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Abdominal pain is a common reason for a child to visit their paediatrician. At CPMG our physicians have experience in assessing and managing a wide range of conditions that may cause abdominal pain including food intolerance (e.g.. lactose, fructose) , feeding issues in infants, constipation, irritable bowel syndrome, Helicobacter Pylori infection, acute gastroenteritis, abdominal migraine, reflux and non-specific abdominal pain. We also have a dedicated team of psychologists who can add additional support and professional advice in selected cases.
The following practitioners at CPMG can be of service in helping determine the cause of abdominal pain in children and adolescents:


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Govatsa Dwadashi (Nandini Vrat) is observed on Krishna paksha Dwadashi in Kartik Month as per North Indian calendars. In 2019, Govatsa Dwadasi date is October 25.
As per other calendars, this festival falls on Krishna Dwadasi day in Ashwin month. This fast observed by women for longer life of their sons.
The legend and the significance of Govatsa Dwadasi vrata are mentioned in the Bhavishya Purana. This vrat katha is associated with Nandini, the divine cow, and her calf. During the puja, pictures or idols of Nadini and her calf are worshipped. Devotees offer sprouted moon and gram to the divine cow, Nandhini. People avoid drinking milk and other milk products on this day.
Govatsa Dwadasi is observed as Guru Dwadasi in Andhra Pradesh, Maharashtra and some parts of Gujarat. On this day, Sripada Vallabha Aradhana Utsav are held at Pithapuram Datta Mahasamsthan in Andhra Pradesh. In Gujarat, Govatsa Dwadasi day is observed as Vagh Baras or Wagh Baaras. Vasubaras is the name for this vrat in Maharashtra.
Panchang, Govatsa Dwadashi – 25 October 2019
Suryodayam (Sunrise) 06:31 Suryastamaya (Sunset) 17:49
Chandrodayam (Moonrise)28:17 Chandrastama (Moonset)16:10
Today's Panchangam
Paksha (Fortnight) Krishna Paksha
Tithi (Lunar Day) Dwadashi – 19:08
Nakshatra Purva Phalguni – 11:01
Yoga Brahma – 09:57
Skipped Yoga : Indra – 30:05*
Karana Taitila – 19:08
Skipped Karana : Garaja – 29:28*
Today's Panchang
Purnimanta Month Kaartika
Amavasyanta Month Ashwin
Shaka Samvatsara: Vikari
Vikram Samvat Varsha: Paridhavi
Rahu Kalam: 10:46 – 12:10
Gulika Kalam: 07:56 – 09:21
Yama Gandam: 15:00 – 16:25
Today's Rashi
Ravi Rashi (Sun Sign) Tula
Chandra Rashi (Moon Sign) Simha – 16:23:55
Auspicious Time
Amrita Kalam 26:02* – 27:27*
Abhijit: 11:48 – 12:33
Time to Avoid
Varjyam Kalam 17:27 – 18:53
Durmuhurthams: 12:33 – 13:18
In Previous Years
In 2018, Govatsa Dwadasi date is November 4.
In 2017, Govatsa Dwadasi date was October 16.
In 2016, Govatsa Dwadasi date was October 26.
In 2015, Govatsa Dwadasi date was November 8.
In 2014, Govatsa Dwadasi date was October 20.
In 2013, Govatsa Dwadasi date was October 31.
In 2012, Govatsa Dwadasi date was November 11.
Govatsa Dwadasi 2011 date was October 23.

subset: commoncrawl


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Your Unique Journey with Gideon Nielsen, Denmark.
Paul: If today, I tell you to pack your bags and go for holidays, where will you go and why? Gideon: That is always a hard question, there are many places I would like to visit, but I guess it will…
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Developing a Management Roadmap for the New Administration
January 16, 2017
Developing a Management Roadmap for the New Administration. Join host Michael Keegan as he explores this effort and how presidential transitions work with David Eagles, Director, The Center for Presidential Transition, Partnership for Public Service and Dan Chenok, Executive Director, The IBM Center for The Business of Government.
A Conversation with Max Stier
August 3, 2015
What is the Ready to Govern Initiative? How will it promote presidential transition reforms within Congress? What is it doing to put management at the forefront of the next administration's agenda? Join host Michael Keegan and Max Stier, President and CEO, Partnership for Public Service, as he explores these questions and more.
Listen to the complete interview.


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Volunteer Gardener 2713
Season 27 Episode 2713 | 27m 15s
On Nashville Public Television's Volunteer Gardener, Jeremy Lekich of Nashville Foodscapes takes us on a tour of a client's garden where the trees, shrubs and vines on the property contribute to the harvest. Then, we tour a demonstration garden of GROW Enrichment that features several effective permaculture methods for storm water management. Plus, we make some rose vine
Aired: 09/27/18Video has closed captioning.
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Volunteer Gardener's Website
Learn more about Volunteer Gardener, an NPT original production.
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Posted in USA October 07, 2019
The Quirky Western Themed Motel In The U.S. That Everyone Should Stay In At Least Once
Standard hotels have their perks, but why not add a bit of excitement to your next getaway with a uniquely themed lodging locale? The United States houses all sorts of interesting motels and hotels to choose from, but there's one such spot that will quickly become a new favorite. Embrace all things Old West when you settle in for the night at this quirky destination.
Have you stayed the night at any fantastic themed hotels or motels? Share your experiences and suggestions with us in the comment section below!


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Category Archives: Family Collections
George Thacher papers (MS 1)
The Thacher collection consists of a folio album containing an account between George Thacher and his nephew, Silas Lee; one photograph of George Thacher's portrait, painted by Henry Williams; and eighteen pieces of correspondence. The correspondence includes a letter written … Continue reading
Wilfrid Landry papers (MS 79)
Scrapbook kept by Hon. Wilfrid A. Landry (1889-1960), mostly documenting his political activities during his years as mayor of Biddeford (1937-1940). Contains clippings, photographs, and other ephemera. Also contains family material, including greeting cards from his children and family pictures. … Continue reading
Elijah Smith Papers (MS 4)
These are the personal and business records of Elijah Smith. They include records of the Free Will Baptist Church of Saco, Maine, along with Smith's own diaries and daybooks. Elijah Smith (1800-1886) was a deacon and founder of the Free … Continue reading
Remich Family Papers (MS 3)
Papers of James K. Remich and his son Daniel Remich. They include a biographical sketch of Daniel Remich, lectures/speeches, and their legal documents. James K. Remich founded The Weekly Visitor, a newspaper in Kennebunk in 1809. He was actively involved … Continue reading
Flood-Thomas Collection (MS 71)
Memorabilia and records of the Flood and Thomas families in Biddeford, Maine from 1908 until 1962. Earliest records are guest registers and memorabilia of the family restaurant, Flood's Shore Dinners, which was run out of the family home (The Willows) … Continue reading


