Psychiatry trainees’ views and educational needs regarding the care of patients with a life-limiting illness

2016 ◽  
Vol 15 (2) ◽  
pp. 231-241 ◽  
Author(s):  
Benjamin C. Forster ◽  
Helen Proskurin ◽  
Brian Kelly ◽  
Melanie R. Lovell ◽  
Ralf Ilchef ◽  
...  
Keyword(s):  
New South ◽  
Psychiatric Morbidity ◽  
Educational Needs ◽  
Physical Illness ◽  
South Wales ◽  
Dying Patients ◽  
Semistructured Interviews ◽  
Case Based Learning ◽  
Psychiatric Intervention

AbstractObjective:People with a life-limiting physical illness experience high rates of significant psychological and psychiatric morbidity. Nevertheless, psychiatrists often report feeling ill-equipped to respond to the psychiatric needs of this population. Our aim was to explore psychiatry trainees’ views and educational needs regarding the care of patients with a life-limiting physical illness.Method:Using semistructured interviews, participants’ opinions were sought on the role of psychiatrists in the care of patients with a life-limiting illness and their caregivers, the challenges faced within the role, and the educational needs involved in providing care for these patients. Interviews were audiotaped, fully transcribed, and then subjected to thematic analysis.Results:A total of 17 psychiatry trainees were recruited through two large psychiatry training networks in New South Wales, Australia. There were contrasting views on the role of psychiatry in life-limiting illness. Some reported that a humanistic, supportive approach including elements of psychotherapy was helpful, even in the absence of a recognizable mental disorder. Those who reported a more biological and clinical stance (with a reliance on pharmacotherapy) tended to have a nihilistic view of psychiatric intervention in this setting. Trainees generally felt ill-prepared to talk to dying patients and felt there was an educational “famine” in this area of psychiatry. They expressed a desire for more training and thought that increased mentorship and case-based learning, including input from palliative care clinicians, would be most helpful.Significance of Results:Participants generally feel unprepared to care for patients with a life-limiting physical illness and have contrasting views on the role of psychiatry in this setting. Targeted education is required for psychiatry trainees in order to equip them to care for these patients.

scholarly journals The 10 Lords of the Universe respond to Lim

1997 ◽  
Vol 3 (4) ◽  
pp. 319 ◽  
Author(s):  
Paul Adam ◽  
Tony Auld ◽  
Doug Benson ◽  
Peter Catling ◽  
Chris Dickman ◽  
...  
Keyword(s):  
Threatened Species ◽  
New South ◽  
New South Wales ◽  
Species Conservation ◽  
Scientific Committee ◽  
South Wales ◽  
The Universe

Lim (1997) has recently presented a critique of aspects of the New South Wales Threatened Species Conservation Act (TSCA), and in particular of the role of the Scientific Committee established by the Act.

Fleets of Fodder: The Ecological Orchestration of Agrarian Improvement in New South Wales and the Cape of Good Hope, 1780–1830

2017 ◽  
Vol 56 (3) ◽  
pp. 532-556 ◽  
Author(s):  
Maura Capps
Keyword(s):  
New South ◽  
New South Wales ◽  
Cape Of Good Hope ◽  
Agricultural Revolution ◽  
South Wales ◽  
Early Colonial ◽  
Fodder Crops ◽  
Independent Process ◽  
Imperial State

AbstractThis article challenges the dominant historical paradigms used to analyze imperial plant and animal transfers by examining the role of fodder crops in early colonial development in New South Wales and the Cape of Good Hope. In Alfred Crosby's enduring formulation of ecological imperialism—that is, the ecological transformation of temperate colonies of settlement by European plants, animals, and pathogens—was a largely independent process. To Crosby's critics, his grand narrative fails to acknowledge the technocratic management of plant and animal transfers on the part of increasingly long-armed colonial states from the mid-nineteenth century. Yet neither approach can adequately explain the period between the decline of Britain's Atlantic empire in the 1780s and the rise of its global empire in the 1830s, a period dominated by an aggressive ethos of agrarian improvement but lacking the institutional teeth of a more evolved imperial state. Traveling fodder crops link these embryonic antipodean colonies to the luminaries of the Agricultural Revolution in Britain. The attempt to transfer fodder-centric mixed husbandry to these colonies points to an emerging coalition of imperial ambition and scientific expertise in the late eighteenth-century British Empire.

