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Calla Lilies And Frog
Xueling Zou
Painting - Oil On Canvas - Original Art By Xueling Zou
Thank you for viewing my original art. �Xueling Zou -
This image won the 2nd Place of the Contest - Still Life with Flowers and a Vase on March 12, 2012.
October 23rd, 2011
Viewed 1,700 Times - Last Visitor from Beverly Hills, CA on 06/30/2015 at 5:05 PM
Sales Sheet
More from Xueling Zou
Gary, IN - United States
Very beautiful..!! V/F/T/G+
Maui, HI - United States
. . . ♥ . . . ☆ ☆ . . ★ . Featured: :: Dimensions :: . ★ . . ☆ ☆ . . . ♥ . . . http://fineartamerica.com/groups/dimensions.html
Rishikesh, Ut - India
Lovely color ,composition,and textures. V/F
Maine - United States
Brilliant combination of frog and flowers makes this artwork very special! Vf
Bucharest, Ro - Romania
Have to admire again this gorgeous still life with calla lilies and frog you painted, Xueling. Love it. f,v
Stamford, CT - United States
Beautiful you have captured the calla lilies so beautifully your very talented! v
Toronto, ON - Canada
Wonderful painting, v :)
London, mi - United Kingdom
lovely piece Xueling it has such presence and the floral work you do has such beauty love this piece so much
Fairfax, VA - United States
Love it!
Maui, Ha - United States
.╰⊰✿ . . ♥ . . ☆ ☆ . . . . Featured: :: Square Format :: . . . . ☆ ☆. . . ♥ . . ✿⊱╮. . . http://fineartamerica.com/groups/square-format.html
Bay Area, CA - United States
Thank you so much for your wonderful feedback, I really appreciate it:-)!!
Daytona Beach, FL - United States
This is gorgeous Xueling!!! f/v
Mequon, WI - United States
So serene and peaceful. I love the rich colors in this composition. vf
Palatine, IL - United States
Beautiful oil still life Xueling, love the colors.
Newcastle, WY - United States
way pretty....v
BS, It - Italy
Beautiful Xueling, as always. You are a real talent! f/v
Tavernier, FL - United States
Simply beautifully executed composition!
JABALPUR, MA - India
Gracious colors & super art work ...
Sioux City, IA - United States
Fabulous art work Xueling, beautiful colors!! f/v
Snoqualmie, WA - United States
Gorgeous still life! Beautiful colors and brush strokes!
London, mi - United Kingdom
stunning artwork you are so talented
Belgrade, Se - Yugoslavia
Beautiful !!!
Male - Maldives
Beautiful painting, Xueling, love the brush strokes technique here and the vibrant colors!
Clarence, NY - United States
congrats on your second place contest win. V&P
Dublin, Ab - Ireland
Brilliant colours and brush strokes,,,excellent work xuelling..am back to view yours and other friends wonderful work ..thanks dear
Toronto, ON - Canada
Excellent brushwork Xueling...the colurs are just so rustic and calla lilies are gorgeous...beautiful work! fav vote
Tacoma, WA - United States
Wonderful work, Xueling!!
Miami (USA), Rio De Janeiro (Brazil) - United States
Beautiful palette, brushwork, and capture, excellent composition! F/V
Sydney, Ne - Australia
Beautiful piece of art, Xueling. I love the mix of warm and cool colors.
London, mi - United Kingdom
outstanding piece with atouch of humour and great artistry as always you always do something newfv
Budapest, Bu - Hungary
Very good work.
Castrop - Rauxel, NR - Germany
Wonderful choise of colors and style.......so beautiful done work Xueling - Chris :-))
Bridgeport, CT - United States
Outstanding ...very nicely done ....Happy New Year Xueling !
Lachine, QC - Canada
A wonderfully executed painting with its radiant hues and strong Van Gogh-like brush strokes - Appreciate your kind thoughts on 'Roses red', Thank you....Chris R
San Miguel, CA - United States
A wonderful bouquet! I love the frog.
London, mi - United Kingdom
watching out for your new work all the time this is a new piece that i love so much fave
Willits, CA - United States
love the job on these
Culleoka, TN - United States
Beautiful work, Xueling. Love the cool blues contrasted with the warm oranges and reds.
London, mi - United Kingdom
this is top notch work made with such love and dedication love the touch of the frog your artistry is brilliant Xueling
Cedar Rapids, Ia - United States
Xueling,This is a wonderful ,detailed great oil,painting. Love the colors and texture.Awesome art. Thanks so for nice commentsPurple Flower, and Tricycle. Hugs,Marsha Vote
Lutz, FL - United States
Love it Xueling! Great colors and values: keeps me looking longer.
Leeds, We - United Kingdom
Exquisite artwork Xueling. Very beautiful!
Kamloops, BC - Canada
Love this! Excellent combination of colors and very nice composition. Love the texture and strokes in this piece. Fav :)
Gap, PA - United States
Lebanan, TN - United States
Xueling, this is out of this world, love the comp and colors, beautiful
Dubai, DE - United Arab Emirates
Dear Xueling, a new superb painting with great blending of beautiful colors, gorgeous floral art worl with wonderful brush touches as usual from you. Thank you very much for your nice comment on (kite).
Bucharest, Ro - Romania
Oh, Xueling, I just love your color palette in this so beautiful painting and also the brush work is incredibly well executed..... a fav of mine. Love the way you painted the callas and this little frog as well. ______ Ana
Silicon Valley, CA - United States
Just finish a still life, one of my Guatemala impressionism:-).
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Beverly Hills, CA (United States)
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Can shots of wheatgrass really replace a double-shot of espresso?
Summer Beauty Trends
Hayley Williams
DOWNLOAD NOW: "The Only Exception"
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"I always need a little orange," says the 22-year-old Paramore singer, who wears M.A.C Chromagraphic Pencil in Genuine Orange. "It's so foxy on brows, lips, or as an eyeliner."
Fringe Benefits: Best New Mascaras

subset: commoncrawl


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Photography contest: Win over 1500 points!Journal Entry: Tue Oct 8, 2013, 11:18 AM
Hi, guys! The contest theme will be announced now. Everyone may join!
Theme: Autumnal Leaves
Deadline: October 31, 2013
A leaf or more than one has to be involved in the picture.
Submissions need to go to the favourites-folder "Contest entries "Leaves"" in Breathtaking-photos. You need to be a member to submit, so join and submit your entry! breathtaking-photos.deviantart…
One submission per person.
You may not change your submission, so think about it!
ONLY PHOTOGRAPHY, manipulations will be disqualified.
The jury will be me, and the winners will be announced some days after the deadline.
Important thing: The picture has to be new, taken in October 2013!
The prizes:
1st place:
390 from dragonfly-oli
100 from TriinErg
100 from paikan07
75 from thedaydreaminggirl
50 from Charlivia
50 from FrancescaDelfino
30 from MiloticScale
Group feature in :#wereallylovephotos:
PS-action from Nilanja
20x30in print by chriseastmids
2nd place:
245 from dragonfly-oli
60 from paikan07
50 from thedaydreaminggirl
30 from Charlivia
30 from FrancescaDelfino
15 from MiloticScale
Digital commission by SoraRoxas-15
Group feature in :#wereallylovephotos:
12x18in print by chriseastmids
3rd place:
145 from dragonfly-oli
40 from paikan07
25 from thedaydreaminggirl
20 from Charlivia
20 from FrancescaDelfino
15 from MiloticScale
Group feature in :#wereallylovephotos:
8x12in print by chriseastmids
Llamas for all winners by
Have fun taking pictures!
Yours, dragonfly-oli
Hi Ich glaube das hat nicht so ganz funktioniert, ich würde gern mit dem bild hier teilnehmen fav.me/d6sd81c
Manno, durch den Sturm sind alle Blätter unten.
Sorry, deswegen habe ich nur müllbilder. Die kann man nicht verwenden.
Sorry, deswegen habe ich nur müllbilder. Die kann man nicht verwenden.
Hi, just wondering if this is okay to submit: musicismylife10027.deviantart.…
The leaves I used are 100% real, and there is no manipulation involved in the photo, but I just wasn't sure if it is acceptable because the leaves are in the background and they're not the main focus... :/
Such a wonderful idea for a contest. I just submitted an entry.
It is a photograph of a leaf, I used a texture for the painterly effect, but nothing was manipulated.
Hope it's ok?
Such a wonderful idea for a contest. I just submitted an entry.
It is a photograph of a leaf, I used a texture for the painterly effect, but nothing was manipulated.
Hope it's ok?
I submitted my entry, but I'm not sure if it's ok!
It's not really a close up, but like 1000 leaves
It's not really a close up, but like 1000 leaves
Creative contest!
Hi Olivia! Does this mean we are not allowed to submit our own pictures, but only the pictures of other people?
Because I went to the Contest Folder and it's for my Favorites, not my own shots. I'm confused. Sorry.