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Blood Pressure Home > Benicar Uses
Although it is not a cure for high blood pressure, Benicar can reduce the risks that occur with long-term hypertension by causing the blood vessels to relax. The medication has been approved for use in adults and children as young as six years old. There are currently no universally accepted off-label uses for Benicar.
What Is Benicar Used For?Benicar® (olmesartan medoxomil) is a prescription medication that has been licensed to control high blood pressure (hypertension).
High Blood Pressure
A blood pressure reading consists of two numbers -- for example, 120/80. The top number is known as the systolic blood pressure, and the bottom number is the diastolic blood pressure. High blood pressure is defined as an average blood pressure higher than 140/90, with multiple blood pressure readings.
Based on clinical studies, Benicar has been shown to significantly lower systolic and diastolic blood pressures. The higher the dose of Benicar, the greater the drop in blood pressure tends to be. By lowering blood pressure, Benicar can decrease the risks that often occur with long-term high blood pressure (see Effects of High Blood Pressure). However, Benicar is not a cure for high blood pressure.


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Museums in College Park, MD
- Home
- United States
- College Park
Find museums in College Park, MD. Listings include The David C. Driskell Center, College Park Aviation Museum and the Field of Firsts Foundation, University of Maryland Art Gallery, George Meany Memorial Archives, National Museum of Language and The Art Gallery at the University of Maryland. Click on each in the list below the map for more information.
The David C. Driskell Center
1214 Cole Student Activities Bldg, College
College Park Aviation Museum and the Field of
1985 Corporal Frank Scott Dr, College Park
University of Maryland Art Gallery
2202 Art-Sociology Building University Of
George Meany Memorial Archives
Hornbake Library, 4130 Campus Drive, Colle
National Museum of Language
7100 Baltimore Ave Ste 202, College Park 2
The Art Gallery at the University of Maryland
College Park 20740
University of Maryland Art Gallery
College Park


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Parsing inflected forms may not always work as expected. If the following does not give the correct word, try Latin Words or Perseus.
1. mando, āvi, ātum, 1, v. a. [manusdo], to commit to one's charge, to enjoin, commission, order, command (syn.: praecipio, edico); constr. alicui aliquid, with ut, ne, the simple subj., or with inf. (class.).


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12+ proper letter format template
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Written by and starring newcomers Chris Bran and Justin Chubb, the channel's first original comedy commission is directed by Matt Lipsey (Psychoville, Little Britain) and launches next month.
Serafinowicz will appear in Episode 2 of the show as Eric Dunt, "a seedy and unscrupulous cupboard salesman, who discovers he can make a killing touting his second-rate wares after the people of Jinsy become convinced he is The Great He, the hugely worshipped but never seen governor of Jinsy island".
Two images of David Tennant's character were released last week. The former Doctor Who star will play Mr Slightlyman, a corrupt, camp wedding planner with bad plastic surgery.
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A land of rugged mountains, scenic lakes, rushing whitewater rapids, majestic waterfalls, quaint small towns, and intriguing history — South Carolina's Upcountry is a favorite outdoor adventure and family vacation destination. Spring brings blooming Daffodils, Azaleas and Dogwood Trees and warm days. Summer means it's time to hit the water — our freshwater lakes tempt boaters, swimmers, anglers and paddlers.
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Raft, Camp and Vacation
The number one item on Southern Living Magazine's "Top 40 Things every Southerner should do" is to raft the National Wild and Scenic Chattooga River. Enjoy guided whitewater rafting and float trips on the premier whitewater rafting river in the Eastern U.S. with Wildwater Rafting in Long Creek. While you're there, try another one of their adventures and fly through the trees and over a lake on a canopy tour!
If you would rather admire rushing water instead of "riding" it, you are in the right place. South Carolina's Upcountry features some of the most beautiful waterfalls in the Southeast, including the highest series of waterfalls in the Eastern United States. Visit www.SouthCarolinaWaterfalls.com to find out more about the area's waterfalls.
If flat water is more your speed, then you can't do any better than Lake Jocassee, said to be "one of the most beautiful mountain lakes in the nation." Devils Fork State Park is located along the southwestern shore of Lake Jocassee. This park provides outdoor recreation amid the beauty of the Blue Ridge at the Jocassee Gorges. The park features lakefront camping, hiking, picnicking and vacationing in the park's contemporary mountain villas.
Another great stop while you're in the Upcountry is Keowee-Toxaway State Park. This 1,000-acre park features outstanding rock outcroppings and wonderful views of the Blue Ridge Mountains. A large rental cabin in a wooded area features an upper deck porch overlooking Lake Keowee and a private floating courtesy dock. Other facilities include picnic areas with shelters, a campground, lake fishing and trails.
Stop to visit the overlook at Caesars Head State Park which has long been known as one of the best views in South Carolina. It is stunning as you stand atop the outcropping and gaze at the Blue Ridge escarpment and Piedmont with the mountains of North Carolina and Georgia as a backdrop.
Are you an angler? Bring your gear. You can fish for rainbow and brown trout, redeye and largemouth bass, bluegill, catfish and more on the Chattooga, Chauga or Middle Saluda Rivers and also on Lakes Jocassee, Keowee and Hartwell.
So, whether your idea of a vacation is high adventure or just relaxing and taking a peaceful walk along a waterfall trail, the Upcountry has something for you.
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text:
You can simplify your selection efforts by first focusing on the types of flies you will most frequently be tying.
For example, if you're a trout fisherman you will probably want to have four categories of hook shapes or types in various sizes: streamers (for flies like the wooly bugger and clouser patterns), hoppers (for hoppers of course!), drys (for flies like the parachute adams, the royal wulff, and the elk hair cadis) and curved/ scud shaped (for scuds, emergers and nymphs).
By categorizing your hooks into shapes for these different purposes, you can narrow your search based on size and the other elements we discuss below.
Unfortunately, hook sizes have not been standardized between manufacturers. What is consistent is that sizes are generally (with exception to size 1) even-numbered from size 2 to 32, with size 32 being the smallest. Hooks larger than size 1 move to a measurement of aughts that appear as a number followed by a zero. For example, 1/0 (smallest) all the way up to 20/O (largest size).
A great approach for identifying the right size fly for the water you will be fishing is to speak with your local fly shop or guide service. They often have very specific recommendations on what you will need to hook your quarry!
Located at the very front of the hook shank, the eye of the hook is either positioned flat (also referred to as round), up, down or jig style:
While some fly anglers may prefer one eye position over the other for a certain purpose, these preferences are often the product of experimentation. Try the different styles for yourself for different applications and see what works best for the flies you use on your home water!
The shank is the straight section of the hook after the eye before the bend in the hook. The length of a hook shank is often categorized as standard, short or long with short and long sizes measured in X factors relative to a standard size.
For example, 1X Short indicates that the hook shank is slightly shorter than the standard length with 2X Short being even shorter and so-on. On the other hand, 1X Long indicates that the hook length is slightly longer than the standard hook size, with 2X Long being even longer. Generally speaking, longer length hooks are desirable for streamers (3X Long is a common streamer size) and larger nymphs and shorter length hooks will be better for smaller flies.
When referring to a hook's weight, we are really talking about the diameter of the wire used to form the hook. Lighter weight hooks are often referred to as fine and hooks with a larger diameter wire are referred to as heavy (or strong). Fine or extra fine hooks are more appropriate for dry flies and heavy or strong hooks are more appropriate for wet flies designed to sink. Once again, many manufacturers use X factors to rate the wire diameter of the hook relative to a standard diameter. 1X Fine is going to be slightly thinner gauge wire then the standard and 1X Heavy or Strong will be slightly thicker diameter than the standard.
The hook point is of course, the business end of the hook which tapers down to a sharp point. Most of the hooks manufactured today are chemically sharpened. The advantage of hooks that are chemically sharpened over those that are mechanically sharpened is that the process results in smoother, sharper, and more durable hook points.
Hook points may be barbed or barbless. Barbless points are ideal for catch and release anglers, as they do less damage to the fish's mouth and make release much easier. Barbed hooks are common, and make it more difficult for a hooked fish to throw the hook.
The hook gap (or gape) is the distance between the hook point and the shank of the hook. The gap of the hook is also is the standard for determining the hook size (though sizing often differs between manufacturers). The gap of the hook is important because the hook gap makes the can mean the difference between "almost had you!" misses and hook sets.
When tying flies, make sure that the hook point is still exposed and not lost in the silhouette of the fly! Hooks with a wider gap are generally associated with more effective hook-up ratios as they provide a bigger reach and give the angler a little bit more time to set the hook.
"If I remember the timeline correctly we are now about two years back from today, so that would be two full years fishing with the Togen Curved Nymph hook. Wanna know how many I've broken? Let's just put it this way … if I had a camera available to take a picture of every one of them that broke on me, I still wouldn't be able to post a picture! That's right … NONE!" - Rob


