Critical Interventions in the Ethics of Healthcare argues that traditional modes of bioethics are proving incommensurable with burgeoning biotechnologies and consequently, emerging subjectivities. Drawn from diverse disciplines, this volume works toward a new mode of discourse in bioethics, offering a critique of the current norms and constraints under which Western healthcare operates. The contributions imagine new, less paternalistic, terms by which bioethics might proceed - terms that do not resort to exclusively Western models of liberal humanism or to the logic of neoliberal economies. It is argued that in this way, we can begin to develop an ethical vocabulary that does justice to the challenges of our age. Bringing together theorists, practitioners and clinicians to present a wide variety of related disciplinary concerns and perspectives on bioethics, this volume challenges the underlying assumptions that continue to hold sway in the ethics of medicine and health sciences.

Older people who would prefer to stay in their homes and states whose funds are being depleted by the rising costs of Medicaid payments to nursing homes find the current system of long-term care unsatisfactory. From Nursing Homes to Home Care arms educators, policymakers, public health professionals, gerontologists, and advocacy groups with the information they need to participate knowledgeably in the debate about aging and long-term care needs. The book shows readers where things are, where they are going, and where they need to be in changing the system of long-term care. From Nursing Homes to Home Care evaluates future needs for long-term care by analyzing on-going systems and assessing key features of proposed long term programs in the context of population aging. Readers gain a thoughtful analysis of the complex dimensions of making future long-term care policy and program decisions as they read about: patterns of demographic aging, disability, and health needs intersections of formal and informal care including intergenerational equity issues long-term care services needs and accessibility planning for funding, quality assurance, and range of services implications of shifts from the current system to a system of home and community-based services Chapters in From Nursing Homes to Home Care express the collective thinking of leaders in long-term care policy and research. Contributors address implications for changing the current system in relation to the emerging needs of the aging population and use this as a basis for examining alternative decisions. Information in the book helps readers determine how to best blend formal and informal services, how to assure quality of care and quality of life in long-term care policy, how to finance devised programs, which health needs to address, and whether to use regulatory or competitive approaches. Professionals, educators and students, and policymakers at all levels learn about factors to consider in policy planning and decision making, including features of aging baby boomers; trends in the growth of the aged population; newly emerging trends in morbidity, disability, and mortality and their effect on the demand for long-term care in the short and long term; access issues from the perspective of the historical evolution of publicly funded long-term care services, the distribution of formal and informal systems of care; utilization patterns of the minority and poor; how to pay for care, how to design an appropriate mix of services, how to maintain quality with efficiency, and how to mesh services with social and family values. From Nursing Homes to Home Care is an invaluable resource in evaluating and advocating policy changes and decisions for an improved long-term care system.

Make dosage calculations easier to master with dimensional analysis. Dimensional analysis is an easy, systematic approach that shows you how to master simple to complex calculations with consistency and accuracy and reduce medication errors to ensure that drugs are administered safely and documented correctly. It eliminates the need to use other methods or perform lengthy, multi-step calculations. Five Stars!! BEST BOOK EVER!!!!!“I just completed my first semester of nursing school and OMG I LOVE THIS BOOK! … From barely passing to scoring 100's this book is a LIFE saver!!!!!!! BUY IT I TOTALLY RECOMMEND IT MAN YOU WILL PASS AND LOVE MATH WITH THIS BOOK.”—Michael, Online Reviewer Five Stars!! Buy it!“This book was suggested by my university to help me prepare for our med-math exam! This book goes step by step through the equations and helped me pass my exam on the first try! I’m not mathematically inclined but this book definitely made learning so much easier!”—S.B., Online Reviewer Updated! Current patient safety and nursing standards, including regulations/laws, and use of electronic physician order entry and medication administration records (MARs) Updated! Real and simulated drug labels to help students become comfortable with gathering the information needed to calculate dosages accurately Enhanced! More examples of electronic orders and documentation Learning models, including the “4 Cs” approach to dosage calculations: compute, convert, conceptualize, and critically evaluate Over 1,000 practice problems 18 “Speed Challenge” chapter quizzes online to increase speed and accuracy Real-life scenarios that illustrate how to apply concepts to practice