No, it's for your own pictures
When you want to submit, first your favourite folder will appear. Then you click on "My Gallery" or such a thing. Then your pictures appear
How silly of me! I did submit my entry, I hope you have it?
Nevermind. I figured it out.
Whats the postprocesing lvl is accepted in this competition? Can i add contrast, edit colors abit, sharpen the image?
great theme
I can give a journal feature also if you want.
I can give a journal feature also if you want.
What a nice theme! I might enter the contest, anyway I'd be glad to feature the winners in a journal if it's ok
Sadly, it's spring here =[
the theme is "Autumnal Leaves", but are green leaves allowed?
Well, actually they have to have autumnal colors, or be black and white, and you can see the degeneration.
Are there no leafs in spring?
Would a pretty dead leaf count? Where I live the leaves don't change color.
great i ll join too sure


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Viewers: in countries Watching now:
In this succinct course, author, speaker, and marketing expert Lorrie Thomas Ross provides an overview of the basics of branding your business or yourself through consistency, communication, and effective collateral. The course shows how images, messaging, and market positioning can help you build visibility and credibility among customers. It includes real examples of successful brands and how aspects such as color, logos, and fonts, not to mention a strong web presence, contribute to their success.
The use of logo and brand identity across all media needs to be consistent. A style guide is a document that communicates directions to any creative professional or marketer using your logo. Guidelines in the style guide help protect your logo usage and keep branding consistent. Create guidelines to instruct how you want your brand to be depicted. If you're a designer, the style guide makes a great completion to your logo design projects. The No Obstacles Sport identity branding and style guide is included in your exercise files so you can see what a final style guide looks like.
It addresses the logo's meaning and physical representation guidelines, alternative representations like black and white and gray scale. You'll want your style guide to clarify things like colors, called PMS colors; which stands for Pantone Matching System, fonts used in logotype; fonts used on web sites; and other fonts used on collateral-like e-books. You can also use your style guide to address logo don'ts. This is not something to be shy about. Make sure anyone using your logo reviews your style guide to ensure consistency.
Use the style guide as a template to get parameters from your designer, or if you are a designer, you can use this as a tool to ensure your work is used consistently by your client.
There are currently no FAQs about Brand Building Basics.
Access exercise files from a button right under the course name.
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"While none of us could take the people and places we love with us, it's the words that echo forth from them that make the going and grieving purposeful, that charge it with meaning: 'Go forth and set the world on the fire.'" ~ Senior and Student Coordinator Anna Ferguson reflects on going forth from Creighton University in her blog featured on the Ignatian Solidarity Network's website:
Alumni/ae Archive
My Fast for Families
This Lenten season marks five years since my family was established. Five years since my husband, Yader, and I made the journey from Nicaragua to St. Louis for the first time together, and five years since US Homeland Security became an intimate member of our family.
Like any family, we have experienced joy and sorrow; but unlike many, ours has been intricately tied to the United States Immigration System. A system which has the power to determine whether a mother will raise her children alone or with her husband; whether a child will live with full access to healthcare and education, or will be raised by an ailing grandparent; or whether a father will only ever know arc of his daughter's smile through the grainy screen of Skype.
Not all families have experienced the immigration system to these extremes, but one family torn apart due to archaic policy is too many. This Lenten Season, in solidarity with those families who are separated and in recognition of my own family's beginning, I will be fasting each Wednesday as part of a larger national campaign, Fast for Families. Fast for Families seeks to highlight the suffering caused by a broken immigration system and compel others to action. Comprehensive immigration reform is stagnant in the House, while each day families continue to be broken apart. Each day thousands of parents will be unable to reach for their children as they cry, and unable to offer an answer to the heartbreaking question, "When will I see you again, Mommy?"
Please consider fasting for Lent in solidarity with Fast for Families and thousands of families across the country. Whether it is a meal, a day, a week, or a prayer, join us as we call for immigration reform. Our families cannot wait one more day.
Sarah Caldera Wimmer
Class of 2006 Alumna
College of Arts and Sciences
The CCSJ blogs are meant to be a place for Creighton students, faculty, staff, alumni/ae, and friends to reflect on their experiences with programs sponsored by the office or related to its mission. The views expressed in these reflections, and all other blogs found on or linked to from this website, are those of the individual authors and are not necessarily those of Creighton University, the Creighton Center for Service and Justice (CCSJ), or any of the University's affiliates. The University and the CCSJ are not responsible for the actions, content, accuracy, or opinions expressed in these blogs.
Read Creighton Alum, Jackie Greene's ('13) blog as she goes through her post-grad volunteering in Peru. Jackie is volunteering with Incarnate World Ministries.
Check her out at: embraceyourdisquietheart.wordpress.com/
Creighton Alumna Continues the Work of Advocacy
I set out to write this to let you know about my recent advocacy adventures. (I thought you would be pleased!)
One of my guests here at Casa Vides in El Paso, TX has recently won political asylum, but immigration didn't give her an I-94 (a type of visa that is used as an ID for legal immigrants). It's caused a ton of problems for her getting public benefits, but also just trying to function without a legal ID. She's not the first asylee we have seen come through without this paperwork. So, I set up an appointment with Congressman Reyes' office.
Because of my work on advocacy team and my experiences at Creighton, I felt very comfortable doing this, wasn't nervous at all for the appointment, and was able to prep the guest on what to expect. I gathered resources, wrote up a summary letter to leave with the aid, and went to the meeting.
The meeting was this afternoon. I think it went really well, and I hope the aid/congressman can help this specific guest attain an I-94, but also address the bigger systemic issue. It was refreshing for me to meet with a democratic representative, as she was sympathetic rather than antagonistic.
Being part of advocacy team prepared me for this experience, and I wanted to thank you!
The CCSJ blogs are meant to be a place for Creighton students, faculty, staff, alumni/ae, and friends to reflect on their experiences with programs sponsored by the office or related to its mission. The views expressed in these reflections, and all other blogs found on or linked to from this website, are those of the individual authors and are not necessarily those of Creighton University, the Creighton Center for Service and Justice (CCSJ), or any of the University's affiliates. The University and the CCSJ are not responsible for the actions, content, accuracy, or opinions expressed in these blogs.
Creighton Alumnus Directs Medical Program in Peru
Having graduated from Creighton in 2003 and after spending my spring breaks with the CCSJ on service trips, I kept putting off opportunities to spend extended time working with underserved populations until I had more training.
Finally, after med school, residency, and a year as chief resident at Georgetown, I ended up finding an organization serving the rural communities in the Sacred Valley, Peru interested in starting a mobile clinic. These communities for the most part lack running water, electricity, or bathroom facilities and have an extreme poverty rate of well over 25% and a malnutrition rate of nearly 25%, in addition to several other indicators of poor health.
So, I packed up and came down here (Ollantaytambo, Cusco, Peru) in August and have been here since.
Since that time we've started a mobile clinic that has served almost 1,000 patients, all of whom have received free care thanks to private donations. There was so much local interest that the local government late last year dedicated its own funds to continue this work, and as of last month started its own mobile clinic which travels to similar villages we have been serving. We've re-evaluated our strategy with this development and aim to support their mobile clinic – which is really more like an urgent care clinic – by dedicating resources to screening tests and preventative medicine, a concept that is quite foreign here.
We have also realized that a program targeting education and community empowerment is the best manner by which we can prevent common illnesses and recognize serious ones in these communities. We're in the process of launching a program to train community health workers in an effort to reduce maternal and infant mortality and communicable diseases and to get sick folks to medical attention sooner.
It's bittersweet that I will be leaving Peru to pursue a cardiology fellowship this May, but Sacred Valley Health will continue to train community health workers and bring preventative care to these communities in partnership with the municipal government's mobile clinic. I will oversee the medical direction of this program and support its fundraising and public health programming and am very excited for the potential impact we can continue to have.
Check out our website at www.sacredvalleyhealth.org, or find us on Facebook. We are not currently set up to receive short-term volunteers, although we hope eventually to set up a program with the government clinics for an interchange between interested volunteers and rural medicine. However, undergraduates or graduate students with a background in public health education or global health or who have general medicine training who are interested in long term work, please feel free to contact us.
Again, all my thanks to the work the CCSJ does for the formative programming they do to educate and provide opportunities to open minds to the injustices that exist in the world.
Mark Willcox, M.D.
Creighton Class of '03
Board Certified Internal Medicine
Sacred Valley Health Medical Director
Providing Community to Maximize Potential
By Mary Henneberry, Winter 2011 Graduate
So…as of this moment, I'll be living in Chicago, and working at a non-profit here in Chicago that works with mentally and physically handicapped people (from mild/high functioning individuals to profound/nonverbal, very very limited movement) in order to offer them a community of care that maximizes their potential. The job is pretty hands-on, though I'll be working with more high-functioning adults in their daily/nightly tasks…especially with younger adults who are newer and therefore are learning what it's like to be an independent adult. While they may have a developmental disability, the staff really tries to let them be as-independent-as-they-can-be adults (especially for these high-functioning individuals) so my job will be helping when necessary, but really facilitating the residents in learning that they can (and should) be an adult and do it on their own. Sounds simple, right?! I already know it will be a beautiful struggle :)
I officially "started" the job yesterday, but the position actually requires 4 weeks of certification and training, so that's what I'll be doing for the rest of the month. But so far, so good! So far I've learned that 1) the bakery is going to be dangerous for the bridesmaid dress I have to wear in July and 2) I have a lot to learn!! Please pray that I can make it through all 4 weeks/pass all the certification tests!
