Law, Palliative Care and Dying critically examines the role of the legal framework in shaping the boundaries of palliative care practice. The work underlines the importance of a distinct legal framework for specialist palliative care which can provide clarity for both the healthcare professional and the patient. It examines the legal and ethical justifications for specialist palliative care practices and, in doing so, it questions the legitimacy of the distinction between euthanasia and practices such as palliative sedation. Moreover, this work discusses the influence of a human rights discourse on palliative care and examines the contribution of autonomy, dignity, and the right to palliative care. This book includes detailed comparative research on several European jurisdictions. The jurisdictions illustrate varied approaches to palliative care regulation and promotion. In this manner, the role of professional guidelines and legislation are drawn out and common themes in the regulation of palliative care emerge.

Depression in Girls and Women Across the Lifespan takes a broad biopsychosocial approach to understanding the onset and experience of depression in women. The book is structured around four major life transitions: depression during puberty and the transition to adolescence; Premenstrual Dysphoric Disorder and a woman's transition through monthly cycles of depression; depression during pregnancy, postpartum, and the transition to motherhood; and depression during perimenopause and the transition to menopause. Integrating cutting-edge research with a wealth of case examples and specific evidence-based interventions, the book expands our understanding of depression by taking into account the biological realities, psychological vulnerabilities, life stressors, and gendered cultural messages and expectations that intersect to shape the onset of depression in women's lives. Written in a clear, applicable style, Depression in Girls and Women Across the Lifespan enables mental health professionals to provide effective, gender-informed, depression-focused treatments that are tailored to girls' and women's unique needs.

This title was first published in 2001. This work is a uniquely multi-disciplinary contribution to the existing bioethical literature on the topic of informed choice of medical services. It is also the first comprehensive bioethical text to confront the central issue of power in the clinical encounter and to argue for statutory protection of the right to informed choice. While the majority of bioethicists argue for a conciliatory, rather than adversarial, approach to the chronic problem of uninformed consent, the author of this work argues that the external regulation of medicine is essential if the right to informed choice is to be protected. This argument is based upon an extensive review of the bioethical, legal, political, medical, sociological and philosophical literature, as well as a wide range of empirical and anecdotal evidence, evolving from a detailed exploration of power and the limits of rationality in the clinical encounter.

This innovative volume provides fresh perspectives on how medical students and patients construct identities in relation to each other, using stories of their clinical encounters. It explores how paying attention to medical students' and patients' stories in clinical teaching encounters can encourage empathy and the formation of professional identities that embody desirable values such as integrity and respect. Written by an experienced clinician and based on original, rigorous research combining ethnography and dialogic narrative analysis, Storytelling Encounters as Medical Education: Crafting Relational Identity includes patient stories alongside those of students and clinical teachers. This is an important contribution for all those interested in medical education, narrative medicine, person-centred care and identity formation in healthcare. It will also be of value to scholars in a range of other disciplines, who are using a dialogic approach.

Organized around a metaphor of an academic journey, D. Jean Clandinin offers published tracings of an unfolding journey over 40 years that, at its outset, appeared to focus only on questions of epistemology. However, the book illuminates how that apparent beginning focus shape-shifted to questions of methodology, ethics, ontology, and subsequently, political concerns. Clandinin shows that, even at the outset, her research wonders were grounded in relational understandings of experience, understandings that were simultaneously ontological, methodological, epistemological and ethical. Jean's work is collaborative, an engagement alongside others and within the contexts in which they and she lived and worked, including those who were participants in the research. She continues to acknowledge that narrative inquiry changes people's ways of being in the world, and those changes have ethical significance. While what she and her colleagues now call relational ethics has always been central, recently her sense of ethics has become more explicitly political. She shows the development of ideas over time, beginning as she entered doctoral work and continuing through 2019 and onward. Jean's work, centered on relational understandings of experience, highlights ethical dimensions, and has come to define narrative understandings for generations of researchers. This book will be an invaluable resource for researchers and graduate students, and professional researchers in both educational and healthcare settings. .