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Rodd's Gallery
a virtual gallery of paintings by Rodd Sherwin
and a collection of his verse and trilogy of playing card games
( and introducing selected verse by the late Clarry Dunstan )
Email: firstname.lastname@example.com Telephone 07 5497 8164
To view paintings
click on the gallery links
Gallery - 1
Gallery - 2
Gallery - 3
Gallery - 4
Gallery - 5
Gallery - 6
( verse links below)
About the Artist
Born and educated in South Australia, Rodd travelled to Rabaul at an early age and lived in Papua New Guinea for
24 years. Although he was a professional accountant he always had a talent for drawing and design.
While living in Madang he was introduced to the realm of impressionism by his art mentor Rudi Caesar,
a colourful German expatriate. Through his influence, Rodd began painting with acrylics and an individual style
soon emerged. His paintings were promoted by numerous exhibitions held throughout Papua New Guinea.
Returning to Queensland in 1988, Rodd continued to paint and in 1994 established the renowned Scarborough Fair
Art Gallery. Situated on the Scarborough waterfront on the Redcliffe Peninsula, this iconic gallery prominently
featured his work until it finally closed in December 2004. Through the years, his paintings have enjoyed
popular appeal and have become widely distributed. Now living in South East Queensland by the banks of the
Caboolture River his recent paintings reflect the serenity of this rustic river environment at -
102 Captain Whish Ave. Morayfield QLD. 4506
Rodd's Verse Having retired from the world of accounting and secretarial scribing,
Rodd applied his writing to the creation of a trilogy of illustrated short stories, which from the outset, emerged in the form
of verse. These stories were followed by shorter verses themed on the Scarborough Fair Art Gallery, climatic events,
political satire and life anecdotes. Following a 40 year reunion with Hisashi (Harry) Ogawa of Fukuyama City, there
ventured the contribution of lyrics for a small collection of potential songs. This sparked an obssession to use music to
inspire life back into the field of poetry and so he set about creating primitive scores for each of his stories and also
some selected verse including all time favourites -
Alfred Noye's classic poem The Highwayman and Samuel Taylor Coleridge's epic Rime of the Ancient Mariner
These efforts labelled by his mentor as "maybe some kind of free style music, such as used by he Troubadours of the
Middle Ages" were nevertheless effective and together with a full narration can now be previewed or downloaded on
this return of the Troubadour on troubadour.pivotshare.com
The full collection of Rodd's verse is published on this domain via the index and summary -
Click to Preview Rodd's Verse
Click to open Clarry Dunstan Verse