If you are interested in learning about what Mary is doing, feel free to email her, firstname.lastname@example.com


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According to a new report from Navigant Research, the global submarine electricity transmission market is expected to grow from $16.8 billion in 2015 to $24.8 billion in 2024.
Rolls-Royce announced it will take the lead on a €6.6 million project that could pave the way for autonomous ships. The Advanced Autonomous Waterborne Applications
The e-Navigation Underway 2015 – North America conference will be hosted by The State University of New York (SUNY) Maritime College from September 28 to 30 on the college's Throggs Neck, N.
In response to market demand, members of the G6 Alliance today announced the below enhancement to improve the Asia – North America (East Coast) trade.
NYK will
Is 3D printing just a hype? Or is it really possible to print spare parts for ships that can actually withstand the requirements set for the often "rough" working
The 36 Australian crew members of an Caltex tanker refusing to set sail after they were told their jobs would be gone after the next run. MR tanker Alexander Spirit (40,


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The immune systems of patients who have recently developed ME/CFS look markedly different from those who have been ill for much longer, according to a major new study from Drs. Ian Lipkin and Mady Hornig at Columbia University. This shift in immune function hadn't been seen before.
Discuss the article on the Forums.
Article: Lot of Questions at Int. XMRV WorkShop Q&A...and one BIG Answer?
Discussion in 'Phoenix Rising Articles' started by Phoenix Rising Team, Sep 9, 2010.
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Sunday, September 21, 2014
An Optimum Age to Die?
A more positive way perhaps to word the question might be "how old do you want to live to be?" The Atlantic ran an article that phrased it a bit differently, but still focused on at what age is long lived enough? The author, Ezekiel Emanuel, serves as Director, Clinical Bioethics Department, National Institutes of Health & chairs U. of Pa. Department of Medical Ethics & Health Policy. Why I Hope to Die at 75 appeared in the September 17, 2014 issue. Dr. Emanuel writes about his decision that 75 is his "magic number" and how others have tried to convince him that he should change his mind on this. Why 75? He explains
By the time I reach 75, I will have lived a complete life. I will have loved and been loved. My children will be grown and in the midst of their own rich lives. I will have seen my grandchildren born and beginning their lives. I will have pursued my life's projects and made whatever contributions, important or not, I am going to make. And hopefully, I will not have too many mental and physical limitations. Dying at 75 will not be a tragedy. Indeed, I plan to have my memorial service before I die. And I don't want any crying or wailing, but a warm gathering filled with fun reminiscences, stories of my awkwardness, and celebrations of a good life. After I die, my survivors can have their own memorial service if they want—that is not my business.
He makes it clear that he is not supporting physician-aided dying and if he lives past 75, so be it-he's not going to take steps to end his life. Where his wish comes into play is the type of health care he will consent to receiving once he hits that age. He argues that more years don't necessarily mean good years, noting that seventy is NOT the "new fifty". Although older folks may be more active or in better health, there is still a rise in disability which he points to as a reason that the focus shouldn't just be on quantity. He quotes another expert, "health care hasn't slowed the aging process so much as it has slowed the dying process." The fact of living longer but more incapacitated holds no appeal for him.
Dr. Emanuel looks at examples of health care issues, such as stroke and dementia, using statistics and real stories to illustrate his point. Regarding Alzheimer's, after citing to statistics on the correlation between aging and dementia, he offers
[e]ven if we aren't demented, our mental functioning deteriorates as we grow older. Age-associated declines in mental-processing speed, working and long-term memory, and problem-solving are well established. Conversely, distractibility increases. We cannot focus and stay with a project as well as we could when we were young. As we move slower with age, we also think slower.
He also discusses the correlation between age and creativity-an inverse relationship it seems--the older you are, the less creative, unless you are one of those rare individuals (we all know of someone quite famous who did something remarkably creative at an advanced age---think Grandma Moses).
As we age, to accommodate our "current selves" we constrict how we live, and as Dr. Emanuel describes, we find ourselves "aspiring to and doing less and less". Yet we each enjoy different things. This calls to mind some of the arguments we hear about the use of substituted judgment in health care/end of life decision-making. We each define a quality of life in different ways, and Dr. Emanuel recognizes that his view may be a bit harsh.
Yet, he contends, it is not about the elder individual racking up the years. There is a burden on the family to be considered, and he says "I will leave aside the very real and oppressive financial and caregiving burdens that many, if not most, adults in the so-called sandwich generation are now experiencing, caught between the care of children and parents. Our living too long places real emotional weights on our progeny."
Back to his plan when he reaches 75. As far as health care, here is his plan: to "stop getting any regular preventive tests, screenings, or interventions ... [and] accept only palliative—not curative—treatments if ... suffering pain or other disability." He makes it clear that this is his view and he respects the views of others that are contrary to his.
This article provides a wealth of topics for discussions with our students and is worthwhile reading, even though you may hold a contrary view to Dr. Emanuel.
September 21, 2014 in Advance Directives/End-of-Life, Cognitive Impairment, Dementia/Alzheimer's, Health Care/Long Term Care | Permalink | Comments (1) | TrackBack (0)
Death Bed Radio
Seems like there have been several interesting developments in the past few weeks regarding end of life decision making. Thanks again to Charlie Sabatino, Executive Director of the ABA Commission on Law & Aging. former NAELA president, national expert on end of life issues and all around great guy, for sending me an email about the series run on WNYC public radio. The station ran a 3 part series on "death beds" The first, Death Beds: Terminally Ill, But Constantly Hospitalized aired on September 8, 2014. The second, Death Beds: Too Little, Too Late for Many New Yorkers Seeking Hospice aired the next day, and the third, Death Beds: Living Wills Slowly Take Root aired on September 10, 2014.
Each includes the audio recording as well as the print story. Worth a listen!
September 21, 2014 in Advance Directives/End-of-Life, Consumer Information, Current Affairs, Health Care/Long Term Care | Permalink | Comments (0) | TrackBack (0)
Thursday, September 18, 2014
Institute of Medicine-New report: Committee on Approaching Death
The Institute of Medicine of the National Academies has released a new report on end of life issues. The report, Dying in America: Improving Quality and Honoring Individual Preferences Near the End of Life was released on September 17, 2014. The report brief offers an explanation of the importance of this new survey, including the sheer numbers of American elders who are living with some limitations on ADLs, chronic illness, cognitive issues and more. As well the report points to issues with the health care system, including problems in accessing care, a lack of palliative care specialists and knowledge about end of life care, and a health care system that works out of sync, with economic incentives. The brief concludes with a call for "person-centered, family-oriented approach that honors individual preferences and promotes quality of life through the end of life [as] ... a national priority." The report is "a comprehensive assessment of the knowledge gaps, structural problems, and financial disincentives that hamper delivery of optimal care and makes cross-sectoral recommendations to achieve compassionate, affordable, sustainable, and effective care for all Americans."
The website also includes a link to key findings, core components, an infographic and a quiz (5 questions) which is suitable for use in class.
The full report may be purchased as a book or downloaded as a pdf for free (registration is required).
Thanks to Charlie Sabatino for alerting me to this!
September 18, 2014 in Advance Directives/End-of-Life, Cognitive Impairment, Current Affairs, Dementia/Alzheimer's, Health Care/Long Term Care | Permalink | Comments (0) | TrackBack (0)
Wednesday, September 17, 2014
Moving Video from Cleveland Clinic
If you haven't seen this yet, it's worth watching--and showing to your class. Titled Empathy: The Human Connection to Patient Care, the video runs just over 4 minutes. It can be accessed here.
(Thanks to Judy Stein, Executive Director for the Center for Medicare Advocacy (CMA) for sharing this).
September 17, 2014 in Advance Directives/End-of-Life, Cognitive Impairment, Consumer Information, Health Care/Long Term Care | Permalink | Comments (0) | TrackBack (0)
Wednesday, September 3, 2014
Not Your Typical Phone Call
We get calls of all types, on our cell phones and for those of us who still have them, our land lines. Imagine a phone call offering you counseling on end of life options. Sound far-fetched? Not so much for some. Kaiser Health News (KHN) ran a story in late August, Operator? Business, Insurer Take On End-of-Life Issues By Phone. The article describes a company "Vital Decisions... [where] [a]fter sending a letter (people rarely respond) counselors essentially cold-call to offer what they describe as "nondirected" end-of-life counseling" to those who are quite ill. The company uses social workers to make the calls, which are short (about 15 minutes). Here's what the program is designed to achieve:
to build a relationship over the phone, [with the patient] so [the patient] might be comfortable discussing his situation and his goals. Then he'll be empowered to communicate those things with others, including his family and his doctors. He could also choose to allow the counselor to talk to his doctors or family directly. It's paid for by insurers and federal privacy rules permit this for business purposes.