This volume brings together researchers from different European countries and disciplines who are involved in Clinical Ethics Consultation (CEC). The work provides an analysis of the theories and methods underlying CEC as well a discussion of practical issues regarding the implementation and evaluation of CEC. The first section deals with different possible approaches in CEC. The authors explore the question of how we should decide complex cases in clinical ethics, that is, which ethical theory, approach or method is most suitable in order to make an informed ethical decision. It also discusses whether clinical ethicists should be ethicists by education or rather well-trained facilitators with some ethical knowledge. The second chapter of this book focuses on practical aspects of the implementation of CEC structures. The analysis of experienced clinical ethicists refers to macro and micro levels in both developed and transitional countries. Research on the evaluation of CEC is at the centre of the final chapter of this volume. In this context conceptual as well as empirical challenges with respect to a sound approach to judgements about the quality of the work of CECs are described and suggestion for further research in this area are made. In summary this volumes brings together theorists and healthcare practitioners with expertise in CEC. In this respect the volume serves as good example for a multi- and interdisciplinary approach to clinical ethics which combines philosophical reasoning and empirical research.

As the use of human body parts has become increasingly commercialized, a need has arisen for new approaches to regulation that moves beyond the paradigm of altruism. During the course of this discussion, the notion of property has become a key concept. Focusing on practical and conceptual perspectives, the multidisciplinary group of authors, which includes specialists in philosophy, law, sociology, biology and medicine, have come together with practicing lawyers to consider both legal provisions and patterns of regulation in countries across Europe. Identifying divergences between different legal traditions, the authors explore various conceptual models which could be used to improve and to guide policy making. With this twin focus on practical and conceptual perspectives, this volume sets the standard for a detailed and innovative discussion of issues surrounding the regulation of research on human tissue.

The only resource of its kind, this is a concise, practical guide to GI and Liver Disease that delivers current information on diagnosing, managing, and treating common GI and liver disorders, along with liver transplant guidelines. Written for nurses, nurse practitioners, and physician assistants in varied specialties, it fills a gap in information needed by primary and acute care professionals who are the chief caretakers for GI and liver patients. This guide delivers recent important treatment advances that have revolutionized GI and liver care, and provides guidance for seeking expert advice or urgent/emergent care for more complex cases. An outstanding feature is the prominently displayed Fast Facts in a Nutshell highlighting key takeaway points at a glance. The resource reviews common GI symptoms and disorders from irritable bowel disorders (including key differences between Crohn's disease and ulcerative colitis) to gallstones and GERD. A section on liver disease describes essential liver functions, reviews liver function tests, and addresses commonly and less commonly seen liver disease diagnoses. Complications of cirrhosis are examined to assure prompt recognition of these potentially deadly symptoms. Additionally, the book addresses liver transplantation with comprehensive attention to the evaluation process, organ donation/allocation, and post-transplant care for donor and recipient alike. Each chapter includes an overview, significant laboratory or imaging findings, treatment options, expected outcomes, and "Fast Facts in a Nutshell. An additional feature is the provision of IDC-10 codes for billing and reimbursement. Key Features: Provides speedy access to current information on diagnosing managing, and treating common GI and liver disorders for front-line professionals Includes comprehensive review of the liver, abnormal liver function tests (LFTs), and transplantation Reflects up-to date information on the latest treatment guidelines for gastrointestinal and liver disease, including celiac disease and Hepatitis C Addresses common gastrointestinal diseases and guidelines for treatment as outlined by ACG Discusses current liver disease management and guidelines for treatment as outlined by AASLD

As asymmetric 'wars among the people' replace state-on-state wars in modern armed conflict, the growing role of military medicine and medical technology in contemporary war fighting has brought an urgent need to critically reassess the theory and practice of military medical ethics. Military Medical Ethics for the 21st Century is the first full length, broad-based treatment of this important subject. Written by an international team of practitioners and academics, this book provides interdisciplinary insights into the major issues facing military-medical decision makers and critically examines the tensions and dilemmas inherent in the military and medical professions. In this book the authors explore the practice of battlefield bioethics, medical neutrality and treatment of the wounded, enhancement technologies for war fighters, the potential risks of dual-use biotechnologies, patient rights for active duty personnel, military medical research and military medical ethics education in the 21st Century.

