Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today's student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.

""EMPACT "("Emergency Medical Patients: Assessment, Care & Transport") "offers a practical approach to common medical emergencies. Formerly published as "AMLS" ("Advanced Medical Life Support), EMPACT" is updated and revised to conform to the 2010 American Heart Association guidelines. Providing foundational chapters on assessment, critical thinking/decision making, and the difficult airway, the text moves on to cover common medical complaints, such as shock/hypoperfusion, dyspnea, chest discomfort or pain, and more. Presenting a realistic approach to the care of the patient, each chapter moves from assessment- and complaint-based primary assessment (identifying and controlling immediate life threats) to field diagnosis and management of immediately treatable underlying diseases. Intended for students with paramedic or other advanced-level training; a familiarity with anatomy, physiology, and pathophysiology; and an overall understanding of the nature of medical emergencies.

Covers the immediate assessment and management of common plastic and reconstructive surgery emergencies and referrals. A companion for junior doctors starting within plastic surgery, the Plastic Surgery for \Trauma provides succinct and clear presentation together with up to date guidelines on the common plastic surgery emergencies. With clear descriptions of difficult trauma scenarios, illustrated with numerous figures, and updated guidelines for each step of practice, this book will ensure that the reader can access all the information required to help gain confidence and experience .Be the readers passing through a plastic surgery rotation on their way to some other career goal or beginning within plastic surgery and keen to make a strong start with a view to progressing in the speciality, this book provides the support to allow rational and confident clinical decision making from the start. Essential reading for all non-specialists and trainees.

In the past 10 years spirituality and spiritual care have been much debated in professional healthcare literature, highlighting the need for a recognised definition of spiritual care to enable appropriate assessment of, and response to, spiritual issues. This accessible and highly relevant book surveys the numerous statements, guidelines and standards highlighted by these discussions, and equips healthcare professionals with the knowledge, skills and competence to provide the essence of spiritual care within their professional practice. Practical and evidence-based, this manual proves that delivery of good, professional spiritual care can build on intuitive human skills, and can be taught, learned, assessed and quantified. It gives readers the opportunity to move on from uncertainties about their role in the delivery of spiritual care by allowing them to asses and improve their understanding, skills and clinical practice in this area of care. Spiritual Care for Healthcare Professionals clearly grounds spiritual care in clinical practice. It is highly recommended for supporting academic study and encouraging healthcare practitioners to reflect on their practice and develop skills in spiritual assessment and care. Aimed at all healthcare professionals, it can be used by individual practitioners for continuing professional development as well as by academic staff developing educational programmes.

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

Using sample administrative and clinical protocols that any hospital can use, this book gives a detailed account of how to set up and run an observation unit and reviews all medical conditions in which observation medicine may be beneficial. In addition to clinical topics such as improving patient outcomes and avoiding readmissions, it also includes practical topics such as design, staffing, and daily operations; fiscal aspects, such as coding, billing, and reimbursement; regulatory concerns, such as aligning case management and utilization review with observation; nursing considerations; and more. The future of observation medicine, and how it can help solve the healthcare crisis from costs to access, is also discussed. Although based on US practices, this book is also applicable to an international audience, and contains instructions for implementing observation in any setting or locale and in any type of hospital or other appropriate facility.

This book explores the impacts of HIV/AIDS and neoliberal globalization on the occupational health of public sector hospital nurses in KwaZulu-Natal, South Africa. The story of South African public sector nurses provides multiple perspectives on the HIV/AIDS epidemic-for a workforce that played a role in the struggle against apartheid, women who deal with the burden of HIV/AIDS care at work and in the community, and a constituency of the new South African democracy that is working on the frontlines of the HIV/AIDS epidemic. Through case studies of three provincial hospitals in KwaZulu-Natal, set against a historical backdrop, this book tells the story of the HIV/AIDS epidemic in the post-apartheid period.