text:
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A Really Practical Handbook of Children's Palliative Care
A Really Practical Handbook of Children's Palliative Care for Doctors and Nurses Anywhere in the World offers really practical solutions to common problems faced by health professionals caring for dying children and their families, whatever their culture or socioeconomic circumstance. After spending more than twenty years caring for children with terminal diagnoses, Dr. Justin Amery has applied his hands-on experience and the fruits of his research to this compendium of practical advice.
The book's fifteen parts address not only the numerous practical matters that arise in offering palliative care to children, but also the intangible, yet vital, practices for communicating bad news, helping families with their emotional reactions, assisting children and their families with ethical and spiritual issues, and working with surviving family members as they grieve.
The volume also includes, as an additional resource, the Association of Paediatric Palliative Medicine Formulary.
Read on the Scribd mobile app
Book Preview
A Really Practical Handbook of Children's Palliative Care - Justin Amery
A Really
HANDBOOK of
Children's Palliative Care
for Doctors and Nurses Anywhere in the World
And INCLUDING
(By kind permission of Dr. Sat Jassal)
The APPM Master Formulary 2015
Copyright © 2016 Justin Amery.
All rights reserved. No part of this book may be reproduced, stored, or transmitted by any means---whether auditory, graphic, mechanical, or electronic---without written permission of both publisher and author, except in the case of brief excerpts used in critical articles and reviews. Unauthorized reproduction of any part of this work is illegal and is punishable by law.
The information, ideas, and suggestions in this book are not intended as a substitute for professional medical advice. Before following any suggestions contained in this book, you should consult your personal physician. Neither the author nor the publisher shall be liable or responsible for any loss or damage allegedly arising as a consequence of your use or application of any information or suggestions in this book.
ISBN: 978-1-4834-4402-4 (sc)
ISBN: 978-1-4834-4403-1 (e)
Library of Congress Control Number: 2015921132
Because of the dynamic nature of the Internet, any web addresses or links contained in this book may have changed since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.
Any people depicted in stock imagery provided by Thinkstock are models, and such images are being used for illustrative purposes only.
Certain stock imagery © Thinkstock.
Lulu Publishing Services rev. date: 02/19/2016
A Word of Thanks
How to use this book
Part one: How do I communicate with children and their families?
Part two: How do I break bad news to children and their families?
Part three: How do I handle strong emotions and difficult questions?
Part four: How do I assess and manage all the needs of a child and their family?
Part five: How do I manage children with HIV&AIDS in CPC?
Part six: How do I manage symptoms in children's palliative care?
How do I assess pain and distress in children?
How do I manage pain in children?
How do I manage fluids and electrolytes in children?
How do I manage feeding problems in children?
How do I manage sore mouth in children?
How do I manage dysphagia in children?
How do I manage gastro-oesophageal reflux
How do I manage gastro-intestinal bleeding in children?
How do I manage nausea and vomiting in children?
How do I manage constipation in children?
How do I manage diarrhoea in children?
How do I manage cough in children?
How do I manage haemoptysis in children?
How do I manage breathlessness in children?
How do I manage seizures in children?
How do I manage spasticity and dystonia in children?
How do I manage skin problems in CPC?
How do I manage anxiety in children?
Part seven: How do I manage acute, distressing terminal symptoms at the end of life?
A practical approach to treating any acute, distressing terminal event in CPC:
How do I manage restlessness and agitation at the end of life?
How do I manage massive bleeding at the end of life?
How do I manage acute severe upper airway obstruction (choking) at the end of life?
How do I manage noisy secretions (
death rattle) at the end of life?
Part eight: How do I play with children?
Part nine: How do I provide palliative care for adolescents?
Part ten: How do I deal with ethical dilemmas in children's palliative care?
Part eleven: How do I offer spiritual care to families?
Part twelve: How do I provide good end of life care to a child and their family?
Part thirteen: How do I deal with the practicalities arising after the death of a child?
Part fourteen: How do I help the family with grief and bereavement?
Part fifteen: How do I survive and thrive in children's palliative care?
APPM Formulary
Appendix 1: Morphine equivalence single dose [1, 2, 5]
Appendix 2: Subcutaneous infusion drug compatibility
Appendix 3: Template Symptom Management Plan
Pain Management Plan Template
Nausea and Vomiting Management Plan Template
Seizure Management Plan Template
Acute Breathlessness Management Plan Template
Excessive Respiratory Secretions Management Plan Template
Severe Bleeding Management Plan Template
Muscle Spasm (Dystonia) Management Plan Template
Mouth Pain Management Plan Template
Spinal Cord Compression Management Plan Template
Agitation, Restlessness, Delirium and Anxiety Management Plan Template
Constipation Management Plan Template
Formulary References
Practical Handbook References
A Word of Thanks
I would like to thank the following organisations without whom we would not have been able to publish this book for free.
• Keech Hospice (www.keech.org.uk) who have provided me with logistical, psychological and material support, as well as giving me the freedom to work on the book as part of my commitment to them.
• The True Colours Trust, a charity manned by a small group of people but which has had a huge impact in developing children's palliative care around the world, for their donation to cover the publishing costs of the book.
• The Association for Paediatric Palliative Medicine formulary group, for allowing me to include the formulary in this book for free.
• The International Children's Palliative Care Network (www.icpcn.org) which has been continuously supportive of this work, and which has agreed to help with the dissemination of the book once published.
• Finally to Together for Short Lives (www.togetherforshortlives.org.uk), partly for their contributions to this book, through Katrina McNamara) and also for agreeing to allow me to build on the 'CPC Handbook for GPs'.
In my travels practicing and teaching children's palliative care around the world, I have been struck by how children's palliative care is essentially the same, wherever you go. Of course there are many, many differences too, but that's not necessarily a contradiction. Wherever they are, children are still children, and palliative care is still palliative care.
In response to this rather paradoxical state of affairs, I have long dreamed of being able to write something that is freely accessible to everyone and which could be just as useful to a doctor in the USA as to a nurse in Bolivia and a to Clinical Officer in Uganda. This book is an attempt to create that, and it builds on what I have seen: that most doctors and nurses already have most of the knowledge, skills and attitudes they need to be good at children's palliative care, but they just lack the confidence or feel frightened by some of the challenges that inevitably occur when a child is dying.
So the book is structured around the common questions that we ask in tricky palliative situations, building on the research, teaching and training I have done over the last 20 years. Each chapter deals with one question, and starts with reminding us what we already know, before going on to fill in some common gaps. Finally, the book ends with a copy of the Association of Paediatric Palliative Medicine (APPM) Formulary, which is a truly excellent piece of work donated very kindly by Sat Jassal and all at the APPM. I hope this will give you everything you need to manage real life cases in real life settings, with confidence, wherever you are.
In order to ensure this book is relevant to any doctor or nurse anywhere in the world, I have relied very heavily on contributors who are highly experienced in children's palliative care from five continents (I couldn't find anyone from Antarctica who fitted the bill). They have been invaluable and I offer them my huge thanks. They are as follows:
Dr. Anthony Herbert
Anthony is a paediatrician specialising in paediatric palliative care at the Lady Cilento Children's Hospital, Brisbane, Queensland, Australia. He spent part of his fellowship working at the Department of Pain Medicine and Palliative Care at The Children's Hospital at Westmead, Sydney. He has been working within the Paediatric Palliative Care Service in Brisbane since 2008 and is a Senior Lecturer at the University of Queensland. Clinical and research interests include pain management, insomnia and the use of telehealth
Francis Edwards
Francis has been working clinically for the last three years at Bristol Royal Children's hospital as the Paediatric Palliative Care Liaison Nurse developing services for babies, children and young people's palliative care services. Prior to moving to Bristol he worked in the North of Scotland as a Nurse Consultant in Paediatric Palliative Care. Francis has a wide experience of working in CPC in acute, community and hospice settings as well as being an Honorary Lecture at Aberdeen & Coventry Universities. He has spent a great deal of his career working as a Clinical Nurse Specialist in Paediatric Oncology, at the children's hospital in Brighton and the Royal Marsden in London. Working in paediatric oncology forms his approach to paediatric palliative care. He appreciates and is committed to the importance of holistic and family-centred care, and sees 'soul work' as a key element of care. Francis has also been involved in developing the Care Pathways with the team at TfSL's.
Dr. Jane Nakawesi
Jane is a paediatrician who has been working at Mildmay Uganda for the last 6 years. She completed her Master of Medicine in Paediatrics and Child Health from the Makerere University in Uganda in the year 2007. She received training in Paediatric Palliative Care (PPC) from South Africa in 2009. Since then she has been training both national and international health workers on both short and long courses in PPC. One of her mentors is a renowned CPC specialist, Dr Justin Amery. The initial training at Mildmay with support from the Diana Princess of Wales Memorial Fund (DPWMF) was a 6 months course. Through her leadership and with support from the DPWMF this course was upgraded to a diploma course. The course commenced in April 2014 at Mildmay Uganda. Jane is also keen in conducting operational research and has presented several papers on PPC at both local and international conferences. This year one of her papers i.e. Palliative Care Needs of HIV Exposed and Infected Children admitted to the Inpatient Paediatric Unit in Uganda has been accepted for publication by ecancermedicalscience
Dr Julia Ambler
Julia graduated from UCT with her MBChB in 1998. After her junior doctor years she spent 6 years in Oxford, UK returning home in early 2008. Whilst in the UK she trained and worked as a general practitioner and a children's hospice doctor at Helen and Douglas Houses in Oxford. She is a member of the Royal College of GP's in the UK and holds the Diploma in Paediatric Palliative Medicine from Cardiff University, Wales. She also holds a Diploma in Child Health. From 2008 to 2012, Julia worked for the Bigshoes Foundation in Durban. When This NPO closed in December 2012, she was instrumental in launching Umduduzi -- Hospice Care for Children to continue the work in children's palliative care. Through this NPO she consults to state hospitals and hospice programs and trains in children's palliative care. She is also a part-time lecturer in the Department of Paediatrics, Nelson Mandela Medical School, UKZN .
Katie Hill
Katie graduated with a First Class Honours degree in Children's and General Nursing from Trinity College Dublin, Ireland in April 2012 and received a Gold Medal from Trinity College for her academic excellence. Throughout her training she developed a passion for paediatric palliative care and in October 2011 she won the 'Undergraduate Award of Ireland and Northern Ireland for Nursing' for her paper on paediatric palliative care, which has since been modified and published in the British Journal of Nursing entitled
Paediatric Palliative Care in Ireland and the UK. Upon graduating Katie spent six months volunteering in the 'Butterfly Children's Hospices', China and has been involved ever since. She has spent over 18 months volunteering with Butterfly Children's Hospices in China where she currently has the role of head nurse and leads the nursing team across both hospices. Currently she splits her time between China and Ireland, where she is undertaking a Masters in Nursing in Child Health and Wellbeing. It is an absolute privilege to be working with Butterfly Children's Hospices, providing loving palliative care and treatment to children with life-threatening illnesses in China.
Katrina McNamara
Katrina McNamara is Director of Practice and Service Development, with Together for Short Lives, the UK Children's Palliative Care organisation, leading a team aiming to support professionals and organisations in developing best practice and services provision and providing information and support services to children and young people with life-shortening conditions and their families. In 2009, she was awarded the Elisabeth Kübler-Ross Award for Outstanding Contribution for her vision in developing the UK's first Integrated Care Pathway for children's palliative care. She is a member of the International Children's Palliative Care Network Advocacy Committee, focusing on the development of children's palliative care services across the world. She worked as a children's nurse, general nurse and health visitor in Merseyside and the Department of Health in England before moving to work in the voluntary sector.
Dr. Khaliah Aesha Johnson
Khaliah is a pediatric palliative care clinician practicing at Children's Healthcare of Atlanta, Atlanta, GA, USA. Dr. Johnson completed her medical training at Stanford University School of Medicine in Palo Alto, CA prior to completing general pediatrics training at Johns Hopkins University in Baltimore, MD. Her passion and commitment to caring for children with complex, life-limiting medial conditions lead her to pursue pediatric palliative care fellowship training at the Children's Hospital of Philadelphia, which she completed in 2012. Dr. Johnson has had the opportunity to explore and address the palliative care needs of children and families in several international settings, including Ethiopia and South Africa. Her specific career interests include improving access to community-based pediatric palliative care in resource-limited settings and pediatric hospice care.