According to Vital Decision's CEO, the goal is to facilitate discussions about end of life care and empower the patient's decision-making. "The goal is for patients to receive care in those final months that aligns with what the patient wants, even if that's the most aggressive treatment available." Some are skeptical of this phone approach because of the lack of in-person interaction and the challenges to remain neutral, which is why one expert calls for "full transparency from insurers and the company to guard against bias in the sessions."
September 3, 2014 in Advance Directives/End-of-Life, Consumer Information, Current Affairs, Health Care/Long Term Care | Permalink | Comments (0) | TrackBack (0)
Sunday, August 31, 2014
Is There A Billing Code for That?
Recently I participated in a series of roundtable discussions about end-of-life decision making and care. Community members, doctors, hospital staff and representatives of long-term care providers participated. There were several memorable moments. At one point, a former hospital employee said that it had been her job to get "living wills" signed by patients before surgery. Another administrator confessed she wished there was a Medicare billing code, so that her staff could conduct a proper discussion of living wills and similar advance directives with patients.
According to the New York Times, there may be such a billing code, at least for private insurance. From the front page of Sunday edition, "Coverage for End-of-Life Talks Gaining Ground."
"Five years after it exploded into a political conflagration over 'death panels,' the issue of paying doctors to talk to patients about end-of-life care is making a comeback, and such sessions may be covered for the 50 million Americans on Medicare as early as next year.
Bypassing the political process, private insurers have begun reimbursing doctors for these 'advance care planning' conversations as interest in them rises along with the number of aging Americans. People are living longer with illnesses, and many want more input into how they will spend their final days, including whether they want to die at home or in the hospital, and whether they want full-fledged life-sustaining treatment, just pain relief or something in between. Some states, including Colorado and Oregon, recently began covering the sessions for Medicaid patients.
But far more significant, Medicare may begin covering end-of-life discussions next year if it approves a recent request from the American Medical Association, the country's largest association of physicians and medical students. One of the A.M.A.'s roles is to create billing codes for medical services, codes used by doctors, hospitals and insurers. It recently created codes for end-of-life conversations and submitted them to Medicare."
August 31, 2014 in Advance Directives/End-of-Life, Consumer Information, Ethical Issues | Permalink | Comments (0) | TrackBack (0)
Thursday, August 21, 2014
An Elder's Planned Suicide or a Daughter's Premeditated Murder?
Pennsylvania has had its share of tragic recent stories connected to the death of older persons under circumstances that raise a question of suicide or murder.
Sadly, New Mexico now provides another example, where an 89-year old woman was found dead in the basement of her rural ranch home in early January. Her 69- year old daughter was charged with murder -- and at first the facts seemed to fit, given the very unusual manner of death. But this week the District Attorney dropped the charges, citing the lack of DNA or fingerprints to tie the daughter to the death, as well as expert analysis concluding the mother had written both "suicide notes" explaining her choice.
The notes suggested the older woman "did not want to be a burden to others." That history has led the family, now that the charges have been dropped, to encourage wider "exploration" of options that could prevent future tragedies, especially for older adults. Albuquerque Journal writer Leslie Linthicum, who first encountered both women 24 years before while working on a story about women ranchers in New Mexico, provides a balanced, thoughtful account of this latest tragedy.
As one saying goes, "there has to be a better way," but in most states the law does not currently recognize "better" choices. We're tackling important societal issues on many fronts right now, including same-gender marriage and legalized use of marijuana. Certainly we can also do a better job with laws affecting end-of-life decisions.
August 21, 2014 in Advance Directives/End-of-Life, Crimes | Permalink | Comments (0) | TrackBack (0)
Friday, August 15, 2014
ABA Journal: Activists Seek to Challenge "Protectionist" Funeral Laws
A recent issue of the ABA Journal reports on the latest efforts to challenge "antiquated" funeral laws, the subject of decision in Heffner v. Murphy, 745 F.3d 56 (3d Cir. 2014):
"According to [Joshua Slocum, executive director for the nonprofit Funeral Consumers Alliance], most states regulate the funeral business with boards that are packed with established funeral directors. As a result, regulations tend to suppress legitimate complaints and smother new competitors. That's one of the complaints behind Heffner v. Murphy... that may end up before the U.S. Supreme Court. Plaintiff Ernest Heffner, a licensed funeral director from York [Pennsylvania] claimed that the Pennsylvania Funeral Directors Law imposes 'arbitrary, burdensome and unreasonable' restrictions on funeral businesses, including who may own funeral homes and requirement for on-site embalming rooms."
According to the ABA Journal, "the libertarian-leaning Institute for Justice has stepped in and petitioned the U.S. Supreme Court for certiorari. IJ senior attorney Jeff Rowes says the case raises legal issues central to a core mission for the institute: stopping unreasonable regulations on small businesses." The petition for certiorai was filed July 15, 2014.
For more, read "Regulated to Death: Consumer Activitists Seek Certiorari for Challenge to 'Protectionist' Funeral Laws," by Lorelei Laird.
August 15, 2014 in Advance Directives/End-of-Life, Estates and Trusts, Ethical Issues, State Statutes/Regulations | Permalink | Comments (0) | TrackBack (0)
Monday, August 11, 2014
Are There Serious Problems With Hospice Programs? Washington Post 3-Part Series
The Washington Post recently completed a disturbing three-part series on hospice. To analyze the quality of services rendered to terminal patients, the reporters reviewed "Medicare billing records for more than 2,500 outfits, obtained an internal Medicare tally of nursing care in patients near death and reviewed complaint records at hundreds of hospices." The Post tracks data pointing to staff shortages, lack of coordination in care, failure to provide sustained assistance during critical periods, and the potential for Medicare to incentivize such gaps through perverse funding priorities.
Part 1: Terminal Neglect: How Some Hospices Treat Terminal Patients
Part 2: Is that Hospice Safe? Infrequent Inspections Mean it May be Impossible to Know
Part 3: Rising Rates of Hosptice Discharge in U.S. Raise Questions about Quality of Care
August 11, 2014 in Advance Directives/End-of-Life, Health Care/Long Term Care, Medicare | Permalink | Comments (0) | TrackBack (0)
Tuesday, August 5, 2014
New Book: The Law and Ethics of Dementia
The Law and Ethics of Dementia, co-edited by Israel Doron, Charles Foster and Jonathan Herring, recently released in hardback by Hart Publishing and available for e-readers in September, is definitely on my "must read" list. Followers of this Blog will certainly recognize Issi Doron, from the University of Haifa, who has long exercised an international, comparative perspective on issues in ageing. Professor Foster is a practicing barrister and a fellow at Green Templeton College, University of Oxford, which is also the working home of prolific writer and Law Professor Herring.
The book is organized into five parts, Medical Fundamentals, Ethical Perspectives, Legal Perspectives, Social Aspects, and Patient and Carer Perspectives. As part of the first section, physicians and researchers Amos Korczyn and Veronika Vakhapova co-author "Can Dementia be Prevented?" a question we all hope will be answered in the affirmative. Not surprisingly, given the title of the book, the section on ethical perspectives promises to be especially fascinating, offering multiple views on ethical components of decision making and care. To suggest the scope, Andrew McGee's chapter is on "Best Interest Determinations and Substituted Judgement," while Leah Rand and Mark Sheehan tackle the challenge of "Resource Allocation Issues in Dementia."
In the Social Aspects section, I notice that Syracuse Law Professor Nina Kohn has a chapter on "Voting and Political Participation," while Chinese (and University of Pennsylvania) health care scholar Ruijia Chen and colleagues address "Physical, Financial and Other Abuse."
With more than forty individual chapters and dozens of international writers, this book promises to be a key guide for the future.
August 5, 2014 in Advance Directives/End-of-Life, Books, Cognitive Impairment, Current Affairs, Dementia/Alzheimer's, Ethical Issues | Permalink | Comments (0) | TrackBack (0)
Sunday, July 20, 2014
17th Annual Elder Law Institute in Pennsylvania: Packed Program on July 24-25
The growing significance and scope of "elder law" is demonstrated by the program for the upcoming 2014 Elder Law Institute in Philadelphia, Pennsylvania, to be held on July 24-25. In addition to key updates on Medicare, Medicaid, Veterans and Social Security law, plus updates on the very recent changes to Pennsylvania law affecting powers of attorney, here are a few highlights from the multi-track sessions (48 in number!):
- Nationally recognized elder law practitioner, Nell Graham Sale (from one of my other "home" states, New Mexico!) will present on planning and tax implications of trusts, including special needs trusts;
- North Carolina elder law expert Bob Mason will offer limited enrollment sessions on drafting irrevocable trusts;
- We'll hear the latest on representing same-sex couples following Pennsylvania's recent court decision that struck down the state's ban on same-sex marriages;
- Julian Gray, Pittsburgh attorney and outgoing chair of the Pennsylvania Bar's Elder Law Section will present on "firearm laws and gun trusts." By coincidence, I've had two people this week ask me about what happens when you "inherit" guns.