Churchill's Guide to UK Medicolegal Essentials provides a no-nonsense guide to managing those everyday clinical scenarios that have potential or obvious legal implications. With a clear, practical and easy-to-read style, it takes you through everything that you need to know including the UK legal systems, complaints handling, clinical governance and risk management, disciplinary procedures, and how the law relates to alcohol, drugs, mental health and end of life. This is an ideal book for medical, nursing, dental and paramedic students preparing for exams or interviews, all grades of healthcare professionals, police staff, and anyone needing a brief overview of the legal intricacies of medical practice. Defines the law of England and Wales, Scotland and Northern Ireland Provides tips on preparing a police statement, appearing in court and obtaining forensic samples Scenarios and questions to bring the law to life Filled with practical advice to help you understand and minimise risks to your practice Covers risk management, which is central to Government health policies An enhanced eBook version is included with purchase. The eBook allows you to access all the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud Comprehensive update of all areas of medical law New chapter on the Sexual Offences Act 2003 New questions and scenarios to test your knowledge and understanding

Brain death-the condition of a non-functioning brain, has been widely adopted around the world as a definition of death since it was detailed in a Report by an Ad Hoc Committee of Harvard Medical School faculty in 1968. It also remains a focus of controversy and debate, an early source of criticism and scrutiny of the bioethics movement. Death before Dying: History, Medicine, and Brain Death looks at the work of the Committee in a way that has not been attempted before in terms of tracing back the context of its own sources-the reasoning of it Chair, Henry K Beecher, and the care of patients in coma and knowledge about coma and consciousness at the time. That history requires re-thinking the debate over brain death that followed which has tended to cast the Committee's work in ways this book questions. This book, then, also questions common assumptions about the place of bioethics in medicine. This book discusses if the advent of bioethics has distorted and limited the possibilities for harnessing medicine for social progress. It challenges historical scholarship of medicine to be more curious about how medical knowledge can work as a potentially innovative source of values.

Kristina E. Schellinski uncovers the hidden trauma of the replacement child - born into an atmosphere of grief to substitute for a lost sibling or other person - and helps adult replacement children discover the uniqueness of their self. Schellinski combines Jungian theory with research from over 20 years of clinical practice to demonstrate how adult replacement children who suffer from physical and psychological distress can rediscover the essence of their being in the transformative process of individuation. Theoretical yet practical, the book discusses core concepts of analytical psychology, psychoanalysis and attachment theory, and detailed case studies address grief, guilt, identity formation, relational challenges and shadow aspects. Schellinski explores how Jung's birth after three dead children impacted his search for self and his theory and discloses her own personal experience. On treatment and prevention, she argues that by recognising elements of the condition, clinicians can facilitate acceptance, compassion and healing, and help reduce transgenerational transmission. This book is an indispensable tool for clinicians, analytical psychologists, psychodynamic psychotherapists and those in other medical professions, and will be of great interest to academics and readers interested in Jungian studies and existential questions. It offers adult replacement children and their families hope for a psychological rebirth.

Emergency medicine attendings who wish to hone their teaching skills can find a number of books on educational strategies written by physicians from other disciplines. However, until the publication of the first edition of this book, they did not have access to a text written by emergency medicine physicians on methods of teaching that are directly applicable to teaching EM. This book was compiled to meet that need. Following the introductory section, which provides important background information, the book's contents are organized into 4 sections that correspond to the core needs and interests of EM educators: Section 2 focuses on practical and ethical considerations of teaching in the ED; Section 3 provides strategies for teaching specific groups of learners; Section 4 looks at the skills that are characteristic of the best EM educators; and Section 5 looks indepthly at specific teaching techniques and strategies. Now more than ever this book addresses the needs of physician educators from all over the world. New chapters discuss lecturing to an international audience; using simulation as a teaching tool; how to make journal club work for you, and other topics that are of broad interest to medical educators in this field. In general, each chapter has been updated and reviewed to make sure the content was something that emergency physician educators could use in any country. The chapter contributors are widely regarded as leaders in the field of emergency medicine education and faculty development. Authors were given free rein to develop their chapters and write in their own style. They were asked to present their personal views on how to successfully teach the art of emergency medicine, rather than review evidence-based guidelines regarding medical education. As a result, most of the chapters have few references. This first-person approach to a multi-authored textbook yields a compilation that varies in style from chapter to chapter and exposes the reader to a variety of communication techniques.

Wrestling with the Angel addresses the human struggle to cope with death, dying, grief, and bereavement. The book includes essays, a one-act play, a short story, and poetry, including shape poems, rhyming, structured verse, and free verse. In the one-act play, an angel of death comes for a man who has lived an unexamined life and wants to explain why he is not prepared to leave. The short story offers a humorous look at a man who resists aging by continuing to view himself as the young man he once was. The diverse genres allow for different ways of exploring these issues, but all are intended to engage the reader's emotions as well as intellect. The writings incorporate reflections and quotations addressing common human issues related to our mortality and explore reactions to the loss of a loved one--whether expected, such as the death of an aging parent or someone with a terminal illness, or unexpected, such as accidental death. The final chapters examine how aging causes us to assess our lives and why preparing ourselves for death can enhance the quality of our life. This is a book with many more questions than answers, but the reader is invited to share in the process of finding answers. It is a book that requires the reader to be comfortable with ambiguity, because the reality it describes is often ambiguous--a reality that presents us with many choices but few certainties. Intended Audience: Scholars, hospice workers, funeral home directors, hospital chaplains, ministers, and others who work with bereavement issues; classes in death education and classes for mental health professionals in death and grief; general readers who have suffered the loss of a loved one.

