Bringing together experts in the field, this important book considers the underlying risk factors that create situations of psychosocial vulnerability and marginalisation for mothers, from their baby's conception up to a year after birth. Adopting a strengths-based approach, the book looks not only at the incidence and impact of disadvantageous circumstances on women but also explores protective factors at an individual, family, community and service level. It identifies promising evidence-based interventions and sources of resilience. With a distinctive focus on social and cultural diversity, Psychosocial Resilience and Risk in the Perinatal Period considers a wide range of personal circumstances and social groups, including women's experiences of traumatic birth, domestic and family violence, drug and alcohol use and mothering by indigenous, same-sex and disabled women. Throughout, case studies and service user experiences are used to illuminate the issues and illustrate exemplary care practice. International in scope, this book is particularly strong on the implications for care practices and health service delivery within Western models of maternity care. Its applied focus and evidence base makes it eminently suitable for study purposes and professional reference. Of relevance to midwives, health visitors and other health and social care practitioners, Psychosocial Resilience and Risk in the Perinatal Period's final chapters focus on developing resilience amongst professionals and multiprofessional and interagency working.

This popular textbook provides a clear and comprehensive introduction to the principles and practice of clinical oncology. Ideal for medical undergraduates, clinicians and other health professionals who want to increase their understanding of the challenges of managing patients with cancer, the book enables readers to learn and then test themselves on all aspects of cancer medicine, from epidemiology, aetiology, pathogenesis and presentation, through to diagnosis, staging, management and prognosis.

A concise, pocket-sized, rapid reference handbook on all key areas of midwifery, aimed at students and newly qualified staff. * Covers a broad range of midwifery topics which are mapped against the 6Cs essential to compassionate midwifery care * Each section is structured around the key criteria used in midwifery examinations * Bite-sized information supported by the latest evidence-base, making it the perfect revision tool for OSCEs and written examinations * Every chapter includes key points, essentials of midwifery care, professional accountability, and links to further resources

This fully revised, new edition of Innovations in Hospice Architecture responds to the need for an up-to-date, theoretically based reference book summarizing key historical and recent developments with respect to this rapidly evolving building type. This Second Edition presents: an overview of the historical origins of the contemporary hospice the diverse variations on the basic premise of hospice care a review of the scant architectural literature published on this subject to date a broad series of case studies of exemplary hospices around the world planning and design concepts for palliative care environments. Case study projects are from Japan, Canada, Europe, Africa, Australia, Indonesia, China, the United States and South America. Thirty-six case studies are individually presented and comparatively analysed, and prognostications for the future of hospice architecture are examined. Each case includes floor plans, technical drawings and beautiful, full colour illustrations. Through an in-depth discussion of the inner profundities of hospice architecture, the book presents this type as a humane, genuine expression of the spiritual, physical and psychosocial dimensions of the contemporary death and dying movement. Written with a broad audience in mind, the book provides both technical and conceptual information, blending narrative, images and diagrammation so that the audience may understand and articulate the complexities of this specialized building type in professional practice contexts.

Understanding the perspective of carers is an essential aspect of nursing. Supporting Families and Carers: A Nursing Perspective offers insights into the fundamental principles of caring for families and carers irrespective of age, gender, ethnicity, sexuality or religion. This book discusses the concepts and theories that underpin our understanding of the behaviours and feelings that families and caregivers may experience. While the book covers theoretical dimensions to understand the caregiving experience, it also provides practical perspectives for nursing and is a unique resource to inform nursing practice and learning at all levels. The book covers topics such as the stress process, stressors and how they relate to caregiving as well as actions and resources to help alter stressful situations. Interventions discussed include training and education programs, problem-solving skills, information technology-based support and formal approaches to planning care that take into account the specific needs of carers. Carers are a central aspect of contemporary health services, and working with carers is fundamental to the delivery of high-quality person- and family-centred nursing care. This invaluable resource helps nurses to work effectively in partnership with patients and their carers.

