of Farmington, Iowa for the year ended June 30, 2009

Audit report on the City of Farmington, Iowa for the year ended June 30, 2009

Audit report on the Iowa Water Pollution Control Works Financing Program (Clean Water Program) and the Iowa Drinking Water Facilities Financing Program (Drinking Water Program), joint programs of the Iowa Finance Authority and the Iowa Department of Natural Resources for the year ended June 30, 2009

Audit report on the Iowa Water Pollution Control Works Financing Program (Clean Water Program) and the Iowa Drinking Water Facilities Financing Program (Drinking Water Program), joint programs of the Iowa Finance Authority and the Iowa Department of Natural Resources for the year ended June 30, 2009

Audit report on the City of Postville, Iowa for the year ended June 30, 2009

Audit report on the City of Postville, Iowa for the year ended June 30, 2009

Audit report on Wayne County, Iowa for the year ended June 30, 2009

Audit report on Wayne County, Iowa for the year ended June 30, 2009

Audit report on the City of Minburn, Iowa for the year ended June 30, 2009

Audit report on the City of Minburn, Iowa for the year ended June 30, 2009

Audit report on Boone County, Iowa for the year ended June 30, 2009

Audit report on Boone County, Iowa for the year ended June 30, 2009

Audit report on the City of Palo, Iowa for the year ended June 30, 2009

Audit report on the City of Palo, Iowa for the year ended June 30, 2009

Audit report on Montgomery County, Iowa for the year ended June 30, 2009

Audit report on Montgomery County, Iowa for the year ended June 30, 2009

Audit report on the Iowa Egg Council for the years ended June 30, 2009 and 2008

Audit report on the Iowa Egg Council for the years ended June 30, 2009 and 2008

Audit report on Carroll County, Iowa for the year ended June 30, 2009

Audit report on Carroll County, Iowa for the year ended June 30, 2009

Audit report on America’s Agricultural Industrial Heritage Landscape, Inc., d/b/a Silos and Smokestacks National Heritage Area (Silos and Smokestacks), in Waterloo, Iowa for the years ended December 31, 2009 and 2008

Audit report on America’s Agricultural Industrial Heritage Landscape, Inc., d/b/a Silos and Smokestacks National Heritage Area (Silos and Smokestacks), in Waterloo, Iowa for the years ended December 31, 2009 and 2008

Literature review on advance care planning of nursing home residents

Aim: Conduct a search and analytic review of literature regarding attributes of Advance Care Planning (ACP) and Advance Directive in order to identify the experiences and the best care strategies for older adults resident in nursing homes or long term institutions. Methodology: An extensive electronic search was undertaken in the following databases: Pubmed (via Ovid search), Cumulative Index of Nursing and Allied Health (CINAHL, via EBHOST), psychINFO and Cochrane. After analyzing and eliminating duplicates and professional's point of view (19), 144 titles were considered relevant: 28 opinion papers, 94 descriptive/qualitative studies or predictive studies, 17 experimental and five systematic reviews. Most of them were produced in North America and only 10 were in French. Results: With regard to European experiences, studies are scarce and further research could benefit from North American evidence. Contrary to Europe, nurses in North America play a major role in the process of care planning. The major findings were related to the poor efficacy of the completion of Advance Directives, even in presence of a substantial variety of implementation strategies. The evidence supports interventions that conceptualize ACP as a process, with an emphasis on the ascertainment of patients' values and beliefs and the necessity to include the family or loved ones from the beginning of the process in order to favor the expression and sharing of one's life perspectives and priorities in care. The most relevant findings were associated with the conceptualization of the ACP as a change in health behaviors which needs an involvement in different stages to overcome a variety of barriers. Conclusion: Rigorous research in ACP for the older adults in Swiss nursing homes that promote respect and dignity in this frail population is needed. How to best achieve patients and families goals should be the focus of nursing intervention and research in this domain.

Audit report on the City of Fairfield, Iowa for the year ended June 30, 2009

Audit report on the City of Fairfield, Iowa for the year ended June 30, 2009

Audit report on the City of Farley, Iowa for the year ended June 30, 2009

Audit report on the City of Farley, Iowa for the year ended June 30, 2009