Background: Using videoconference technology to provide health care is established in many fields. The authors are not aware of any published reports of music therapy (MT) conducted remotely. This case review describes the process and outcomes of remotely delivered MT to address symptoms of post-traumatic stress disorder (PTSD) in a military veteran. Method: MT was co-facilitated by a music therapist and a clinical psychologist. Sessions were delivered as videoconferences (over 1400 km) utilizing the OntarioTelehealth Network. A retrospective case study with input from the client was conducted. Results: The client reported improvement, in many of his symptoms. At the end of the treatment period, he attributed much of his progress to MT. Using videoconference technology did not seem to hinder the treatment efficacy. The novel nature of providing MT remotely necessitated an effective collaboration between the music therapist and the client's clinical psychologist. Conclusions: Based on the experience described in this case study, the authors concluded that, (a) remotely-delivered MT can be effective in the treatment of complex PTSD, (b) inter-professional collaboration made a positive impact on the treatment process, (c) geographic distance need not be an obstacle to effective treatment and (d) a remote treatment modality was not detrimental to treatment efficacy.

End-of-life decision-making in individuals dying with dementia differs from that in individuals with cancer, more often involving forgoing of life-prolonging treatment and less often involving intensifying pain and symptom treatment. Considerations typically involve the prospects of the individual with dementia as opposed to the severity of their present situation. Optimal processes of advance care planning may address the burdensome decision falling to physicians and family regarding when to allow the individual to die.

Small‐scale farmers' experimental innovations have not generally been considered for on‐farm research trials as those in the traditional sector have been perceived as recipients, rather than originators, of technical knowledge and sustainable and viable practices. Yet there is abundant evidence throughout the tropics that small‐scale farmers are adaptive and experimental problem solvers, and experts at devising innovative survival strategies. While literature on the topic is rich with accounts from Africa, Asia and Latin America, there is a general dearth of examples from the Caribbean. This paper highlights some examples of farm‐ and village‐level problem solving and survival practices among small‐scale domestic food producers in the challenging agroecological environment of Jamaica.

No abstract

No abstract