This workbook addresses the vital questions helpers, responders, and organizations have about self-care and its relationship to resilience and sustained effectiveness in the midst of daily exposure to trauma victims and or situations. Packed with activities, worksheets, and interactive learning tools, the text provides neuro-based and trauma-sensitive recommendations for improving the ways clinicians care for themselves. Each 'session' helps clinicians identify their personal self-care needs and arrive at an effective self-care plan that promotes resilience in the face of daily exposure to trauma-inducing situations and reduces the effects of compassion fatigue and burnout. Reducing Compassion Fatigue, Secondary Traumatic Stress, and Burnout is an essential workbook for any helper or organization looking to enhance compassionate care.

Virginia Howes was a mother of four doing the ironing when she had a revelation. Still broody, but not really wanting to add to her family, she realised that becoming a midwife was her true vocation. It was a long journey to get the education and qualifications she needed, especially with a young family, but she was determined and never doubted her decision. Following her training, she spent three years working within the NHS, but her naturally independent spirit fought against the constraints of the system and twelve years ago she decided to set up on her own. Virginia works with mothers who want to give birth at home naturally, something which Virginia believes in passionately. 350 births later, Virginia still loves what she does. The Baby's Coming is Virginia's memoir and tells the stories of her training as a midwife as well as some of the most memorable of those 350 births: the most dramatic, the most touching. Virginia particularly remembers the births of her own grandchildren whose arrivals in the world were some of the most special moments for her as both a midwife and grandmother.

A unique and innovative resource for conducting ethnographic research in health care settings, Ethnographic Research in Maternal and Child Health provides a combination of ethnographic theory and an international selection of empirical case studies. The book begins with an overview of the origins and development of ethnography as a methodology, discussing underpinning theoretical perspectives, key methods and challenges related to conducting this type of research. The following substantive chapters present and reflect on ethnographic studies conducted in the fields of maternal and child health, neonatal nursing, midwifery and reproductive health. Designed for academics, postgraduate students and health practitioners within maternal and child health, family health, medical sociology, medical anthropology, medicine, midwifery, neonatal care, paediatrics, social anthropology and public health, the book will also illuminate issues that can help health practitioners to improve service delivery.

In Engaging in Narrative Inquiry, Second Edition, D. Jean Clandinin, a pioneer in narrative research, updates her classic formulation on narrative inquiry, clarifying, extending, and refining methods. This updated edition looks at changes and developments in the field since the publication of the first edition in 2013, exploring how narrative inquiry explores human lives through a narrative lens that honors experience as a source of important knowledge and understanding. The book includes several exemplary cases with the author's critique and analysis of the work. The following are new to this edition: New exemplary cases, including Menon's autobiographical narrative inquiry as the starting point for framing a research puzzle and justifying a study, Chung's account of a study that begins with living alongside participants, and a paper from Swanson's autobiographical narrative inquiry An expanded discussion of the philosophical grounding of narrative inquiry An expanded discussion of relational ethics in narrative inquiry that highlights links to a relational ontology An updated account of the field of narrative inquiry that highlights future directions, including the necessity of response groups, and questions of responsibility and community The increasing interest in narrative inquiry as research methodology across disciplines makes this book an essential guide and an excellent text for graduate courses in qualitative inquiry, education and nursing research, sociology, and all courses in autobiographical and narrative research and inquiry.