The first manual to provide a systematic review of essential content for the CNE (R)cl exam. This is the first review manual written for nurse educators who seek certification as a Clinical Nurse Educator specializing in the Clinical Learning Environment (CLE). The resource encompasses all of the essential knowledge-as designated by the National League for Nursing (NLN)--needed to pass the exam, and systematically follows the test blueprint so that those taking the exam will be optimally prepared. Brimming with teaching tips, evidence-based teaching boxes, case studies, outlines, bulleted lists, and critical thinking Q&As for each chapter, the book also provides chapter references for accessing additional content for each topic. Exam specifics and test-taking strategies help students to approach the exam with confidence. The book also offers a practice CNE test at the end of the book. Additionally, the resource is also a valuable orientation guide for new faculty. Key Features: Delivers well-organized, systematic coverage of review content to promote exam success Written for both novice and expert clinical nurse educators Reflects the number of questions in each section on the test blueprint Highlights areas designated by the NLN as essential knowledge needed for excellence in the field Includes case studies and critical thinking questions throughout all chapters Provides evidence-based teaching practice boxes Offers Teaching Gems with advice on improvement from practice experts Includes end-of-chapter review questions, PLUS a valuable 100 Q&A practice test with rationales for self-assessment

As an emerging technology, 3D printing holds much promise for foot and ankle reconstruction and difficult-to-treat pathologies. The first text of its kind, Clinical Application of 3D Printing in Foot and Ankle Surgery provides comprehensive, in-depth operative coverage as well as opinions and case examples from surgeons who are currently using 3D printing in their practices. This ground-breaking volume sets the standard for this rapidly advancing field and provides practical, real-world guidance on incorporating 3D printing into your surgical practice. Presents clinically focused content in a templated, easy-to-read format of bulleted summaries and practical advice based on the editor's and authors' experience. Features a practical focus on procedures, techniques, and cases, with tips, tricks, and pearls throughout. Includes decision-making criteria on when to consider 3D printing. Provides preoperative, intraoperative, and postoperative protocols developed by the authors. Contains high-quality photographs and 3D imaging. An eBook version is included with purchase. The eBook allows you to access all of the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud.

Nurses typically go in to the profession of nursing because they want to "care" for patients, not knowing that the inherent stresses of the work environment put them at risk for developing psychological disorders such as burnout syndrome, posttraumatic stress disorder (PTSD), anxiety and depression. Symptoms of these disorders are often debilitating and affect the nurse's functioning on both a personal and professional level. While environmental and/or organizational strategies are important to help combat stress, oftentimes the triggers experienced by nurses are non-modifiable including patient deaths, prolonging life in futile conditions, delivering post-mortem care and the feeling of contributing to a patient's pain and suffering. It is paramount that nurses enhance their ability to adapt to their work environment. Resilience is a multidimensional psychological characteristic that enables one to thrive in the face of adversity and bounce back from hardships and trauma. Importantly, resilience can be learned. Factors that promote resilience include attention to physical well-being and development of adaptive coping skills. This book provides the nurse, and the administrators who manage them, with an overview of the psychological disorders that are prevalent in their profession, first-person narratives from nurses who share traumatic and/or stressful situations that have impacted their career and provide detailed descriptions of promising coping strategies that can be used to mitigate symptoms of distress.

Describes how nursing professionals can mitigate the maternal health crisis through advocacy and improved practice. This graduate-level nursing text and professional clinical reference is the first to comprehensively address the escalating crisis in U.S. maternal health-our country experiences the highest maternal mortality among developed nations-and provides strategies and roadmaps for improved outcomes. It challenges the current approach to ameliorating the maternal crisis, which embeds maternal care into "child health" and "women's health," and characterizes maternal health as a distinct, contemporary epidemiological crisis in America. At its heart, the book calls for the application of nursing knowledge and skill in advocating for and changing practices. The text examines the social determinants responsible for the crisis, including structural and systemic economic and political forces, declining accessibility to maternal care, and lack of a national effort to improve maternal health. With a strong public focus, the book engages readers through narratives and interactive critical thinking exercises in analyzing the problem and related structural and systemic barriers. It offers guidelines for advocacy and improved practice while fostering creative thinking by which readers can imagine their own solutions. Specific issues addressed include the current status of health care delivery, the public health safety net, practice-policy initiatives, specific sociocultural factors contributing to enhanced risk, myths and impugning attitudes about childbearing women, the life-long impact of maternal health neglect, and the contribution of nursing to advocacy, prevention, and improved practice. Key Features: Synthesizes key data on the maternal health crisis in America focusing on nursing leadership and contributions Underscores the need for a collaborative public health nursing perspective in addressing the maternal health crisis Examines social determinants responsible for the crisis Presents exercises and narratives for advocacy and improved practice Spotlights maternal health as a specific entity Includes learning objectives, expert opinions, key questions to guide critical thinking, brief summary, and references in each chapter