This book describes working conditions in informal sector shoemaking in Indonesia and the Philippines, their national and international policy implications. It provides information on glues, an organic solvent, found in footwear chemicals and women garment homeworkers in Bulacan.

Thoroughly updated with DSM-5 content throughout, this book is written for the average trauma clinician (or clinician new to the field who is confronted with a trauma client) to use in his or her daily work. Key Features Offers an Integrated Approach to Trauma Treatment Presents a Clinician-Friendly Review of Treatment Literature Addresses Innovative and "Cutting-Edge" Topics. This popular text provides a creative synthesis of cognitive-behavioural, relational, affect regulation, mindfulness, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for front-line clinicians, those in private practice, and graduate students of public mental health.

An epic, deeply moving novel about the power of love and loving with courage - from the Man Booker International Prize-winning author of A Horse Walks into a Bar On a kibbutz in Israel in 2008, Gili is celebrating the ninetieth birthday of her grandmother Vera, the adored matriarch of a sprawling and tight-knit family. But festivities are interrupted by the arrival of Nina: the iron-willed daughter who rejected Vera's care; and the absent mother who abandoned Gili when she was still a baby. Nina's return to the family after years of silence precipitates an epic journey from Israel to the desolate island of Goli Otok, formerly part of Yugoslavia. It was here, five decades earlier, that Vera was held and tortured as a political prisoner. And it is here that the three women will finally come to terms with the terrible moral dilemma that Vera faced, and that permanently altered the course of their lives. More Than I Love My Life is a sweeping story about the power of love and loving with courage. A novel driven by faith in humanity even in our darkest moments, it asks us to confront our deepest held beliefs about a woman's duty to herself and to her children. 'Grossman's work resonates with emotional intelligence, humanity and truth' Irish Times

Acute Pain Medicine is the first comprehensive, case-based text of its kind that explores the essential topics of acute pain medicine, including interventional, pharmacologic, and diagnostic considerations. Written and edited under the auspices of the American Academy of Pain Medicine by members of the Academy's Shared Interest Group for Acute Pain Medicine, the text includes an introduction to acute pain medicine and an easily referenced interventional section. Chapters focus on patients experiencing acute pain from either surgery or other medical conditions and include detailed information on the diagnosis and treatment of specific cases in acute pain medicine. The text is rounded out by the complete content of the thoroughly revised Military Advanced Regional Anesthesia and Analgesia Handbook (MARAA II). Although the MARAA handbook gained its reputation as a useful resource for managing the pain associated with battlefield trauma, its beautifully illustrated step-by-step guidance is useful for providing vital acute pain services in all settings. Acute Pain Medicine is an ideal, complete resource for physicians, fellows, and residents managing acute pain patients.

Trauma-Attachment Tangle offers informative and inspiring clinical stories of children who have complex trauma and attachment issues from experiences such as adoption, hospitalization, or death of a parent. Some of these children display puzzling or extreme symptoms like prolonged tantrums, self-hatred, attacking their parents or being fearful of common things like lights, solid foods or clothing. Dr. Lovett presents strategies for unraveling the traumatic origins of children's symptoms and gives a variety of tools for treating complex trauma and for promoting attunement and attachment.

This clear-sighted reference examines the public health dimensions of labor and sex trafficking in the United States, the scope of the crisis, and possibilities for solutions. Its ecological lifespan approach globally traces risk and protective factors associated with this exploitation, laying a roadmap towards its prevention. Diverse experts, including survivors, describe support and care interventions across domains and disciplines, from the law enforcement and judicial sectors to community health systems and NGOs, with a robust model for collaboration. By focusing on the humanity of trafficked persons, a public health paradigm broadens our understanding of and ability to address trafficking while adding critical direction and resources to the criminal justice and human rights structures currently in place.  Among the topics covered: Children at Risk: Foster Care and Human Trafficking LGBTQ Youth and Vulnerability to Sex Trafficking< Physical Health of Human Trafficking Survivors: Unmet Essentials Research Informing Advocacy: An Anti-Human Trafficking Tool Caring for Survivors Using a Trauma-Informed Care Framework The Media and Human Trafficking: Discussion and Critique of the Dominant Narrative Human Trafficking Is a Public Health Issue is a sobering read; a powerful call to action for public health professionals, including social workers and health care practitioners providing direct services, as well as the larger anti-trafficking community of advocates, prosecutors, taskforce members, law enforcement agents, officers, funders, and administrators.  “An extraordinary collection of knowledge by survivors, academics, clinicians, and advocates who are experts on human trafficking. Human Trafficking is a Public Health Issue is a comprehensive offering in educating readers on human trafficking through a multi-pronged public health lens.� Margeaux Gray: Survivor, Advocate, Artist, Public Speaker