Retaining the Royal Prerogative of Mercy in New South Wales

2019 ◽  
Vol 42 (4) ◽  
Author(s):  
Catherine Dale Greentree
Keyword(s):  
New South ◽  
New South Wales ◽  
Executive Power ◽  
The Public ◽  
South Wales ◽  
Public Record ◽  
Conception Of The Good ◽  
Appeals Process ◽  
Considerable Doubt

This article argues that the prerogative of mercy should be retained in New South Wales as a necessary and appropriate power of the Executive. Historically, pardons have provided opportunities for redemption. Currently, the statutory appeals process is limited to cases involving a miscarriage of justice where there is considerable doubt as to a person’s guilt. In cases where a person is guilty but is nevertheless deserving of mercy, the prerogative of mercy is the only avenue available. As a purely executive power, the prerogative of mercy can achieve the aims of the criminal justice system by tempering justice with mercy. The role of the sovereign involves maintaining order, but also enacting some conception of the good, driven by compassion, love, and mercy. Finally, this article argues that grants of mercy should be a matter of public record, for transparency and as a means of demonstrating this compassion to the public.

scholarly journals Victims as Prosecutors: England 1800–1835

Societies ◽  
2019 ◽  
Vol 9 (2) ◽  
pp. 31 ◽  
Author(s):  
Reynolds ◽  
Liston
Keyword(s):  
Nineteenth Century ◽  
New South ◽  
Female Offenders ◽  
Police Force ◽  
Public Prosecutor ◽  
Historical Records ◽  
South Wales ◽  
National Police ◽  
Selection Of

This paper examines the role of the victim through the prism of prosecutor in the first third of the nineteenth century when England did not have a public prosecutor or national police force and most crimes were prosecuted in the courts by the victim. The selection of cases is drawn from a larger investigation of female offenders punished by transportation to New South Wales, Australia. The cases demonstrate the diversity of victims, the power they held as prosecutors and highlight the process from apprehension to conviction. Historical records of regional English Assizes and Sessions were investigated to identify the victim and record the prosecution process.

The role of soil temperature and seed dormancy in the creation and maintenance of persistent seed banks of Nassella trichotoma (serrated tussock) on the Northern Tablelands of New South Wales

2020 ◽  
Vol 42 (2) ◽  
pp. 85
Author(s):  
Annemieke Ruttledge ◽  
Ralph D. B. Whalley ◽  
Gregory Falzon ◽  
David Backhouse ◽  
Brian M. Sindel
Keyword(s):  
Seed Bank ◽  
New South ◽  
Soil Seed Bank ◽  
Seed Banks ◽  
Early Summer ◽  
Secondary Dormancy ◽  
South Wales ◽  
The Creation ◽  
Persistent Soil Seed Bank

A large and persistent soil seed bank characterises many important grass weeds, including Nassella trichotoma (Nees) Hack. ex Arechav. (serrated tussock), a major weed in Australia and other countries. In the present study we examined the effects of constant and alternating temperatures in regulating primary and secondary dormancy and the creation and maintenance of its soil seed bank in northern NSW, Australia. One-month-old seeds were stored at 4, 25°C, 40/10°C and 40°C, in a laboratory, and germination tests were conducted every two weeks. Few seeds germinated following storage at 4°C, compared with seeds stored at 25°C, 40/10°C and 40°C. Nylon bags containing freshly harvested seeds were buried among N. trichotoma stands in early summer, and germination tests conducted following exhumation after each season over the next 12 months. Seeds buried over summer and summer plus autumn had higher germination than seeds buried over summer plus autumn plus winter, but germination increased again in the subsequent spring. Seeds stored for zero, three, six and 12 months at laboratory temperatures were placed on a thermogradient plate with 81 temperature combinations, followed by incubation at constant 25°C of un-germinated seeds. Constant high or low temperatures prolonged primary dormancy or induced secondary dormancy whereas alternating temperatures tended to break dormancy. Few temperature combinations resulted in more than 80% germination.

Modelling the economic impact of environmental flows for regulated rivers in New South Wales, Australia

2003 ◽  
Vol 48 (7) ◽  
pp. 157-164
Author(s):  
R.T. Jayasuriya
Keyword(s):  
Economic Impact ◽  
Environmental Flows ◽  
New South ◽  
New South Wales ◽  
Water Source ◽  
Regulated Rivers ◽  
Community Based ◽  
South Wales ◽  
Groundwater Aquifers

The management of water resources across Australia is undergoing fundamental reform in line with the priorities identified by the Council of Australian Governments (COAG) in 1994. This includes reforms to the specification of property rights, the way the resource is shared between the environment, irrigators and other users, charges for water use and the operational management of the river systems. In New South Wales (NSW), a series of water sharing plans (WSPs) is being developed for each water source in the State including regulated rivers, unregulated rivers and groundwater aquifers. These plans, which are the mechanisms by which COAG reforms are being implemented, are being developed by community-based water management committees (WMCs). The role of the WMCs is to develop a plan that achieves a balance between environmental, economic and social outcomes. NSW Agriculture has assisted a number of WMCs by quantifying the economic impact of proposed WSP options on the irrigation community. This paper outlines the approach taken by NSW Agriculture to quantifying economic impacts on irrigators in regulated catchments and provides results of case studies in the Lachlan River Catchment which is heavily developed for irrigation.

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