PURPOSE: The purpose of this study was to clarify the concept of continuity of\ud care during the end of life with a focus on the patient’s perspective.\ud METHODS: Rodgers’ method of evolutionary concept analysis was used. The\ud analysis was based on literature published in English in the databases Cumulative\ud Index for Nursing and Allied Health Literature, Medline, and PsycINFO.\ud FINDINGS: Analysis revealed that the continuity at life’s end is a dynamic process\ud that depends on the interaction among patients, families, and providers, and is\ud strictly interwoven with the patient’s time perception.\ud CONCLUSION: This analysis showed the complexities surrounding the patient’s\ud experience of continuity at life’s end.\ud IMPLICATION FOR NURSING: Nurses can benefit from a deeper understanding\ud of the patient’s experience, both theoretically and in practice

Twenty subjects with diagnosed Mitral Valve Prolapse (MVP) were interviewed regarding self-care needs. Transcripts were analyzed for evidence of perceived health state and altered body image. The majority of subjects described experiences indicating that their perceptions of body image and health state were affected by the diagnosis of MVP. Using Smith's (1981) four categories of health perceptions, most subjects were judged to perceive their health state from a combination of clinical, role-performance and adaptive perspectives.

Too many Washingtonians, especially low‐income persons of color, are not completing postsecondary education credentials that lead to meaningful labor market returns. This chapter provides an evidence‐based, student‐centered transfer framework that reinforces transparency, equity‐mindedness, and the adaptive leadership necessary to transform higher education systems to support the success of all students.

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