Be there or be square! (Who said that first, anyway?)
July 20, 2014 in Advance Directives/End-of-Life, Elder Abuse/Guardianship/Conservatorship, Estates and Trusts, Ethical Issues, Federal Cases, Federal Statutes/Regulations, Health Care/Long Term Care, Housing, Legal Practice/Practice Management, Medicaid, Medicare, Programs/CLEs, Property Management, Retirement, Social Security, State Cases, State Statutes/Regulations | Permalink | Comments (0) | TrackBack (0)
Friday, July 18, 2014
Seeking Death with Dignity ... for a Beloved, Aging Pet
The story of Kitty Lee, age 75, and her beloved border collie Zoe, age 18, captures so much that can be poignant about aging. From the Albuquerque Journal, in a story by Joline Gutierrez Krueger:
"For months, Lee knew it was time to say goodbye to Zoe, her constant companion since 1999. The tumor had gotten so big, and Zoe had gotten so weak. Her gentle brown eyes were clouding over. She couldn't hear. It wasn't fair to force her to live this way just for Lee's sake.
"She deserves better than this," said Lee, 75. "She deserves to die with dignity."
But dignity is hard to pay for.... Today, Lee lives on a monthly $800 Social Security check, just enough to pay for groceries, bills and rent for the broken-down RV parked in a West Central [Albuquerque, New Mexico] trailer court."
The costs and procedures for euthanasia for the suffering collie were more than Lee could handle alone. Plus, she did not want to simply abandon the decision to others; she wanted to be part of a safe and humane process for Zoe. The Albuquerque Journal writer's first news story resulted in donations and offers of assistance. Eventually, Lee's collie "died peacefully and with dignity in her woman's arms."
I suspect if you have read this far, you too might have a tear in your eye. The full story is here.
July 18, 2014 in Advance Directives/End-of-Life, Current Affairs | Permalink | Comments (0) | TrackBack (0)
Tuesday, July 15, 2014
Faculty Share Work from Australian Research Network on Law & Ageing
Representatives from some 16 countries participated in the 2014 International Elder Law and Policy Conference at John Marshall Law School on July 10-11. There was impressive participation -- especially given the distances for travel to attend the short and intense conference -- by faculty members from Australia, including Dean Wendy Lacey from the University of South Australia School of Law, Associate Dean Meredith Blake from the University of Western Australia School of Law, Lisa Barry from Macquarie University Law School in Australia, and Eileen Webb from the University of Western Australia School of Law.
I learned that there is a strong research network on law and ageing topics in Australia, ARNLA. Many of the issues they are addressing mirror issues recognized elsewhere in the world, even as the laws and standards may differ between the countries. Several of the Australian participants reported on recent research or works in progress.
For example, Meredith Blake addressed the challenge of using advance directives to honor the directions or wishes of a principal after the individual develops dementia. She pointed out that unlike some U.S. states that require agents to follow the principal's known wishes or directions, in Queensland the use of a "best interest" standard for agents acting under health care directives may frustrate the wishes of the principal. Using a detailed and realistic hypothetical to illustrate concerns, Professor Blake urged adoption of a more flexible approach.
Eileen Webb's presentation focused on how property law concepts in Australia may help or hinder efforts to respond to instances of potential financial abuse, as where an older individual allows or directs transfer of property interests to other family members or unrelated individuals "without adequate protection or for consideration which is illusory."
Professor Webb introduced me to a new but useful label,"family accommodation arrangements," which she reported was one of the most frequent sources of concern for elder abuse in Victoria. I was particularly impressed by graphs she created to illustrate and organize potentially applicable legal theories, including fraud, undue influence, estoppel, failed joint ventures, common intention and contributions to purchase price for third parties. The theory of law used to pursue a claim may affect the relief available. Professor Webb urged adoption of specific legislation in Australia to better address the potential for abuse through property transfers.
July 15, 2014 in Advance Directives/End-of-Life, Crimes, Elder Abuse/Guardianship/Conservatorship, Estates and Trusts, Property Management | Permalink | Comments (0) | TrackBack (0)
Wednesday, July 9, 2014
Updates on Programming at July 2014 Int'l Elder Law and Policy Conference
We've previously posted advance information about the International Elder Law and Policy Conference that will be hosted this week -- July 10-11 -- in Chicago. The organizers are John Marshall Law School; Roosevelt University, College of of Arts and Sciences; and East China University of Political Science and Law.
The conference will have an interesting format, combining presentations from a range of professionals with experience working with or for older persons, and working sessions to draft a model "International Bill of Rights for Elderly Persons, in parallel with U.N. sessions on ageing.
As an example of the breadth of participation and coverage at this conference, my session on Thursday focuses on "Health Care, Caregving for Older Persons and Legal Decision Making," and will be co-moderated with Professor Walter Kendall at John Marshall. The panel includes the following topics and speakers:
- "Dementia and Planning Death: The Challenge for Advance Directives," by Meredith Blake at University of Western Austalia Law School
- "Social Change and Its Apparent Effect on Senior Care Services: A Comparative Study of Post-Soviet Union Russia and the U.S.," by Amy Delaney, partner at Delaney, Delany & Voorn in Illinois, and Alina Risser, a lawyer from Russia, currently studying law at John Marshall;
- "Rights are Not Good for Older Persons in Long-Term Care Settings? Experience from the European Union," by Nena Georgantzi, Legal Officer for AGE Platform Europe;
- "Bridging the Caregiver Gap: Does Technology Provde an Ethically and Legally Viable Answer?," by Donna Harkness, University of Memphis School of Law;
- "The Insufficiency of Spiritual Support of Urban Elders in China and Suggestions on Legislation," by Jun Li, East China University of Political Science and Law.
We'll report more after the events on Thursday and Friday!
July 9, 2014 in Advance Directives/End-of-Life, Cognitive Impairment, Consumer Information, Discrimination, Elder Abuse/Guardianship/Conservatorship, Ethical Issues, Health Care/Long Term Care | Permalink | Comments (0) | TrackBack (0)
Tuesday, July 8, 2014
The Challenges of Enacting Uniform Laws on Powers of Attorney
If one looks at the Uniform Law Commission website, it appears that slow but steady progress is being made by states in adopting recommended legislation governing Powers of Attorney (POAs). The ULC recommendation reflected more than four years of research and drafting, culminating in a detailed proposal for POAs issued in 2006. According to the website, 16 states have enacted the uniform law, with an additional four states, Connecticut, Mississippi, Washington, and my own home state, Pennsylvania, considering adoption in 2014. The ULC's recommendations were a deliberate attempt to "preserve the durable power of attorney as a low-cost, flexible, and private form of surrogate decision making while deterring use of the power of attorney as a tool of financial abuse of incapacitated individuals."
On July 3 last week, Pennsylvania's Governor Corbett signed legislation, now designated as Act 95 of 2014, making significant changes to the existing law governing POAs in Pennsylvania. However, the passage of this law also demonstrates how so-called "uniform" laws may be less than uniform from state-to-state in terms of their actual requirements, and I tend to wonder whether other states have also enacted some variation on the ULC's recommendation.
Pennsylvania Act 95 of 2014 (available as HB 1429 here) took more than 3 years of drafting, redrafting, hearings, negotiations, and compromises to accomplish. The spur for adoption was a court decision invalidating transactions executed in reliance on a "void" power of attorney, one purportedly "signed" with an X by a woman while hospitalized. The majority decision put the financial impact on the party accepting the POA, without regard to whether it was using good faith in relying on a document that may appear valid on its face. After that decision, many Pennsylvania retirement plan administrators, banks or other financial institutions were reluctant to honor POAs, fearing they could become the guarantor of misused authority. See Vine v. Commonwealth of Pennsylvania State Employees Retirement Board, 9 A.3d 1150 (Pa. 2010).
PA Act 95 of 2014 addresses the "Vine" question by clarifying a grant of immunity for any person who in "good faith accepts a power of attorney without actual knowledge" of voidness or other invalidity. But Act 95 also mandates certain execution protocols, including:
- for most but not all POAs, requiring the principal's signature, mark or third-party signature to occur in front of two adult witnesses;
- requiring the principal to acknowledge his or her signature before a notary public or other individual authorized by law to take acknowledgments;
- continuing the requirement that principals must sign "notice" forms, but now with enhanced warnings about the significance of POAs, including the recommendation that "before signing this document, you should seek the advice of an attorney at law to make sure you understand it;"
- continuing the requirement that agents must sign an acknowledgement of certain responsibilities, now including an obligation to "act in accordance with the principal's reasonable expectations."