This one-of-a-kind book delivers challenging, clinically relevant case-based learning tools regarding orthopedics and sports medicine for advanced practice nursing students and practitioners. Written by nurse practitioner/educators, it fills a gap in information and guidelines for treatment of this population in primary and acute care environments. Cases across the lifespan cover areas of orthopedics and sports medicine most likely to be encountered. Cases are described in depth to foster a comprehensive learning experience and to facilitate inductive and deductive critical reasoning. Each follows a template that encompasses the context for the case, chief patient complaints and history along with physical assessment findings, diagnostic evaluation, interventions, evaluation of care and outcome, and references for additional information. An accompanying teaching guide aids instructors in accelerating critical thinking. Key Features: Fills an identified gap in available literature Reflects both primary care and acute care across the lifespan Includes referral red flags and scope of practice for each case Formats cases for both inductive and deductive reasoning Offers focused instructor manual to facilitate meaningful learning

With a consistent focus on application throughout, Nursing Theory covers the development of nursing theory; the application of different nursing theories, models and philosophies; and the expansion of these practices with a look toward the future. Nursing Theory provides the opportunity for students who have learned the background of nursing theory using the companion title, Nursing Theorists and Their Work, to apply what they have learned to actual nursing practice through various patient scenarios. Real-life case history examples included in application chapters promotes evidence-based practice and further demonstrates how a theory is used in practical situations. Consistent case history featuring the patient Debbie in every chapter and the nursing plan that follows help you apply philosophies, theories and models presented in the text. Critical thinking exercises provide a more application-based approach rather than just contemplation of theories presented. Chapters written by contributors who utilize the work offer a unique approach to using theory in practice. Nursing metaparadigm discussion illustrates the four center concepts with which the discipline is concerned to help you see the scope of concern for the profession. Logical organization presents content in three distinct parts. Glossary offers quick access to key terms throughout the text. NEW! Nursing Care sections demonstrate how theories apply to certain situations and particular types of nurses. NEW! QSEN competencies throughout the book relate nursing theories to today's important focus on patient safety and quality improvement. NEW! Nursing theory timeline helps you place different nursing theories and theorists in history, illustrating the progression of the content. NEW! Fresh design helps you visually identify the text's relationship with its Nursing Theorists companion.

Once considered to be a lesser pedagogical method, the case study is indeed a powerful, in-depth tool with which to examine evidence-based practice around patient care, family dynamics, professional roles, and organizational systems. Here is a unique ""how-to"" guide to conducting research using case studies. Focusing on leading and newer methodologies, the text describes the philosophical basis and state of the art for using this qualitative method. The peer-reviewed designs (including interviews, physiological measurements, psychological tests, and analysis of patients' diaries and journals) are accompanied by an in-depth research plan, a discussion of appropriate methods, and ethical considerations. The text provides clear directives - bolstered by nursing examples - on how to solve practical problems a researcher may encounter. Examples from international scholars who have published research using case studies are included along with coaching designed to support the new researcher in making decisions and facing challenges. Also included are book and chapter objectives, competencies, review questions, critical thinking exercises, and web links to additional information. The text is part of a series of eight concise volumes addressing a variety of methods for conducting qualitative research. Conceived and edited by a noted expert in qualitative research, the book is designed for both novice and practicing researchers seeking to develop or expand their competency, health institution research divisions, in-service educators and students, and graduate nursing educators and students. Key Features: Explains clearly and concisely how to conduct research using case studies Reviews the philosophical basis for using case studies Focuses on solving practical problems related to conducting research Offers rich nursing exemplars and coaching from international health/mental health contributors Includes objectives, critical thinking exercises, competencies, resources, and review material for each book.