Dr. Kuan Geok Lan
Dr. Kuan Geok Lan has been advocating for CPC in Malaysia since 2006, when she set up the first CPC team in Malacca Hospital. She continues to serve in the Dept. of Paediatrics, Malacca Hospital as a general paediatrician and looking after children with CPC needs in the community, as well as teaching medical students. She chairs the Malaysian Paediatric Association, CPC subcommittee, which has led to the recognition of development and training of paediatricians in CPC by the Ministry of Health, Malaysia. The subcommittee also aims to continue education amongst healthcare workers, enhance public awareness, encourage research as well as engage the public. Since 2013, she has been instrumental in setting up a CPC service in two government hospitals in the state of Johore, Malaysia. In 2015 she engaged with 12 rural health clinics supported by these two hospitals in collaborative work, to provide home care and support using a
pop up and on time training model.
Maggie Comac
Maggie Comac is a Clinical Nurse Specialist in Paediatric Palliative Care at Great Ormond Street Hospital. She has a wide experience of paediatric oncology and palliative care both in the UK and in the Middle East. In June 2010 -- May 2014 Maggie worked in Kuwait both within the Ministry of Health as a Nurse Consultant and latterly as Director of Care at Bayt Abdullah Children's Hospice, the first paediatric palliative care facility in the region. Maggie has passion for advanced nursing practice, supporting quality evidenced based care. Her special interest lies within clinical research within the field and hopes to contribute to a much needed evidence base in her future work.
Dr. Pradnya Talawadekar
Pradnya is the Country Co-ordinator of the Children's Palliative Care Project, Indian Association of Palliative Care. She has helped advocate for the implementation of palliative care in the State of Maharashtra and the inclusion of palliative medicine into the curriculum of Maharashtra University of Health Sciences (MUHS). She has developed educational & advocacy material in India and organised training for Indian health care worker. She works with NGOs to provide help and advocacy for children with palliative care needs and has helped develop three model sites for service delivery in Maharashtra'
Dr. Renee McCulloch
Renée is a Consultant in Paediatric Palliative Medicine at Great Ormond Street Hospital; Honorary Senior Clinical lecturer at the Institute of Child Health, London and also works at Helen and Douglas House Hospice in Oxford. She has a broad background that includes working in specialist paediatric centres, children's hospices and delivering palliative care at home. Between 2010 and 2013 she worked in Kuwait supporting the development of children's palliative care services at the children's cancer centre and then at Bayt Abdullah children's hospice. Between 2010 and 2013 Renée and her family went to live and work in Kuwait supporting the development of children's palliative care services. Renée worked initially in the children's cancer centre and then at Bayt Abdullah children's hospice (the first children's hospice in the Middle East). Renee has contributed widely to the specialty of children's palliative care and enjoys being involved in research, training and education. She is particularly interested in developing an evidence base for practice, improving children's palliative care services and increasing the availability of opioid preparations for children so they are accessible in all countries.
Dr Rut Kiman
Rut is the head of the Pediatric Palliative Care Team in the Maternal- Infant Department at the 'Professor A. Posadas Hospital' in Argentina as well as Assistant Professor of Pediatrics and Senior Lecturer in the Pediatric Department of the School of Medicine, University of Buenos Aires. Rut has been working with children and families for more than 30 years, and 20 years of experience dealing with infants and children with life-limiting conditions. She also teaches undergraduate students, medical residents in Posadas hospital and postgraduate students in the Diploma Course of NGO, Pallium. As a member of the Latin-American Palliative Care Association, she has participated in many workshops in different parts of that region. Board member of International Children Palliative Care Network since 2006, she has also contributed with several articles and book chapters in her speciality.
Dr. Satbir Jassal
Sat is a full time senior partner general practitioner and Medical Director of Rainbows Children's Hospice in Loughborough, Leicestershire heading a team of 4 doctors on a 14 bedded unit that deals with children and young adults. He has been a GP for 25 years and have worked in children's palliative care for over 20 years. He has written and edited the Rainbows Children's Hospice Symptom Control, co-authored the Oxford Handbook of Paediatric Palliative Medicine and is an editor of Synopsis an abstract journal. He is chair of the APPM Drug Formulary Group and editor of the APPM Master Formulary; as well as lecturer at Cardiff University in Paediatric Palliative Medicine and Honorary Consultant for LOROS (an adult hospice). He is the Child Health Lead for West Leicestershire CCG and Clinical lead for EOL for the East Midlands Strategic Clinical Network. He has been awarded an honorary FRCPCH and in 2014 a MBE.
Sue Boucher
Sue Boucher is an educator, consultant editor and author of children's books and educational textbooks. She edits the International Children's Edition of e-Hospice and is responsible for social media for the ICPCN. She is an Advisor to the Elizabeth Kubler-Ross Foundation, sits on the steering committee of Palliative Treatment for Children in South Africa (PATCH -- SA) and is a board member of Umduduzi Hospice Care for children in Durban. Sue joined the ICPCN in 2007 as the International Information Officer and is now Director of Communications. She is active in education, advocacy, development of materials for the ICPCN, and contributes to textbooks, journal articles and conferences.
Dr. Zipporah Ali
Zippy is the Executive Director or of Kenya Hospices and Palliative Care Association (KEHPCA) and board member of several other international CPC organizations. She was among several others who received the African Palliative Care Association (APCA) award for her contribution to palliative care in Africa and her work on the inaugural board of APCA. She has previously served on the APCA board and The Kenya Cancer Association Board. She is involved in advocacy and creating awareness on palliative care in Kenya and has been instrumental in integrating palliative care into Kenyan government hospitals and undergraduate medical and nursing schools curricula in Kenya. Zipporah was awarded an Honorary Doctorate of the University by Oxford Brookes University in recognition of her outstanding contribution in palliative care both internationally and locally; an advocacy award by the from the African Palliative Care Association and Open Society Foundations.
Other Contributors
We are also very grateful for the contributions of Lyn Gould (Butterfly Children's Hospice in China) and Dr. Martha Mherekumombe (Department of Pain Medicine and Palliative Care at Sydney Children's Hospitals Network)
How to use this book
Hopefully you will find it easy to use this book. Each chapter is based around a question stem:
'How do I....?'
So simply go to the contents page, choose the problem that most closely fits the problem you are dealing with and follow the advice.
If the advice involves using drugs, go to the APPM Formulary at the back of the book and look the drug up. The APPM formulary is the best CPC formulary there is, and it is constantly being revised and updated.
If you would like to read more around the subject, then there are suggestions for you at the end of each section.
References can be found at the very back of the book.
Out of habit I have used UK English rather than American English spellings. Please forgive me if you prefer the latter. Similarly, I have used generic names of drugs, using UK spellings if there is any difference internationally.
Part one
How do I communicate with children and their families?
What you probably know already
• You probably know more than you think about communicating with children. Even if you don't have children in your family, you can draw upon your own experience of childhood.
• Doctors and nurses are trained in communication, especially in the use of non-verbal communication and communicating with families. These skills transfer easily into the children's palliative care field.
• There are lots of things beyond your control. As a doctor or nurse, a big part of your work is to help people live with problems they cannot change.
• Dealing with the death of a child can be quite frightening and emotionally draining without proper systems and structures to support you, but done properly, it can be a highly rewarding aspect of your job.
• Good children's palliative care requires good team working, which is often a great deal harder than it sounds
What you might find useful
In all areas of doctors' or nurses' work, good communication is essentially about deep listening, and is sometimes hearing what might not be said. Children may never say what is wrong or what is on their mind.
How do children communicate?
• Body language: Children are often easy to read, but can also really fool you sometimes. They are excellent readers of your body language, so be aware of what your own body language might be conveying to the child and adopt an open, friendly and relaxed posture.
• Play language: Children will often show you rather than tell you about their life. Keep a few play materials handy, set aside some time, sit down next to a child, look interested and wait. They will do the rest.
• Spoken language: Speaking is not the first language of very small children, and even older children may prefer to converse in other ways. Imagine you are speaking to someone from a different country, with a different culture and a different language, and be sure to filter out jargon and presuppositions. For older children who can speak in their first language, you may need a translator to interpret if your first language is not the same as the child.
Why is communication so important in children's palliative care?
• By listening and responding, we may discover what children know and do not know. We can then help by providing information, comfort and understanding.
• Not talking about something doesn't mean we are not communicating: avoidance in itself is a message.
• Children and parents tend to protect each other from being upset by avoiding difficult discussions, so the child can at times become emotionally isolated.
• Good communication helps children to become involved in their own care management¹ and can improve adherence to treatment.
• Good communication will also reduce complaints or dissatisfaction about the care provided to patients
• Open communication with children and their families may improve your professional job satisfaction.
• And (of course) communication helps us to elicit useful information so that we can diagnose problems and develop good care management plans.
What are the barriers to good communication with children?
Societal factors: In resource-rich society, childhood death is now rare, whereas in resource poor settings it is still terribly common. People in settings where childhood death is rare may lack experience, be fearful of handling death or may have unrealistic expectations. On the other hand, people in settings where childhood death is common may become 'immune' to it and so really struggle to deal with it effectively and sensitively.
Cultural factors: Cultural factors play a major role in how we view health, illness and dying and so it is vitally important that we are both aware of our how own cultural 'goggles' may distort our world-view, and also that we respect and consider the cultural world-views of others. Please note, there is a very big 'BEWARE!' here. We often tend to assume that children share the same culture as their families. However, while true in part, 'child-world' is a very different place to 'adult-world', whatever the parents' culture may be. Cultural awareness and respect is more than being polite to people who may be different to ourselves (important though that always is). It has practical implications too, because cultural factors affect the way we think and behave as parents and as professionals, and therefore have a profound impact on how a child experiences death and dying..
Language factors: Language barriers can create difficulties when trying to communicate effectively. It is important the family, child and health care professional all understand what is being said. A translator may be necessary for accurate interpretation.
Patient factors: Children and their families may under-report problems because they fear nothing can be done, because they fear burdening carers, or because they wish to appear strong. Children often under-report their problems, partly because they fear going to hospital and/or painful procedures, partly because they have got used to living with the problem, and partly because they know that difficult discussions upset their parents, which they do not want.
Making assumptions: We often make unsafe assumptions about children, for example, assuming a child with advanced cancer is worried about the pain during the end of life stages, when in fact she may (for example) be terrified of worms eating her body after death. Honest, open communication should help to avoid making assumptions.
Distancing: Caring for individuals who are a constant reminder of your own worst fears (and maybe memories) can be very difficult. To cope, sometimes professionals may avoid caring for such patients altogether or avoid having difficult conversations which need to happen.
Fear of doing harm by causing upset: Children with life-limiting conditions usually know much more than parents and professionals think, and there is very little evidence that giving children too much information does any long term harm. Trying to find the right balance between respecting the parents views and trying to work in the best interests of the child is a tricky, but essential part of CPC. Collusion and mutual pretence may often lead to decisions about a child being made without engaging the child or finding out his/her concerns, ideas and expectations. Being 'locked in' like this is very damaging for a child and makes good CPC very difficult indeed.
Fear of provoking strong emotions: Anger, crying, denial and depression are some of the emotions and reactions that we associate with the death of a child. Most of us do not enjoy being on the


