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Cultivating optimistic attitudes and actions is this book s focus, but one of its guiding truths comes from what has been affectionately called the Serenity Prayer, a simple but powerful statement that was written by theologian Reinhold Niebuhr. Taken aback by the impact of his words, he confessed in The Essential Reinhold Niebuhr: Selected Essays and Addresses: The embarrassment, particularly, was occasioned by the incessant correspondence about a prayer I had composed years before, which the old Federal Council of Churches had used and which later was printed on small cards to give to soldiers. Subsequently Alcoholics Anonymous adopted it as its of cial prayer. The prayer reads: God, give us grace to accept with serenity the things that cannot be changed, courage to change the things that should be changed, and the wisdom to distinguish the one from the other. The Serenity Prayer has been shortened, memorized, and repeated privately and publicly because it captures important truths that work. Treasured statements like these that stand the test of time deliver wisdom with a simplicity that makes every word count. Whether you believe in God or not, this book will help you appreciate the value and depth of this statement and the sentiments it promotes. As an optimist in training, you must learn how to accept and maximize your reaction to the both the blessings and the adversity that come your way and take responsibility for managing your own motivation, attitudes, and actions in a way that makes a difference in the quality of your life.

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Department of Health and NHS Modernisation Agency (2003) The Essence of Care Patient-focused Benchmarks for clinical governance Department of Health, London Dowsett, C (2002) Malignant fungating wounds: assessment and management British Journal of Community Nursing, 7 (8), 394 400 Effective Health Care (1995) The prevention and treatment of pressure sores Effective Health Care Bulletin, 2 (1), 1 16 Ek, AC, Gustavssen, G, Lewis, DH (1987) Skin blood ow in relation to external pressure and temperature in the supine position on a standard hospital mattress Scandinavian Journal of Rehabilitation, 19, 121 126 Ellison, DA, Hayes, L, Lane, C, Tracey, A, McCollum, CN (2002) Evaluating the cost and ef cacy of leg ulcer care provided in two large UK health authorities Journal of Wound Care, 11 (2), 47 51 European Pressure Ulcer Advisory Panel (1999) Pressure ulcer treatment guidelines.

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It's not difficult to eat lean and healthfully at almost any restaurant chain but you must be proactive. This means ordering from the "lighter fare" or "healthy choices" side of the menu or, if these aren't available, requesting a more diet-conscious preparation of the regular dishes, such as less salt and less added fat, and grilling and steaming rather than frying and sauteing. In the past, many of the so-called healthy meals offered by restaurants were pretty bad. I knew when I created this diet that it had to include a wide variety of foods so that boredom never has a chance to set it. Today, it isn't necessary to trade "delicious" for "healthy." You simply need to shift the balance in a healthier direction by eating more of the foods that fill you up with fewer calories and less of the foods that pack on the pounds. Sounds easy and it is! Just beware. The restaurant chains, with a few exceptions, don't design their menus with healthy eating in mind. Quite the opposite: they load up most of the expensive dishes with fat, salt, and sugar because that's what consumers are used to and are willing to pay more for. You'll certainly save money by ordering from the low-cal side of the menu in addition to saving yourself 40 to 50 percent of consumed calories. You'll also get less saturated fat because the restaurants have to trim back on butter or vegetable shortenings to hit those advertised low-calorie limits. And you'll find more vegetables on your plate, which are naturally low in calories. Don't worry about leaving hungry. You won't. Eating lean protein, healthier fats, and low-glycemic carbohydrates, such as beans and

EPUAP Review, 1 (2), 31 33 Exton-Smith, AN, Sherwin, RW (1961) The prevention of pressure sores: the signi cance of spontaneous bodily movement Lancet, II, 1124 1126 Faries, PL, Teodorescu, VJ, Morrissey, NJ, Hollier, LH, Marin, ML (2004) The role of surgical revascularisation in the management of diabetic foot wounds American Journal of Surgery, 187 (5) (suppl), 34S 37S Fentem, PH (1986) Elastic hosiery Pharmacy Update, 5, 200 205 Ferrell, BA, Josephson, K, Norvid, P, Alcorn, H (2000) Pressure ulcers among patients admitted to home care Journal of the American Geriatrics Society, 49 (5), 1042 1047..

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