What to do when treatment becomes trauma Of increasing concern to all health professionals is the mental and emotional trauma that can result from adverse medical experiences ranging from life-threatening events to even routine medical procedures. This groundbreaking book is the first to conceptualize the psychological aspects of medical trauma and provide mental health and health care professionals with models they can use to intervene when treatment becomes trauma. The book delivers systems-level strategies for supporting patients and their families who experience distress in the medical setting or as a result of life-threatening or life-altering diagnoses and procedures. Reflecting the growing trend toward interprofessional practice and training in health care and initiatives toward patient-centered care, the book also describes models that promote the seamless integration of mental health professionals into the health care team. The book reflects the PPACA mandate to integrate mental health services into health care in order to both ensure the psychological and emotional well-being of patients and to provide support and guidance to health care professionals. Using an inclusive model of medical trauma, the book examines the effects and complexity of the trauma experience within the medical setting; addresses patient, medical staff, and procedural risk factors regarding specific level 1, 2, and 3 traumas; discusses the effects of environment and medical staff interactions; and covers intervention and prevention. The book also highlights examples of health care systems and organizations that have successfully applied innovative ideas for treating the whole person. Extensive case studies addressing the three levels of medical trauma illustrate its effects and how they could have been better managed. Key Features: Addresses psychological trauma resulting from adverse medical experiences the first book to do so Provides effective models for addressing trauma in health care based on maternal health protocols from NCSWH Includes effective new models, protocols, and best practices for all mental health and health care professionals Presents extensive case examples of three levels of medical trauma Disseminates valuable resources and screening and measurement tools

Many professionals confront ethical issues concerning their proper roles and the manner in which they should carry out those roles. This book is aimed at those studying for entry into the various professions (such as teaching or social work) where ethical questions are commonly faced. It introduces readers to both the techniques and depth of ethical argument drawn from the fields of critical thinking and informal logic and enables practitioners to use these techniques so they can be deployed as 'tools of thought' for thinking in a carefully reasoned and extended way about problems of professional ethics. The book also provides a brief introduction to some of the normative and meta-ethical theory relevant to the principled discussion of professional ethics. Post-graduate students and academics should also find the treatment of some of the complexities of extended reasoning, in particular its focus upon careful metacognitive tracking and planning of an inquiry, to be of interest.

Bodies and body parts of the dead have long been considered valuable material for use in medical science. Over time and in different places, they have been dissected, autopsied, investigated, harvested for research and therapeutic purposes, collected to turn into museum and other specimens, and then displayed, disposed of, and exchanged. This book examines the history of such activities, from the early nineteenth century through to the present, as they took place in hospitals, universities, workhouses, asylums and museums in England, Australia and elsewhere. Through a series of case studies, the volume reveals the changing scientific, economic and emotional value of corpses and their contested place in medical science.

This book offers a unique description of how phenomenology can help professionals from medical, environmental and social fields to explore notions such as interaffectivity, empathy, epoche, reduction, and intersubjective encounter. Written by a group of top scholars, it uniquely covers the relationship between phenomenology and bioethics, and focuses not only on medical cases, but also on the environment and emerging technologies. This variety of themes, whilst including techno-ethics, environmental ethics, animal ethics, and medical ethics, is conducive to appreciating broadly how phenomenology can improve our quality of our life. Despite its difficult themes, the book appeals to an audience of both academics and professionals who are willing to understand how to increase the quality of care in their professional field. Chapter 8 is available open access under a Creative Commons Attribution 4.0 International License via link.springer.com.

This text provides students with a comprehensive introduction to the sociology of professions. It covers social work, probation, nursing, midwifery and health visiting and looks at key topics such as control and legal relationships, the relationship of gender and care, and the 'new managerialism'.

Nursing is typically understood, and understands itself, as a care-giving occupation. It is through its relationships with patients - whether these are absent, present, good, bad or indifferent - that modern day nursing is defined. Yet nursing work extends far beyond direct patient care activities. Across the spectrum of locales in which they are employed, nurses, in numerous ways, support and sustain the delivery and organisation of health services. In recent history, however, this wider work has generally been regarded as at best an adjunct to the core nursing function, and at worse responsible for taking nurses away from their 'real work' with patients. Beyond its identity as the 'other' to care-giving, little is known about this element of nursing practice. Drawing on extensive observational research of the everyday work in a UK hospital, and insights from practice-based approaches and actor network theory, the aim of this book is to lay the empirical and theoretical foundations for a reappraisal of the nursing contribution to society by shining a light on this invisible aspect of nurses' work. Nurses, it is argued, can be understood as focal actors in health systems and through myriad processes of 'translational mobilisation' sustain the networks through which care is organised. Not only is this work an essential driver of action, it also operates as a powerful countervailing force to the centrifugal tendencies inherent in healthcare organisations which, for all their gloss of order and rationality, are in reality very loose arrangements. The Invisible Work of Nurses will be interest to academics and students across a number of fields, including nursing, medical sociology, organisational studies, health management, science and technology studies, and improvement science.