Listening Visits in Perinatal Mental Health focuses on how women and families suffering from perinatal mental illness can be supported by a wide range of practitioners. Based on the skills of attentive listening, it is designed for use by health professionals and support workers concerned with maternal mental health and the mental health of the family. This accessible guide: Covers the process and progression of perinatal mental health Discusses the types of anxiety and depression which may occur during the perinatal period Examines the impact of maternal mental illness of the infant, father and family Explores the available assessment tools, such as the EPDS Presents the theories behind the efficacy of listening and counselling skills, as well as the evidence which recommends this type of therapy Gives suggestions of alternative therapeutic approaches and further resources to explore around perinatal mental health Emphasises the importance of looking after yourself and making use of supervision and peer support. With chapters focused on listening to mothers, fathers and infants and paying attention to cultural diversity, Listening Visits in Perinatal Mental Health builds on the knowledge that many professionals working with new mothers already have about perinatal mental health. It focuses on developing the skills needed to put this knowledge into practice and includes case examples and follow-up activities throughout.

This book is the first comprehensive international overview of maternity services. Drawing on concepts of risk and social citizenship, it explores the relationship between welfare regimes and health policy by comparing and contrasting provision for childbearing women. Each substantive chapter focuses on a different country, presenting detailed contextual information on health care provision, maternity interventions and birth outcomes there. They discuss key issues such as birth rates and fertility patterns, the role of patient choice, attitudes to place of birth and maternity entitlements among others, and the countries covered represent diverse welfare regimes, including Ireland, Scotland, Sweden, the Netherlands, Germany, Italy, Japan, the United States, Canada, Australia and New Zealand. An extended introduction and a conclusion draw the book together and place it in the context of the literature on comparative welfare regimes. It is an important reference for students and academics interested in comparative social policy, health services research, and maternity services and policies.

Midwifery at a Glance offers an easy-to-read yet comprehensive overview of everything a midwifery student needs to know, from conception to care of the newborn. This practical guide provides coverage of normal pregnancy, maternal and foetal physiology, and pre-existing medical conditions and how these affect pregnancy and birth. It also features vital information on the role of the midwife, evidence-based practice, health promotion education, and perinatal mental health, as well as neonatal care and an overview of emergency situations. Midwifery at a Glance Contains superb full colour illustrations throughout Is written specifically for midwifery students and includes all the concepts found on the midwifery curriculum Demonstrates links with other relevant multidisciplinary healthcare professionals Midwifery at a Glance is the ideal guide, offering educational support for midwifery students in the application of midwifery knowledge into clinical practice.

Complexity in childbirth is growing significantly due to several factors that include increasing maternal age, rising levels of obesity and related diabetes. Women labelled as moderate or high risk are often excluded from useful strategies that low risk women enjoy, such as using water immersion for labour, aromatherapy or mobilisation. They then can immediately follow a pathway of increased surveillance and interventions that may or may not be clinically indicated. This text offers expert guidance and specialist knowledge on the evidence for normalizing and humanizing complicated or challenging pregnancies, labours and birth. It covers a range of practice issues from multiple births to breech presentations, gestational diabetes to VBAC. Comprehensively written for midwifery students and those already in practice, it's also useful for obstetricians and medical students who wish to provide more holistic maternity care and promote optimum childbirth. With case studies and helpful summaries of points for practice, this is the go-to text for those looking for up-to-date guidance on maximizing normal physiology and also normalizing or humanizing challenging or complex childbirth in midwifery practice. An essential read for today's midwife. Includes a Foreword by Professor Soo Downe, University of Central Lancashire, UK. "Normalizing Challenging or Complex Childbirth, edited by Karen Jackson and Helen Wightman, provides an insightful and informative perspective on an array of midwifery issues pertinent to today's society, including: obesity, VBAC and diabetes. Karen Jackson's first chapter 'The concept of normality in the context of challenging or complex childbirth' sets the standard for additional eminent contributing authors; and they follow with an engaging exploration and explanation of the issues which is seamless in terms of application to practice and is supported by real life case studies and key practice points. This is a must read resource for midwives, students and educators." Janet Israel, Midwifery Lecturer, Cardiff University, UK "Normalizing Challenging or Complex Childbirth provides midwives and students with a refreshingly practical and sensitive approach to caring for women when pregnancy and birth bring additional physiological challenges. New and emerging evidence on important clinical scenarios is presented with great compassion in the context of contemporary midwifery care. This book will be an important resource to midwives wishing to provide individualised sensitive care to women facing the challenge of an unexpected, or complex, pregnancy path." Julia Sanders, PhD Consultant Midwife and Reader in Midwifery, Cardiff University, UK

Authored by members of the British Bobath Tutors Association, "Bobath Concept: Theory and Clinical Practice in Neurological Rehabilitation" is a practical illustrated guide that offers a detailed exploration of the theoretical underpinning and clinical interventions of the Bobath Concept.