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Stress and work can lead you down a never ending path of misery. Learn how to take the wheel and relax. Read the 9 Best Ways To Avoid Burnout!
You probably know the feeling if you're like most people who are trying to get ahead. You've got big goals, dreams, and the ambition and drive to match.
There's only one problem.
You may be pushing yourself too hard. In fact, job burnout has become all too common in the workplace today. It causes a substantial loss of productivity, and an increase in healthcare costs (1).
You may even be diagnosed with burnout if you visit your doctor, as its been classified as a real health condition by the World Health Organization. You won't get rid of burnout unless you do something to take the pressure off.
SEE ALSO: 8 Miraculous Benefits Of Meditation
Eventually it will lead to serious mental health problems such as depression, and even physical ones like hypertension, high blood pressure or cardiovascular disease. Let's take a look at the possible signs that you have burnout:
1. You Keep Hoping You Can Go Home Early
You might just hate your job in general, but doing so will lead to burnout. If all you think about is when you're going home, there's a good chance its because you've been overstretched. Suddenly, even the tasks you enjoy doing become mundane and exhausting.
2. You Can't Focus
You're having problems just doing the basic work you're used to completing. Simple things become more difficult, and you are taking longer and longer to complete them. There may be no energy left for you to be productive anymore.
3. You Are Exhausted
Emotionally and physically, you are drained. You may have problems sleeping, and get strange cravings for unhealthy foods.
4. You Stop Socializing
Once your energy is gone, it becomes harder to talk to people, and hold a conversation. You won't want to use any energy interacting, and will become isolated.
5. You Have A Short Fuse
Suddenly you are losing your temper. Not just with strangers, but friends and family. Dealing with regular stresses such as chores, errands, and other responsibilities become almost too much to bear.
6. You Get Sick Too Often
If you are suffering from chronic stress, and burnt out, you will lower your body's natural immunity to viruses and bacteria. This leads to a high susceptibility of becoming ill, and taking much longer than normal to recover from burnout.
You can't prevent things from stressing you out all the time. But you can choose how you respond to the stress, and that will determine if you can recover. Let's look at some steps to avoid burnout:
1. Drink Plenty Of Fluids
Yes, H20 and other healthy drinks are a must. If you get dehydrated, it will accelerate the process of burnout. Your brain is 70% water, so don't let it shrivel up and burnout!
2. Exercise
Taking any kind of physical action helps release stress relieving chemicals into the body. It can be something as simple as taking a walk with the dog, or doing push-ups at home. You don't have to hit the gym.
3. Eat Healthy
This one seems pretty obvious, but its easier said than done. Add more vegetables to your diet for starters. Second, eat fatty fish that contain lots of omega-3's, or take a supplement. This will help elevate your mood, and reduce burnout.
4. Get Higher Quality Sleep
This is a big contributor to preventing burnout. If you don't get enough REM deep sleep, you won't be able to adapt to all the stress your brain is processing.
Focus on creating a bedtime routine to get you relaxed, and get rid of any screens, or blue light near your bed.
5. Reach Out
Sometimes you can't fix it on your own. If you have any close friends or family members who you can talk to, it will give you a way to unload the burden.
6. Make Time For Fun
At least once per week, you should set aside a chunk of time to have fun. It lets you relax, and take your mind off the problems you're working on solving later. Don't neglect your inner child.
7. Take Breaks Often
If you already have burnout, chances are you're not doing this. Take a couple days a week to just veg out at home, or go on a mini-vacation for the weekend. It won't solve the problem, but it will start pushing you back in the right direction.
8. Audit Your Inner Circle
Spend time with people who bring positive energy. Cut loose the ones who add unnecessary stress or anxiety. The people who you spend most of your time with should support you, and your health.
9. Relax The Mind And Body
Regular practice in yoga or mediation may be a great way to reduce the chance of burnout. They both help you take a step back, and release all of the tension you're building up inside.


