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On completion of this continuing professional development (CPD) activity, participants will be able to: • describe advanced care planning and its relationship to person-centred care • identify who is responsible for initiating advance care planning discussions in their nephrology department • identify the benefits of advanced care planning • recall conversation triggers for raising the topic of advanced care planning. “A continuously learning health system can deliver truly patient centred care only when patient preferences — informed by medical evidence and provider expertise — are elicited, integrated, and honoured.” (Alston et al., 2012, p. 3) [ABSTRACT FROM AUTHOR]

Alabama's forest products industry plays a dominant role in the state's rural economy. Examination of how access to employment opportunities is distributed provides insight into how the benefits of this industry are distributed. Based on a combination of available secondary data and semi-structured interviews with management and workers in the pulp and paper sector of Alabama's forest products industry, a clear picture of segmented labor markets emerges in which structural and cultural factors determine access to certain jobs. The evolution of these highly segmented labor markets is traced from deep roots in racial discrimination to contemporary efforts in support of affirmative anion. Increased use of sub-contracting in logging, hauling, and mill work represents the must recent change affecting the structure of labor markets associated with the production of pulp and paper. [ABSTRACT FROM AUTHOR]