Each of these execution requirements, although certainly permitted by ULC's proposal (and perhaps also entirely consistent with the ULC's concern about the potential for financial abuse), is greater than what is required by the Uniform Law on Powers of Attorney.
At the same time, the Uniform Power of Attorney Act includes potential remedies for abuses of POAs not addressed by old or new law in Pennsylvania, including Section 116 that would grant spouses, parents, descendants and presumptive heirs the right to seek judicial review of an agent's conduct. One open question in Pennsylvania is whether wider standing to challenge suspected abuse is necessary.
One takeaway message from the history of more than 8 years of consideration by states of the Uniform Law on POAs, and more than 3 years of consideration in Pennsylvania about how or whether to adopt some or all of UCL's specific approach, is that achieving uniformity of state civil laws is not an easy task. That makes me even more appreciative of the effort and comparative "ease" of adoption of early efforts at uniformity, such as the uniform commercial code and the recognition that interstate sales transactions would benefit from consistency.
Portions of Pennsylvania Act 95 of 2014, including the grant of immunity for good faith reliance on POAs by third-parties, are immediately effective, while other portions of the law take effect on January 1, 2015. The Pennsylvania Elder Law Institute on July 24-25 in Philadelphia will have several sessions addressing the effect of the new law.
ElderLawGuy Jeff Marshall also has a great overview of the new Pennsylvania law on his blog. Hat tip also goes to Pennsylvania attorney Bob Gerhard for keeping Pennsylvania practitioners up-to-date on the bill numbers and enactment details.
July 8, 2014 in Advance Directives/End-of-Life, Elder Abuse/Guardianship/Conservatorship, Estates and Trusts, Ethical Issues, Programs/CLEs, State Cases, State Statutes/Regulations | Permalink | Comments (0) | TrackBack (0)
Wednesday, May 14, 2014
Frolik & Kaplan: "Elder Law in a Nutshell" (6th Edition!)
It occurs to me that what I'm about to write here is a mini-review of a mini-book. Slightly complicating this little task is the fact that I count both authors as friends and mentors.
The latest edition of Elder Law in a Nutshell by Professors Lawrence Frolik (University of Pittsburgh) and Richard Kaplan (University of Illinois) arrived on my desk earlier this month. (As Becky might remind us, both are definitely Elder Law's "rock stars.") And as with fine wine, this book, now its 6th edition, becomes more valuable with age. This is true even though achieving the right balance of simplicity and detail cannot be an easy task for authors in the intentionally brief "Nutshell" series. Presented in the book are introductions to the following core topics:
- Ethical Considerations in Dealing with Older Clients
- Health Care Decision Making
- Medicare and Medigap
- Medicaid
- Long-Term Care Insurance
- Nursing Homes, Board and Care Homes, and Assisted Living Facilities
- Housing Alternatives & Options (including Reverse Mortgages)
- Guardianship
- Alternatives to Guardianship (including Powers of Attorneys, Joint Accounts and Revocable Trusts)
- Social Security Benefits
- Supplemental Security Income
- Veterans' Benefits
- Pension Plans
- Age Discrimination in Employment
- Elder Abuse and Neglect
The authors describe their anticipated audience, including "lawyers and law students needing an overview of some particular subject, social workers, certain medical personnel, gerontologists, retirement planners and the like." Curiously, they don't mention potential clients, including family members of older persons. I suspect the book can and does assist prospective clients in thinking about when and why an "elder law specialist" would be an appropriate choice for consultation. This book is a very good starting place.
What's missing from the overview? Not a lot, although I find it interesting that despite solid coverage of the basics of Medicaid, and even though it is unrealistic to expect exhaustive coverage in a mini-book, the authors do not hint at the bread and butter of many elder law specialists, i.e., Medicaid Planning. Thus, there's little mention of some of the more cutting edge (and therefore potentially controversial) planning techniques used to create Medicaid eligibility for an individual's long-term care while also preserving assets that otherwise would have to be spent down.
Modern approaches, depending on the state, may range from the simple, such as permitted use of assets to purchase a better replacement auto, to more complex planning, as in states that permit purchase of spousal annuities or use of promissory notes, allow modest half-a-loaf gifting, or recognize spousal refusal. Even though the federal Deficit Reduction Act of 2005 succeeded in restricting assets transfers to non-spouse family members, families, especially if there is a community spouse, may still have viable options. Without appropriate planning the community spouse, particularly a younger spouse, may be in a tough spot if forced to spend down to the "maximum" permitted to be retained, currently less than $120,000 (in, for example, Pennsylvania). See, for example, a thoughtful discussion of planning options, written by Elder Law practitioners Julian Gray and Frank Petrich.
Perhaps the Nutshell omission is a reflection of the unease some who teach Elder Law may feel about the public impact of private Medicaid planning?
May 14, 2014 in Advance Directives/End-of-Life, Books, Cognitive Impairment, Dementia/Alzheimer's, Discrimination, Elder Abuse/Guardianship/Conservatorship, Ethical Issues, Federal Statutes/Regulations, Health Care/Long Term Care, Housing, Medicaid, Medicare, Property Management, Social Security | Permalink | Comments (0) | TrackBack (0)
Friday, May 9, 2014
ABA Bifocal Topics: Health Care Advance Directives, Guardianships and More
The April 2014 issue of the American Bar Association's Bifocal publication is now available. Current articles include:
- Will Your Health Care Advance Directive Be There When You Need It?
- A Guardian's Health Care Decision-Making Authority: Statutory Restrictions
- Palm Beach Guardianship Monitoring Program Offers Innovative Model
- Attorneys Representing Veterans: Opportunities and Challenges
- Don't Let Congress Go Another Year Without Funding the Elder Justice Act
By the way, while most Bifocal articles are written by practicing attorneys, American Univesity Washington College of Law student, Karna Sandler, is the author of the article on how state laws may affect a guardian's health care authority. Karna's an intern at the Commission on Law and Aging. Way to go, Karna!
In addtion, the issue provides details about AARP Foundation Scholarships to assist individuals in attending the 2014 National Aging and Law Conference to be held in Washington D.C. on October 16-17. Deadline for the scholarship applications is June 15, 2014.
May 9, 2014 in Advance Directives/End-of-Life, Consumer Information, Current Affairs, Elder Abuse/Guardianship/Conservatorship, Federal Statutes/Regulations | Permalink | Comments (0) | TrackBack (0)
Monday, April 21, 2014
Potpourri: Recent "Elder Law" Articles from SSRN
Here's a sampling of recently published articles from the Social Science Research Network (SSRN) falling loosely under the heading of "Elder Law" as well as other classifications:
From our Law Prof Blogging colleague Gerry Beyer, "Who Said Learning Trusts & Estates Can't Be Fun?" The abstract alone is inspiring for those of us who teach in this field:
"From even before their first day of law school, Texas Tech University School of Law students have the opportunity to appreciate the importance of the estate planning area and to understand that it can be both an enjoyable and rewarding area of law in which to practice. During orientation, which takes place the week before classes start, new students participate in full-day programs centered on a particular area of practice either of their own choosing or assigned by the administration. For the 2013 entering class, I was in charge of two full-day Estate Planning Tracks with a total of aproximately thirty-five entering students.
As their legal education continues, students have additional exposure, some mandatory and some optional, to estate planning topics. In my first year required Property course, I spend several days reviewing the basic principles of intestate succession and wills. Texas Tech then requires all students to complete a four-credit introductory course entitled Wills and Trusts as a condition of graduation during their second or third year. Students desiring a more sophisticated treatment may take courses such as Estate Planning, Texas Estate Administration, Guardianship, Estate and Gift Tax, Elder Law, and Marital Property. Students may also compete for a coveted position as an editor for the Estate Planning and Community Property Law Journal that Texas Tech publishes.
This Article reveals my basic teaching philosophy and the general pedagogical techniques I employ to make Trusts and Estates topics both fun and relevant. I will then share with you the specific tools I use when teaching the introductory course as well as the advanced courses such as Estate Planning and Texas Estate Administration. It is my hope that you may be able to gain insight from my approach to enhance your own teaching and the experience you provide to your students."
From Northern Illinois Law Librarian Sharon Nelson, a thoughtful bibliography of articles drawing lines between mistreatment of animals and the potential for family member abuse or neglect. I have to say that I never thought about this connection before, but it does ring true for a possibly related phenomenon I observed when we were interviewing caregivers for an aging family member. If candidates were nervous around our completely benign pooches, they rarely coped well with the not-so-benign family member. Nelson sumarizes her article, titled "The Connection Between Animal Abuse and Family Violence:"
"This Selected Annotated Bibliography assembles legal and social literature that examines the link between domestic violence and animal abuse. Drawing from an ever-growing body of written works dedicated to the issue, the Bibliography presents the works that are most informative and useful to the legal community. These include case studies, current and proposed legislation, and social services guides that address the occurrence of and response to the animal cruelty-family violence correlation. In doing so, the Bibliography creates a resource that will prove helpful to a variety of legal practitioners, law makers, and professionals within the criminal justice system, and will serve as a tool to promote further understanding of the patterns of abuse that often concurrently victimize both humans and animals."