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Artist Gallery
Featuring a collective showcase of the amazing artists we work with.
If you're a business owner thinking about working with us, take a look around.
Want to join our Tribe? Have a wander around.
Collective Led Artist Promotion – Exhibitions & Events – "Aisthetica" from Greek "aistheta" meaning perceptible things concerning beauty.
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Sprouted Oat Porridge
Sprouted oat porridge is absolutely delicious! However, there are a few things you need to get right when making it…
What are sprouted oats?
Oats are a type of grain: the seed of a cereal plant. When they are harvested you get oat groats, and these are processed in various different ways. They may be chopped up to make oatmeal; or steamed, rolled then dehydrated to make rolled oats; OR they can be sprouted. Sprouting is when a grain (or any other seed for that matter) is given the right environment to germinate. It starts to grow. You can sprout seeds at home (for details on how to do this see my post on sprouting seeds). The company 'Rude Health' make sprouted porridge oats commercially: their oats are partially germinated, rolled then dried.
The nutritional benefits of sprouted oat porridge
One of the benefits of sprouting grains is that it promotes the breakdown of so-called anti-nutrients. Anti-nutrients bind to nutrients when the grain is in it's dormant state: they act as a nutrient store. For example phytate binds to minerals such as zinc, iron and calcium. When bound to phytate those minerals are poorly absorbed by the human body. However when the grain starts to germinate, it produces an enzyme called phytase, and this breaks down phytate and releases those minerals. As far as the plant is concerned these nutrients are intended for it's own growth but they are also more bioavailable for us.
Soak your oats!
Sprouted oat porridge can be delicious but for optimum yum the oats really do require an overnight soak. Without that soak they behave like coarse oatmeal: you'll be cooking them for ages and they'll never 'blup up' and go thick and creamy. However if you soak them first all they need is a minute or so in the microwave and they will turn into the most thick, wholesome, rustic, creamy, yet textured, porridge you've ever experienced!
A little sweetness
The flavour of sprouted oat porridge is more complex than bog standard porridge: they are nuttier with an almost savoury flavour. I find that they benefit from a little sweetness and for this I use medjool dates: a fantastic whole food sweetener. The recipe calls for between 1/2 and 1 medjool date, depending on the size of the date and how sweet you like your porridge. Note that medjool dates are larger than regular, deglet noor dates: you can use regular dates but you'll need more than one. For those who do not tolerate yeast, you may want to swap date for your favourite non-yeasty sweetener such as coconut sugar.
The liquid
In my recipe I use water as the liquid. Although you can replace the water with plant-based milk, I think soaked sprouted oats are creamy enough when made with water.
You can serve this porridge as it is or you can add healthy toppings.
Free from: gluten, nut, soya, wheat
Yeast free: replace dates with your favourite sweetener
This is a vegan recipe
All external links are provided to highlight products that I think are fantastic. I do not receive any commission or sponsorship from any companies.
- 1/2 cup sprouted oats
- 1/2 – 1 medjool date (pitted and finely chopped)
- 1/4 tsp mixed spice and / or cinnamon
- 1 cup water
Soak your oats overnight (or for a few hours at least): simply combine oats, date, spice and water in a microwaveable dish. Refrigerate until ready to cook.
After a soak the oats will have absorbed a lot of the water.
Mush the dates into the oats using the back of a spoon.
Microwave for 60 seconds. Your porridge may start to set around the edges. Stir.
Microwave for another 30 seconds and stir again. By now all the oats will probably have thickened. If so it's ready. If not, microwave in 30 second increments, stirring after each cook, until the oats have thickened. If at any point the porridge gets too dry, add a splash more water.