Europeanization has generated a galaxy of regimes, laws, organizations, new actors, and networks that have diluted institutional barriers to interaction across national borders. Many nation-based policy competencies have been transferred to the European level. The European Union (EU), the world's first regional regulator, bears consequences for the development of public policy and for policies affiliated with the nursing profession. With limited exception, the EU does not have formal powers in the health care arena. However, as a result of its efforts in other fields, it has been heavily involved with health care and its providers. Nursing in the European Union demonstrates how the organization has refashioned the nursing world throughout the member states via its power in many other policy domains. This volume focuses on the EU's impact on nursing education, regulation, and research endeavours, and suggests strategies to achieve desired objectives. Volume 2, Nursing in the European Union: The World of Work, to be published in Fall 2016, focuses on real-life situations and problems EU nurses face: wages, stress, and dispute resolution. Sondra Z. Koff integrates the European experience with a discussion of nursing in the real world, and presents the nursing profession in light of the European Union, its components, its mechanisms, and its output and activities.

Narratives of Recovery from Mental Illness presents research that challenges the prevailing view that recovery from 'mental illness' must take place within the boundaries of traditional mental health services. While Watts and Higgins accept that medical treatment may be a vital start to some people's recovery, they argue that mental health problems can also be resolved through everyday social interactions, and through peer and community support. Using a narrative approach, this book presents detailed recovery stories of 26 people who received various diagnoses of 'mental illness' and were involved in a mutual help group known as 'GROW'. Drawing on an in-depth analysis of each story, chapters offer new understandings of the journey into mental distress and a progressive entrapment through a combination of events, feelings, thoughts and relationships. The book also discusses the process of ongoing personal liberation and healing which assists recovery, and suggests that friendship, social involvement, compassion, and nurturing processes of change all play key factors in improved mental well-being. This book provides an alternative way of looking at 'mental illness' and demonstrates many unexplored avenues and paths to recovery that need to be considered. As such, it will be of interest to researchers, academics and postgraduate students in the fields of psychiatry, psychology, nursing, social work and occupational therapy, as well as to service providers, policymakers and peer support organisations. The narratives of recovery within the book should also be a source of hope to people struggling with 'mental illness' and emotional distress

This book describes an innovative model for helping APRN students develop the clinical reasoning skills required to navigate complex patient care needs and coordination in advanced nursing practice. This model, the Outcome-Present-State-Test (OPT), encompasses a clear, step-by-step process that students can use to learn the skills of differential diagnosis and hone clinical reasoning strategies. This method facilitates understanding of the relationship among patient problems, outcomes, and interventions that focus on promoting patient safety and care coordination. It moves beyond traditional ways of problem solving by focusing on patient scenarios and stories and juxtaposing issues and outcomes that have been derived from an analysis of patient problems, evidence-based interventions, and desired outcomes. The model offers a blueprint for using standardized health care languages and provides strategies for developing reflective and complex thinking that becomes habitual. It embodies several levels of perspective related to patient-centered care planning, team-centered negotiation, and health care system considerations. Through patient stories and case scenarios, the text highlights care coordination strategies critical in complex patient situations. It provides students with the tools to collect patient information, determine priorities for care, and test interventions to reach health care outcomes by making clinical judgments during the problem-solving process. Concept maps illustrate complex patient care issues and how they relate to each other. For faculty use, the text provides links to relevant APN competencies and provides guidelines for using the OPT when supervising students in field settings.