And from Canadian J.D. candidate Mathew Ponsford, an article about implications of advance care decision-making issues and legislation in Ottowa, "A Discussion of Conflict Resolution Processes Used in End-of-Life Care Disputes Between Families and Healthcare Providers in Canada." The abstract begins:
"Conflict at the end-of-life, particularly between families and healthcare providers, involves many complex factors: differing opinions surrounding a patient's prognosis, cultural differences, moral values and religious beliefs, associated costs, internal family dynamics, and of course, legal ramifications. Bill-52 (2013): An Act Respecting End-of-Life Care, introduced in Québec's National Assembly, will have far-reaching implications for healthcare decision-making for families, healthcare providers, religious groups, and others. Here, Bill-52 is used as the backdrop to examining the often neglected stories of disputes arising between families and healthcare providers, and the communication strategies, negotiation and mediation processes which result amidst an often stressful, costly, and time-consuming ordeal. Numerous conflict resolution processes are discussed, but the Consent and Capacity Board, regulated through Ontario's Health Care Consent Act (HCCA), is the primary focus. The importance of empathy and cultural understanding is also analyzed, as well as the challenges of cross-cultural conflict, including sensitivities toward Canada's First Nations peoples."
April 21, 2014 in Advance Directives/End-of-Life, Crimes, Current Affairs, Elder Abuse/Guardianship/Conservatorship, Estates and Trusts | Permalink | Comments (0) | TrackBack (0)
Sunday, April 13, 2014
Critical Issues to Consider in Planning Via Powers of Attorney
ElderLawGuy Jeff Marshall succinctly discusses four critical issues that individuals and families should consider when using Powers of Attorney in estate and incapacity planning. Here's the link to Jeff's "Powers of Attorney: Things You Need to Know."
April 13, 2014 in Advance Directives/End-of-Life, Consumer Information, Elder Abuse/Guardianship/Conservatorship, Estates and Trusts, Property Management | Permalink | Comments (1) | TrackBack (0)
Friday, April 4, 2014
Study: More seniors are executing health care directives
A record number of elderly people are completing living wills to guide end-of-life medical treatments – up from 47 percent in 2000 to 72 percent in 2010 – according to new research from the University of Michigan and the Veterans Affairs Ann Arbor Healthcare System. However, even with nearly double the number of people completing advance directives – which may specify preferences for surrogate decision makers and life-support treatment – there was little difference in hospitalization rates or deaths in the hospital, says the study that appears in the Journal of the American Geriatrics Society.
"Given the aging population, there's been a great push to encourage more people to complete advance directives with the idea that this may increase hospice care and reduce hospitalization for patients during the last six months of life," says lead author and palliative care specialist Maria Silveira, M.D., M.A., M.P.H, researcher with the VA Ann Arbor Healthcare System and assistant professor in the Department of Internal Medicine at the U-M Medical School.
"We found that while there's an upward trend in creating these documents, it didn't have much bearing at all on hospitalization rates over the decade. Indeed, hospitalization rates increased during the decade, rather than go down. These are really devices that ensure people's preferences get respected, not devices that can control whether a person chooses to be hospitalized before death."
Silveira says the increase in advanced directives indicates that people are less timid about broaching end-of-life planning and talking about death with loved ones.
April 4, 2014 in Advance Directives/End-of-Life | Permalink | TrackBack (0)


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Fortunately, in this day and age, it's easy to offset some of these factors with a few easy, eco-savvy steps. For a "green" wedding that not only save you money, but makes you feel good about giving back on your big day, here are a few tried-and-true tips.
One of the questions we often get here at Eldredge Manor is when is the ideal time to have a wedding. Spring or summer? Weekend or weekday? Morning or evening? Although you're free to have a wedding whenever it suits you best, there are optimal times for your Utah nuptials. Whether you're looking to maximize attendance or simply make the most out of local deals, here's our guide to timing you wedding just right.
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You are a fan of persistant universe ? Come to discover the best forums persistant universe on the internet and share your experience with a community fan of persistant universe . You can also build a forum persistant universe and create your online discussion.
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A Harry Potter RPG, set in 2028. Harry Potter is dead. So is Lord Voldemort. Fate now lies in your hands.
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On June 2, 1946, after the end of the World War II, Italians voted against monarchy, favouring a republic.
"Italy hopes in a cooperative, inclusive and growth-oriented solution for Greece," Padoan said at a business conference in Rome.
Italy's services sector expanded for a third month running in May but at a slower rate than the month before.
Europe needs to find a solution to the migrant crisis or risk losing its identity, Italy's Matteo Renzi warned ahead of a key EU summit.
Netflix plans to expand into Italy later this year, company said on Saturday, as part of a bid to expand its popular streaming television service.
Italy's parliament approved a radical new electoral law designed to ensure country's elections always produce governments with working majorities.
Renzi said Rome would be seeking extraordinary meeting after up to 700 people were feared to have drowned when a boat carrying them towards Italy capsized off Libya.
The country indices are composed of the 30 companies with the highest free float market capitalisation listed on each country's main markets.
The agreement envisages that Lamborghini will hire 350 additional workers at the plant in exchange for tax breaks and incentives of up to 90 million euros ($98 million), the source added.
Italian industrial output posted an unexpected fall of 0.3 percent in April, putting a dampener on recent signs of recovery in the euro zone's third-largest economy


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Kobe thinks NBA should replace him in All-Star Game
You guys didn't listen to Kobe Bryant. He told you to vote for Damian Lillard or some other young player, but you didn't. With 988,884 votes, you voted him into the All-Star Game, his 16th selection.
But he says you shouldn't have. And he plans to sit out. Via ESPN LA:
Having only played in six of the Los Angeles Lakers' first 43 games this season, Kobe Bryant does not feel he is deserving of his starting All-Star bid and plans to sit out the Feb. 16 game in New Orleans.
"With all due respect to the fans that voted me in, I certainly appreciate that, they know how much I appreciate that, but you got to do the right thing as well," Bryant said before the Lakers' 109-102 loss to the Miami Heat on Thursday night. "My fans know you got to reward these young guys for the work that they've been putting in."
Bryant spoke to the media just minutes after the league announced the starters for the 63rd annual All-Star Game next month.
Kobe hasn't played since Dec. 17 when he fractured his lateral tibial plateau, and before that he missed the team's first 19 games recovering from his torn Achilles.
He says he plans to return to the lineup before the All-Star Game, but still doesn't think that should put him in the game.
"It wouldn't be enough to have me be deserving to play in the All-Star Game," Bryant said.
Here's the complication: Kobe said in the collective bargaining agreement, there's a clause that says if you're on an active roster and are elected to the team, you have to play if you're healthy enough to do so. Kobe plans on being healthy enough. He just doesn't think he deserves it.
"If I played [for the Lakers] before [the All-Star Game], the rule is you got to go in there and play or miss the next two games," said Bryant. "So, that just means somebody would have to lose a spot, unfortunately and the back-ups would be playing a lot, because I'd go in there and do my two minutes and sit out."
According to ESPN LA though, no such clause is believed to actually exist. So Kobe may be in the clear.
The easy fix: Kobe sits, James Harden -- who will likely be a reserves when announced Jan. 30 -- starts, thus opening up an extra spot for a very deserving young player who might otherwise be cut, like Lillard, or Anthony Davis or whoever.
Come on guys. What Kobe wants, Kobe should get.


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Angel refers to the purity and cleanliness. Those who want to use the tattoo of an angel of purity and cleanliness introduced themselves. Looking for angel tattoo pictures should see this work. Angel tattoo picture we've compiled a few for you. We hope you enjoy.Angels are highly religious and spiritual creatures. It is often believed that they are the right hand and messengers of God.
An angel can be associated with purity, innocence, spirituality, protection, guidance, peace, loyalty, beauty, and love.One of the most requested and in demand tattoo designs are the angel wings tattoos. Both men and women can sport this design and wear it on their body. Individuals who chose this design are usually fascinated by its profound and spiritual meaning.


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Discover what makes Telluride, Colorado one of the most unique destinations in the country. Not only is Telluride a world class ski resort with some of the most breathtaking natural beauty in the world, it is also an adventure filled summer vacation spot with events, music, arts, culture, and outdoor recreation for the whole family. Telluride Sotheby's International Realty is the local real estate service provider that offers unrivaled access to qualified people and distinctive properties around the world.
