A fluffy orange polenta cake
A fluffy orange polenta cake
Chocolate coconut brownie
175g roughly chopped unsalted butter
175g roughly chopped dark chocolate
3 lightly beaten eggs
1 1/2 cups caster sugar
1/2 cup dessicated coconut
1 teaspoon vanilla essence
1 cup sifted plain flour
1/3 cup sifted cocoa
icing sugar or cocoa, to serve
Preheat oven to 170 deg C. Lightly grease and line a 20 x 30cm baking pan. Melt butter and chocolate in a medium heatproof bowl over a saucepan filled with half-simmering water (make sure the bowl does not touch the water). Use a metal spoon to stir occasionally until the chocolate melts and is smooth. Remove from heat. Place eggs, caster sugar, coconut and vanilla essence in a large bowl. Stir until well combined. Combine flour and cocoa in a separate bowl. Fold melted chocolate into egg mixture, then fold through flour mixture. Stir until just combined. Spoon mixture into prepared pan. Bake for 30-35 minutes or until just firm. Set aside to cool. To serve, slice and dust with icing sugar or cocoa.
Greek Orange Semolina Cake
½ cup caster sugar
1½ tablespoon grated orange rind
2 tablespoons brandy or orange liqueur
160g (1 cup) semolina
1 teaspoon baking powder
1 cup ground almonds
whole blanched almonds for decorating
½ cup caster sugar
1 cup freshly squeezed orange juice
Preheat oven to 200°C. Grease and line 20cm round tin.
Cream butter, sugar and orange rind until light and fluffy. Add eggs one at a time, mixing thoroughly. Stir in brandy.
Combine semolina, baking powder and ground almonds and fold lightly into creamed mixture. Turn mixture into tin and arrange whole almonds on top.
Place in oven and immediately reduce heat to 180°C.
Bake for 30 minutes or until skewer comes out clean. Remove cake from oven and pour prepared syrup over hot cake. Allow to cool in tin, then remove and serve with natural yoghurt or cream.
Place sugar and Orange Juice in saucepan. Bring to the boil and boil for five minutes. Cool slightly before pouring over cake.
Experience from the field!
As defined in Wikipedia, remote patient monitoring (RPM) is: “a technology to enable monitoring of patients outside of conventional clinical settings (e.g. in the home), which may increase access to care and decrease healthcare delivery costs.” I was a pioneer adopter of RPM as a BETA site for Medtronic’s Carelink wireless system which monitors implantable cardiac rhythm devices (defibrillators and pacemakers). RPM has gained significant attention because of recently mandated penalties for hospital readmissions for certain diagnoses (myocardial infarction, congestive heart failure, stroke, and chronic obstructive lung disease). RPM is seen as a way of remaining in physiologic contact with these patients who might be managed at home via care systems. There are conflicting study results regarding the utility of remote monitoring preventing hospital readmissions. Some studies show no decrease in hospitalizations, and others with significant benefit.
1. All remote monitoring is the same. There is no standard definition for…
View original post 605 more words
Wholemeal Digestive Biscuits
100g wholemeal flour
1 tsp baking powder
50g light soft brown sugar
100g salted butter, softened
1-2 tbsp milk
Preheat oven to 180 degrees C. Blitz the oats to a fine powder in a blender then mix in a large bowl with the wholemeal flour, baking powder, brown sugar and salt.
Add the butter and mix until crumbly. Add the milk and mix to form a smooth dough. Wrap in cling film and pop in fridge to firm up for about 15 minutes.
Remove your dough from the fridge and roll out to around 3mm thickness. It will be very crumbly so you’ll need to be very careful when rolling. Cut out circles of about 6cm diameter – I used a water glass to stamp out the shapes. Decorate with a pattern of your choice then bake in the middle of your oven for about 15 minutes.
When lightly golden but not too brown, remove from the oven and leave to cool on a wire rack. Store in an airtight container.
Three proposals as we shift our approach to caring for those closest to death
Consider the Conversation is a series of films created by Burning Hay Wagon Productions, a limited liability company founded in 2009 by two long-time Wisconsin friends – Terry Kaldhusdal, a 4th grade teacher and filmmaker, and Michael Bernhagen, a healthcare business development professional turned hospice advocate. Both lost loved ones to severe chronic disease during the first part of the 21st century – Mike’s mother, Rita, to congestive heart failure and vascular dementia in 2003 and Terry’s brother, Peter, to pancreatic cancer in 2009 – and struggled, like most Americans do, to make sense of what was happening. These personal experiences, combined with Mike’s many years of work in the hospice field, led the pair to produce documentaries with one simple goal in mind – inspire culture change that results in end-of-life care that is more person-centered and less system-centered.
Theresa Brown’s thoughtful essay on end-of-life care reminded me of a recent clinical encounter. It was a hot July afternoon when I found myself in a quiet hospital lounge, having “the family discussion” with a patient newly admitted to my medical service, a sweet middle-aged woman whose lung cancer had spread so extensively that it now encircled the vital vessels of her chest.
Studies show that end-of-care is often futile. It doesn’t always prolong lives, and it doesn’t always reflect what patients want. But for families making decisions about loved ones, balancing the evidence and emotions can be wrenching.
New York Times health columnist Jane Brody writes about the mistakes she made at the end of her own mother’s life and her new book, “Jane Brody’s Guide to the Great Beyond.”
It’s not something that we like to talk about, but doctors die, too. Those in medicine know about the limits of treatment and the need for specific instructions.
We are a non-profit foundation consisting of a group of clinicians who want to empower patients and families with video decision support tools. Our video tools are carefully crafted after undergoing rigorous review by leading experts in medicine, geriatrics, oncology, cardiology, ethics, and decision-making. All of our videos are studied first in the research arena before being widely disseminated.