This book guides the reader through general principles to more specific application of neurophysiological principles and movement re-education in the recovery of important areas, including moving between sitting and standing, locomotion and recovery of upper limb function.

The only book of its kind, Manual of High Risk Pregnancy & Delivery provides a complete resource for care of this special patient and her complex needs. It helps you provide positive outcomes with coverage of today's newest technology, physiologic considerations, psychologic implications, health disorders, and other complications in pregnancy. Written by noted educator and practitioner Elizabeth Stepp Gilbert, RNC, MS, FNP-BC, CNS, this book also describes how to screen for risk factors, provide preventive management, and intervene appropriately when problems arise. It's a concise, hands-on reference for both inpatient and outpatient settings! A consistent format makes this book a practical, hands-on reference in the clinical setting, presenting problems with the following headings: incidence, etiology, physiology, pathophysiology, and medical management. Comprehensive coverage includes physiologic considerations, fetal assessment, perinatal screening, ethical and legal issues, health disorders during pregnancy, complications, and labor and delivery issues. Up-to-date content includes integrative therapy, domestic violence, multiple gestation, genetics, nutrition, culture, risk management, and all the latest screening tools. A section on ethical and legal considerations covers ethical decision making, legal issues, and risk management. Updated evidence-based content includes the latest AHWONN standards of practice. Patient safety and risk management strategies include updated approaches to improving outcomes, reducing complications, and increasing patient safety during high risk pregnancy and delivery. New Venous Thromboembolic Disease chapter provides current information on this increasingly common condition. Information on the latest assessment and monitoring devices keeps you current with today's technology. Standardized terminology and definitions from the National Institute of Child Health & Human Development (NICHD) lead to accurate and precise communication.

Principles and Methods of Transformative Action Research delves into both general principles and specific methods for basic steps in the action research process-asking questions, gathering and analyzing data, communicating findings, and pursuing action. The role of collaboration is emphasized, with strategies of value to experts and engaged citizens in doing participatory research and community-based knowledge-building. Detailed attention is given to specific strategies of interviewing, participant observation, and judging and weighing evidence. The book draws on creative and critically minded elements of scientific traditions, such as transparency in telling the "story" of one's inquiry, identifying data that are "exceptions to the rule," and the value of non-formulaic, improvisational designs. Quite distinctively, the book addresses how to write in one's own voice, how to integrate action-and-inquiry into one's everyday life, issues of ethics and social responsibility, and how to consider both immediate, practical needs and "bigger picture," systemic challenges. This book can serve as an undergraduate or graduate social sciences text on research methods. It is also a guidebook for action-oriented research by academics, professionals, and lay people, alike in community agencies, schools, and grassroots organizations, and for socially relevant academic research concerned with social justice, multiculturalism, and inclusiveness.

Cases and Stories of Transformative Action Research builds on its companion book, Principles and Methods of Transformative Action Research, by describing and analyzing dozens of examples of successful action research efforts pursued in the past five decades by students and faculty of the Western Institute for Social Research. Some projects are large-scale, and some are modest interventions in the everyday lives of those participating. Some are formal organizational efforts; others are the results of individual or small group initiatives. Included are chapters on community needs assessments and innovative grassroots approaches to program evaluation; the challenges of improving our decision-making during the crisis of the COVID-19 pandemic; strategies of intellectual activism in addressing the growing problem of workplace bullying; action research to preserve and share the history of the Omaha tribe; and plans for an innovative school-based project based on collaborative action-and-inquiry between students and Artificial Intelligence. In addition, there are a number of detailed stories about the use of transformative action research in such areas as somatic and trauma counseling, ethnic studies, health disparities, gender differences, grassroots popular education, and the improvement of statewide steps for preventing child abuse, among many others. This book can serve as an undergraduate or graduate social sciences text on research methods. It is also a guidebook for action-oriented research by academics, professionals, and lay people alike.