A woman lays unconscious on the floor surrounded by charcoaled symbols, burning candles, a bowl of viscous red liquid, and an array of dried herbs. Was this a healing ritual gone wrong or just straightforward foul play? Increasingly, first responders must deal with foreign practices and cultures that are often disturbing in their unfamiliarity. Understanding cultural variations and nuances can make the difference between much-needed emergency treatment and the aggravation of an already sensitive situation.
The first book of its kind, Magico-Religious Groups and Ritualistic Activities: A Guide for First Responders provides a cultural bridge for emergency personnel when interacting with various magico-religious cultures. More than just a litany of artifacts, rituals, and symbols, this valuable book draws from cultural anthropology and religious studies to unearth hidden meanings and place the information in a context relevant for the first responder. It offers crucial keys for improving communication, assessment, and treatment in culturally sensitive situations.
Beginning with an introduction to the importance of trans-cultural communication, the book devotes subsequent chapters to the common and contrasting elements of several magico-religious groups. It considers the practices of Neo-Paganism, Santeria, Bantu religion (Palo Mayombe), Voodoo, and Curanderismo. The book separates fact from fantasy regarding sacred spaces and dates, ceremonies, group structure, sacred objects, cultural taboos, and beliefs about sickness and healing. It also includes a detailed review of the common herbs used in healing and ritual, as well as a glossary of cultural terms and an index ofsymbols.
Promoting functional cultural competency, this book gives public service agencies and emergency responders the tools to properly assess situations, open lines of communication, protect cultural diversity and beliefs and, above all, provide effective emergency treatment.

This new book from leading neurosurgeon and author Gary Kraus is an account of traumatic brain injury (TBI) from the time a brain-injured patient arrives in the emergency department through to the wide range of clinical outcomes of such an injury. Written with the voice of experience, the author examines causation of TBI, the patient’s stay in the neuro-intensive care unit and the many neurological assessments and tests that inform the outcomes that the patient and their families will encounter. A wide range of medical professionals will benefit from Dr Kraus’s acute insights into TBI including Neurosurgical residents, Neurosurgeons with a sub-specialist interest in Neuro-Trauma, Neurologists managing patients with post traumatic brain injury, Neuro-Intensivists, Neuro-Psychologists, Researchers/scientists involved in Clinical trial in traumatic brain injury, and those with a specialist interest in Neuro-rehabilitation.

Now in its fifth edition, the Oxford Handbook of Emergency Medicine is the essential rapid-reference guide to emergency medicine for everyone from junior doctors to specialist registrars, nurse practitioners, and paramedics. New and improved, the Handbook has been thoroughly revised throughout, with 100 extra illustrations and the latest guidelines and treatment advice, completely overhauled chapters on Medicine, Obstetrics and Gynaecology, and Paediatric emergencies, and new topics on treatment escalation, end-of-life care, and sepsis. Clear and concise, extensively updated, and packed with a host of new X-rays to aid identification and treatment, this Handbook has everything you need to thrive in the demanding world of emergency medicine today.

1. A guide to managing paediatric surgical patients in a remote and rural setting 2. Includes guidance on differences in presentation and problems relating to the Tropical environment 3. A key resource in understanding paediatric surgical patients needs when being managed remotely

Compiled by internationally recognized experts in trauma critical care,this sourcediscusses the entire gamut of critical care management of the trauma patient and covers several common complications and conditions treated in surgical intensive care units that are not specifically related to trauma. Utilizing evidence-based guidelines where they exist, this all-encompassing source expertly analyzes procedures in analgesia and sedation, patient monitoring, infection control, nutritional evaluation, psychological support, and end-of-life care.

Compiled by internationally recognized experts in trauma critical care, this set discusses the entire gamut of critical care management of the trauma patient.