Few career opportunities were available to minority women in Appalachia in the first half of the 20th century. Nursing offered them a respected, relatively well paid profession and - as few physicians or hospitals would treat people of color - their work was important in challenging healthcare inequities in the region. Working in both modern surgical suites and tumble-down cabins, these women created unprecedented networks of care, managed nursing schools and built professional nursing organizations while navigating discrimination in the workplace. Focusing on the careers and contributions of dozens of African American and Eastern Band Cherokee registered nurses, this first comprehensive study of minority nurses in Appalachia documents the quality of healthcare for minorities in the region during the Jim Crow era. Racial segregation in health care and education, and state and federal policies affecting health care for Native Americans are examined in depth.

The renal failure and hemodialysis dependent population is increasing worldwide. Hemodialysis access is the life-line of these patients. Hemodialysis access related surgical and interventional procedures form a major demand to the healthcare services in many developed and developing countries. As such, the proper clinical decision, planning and performance of these procedures will greatly benefit the hemodialysis patients and reduce unnecessary healthcare costs. This book is a practical guide for clinicians and nurses creating, treating or managing hemodialysis accesses for renal failure patients. Basic principles to manage common or difficult situations of hemodialysis access are discussed and illustrative clinical cases are shown as examples. This book is an essential reading material for healthcare professionals in their early phase of developing the hemodialysis access program, while providing useful tips and tricks to established clinicians that will broaden their armamentarium.

In recent years the study of nursing history in Britain has been transformed by the application of concepts and methods from the social sciences to original sources. The myths and legends which have grown up through a century of anecdotal writing have been chipped away to reveal the complex story of an occupation shaped and reshaped by social and technological change. Most of the work has been scattered in monographs, journals and edited collections. The skills of a social historian, a sociologist and a graduate nurse have been brought together to rethink the history of modern nursing in the light of the latest scholarship. The account starts by looking at the type of nursing care available in 1800. This was usually provided by the sick person's family or household servants. It traces the interdependent growth of general nursing and the modern hospital and examines the separate origins and eventual integration of mental nursing, district nursing, health visiting and midwifery. It concludes with reflections on the prospects for nursing in the year 2000.

Meticulously compiled to serve the specific needs of APRNs and nurse executives engaged in doctoral-level research, this text provides evidence-based and practice-based scholarly methods not traditionally taught in PhD or DNP programs. Building on and expanding traditional nursing research methods, the book focuses on both existing and evolving methods of clinical inquiry, some of which incorporate technology and knowledge from other disciplines. These are approaches that can be translated into clinical practice, providing the nursing profession with unprecedented opportunities for collaboration in improving health and health care systems. Methods include quality improvement, implementation science, logic models, program planning and evaluation, patient-engaged and community participatory research, dissemination research, big data, comparative effectiveness research, secondary analysis, and systematic reviews.

Written by a group of multi-professional authors, this fully updated third edition builds on the success of this classic text. The book explores a number of key areas for prescribers, including prescribing within a multidisciplinary team context, consultation skills, ethical and legal issues surrounding prescribing, the psychology and sociology of prescribing, and applied pharmacology. Among the other topics featured are monitoring skills, medicines concordance, evidence based prescribing, prescribing within a public health perspective, calculation skills, prescribing in dermatology, and minimizing the risk of prescribing errors. Each chapter has been revised and additional chapters on antimicrobial prescribing, education and training to become a prescriber, and a new section on renal impairment have been added. This book is an essential resource for both new and experienced prescribers and anyone undertaking the non-medical prescribing (NMP) programme including nurses, pharmacists, allied health professionals and optometrists.

This is the first resource to demonstrate to nurse leaders, administrators, and staff how to develop, apply, and successfully integrate a professional practice model into a health system. It guides nursing leaders and educators in best practices for developing, implementing, evaluating, adapting, adopting, and revising professional practice models that contribute to improving patient outcomes. Consolidating a wealth of information in one place, the text describes a coordinated and consistent approach that generates an in-depth understanding of professional practice models, including their implementation and evaluation. Distinguished by its focus on the "how to" of successful enculturation-a common obstacle for many nursing leaders-the text guides nurse leaders and educators in the process of integrating professional practice models into clinical workflow, advancing nursing practice, improving the quality of patient care and facilitating Magnet (R) designation.