The Madeline Residences represent a first-of-its-kind real estate opportunity in Telluride, Colorado and they are selling fast. 14 luxurious, fully furnished, ski-in/ski-out Residences were released for private ownership in January and 8 are closed or are under contract. Telluride's only four-diamond, full-service real estate features the ideal location in the epicenter of Mountain Village, unparalleled services and amenities, and luxurious Residence Suites and one to four-bedroom Residences. With the accelerated pace of sales and prices from $500,000, you deserve to have a closer look.Request More Details
The character of a home is personified by the people who reside there.Learn More
Telluride's real estate market has shown steady strengthening.View Reports
There are so many reasons to visit Telluride. A lifetime of experiences awaits.Plan Your Visit
The data relating to real estate on this web site comes from REALTORS who submit listing information to the Internet Data Exchange (IDX) Program of the Telluride Association of REALTORS, Inc. The inclusion of IDX Program data on this web site does not constitute an endorsement, acceptance, or approval by the Telluride Association of REALTORS of this web site, or the content of this web site. The data on this web site may not be reliable or accurate and is not guaranteed by the Telluride Association of REALTORS, Inc.
The IDX data on this web site is provided exclusively for the web site user's personal, non-commercial use and may not be used for any purpose other than to identify prospective properties that the user may be interested in purchasing.
©Copyright 2002 by Telluride Association of REALTORS, Inc.
No part of this publication may be reproduced, adapted, translated, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written consent of the Telluride Association of REALTORS, Inc.


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Roast Chicken Quarters With A Spicy Honey Sauce
7 Oct 2010
|1 Small
|Tamarind pulp
|1 Tablespoon
|Tomato puree
|2 Tablespoon
|2 Tablespoon
|Ginger pulp
|1 Teaspoon
|Chilli powder
|1 Teaspoon
|Ground coriander
|1 1⁄2 Teaspoon
|To Taste
|2 Teaspoon
|Chopped fresh coriander
|2 Tablespoon
|Red chillies
|2 , diced (Fresh)
|Canned chickpeas
|5 Ounce, drained (150 Gram)
|Corn oil
|2 Tablespoon
|Curry leaves
|Onion seeds
|1 1⁄2 Pinch
1. Preheat the oven to 190°C/375°F/gas 5. Remove the skin from the chicken and quarter the bird.
2. In a bowl, mix the tamarind sauce, tomato puree, honey, ginger, chilli powder, ground coriander, salt to taste, sugar, half of the fresh coriander and half of the red chillies, the drained chickpeas and 300 ml / 1/2 pint of water to form a thick paste.
3. Heat the oil in a saucepan over a moderate heat and fry the curry leaves with the onion seeds for about 45 seconds. Then pour in the honey sauce and cook for about 2 minutes. Remove the pan from the heat.
4. Using a pastry brush, brush half of the sauce over the chicken pieces. Place the chicken in the oven for 35-40 minutes, basting occasionally.
Recipe Summary
Difficulty Level:Medium
Course:Main Dish
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Roast Chicken Quarters With A Spicy Honey Sauce Recipe


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Participate, Peace Through A Woman - Dr. Miravalle: Mcasts172
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Dr. Mark Miravalle asks us to participate in the release of the new documentary videoĀPeace Through a Woman, by spreading the word. It is a ĀprofessionallyĀproduced video narrated by Martin Sheen on the approved Amsterdam apparitions which accuratelyĀforesawĀmany future events, and will be officially released on Oct 15, 2012 but is now available as a special offer. To ask questions regarding Mary, email Dr Mark Miravalle: email@example.com Ave Maria! To Download Audio go to http://airmaria.com?p=30543
Blessed Virgin Mary
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Plus wisdoms on public speaking and GETTIN' ACTIVE.
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Dual Channel DDR Pentium 4 Chipsets - Six under the MicroscopeToday we have six Dual Channel DDR Pentium 4 chipsets under the microscope from Intel, VIA, SiS and ATI. Read on as we discover the best Pentium 4 chipset to spend your hard earned dollars on.
Today when we look at the Intel Pentium 4 platform we can see that is has migrated its way into a success from its rather fumbled beginnings. Intel's release of the Pentium 4 CPU on the 423 pin socket and 850 RDRAM chipset really was not welcomed by the hardware community. High prices of the CPUs, the higher cost of the eight layer PCB motherboards and the extremely high cost and poor performance of the accompanying RDRAM modules was simply a horrific start for Intel.
Fast forward to today and we see there are thousands of motherboards available to us based on a variety of chipsets using DDR SDRAM memory, the most popular memory technology to hit the market. It was one Intel didn't want to make, now it endorses it and even pushes for new standards of DDR.
Intel's move to an 800MHz FSB has given a new incentive to push more out of the memory, and Dual Channel is the only option for a matched system. While Intel has its own Dual Channel DDR chipsets for its Pentium 4 range, its competitors have also put out a few solutions to compete with Intel's flagship chipsets.
Today we are going to put Intel's two Dual Channel miracles against the recent releases from VIA, SiS and ATI and with thanks to our friends from Gigabyte, we now have them all from one manufacturer to compare our results more evenly.
Find the lowest price on Intel Pentium 4 based Motherboard!
PRICING: You can find products similar to this one for sale below.
United States: Find other tech and computer products like this over at Amazon's website.
Australia: Find other tech and computer products like this over at PLE Computer's website.
Canada: Find other tech and computer products like this over at Amazon Canada's website.
- Dual DDR P4 Chipsets - Page 1 [Introduction]
- Dual DDR P4 Chipsets - Page 2 [Chipsets - Intel]
- Dual DDR P4 Chipsets - Page 3 [Chipsets - VIA]
- Dual DDR P4 Chipsets - Page 4 [Chipsets - SiS]
- Dual DDR P4 Chipsets - Page 5 [Chipsets - ATI]
- Dual DDR P4 Chipsets - Page 6 [Our Test Candidates]
- Dual DDR P4 Chipsets - Page 7 [Benchmarks - Test System Setup and SiSoft Sandra 2004 Pro]
- Dual DDR P4 Chipsets - Page 8 [Benchmarks - PCMark04]
- Dual DDR P4 Chipsets - Page 9 [Benchmarks - 3DMark03]
- Dual DDR P4 Chipsets - Page 10 [Benchmarks - Aquamark3]
- Dual DDR P4 Chipsets - Page 11 [Benchmarks - Halo PC Combat Evolved]
- Dual DDR P4 Chipsets - Page 12 [Benchmarks - Jedi Knight II]
- Dual DDR P4 Chipsets - Page 13 [Benchmarks - Unreal Tournament 2003]
- Dual DDR P4 Chipsets - Page 14 [Conclusion]
Further Reading: Read and find more CPUs, Chipsets & SoCs content at our CPUs, Chipsets & SoCs reviews, guides and articles index page.
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College Open Textbooks Community
Driving Awareness, Adoptions, and Affordability
Time: March 4, 2010 at 8am to March 6, 2010 at 3pm
Location: Palm Springs, CA
Website or Map: http://www.cue2010.org/
Event Type: conference, seminars
Organized By: Una Daly
Latest Activity: Mar 3, 2010
Join Una Daly, Associate Director of College Open Textbooks project at the CUE conference March 4-6 in Palm Springs. Don't miss the Digital Textbook
SATURDAY, March 6
Digital Textbook Summit
7:30 - 9:00 am | Location: Renaissance Hotel | FREE! | CODE: C11
Moderator Susan Patrick Featured Speaker!
Join Susan Patrick, CEO and President of the International Association for K-12 Online Learning (iNACOL) and panel of expert guests for a lively discussion on the future of online learning in California. Panelists include:
* Brian Bridges, Director, California Learning Resource Network (CLRN)
* Regan Caruthers, Director, Communications and Business Development, California State University Chancellor's Office
* Paul McFall, President, Pearson Scott Foresman
* Robert Onsi, Vice President of Product Development, Discovery Education
* Murugan Pal, Co-Founder and President, CK-12
© 2015 Created by Jacky Hood. Powered by


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Android M Apps, Bootanimation etc for Lollipop/KitKat-----Steam Materialized Mod-----CyanogenMod 12.1S for i9300-----CyanogenMod 12.1S for i9100-----CyanogenMod 12S for i9100G-----Cyanogen OS 12 Apps for all-----CyanogenMod 11S Apps for all-----CyanogenMod File Manager (for all)-----Install Android 5.1.X on i9300-----Install Android 5.1.X on i9100-----Root Galaxy S6 Int.
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http://media2.giga.de/2015/05/Android-M-hero-rcm992x0.jpg Description: I am proud to present to you the new Android M Launcher,Camera, Wallpaper, Bootanimation, Ringtones and more, extracted from the M Developer Preview. I also recognized tha...
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I love you guys
Dear Lego inc. I LOVE Legos I love a lot of the architecture sets they are very creative. I have 1 question. Can I send you a letter will you respond but over all I really like your products and they are super fun and the airplane sets are so fun Im 12 and I'm still playing with the sets. Your BIGGEST fan, Daniel Kahana