We are thankful to the patients and families who have agreed to be filmed for the purposes of educating and improving decision-making for all patients. Today, 40 large healthcare systems use our videos to empower patients and families. If you are interested in having your healthcare system use our videos, please have your hospital or healthcare system leadership contact us. Presently our videos are not for individual use.
– See more at: http://www.acpdecisions.org/about-us/#sthash.3evGZR5p.dpuf
A continuing care community, also known as a life-care community, is a type of retirement community In the U.S. where a number of aging care needs, from assisted living,independent living and nursing home care, may all be met in a single residence, whether in an apartment in a congregate housing facility, a room or apartment in an assisted living facility, and in a skilled nursing home.
As someone who has lived much of her life on borrowed time, mother-of-two Lisa Leskie long ago made plans for the end. She talks about the importance of having ”the conversation”.
‘Advance care planning’ is the process of planning for a person’s future health and personal care. Advance Care Planning helps ensure that an individual’s choices are respected for future medical treatment. Their beliefs, values and preferences are made known, in order to guide future care in the event that the person is unable to make decisions or communicate.
There are two main aspects to Advance Care Planning
and / or
The Department of Health currently funds Advance Care Planning in eight health services. Many other health services and organisations are now also offering assistance with Advance Care Planning.
Patients and their carers should speak with a doctor, nurse or clinician at their health service to find out what support or advice is available.
Advance Care Planning sits within the Integrated Care Branch.
Intensive care specialist William Silvester knows better than most that dying with dignity is as important as living with it.
I tell them that the critical point is that doctors should not prolong life if it is not in the patient’s best interests. And one of the most important considerations of a patient’s best interests is what would the patient want if they could have a say.
No, this is not about euthanasia – at least, not intended by the Respecting Patient Choices organisation.
Advocates say the benefits of setting out in advance what each of us want – and don’t want – from the medical profession when the end is near include peace of mind for patients, a clear path for doctors and nurses to follow, and, crucially, an easing of the burden on loved ones who can come to a medical crisis armed with the knowledge of exactly what a husband or wife, mother or father, son or daughter desires. And there’s a side-benefit: an easing of the burden on the health system – and therefore the budget.
ACPEL 2013, Melbourne,
Advance care planning continues to grow in prominence throughout the world as people recognise the importance of patient autonomy, and the right of patients to describe and determine what they really wish for as they approach the end of their life. This a key factor in the growing emphasis on improving end of life care – many feel that the way we care for our most sick and vulnerable nearing the end of life is a litmus test for our society as a whole.
Doctors, nurses, social workers, chaplains, policy-makers, lawyers, researchers, medical officers and directors working and/or interested in areas covering:
If you became really sick, or had a serious accident and might die, how much medical treatment would you want? Would your answer change if you were not going to return to your previous state of health? Who would you like to make medical decisions for you if there came a time that you could not speak for yourself?
Chocolate cheese cake
1 x 250g pkt plain chocolate biscuits, coarsely broken ( I use choc ripple – was probably a bit too bitter)
1/2 tsp ground cinnamon
150g butter, melted
250g dark chocolate, finely chopped
155g (3/4 cup) caster sugar
3 x 250g pkts cream cheese, at room temperature
2 tbs cocoa powder, sifted
1 tsp vanilla essence
2 x 300g ctns sour cream
Cocoa powder, extra, to serve
Double cream, to serve
Preheat oven to 160°C. Brush a 24cm (base measurement) springform pan with melted butter to lightly grease. Line the base with non-stick baking paper.
Place the biscuit, cinnamon and butter in the bowl of a food processor and process until well combined. Transfer mixture to the prepared pan. Use a straight-sided glass to spread and press mixture firmly over the base and side of the pan. Cover with plastic wrap and place in the fridge for 30 minutes to chill.
Place the chocolate in a heatproof bowl over a saucepan of simmering water (make sure the bowl doesn’t touch the water) and stir for 5 minutes or until melted.
Use an electric beater to whisk together the sugar and eggs in a large bowl until light and creamy. Add the cream cheese and beat until well combined. Use a metal spoon to fold in the chocolate, cocoa powder and vanilla until just combined. Add the sour cream and stir to combine.
Pour the mixture into the biscuit base and smooth the surface. Bake for 1 hour or until just set in the centre. Turn oven off. Leave cake in oven, with door ajar, for 2 hours or until cooled completely (this will prevent the cake from cracking). Cover and place in fridge for 2 hours to chill. Dust with extra cocoa powder and serve with cream.
Recipe source – http://www.taste.com.au/recipes/3564/chocolate+cheesecake
Passover Gluten-free Chocolate Cake
greased cake pan
2 cups chickpea flour
half cup sugar (or 1.5 cups of sugar, but we don’t like it that sweet)
1 tsp baking powder
1 tsp baking soda
2 Tbsp good quality cocoa powder
100 grams of good quality dark chocolate bar
2/3 cup olive oil
1.5 cup water
Heat Oven to 180 deg C
Combine all dry ingredients together, and mix well.
Pour olive oil and water into the mixed flour, and whisk slowly together, until smooth and all the flour dissolved.
Break the chocolate bar into a microwave-safe glass dish, and melt in 20 second time segments, mixing it between each time, until chocolate is uniformly smooth and liquified.
Add 1 Tbsp of the batter into the melted chocolate, mix together, and add all melted chocolate back into the batter. mix well together.
Pour the whole mixture onto greased pan, and into the oven it goes for 35 minutes.
(Don’t expect a high cake, this one’s a shorty)
Angelo Volandes’s low-tech, high-empathy plan to revolutionize end-of-life care