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A fluffy orange polenta cake

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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.

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Greek Orange Semolina Cake

INGREDIENTS

125g butter

½ cup caster sugar

1½ tablespoon grated orange rind

2 eggs

2 tablespoons brandy or orange liqueur

160g (1 cup) semolina

1 teaspoon baking powder

1 cup ground almonds

whole blanched almonds for decorating

Syrup

½ cup caster sugar

1 cup freshly squeezed orange juice

METHOD

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.

Syrup Method:

Place sugar and Orange Juice in saucepan. Bring to the boil and boil for five minutes. Cool slightly before pouring over cake.

Source – http://aww.ninemsn.com.au/food/freshtv/782501/greek-orange-semolina-cake-georgie-gardiner

#DigitalHealth: Five Fallacies of Remote Patient Monitoring

Experience from the field!

The Digital Health Corner

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

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Wholemeal Digestive Biscuits

100g oats

100g wholemeal flour

1 tsp baking powder

50g light soft brown sugar

Pinch salt

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.

Source http://thelittleloaf.wordpress.com/2011/10/20/homemade-wholemeal-digestive-biscuits-2/

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End-of-Life Care Should Be Universally Provided and Need-Based

End-of-Life Care Should Be Universally Provided and Need-Based

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Consider the Conversation

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.

Consider the Conversation

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Quality-of-life care must start right away – CNN.com

Quality-of-life care must start right away – CNN.com

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A Mother’s Death Tested Reporter’s Thinking About End-Of-Life Care : NPR

A Mother’s Death Tested Reporter’s Thinking About End-Of-Life Care : NPR

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Silence Is Not Golden

Silence Is Not Golden

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A Doctor on How Physicians Face the End of Life

A Doctor on How Physicians Face the End of Life

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About Us | Advance Care Planning Decisions

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

About Us | Advance Care Planning Decisions

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Continuing care – Wikipedia, the free encyclopedia

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. 

Continuing care – Wikipedia, the free encyclopedia

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Death on her terms

Death on her terms

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Resources: Advance Care Planning – Department of Health, Victoria, Australia

Advance Care Planning

‘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

  • Appointing a substitute decision maker 
    In Victoria this is best done by appointing a Enduring power of Attorney (Medical Treatment),

and / or

  • Discussing (and preferably documenting) a person’s wishes for care 
    Documentation of values, beliefs and preferences can provide clarity to the treating medical team.

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.

Resources: Advance Care Planning – Department of Health, Victoria, Australia

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A good death

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.

A good death

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Life’s toughest question: how do you want to die?

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.

Life’s toughest question: how do you want to die?

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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.

Who Should Attend

Doctors, nurses, social workers, chaplains, policy-makers, lawyers, researchers, medical officers and directors working and/or interested in areas covering:

  • End of life/palliative care
  • Primary care
  • Critical care
  • Acute hospitals
  • Care of the elderly
  • Ethics and spirituality
  • Policy development
  • Social Care

ACPEL 2013 | Melbourne

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Respecting Patient Choices

Respecting Patient Choices®

An Australian Model of Advance Care Planning

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?

This project is funded  under the National Palliative Care Programand is supported by the Australian Government Department of Health and Ageing (Click here for full details)

Respecting Patient Choices

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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 eggs

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

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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)

Source http://homegreens.wordpress.com/2012/02/22/gluten-free-egg-free-chickpea-flour-chocolate-cake/

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How Not to Die

How Not to Die