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

Advances in the field of Assisted Reproductive Technology (ART) have been revolutionary. This book focuses on the use of ARTs in the context of families who seek to conceive a matching sibling donor as a source of tissue to treat an existing sick child. Such children have been referred to as 'saviour siblings'. Considering the legal and regulatory frameworks that impact on the accessibility of this technology in Australia and the UK, the work analyses the ethical and moral issues that arise from the use of the technology for this specific purpose. The author claims the only justification for limiting a family's reproductive liberty in this context is where the exercise of reproductive decision-making results in harm to others. It is argued that the harm principle is the underlying feature of legislative action in Western democratic society, and as such, this principle provides the grounds upon which a strong and persuasive argument is made for a less-restrictive regulatory approach in the context of 'saviour siblings'. The book will be of great relevance and interest to academics, researchers, practitioners and policy makers in the fields of law, ethics, philosophy, science and medicine.

First published in 1997, this volume explores how we live in a society which is developing beyond human experience and comprehension - fast. Advances in technology and medicine are profoundly affecting the manner of human living from the beginning through to the end of life. These advances present exciting and demanding challenges to law-makers, policy-makers and healthcare providers, who make decisions about genetics, human reproduction, competence, medical treatment priorities and dying. They also compel us to pay attention to human rights. This international collection of essays combines the thoughts and ideas of women scholars writing about these complex developments and aims at provoking debate and dissension as well as an opportunity for reflection. The writers explore a range of common themes in different areas and provide a coherent framework for law and policy-making, to serve as a foundation for the challenges ahead.

Patient organizations and social health movements offer one of the most important and illuminating examples of civil society engagement and participation in scientific research and research politics. Influencing the research agenda, and initiating, funding and accelerating the development of diagnostic tools, effective therapies and appropriate health-care for their area of interest, they may champion alternative, sometimes controversial, programs or critique dominant medical paradigms. Some movements and organizations advocate for medical recognition of contested illnesses, as with fibromyalgia orADHD, while some attempt to "de-medicalize" others, such as obesity or autism. Bringing together an international selection of leading scholars and representatives from patients' organizations, this comprehensive collection explores the interaction between civil society groups and biomedical science, technology development, and research politics. It takes stock of the key findings of the research conducted in the field over the past two decades and addresses emerging problems and future challenges concerning the interrelations between health movements and patient organisations on the one hand, and biomedical research and research policies on the other hand. Combining empirical case studies with conceptual discussion, the book discusses how public participation can contribute to, as well as restrict, the democratization of scientific knowledge production. This volume is an important reference for academics and researchers with an interest in the sociology of health and illness, science and technology studies, the sociology of knowledge, medical ethics or healthcare management and research, as well as medical researchers and those involved with health-related civil society organizations.

The importance of evidence-based nursing and the need to be research-minded means that all nurses must be aware of research and use it to inform their practice. But how can you find out what research is available? How do you find your way around reports? And how can you decide what research is relevant to your practice? This book will help. Thousands of nurses found the first 2 editions' down-to-earth style and step-by-step guidance invaluable. The new edition will retain and enhance this straightforward approach, but reflect changes in locating and reading research, including the impact of new technologies such as CDROM, Medline and the Internet. Step-by-step guidance Easy to read Relevant to present curricula Updated material on putting evidence into practice Updated references Expanded information on Internet Addition of Clinical Governance

First published in 1998, this volume considers the Nuremberg Code in light of new ethical grey areas which have become evident due to recent scientific advancements, particularly the questions of DNA and cloning. The contributors reflect in 26 articles on the impact of the Code, events which prompted it including Japan, and more recent ethical issues raised. The book contains the results of two European/American preparatory workshops for the First World Conference on Ethics Codes in Medicine and Biotechnology (October 1997 Freiburg, Germany) supported by the leading national institutions in the field. It aims to stimulate research about codes, the effects of codification and other forms of implementing ethics. It breaks new ground with interdisciplinary and international discourse on the subject, emphasising the need for a complete collection of codes for systematic research and evaluation and filling the gap in literature on the subject to date.

