How can we provide the best care for the growing population of older adults, many of whom are either very frail or very sick? The traditional medical model of care is focused on treatment of single diseases. This can work well for pneumonia, cancer, or diabetes in younger patients. It does not, however, work as well for frail older adults who have accumulated multiple chronic conditions and disabilities. These elders often depend on family or paid caregivers to provide assistance with (...) taking medications, transportation, and other activities of daily living, such as dressing and bathing. A practitioner in the traditional medical model might prescribe medications that make sense in isolation but have harmful... (shrink)

The phrase 'here be monsters' or 'here be dragons' is commonly believed to have been used on ancient maps to indicate unexplored territories which might hide unknown beasts. This book maps and explores places between science and politics that have been left unexplored, sometimes hiding in plain sight - in an era when increased emphasis was put on 'openness'. The book is rooted in a programme of research funded by the Leverhulme Trust entitled: 'Making Science Public: Challenges and opportunities, which (...) runs from 2014 to 2017. One focus of our research was to critically question the assumption that making science more open and public could solve various issues around scientific credibility, trust, and legitimacy. Chapters in this book explore the risks and benefits of this perspective with relation to transparency, responsibility, experts and faith. (shrink)

It is the Right that has inherited the ambitious modernist urge to destroy and innovate in the name of a universal project. Through the war in Iraq through the unrequited desire to dismantle public...

There can be no disputing the proposition that doctors and nurses should be held accountable for their professional activities. In most circumstances this accountability should be achieved through appropriate and effective complaints and disciplinary procedures, but there will be cases where the criminal law should become involved. The criminal law, however, is a serious weapon, and should only be used to punish those whose conduct is truly criminal; it should not be used against those who have merely made a human (...) error. The task of the law should therefore be to identify those situations where a doctor or nurse has behaved in a way which demonstrates a criminally culpable state of mind. In NZ recently the law has failed to do this and has been used as a weapon against those who may be in no sense morally blameworthy. -/- In New Zealand recently the law has failed to do this and has been used as a weapon against those who may be in no sense morally blameworthy. In this respect, NZ has been out of step with other comparable jurisdictions and has demonstrably failed to distinguish between cases where death is caused accidentally (through the making of an ordinary human error) and cases where it is caused criminally (through recklessness or culpable negligence). This is a surprising situation in a jurisdiction which has prided itself on its willingness to adopt a reformist legal agenda. (shrink)