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Random note . 1
Why are all my words dressed like immigrants?
I ask the twelve year old girl trapped in a photograph.
Plaid red pants. Two sizes too small for her.
Seagulls fleeing from a burnt sienna sky.
Grandpa's hat drooped over her slanted eyes.
Where are you?
I ask the older woman missing from all the other photographs.
The question takes refuge and
I stand in my mother's bathroom doorway.
She smiles in the mirror at me, brushing her teeth.
soft morning chirp
from the open window,
white curtains
sway like a sundress and
faucet water rushes - spitting sound.
what is it? She asks.


text:
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Eat For Tomorrow
Friday, October 11, 15:00-22:00
Format: Work shop and dinner
Nothing is more pivotal for human beings and our planet than what and how we eat. We don't know what the future brings, whether we are heading for a food utopia or dystopia. But we do know that a sustainable food future involves more plants, reducing waste substantially and using natural resources wisely. Specifically, we offer two experiences:
- Oyster school, focusing on eating invasive oysters from the oceans around Denmark. We can't fight them, so we have to eat them
- Disco soup – an interactive and fun event where participants cook and enjoy a dish from rescued food waste
Participation is for free. However, oysters are sold at cost prices.
|Time 15:00-22:00
|Organisation The Food Project / Slow Food Copenhagen
|Location Vester Voldgade
|Contact person Pelle Øby Andersen, email@example.com
|Maximum number of participants 100 for interactive dinner / 250 for oyster school
|Registration None


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Laura Ellen Anderson on writing her first fiction book
Illustrator and author Laura Ellen Anderson talks about writing her first fiction book, Amelia Fang and the Barbaric Ball, which marks the start of a new middle grade series.
What is Amelia Fang and the Barbaric Ball about?
This first book in the Amelia Fang series is set in the city of Nocturnia, where darkness reigns supreme, glitter is terrifying, and unicorns are the stuff of utter daymares! Amelia Fang, a ten year old vampire, would much rather hang out with her pet pumpkin Squashy and her best friends Florence the yeti and Grimaldi, son of Death, than attend at her parents' annual Barbaric Ball. But, when the King's spoiled son Prince Tangine steals Squashy, Amelia and her friends must plan a daring rescue and they soon begin to realise that things in Kingdom of the Dark may not be quite what they seem . . .
What inspired the story and the series as a whole?
I've always wanted to create a book that scratched my Tim Burton itch – something a bit gothic-y and quirky. Amelia started out as a quick sketch and then the characters, the world and the story developed from there. As I began to write the first book, a bigger story arc beckoned, which now expands across the three books.
Why did you make the move into writing fiction as well as illustrating, and how did you find the experience?
I've always wanted to write as well as illustrate. I've worked on many picture books and I knew I wanted to write a book for older readers. Whilst I've illustrated fiction books, including the Witch Wars series (with Sibeal Pounder) and the Harper series (with Cerrie Burnell), writing my own stories was a completely new area for me. It's very different to writing a picture book. Keeping within the word count is quite a challenge – I have a tendency to ramble on! I've had my ups and downs during the process, but that's what keeps me focused. Being able to have complete control over the world, what I illustrate and what my characters look like has been an absolute dream. The whole journey from initial sketch to printed novel has been incredible.
What is your favourite element of the world of Nocturnia?
I very much enjoyed inventing all the little details such as the disgusting food and strange magical creatures. At one point whilst describing the process of making 'Toe Jam', I actually made myself feel a little sick! I also decided to go against traditional vampire characteristics. The vampires in Amelia Fang DO have a reflection and they do NOT drink blood (it gives them very stinky breath!). They've also evolved so that their tiny wings are pretty useless, a bit like our pancreas.
What can we expect from the rest of the series?
Amelia Fang and the Barbaric Ball ends with a big secret being revealed, and this leads on to a quest and a mystery to unravel in the second book, Amelia Fang and the Unicorn Lords. Ultimately, I want readers to have fun discovering Amelia's adventures – I've had such fun writing and illustrating them! On the surface, Amelia Fang is a funny book, with plenty of jokes and comic escapades, but underlying that I'd like to feel they also touch on the importance of tolerance and how difference shouldn't be feared. Books have such power to encourage empathy and understanding – which feels very relevant in current times.
Are you working on anything else at the moment?
I am currently working the illustrations for Amelia Fang and the Unicorn Lords. I'm also in the process of writing and illustrating my second picture book in the I Don't Want... series to follow on from I Don't Want Curly Hair with Bloomsbury. And there are lots of Evil Emperor Penguin comics in the works with The Phoenix!
Amelia Fang and the Barbaric Ball is published by Egmont on 5th October.