This book provides an extensive and detailed review of all recent literature on the care and support of head and neck cancer patients from diagnosis, through to treatment and aftercare. Drawing on evidence-based information, the book addresses a range of key issues involved in the care of head and neck cancer patients including: - the management of oral problems; airway problems; fungating wounds; major haemorrhage; nutrition and pain. Aspects of social and emotional support fore the patient are also explored in a complete section on quality of life and psychological care.Written primarily from a nursing perspective, this book recognises that care of the patient with heads and neck cancer is very much a multi-disciplinary activity

Partiality and Justice in Nursing Care examines the conflicting normative claims of partiality and impartiality in nursing care, looking in depth at how to reconcile reasonable concerns for one particular patient with equally important concerns for the maximisation of health-related welfare for all with relevant nursing-care needs, in a resource-limited setting. Drawing on moral philosophy, this book explores how discussions of partiality and impartiality in moral philosophy can have relevance to the professional context of clinical nursing care as well as in nursing ethics in general. It develops a framework for normative nursing ethics that incorporates a notion of permissible partiality, and specifies which concerns an ethics of nursing care should entail when balancing partialist and impartialist concerns. At the same time, Nordhaug argues that this partiality must also be constrained by both principled and context-sensitive assessments of patients' needs, as well as of the role-relative deontological restriction of minimising harm, something that could be mitigated by institutional and organisational arrangements. This thought-provoking volume is an important contribution to nursing ethics and philosophy.

Learn how to develop and implement a successful concept-based curriculum and competency assessment! Written specifically for nursing faculty by thought-leader Jean Giddens, Mastering Concept-Based Teaching and Competency Assessment, 3rd Edition provides the understanding and expertise you need to make the transition from traditional content-focused instruction to a conceptual approach to teaching and learning, and from knowledge assessment to competency assessment. New to this edition is a new chapter on differentiating concept-based and competency-based approaches. A perfect complement to Giddens' student-oriented textbook Concepts for Nursing Practice, this book is ideal for both undergraduate and graduate faculty, and also serves as a helpful study tool for faculty preparing for the Certified Nurse Educator exam. Framework for a concept-based curriculum (CBC) begins with an overview of the conceptual approach and then discusses the steps used in developing a CBC, using concepts as the infrastructure for the curriculum. Strong foundation in how to teach within a CBC examines the nature of concepts, their function in the process of learning, and the importance of being consistent in the selection and implementation of concepts. Balanced teaching strategies engage students with an open environment and learning activities demonstrating the application of information to multiple situations. Success evaluation criteria explain the importance of analyzing evaluation data to measure the achievement of student learning and for evaluating a CBC program. Misconceptions and Clarifications boxes reflect the latest research in conceptual learning to help clarify important concepts. NEW! Differentiating Concept-Based and Competency-Based Approaches chapter explains the close interrelationship of concepts and competencies. NEW! Updated content reflects the latest evidence and literature on the conceptual approach and the application of competencies within the conceptual approach. NEW! Improved graphic design and layout makes the content more visually appealing and promotes understanding.

In consultation with Consulting Editor, Dr. Stephen Krau, Dr. Farrar and Dr. Ellison have created an issue that focuses on evidence-based clinical updates and innovations in various nephrology disorders. Top experts on the topic have contributed reviews on the follwoing topics: Kidney Influence on Fluids and Electrolytes; Renal Diet; Pharmacologic Renal Therapy; Acute Renal Therapy; Chronic Renal Therapy; Innovations in Kidney; Autoimmune Disease; Infection-Related Glomerular Disease; Sclerotic Diseases; Obstructive Renal Diseases; Chronic Renal Complications; Psychosocial Issues and Life Style Changes for the Renal Patient; and Withdrawal of Treatment (end of life decisions). Authors will come away with the clinical knowledge they need to improve outcomes in the nephrotic patient.

The integrative role of religion has been a recurrent theme of sociological and anthropological theory. This role is apparent in the Greek-American community; religion functions as a cement of the social fabric. Indeed, it would be hard to overestimate the role of Greek Orthodoxy in joining people of Greek ancestry into a community and reinforcing their sense of ethnic identity. The nature of ethnic identity and the church's role in fostering and sustaining it are subjects of this study, first published in 1990. In ultimately focusing on the interplay between church, community and individual, the book suggests that understanding the relation of these people to their church is to understand them as a people.

This book, first published in 1989, attempts to identify from within religious cultures those elements of tradition, behaviour and lifestyle that are health protective in that, by adhering to them, physical, mental and social wellbeing will be maintained as people grow old. It examines how different faith traditions view aging and its impact on health.

With collaboration of Dr. Steve Krau, Consulting Editor, Drs. Leming-Lee and Watters have created an issue that provides state-of-the-art content on quality improvement. Top authors have contributed clinical reviews on the following topics: Quality improvement: Application of evidence-based practice; The application of the Virginia Mason production system to improve large scale quality outcomes in an acute care hospital; The application of the Toyota production system Lean 5S methodology in the operating room setting; Chart it to stop it: A quality improvement project to increase the reporting of workplace aggression; Reducing pressure injuries in the pediatric intensive care unit; Improving stress-induced hyperglycemic management in the ICU setting; Evaluation of telemetry utilization on medical-surgical floors; Implementation of a nurse-driven CAUTI prevention protocol; A quality improvement project to test the effectiveness of a patient-centered pathway and discharge tool on heart failure patient engagement; Diabetes self-management education provision by an interprofessional collaborative team: A quality improvement project; Increasing effective patient-triage nurse communication using a targeted history question; and Barriers to the implementation of pediatric overweight and obesity guidelines in a school-based health center. Nurses will come away with the current information they need to improve patient outcomes.

One of the most challenging aspects of the current healthcare system, especially for nurses, is cultural diversity across a variety of societies.Nurses, caregivers, and other practitioners must be equipped and aware of their patients' cultural background in order to respond appropriately and sensitively while providing the proper care. Clearly the techniques and beliefs within cultures is highly diverse, requiring those providing care to possess knowledge that allows them to combine global and cultural practices into their day-to-day occupation. This consist of not only learning cultural differences and similarities, but examining nursing throughout other parts of the world, and the health problems being faced in different geographical settings. This volume is intended to provide nurses, physicians, specialists, and providers with the information needed to provide capable care and treatment to individuals of diverse cultures. Each chapter author was selected for their interest and knowledge of transcultural and social research. The content of this volume provides a look at classic contributions to the field, up-to-date research, and evaluates the impact of diverse cultures on issues that may affect nursing and health care, such as: Key Topics: Leininger's Culture Care Diversity and Universality The Current State of Transcultural Nursing Transcultural Mental Health Nursing Culture and Consent in Clinical Care Obesity Among African Immigrant Populations Cultural Factors Influencing Suicidal Thoughts and Behaviors

With collaboration of Dr. Stephen Krau, Consulting Editor, Dr. Benjamin Smallheer has created an issue of Nursing Clinics that provides a unique look at syndromes that cause organ failure or dysfunction. Expert authors contributed clinical reviews with up-to-date content in the following areas: Hyperglycemic Syndromes; Immunocompromised/Autoimmune Syndromes; Multiple Organ Dysfunction Syndrome; Fat Embolism Syndrome; Generalized Pain Syndromes; Malabsorptive syndromes; Munchausen/Munchausen by Proxy Syndrome ; Pickwickian Syndrome; Adrenal Syndromes; Male & Female Hypogonadism; Polycystic Ovarian Syndrome; Chest pain Syndromes (non-cardiac); Restless Leg syndrome; Degenerative/Debilitative Neurologic Syndromes; and Paroxysmal Sympathetic Hyperactivity Syndrome. Readers will come away with the clinical knowledge they need to improve patient outcomes.