Written by experienced nurse lecturers and a theatre nurse, Perioperative Practice highlights and explains the biological processes which can be disrupted by a major surgical procedure. Using the concept of homeostasis as a framework, the authors look at issues common to all surgical procedures such as the influence of anaesthesia on the nervous system or perioperative pain management. Individual chapters cover:
* the human body and principles of homeostasis * the surgical approach and endoscopic procedures * perioperative influences on body fluid homeostasis
* perioperative influences on immunological homeostasis and wound healing
* perioperative influences on cardiovascular homeostasis
* perioperative influences on respiratory homeostasis
* anaesthesia, stress and surgery
* pain and pain relief in the perioperative patient.
Generously illustrated in colour and black and white, the text features further learning activities and useful summaries of key points. It provides an important resource and supporting text for all nurses undertaking courses in theatre work or related areas or already working in such areas.

Midwives are encountering more and more women whose pregnancies are complicated by medical conditions, including cardiac disease, obesity and diabetes. This new edition is completely up-to-date and offers highly practical solutions for everyday midwifery practice, acknowledging the importance of promoting normality where possible. This text includes physiology, explanations of conditions and principles of care for preconception, pregnancy, labour, birth and the postnatal period. Each chapter brings together the basic knowledge of a condition and how it changes during pregnancy in an integrated and accessible way, including a new chapter dedicated to obesity. Explanations of laboratory tests, diagnostic tests, common drugs and illustrative colour pictures are included in relevant chapters. Medical Conditions Affecting Pregnancy and Childbirth is a vital guide for student midwives, as well as a useful reference for practising midwives.

Assess the nature and severity of callers' symptoms quickly and confidently, with Telephone Triage Protocols for Nurses, 6th Edition. More than 200 alpha-organized protocols address a wide range of symptoms, disorders and medical emergencies, while the flow chart format leads callers to provide vital Yes or No answers to appropriate questions. This comprehensive manual - a must-have for nurses both new and experienced - offers accurate care recommendations even when client information is limited. Follow expert direction and make quick, accurate assessments ... NEW and updated protocols offer current best practices and reflect changes in access to medications and health care Protocols address adult, pediatric, geriatric, maternal/child, home health concerns, current health issues, and communicable disease outbreaks NEW protocols include arthritis, chronic obstructive pulmonary disease (COPD), elder abuse, stroke symptoms, and Zika virus Post-operative conditions and considerations have been added to numerous protocols Expanded appendices include altered mental status, PTSD, suicide prevention, and emergency preparedness Alpha-organized protocols help you quickly locate topics by symptom or condition Table of contents by body system helps you quickly locate topics by body system, body part or set of related symptoms Peer-reviewed by nursing experts Easy-to-follow question-asking flow chart - Yes or No answers lead to specific care recommendations Ideal guidance for all nurses, particularly those in triage and ambulatory practice Sorts life-threatening problems from those not requiring physician or emergency care Increases consistency of advice and documentation Nurse Alerts - help the nurse identify potentially life-threatening conditions related to the symptoms and provides additional information to consider when choosing a protocol or triaging the caller's concern Symptoms alpha-organized and grouped by level of urgency, addressing injuries, trauma, pain, swelling and other symptoms for: Body part problems Body system problems Chronic and infectious diseases Behavioral problems Pediatric-specific problems Maternal/obstetric specific problems or conditions Sections under every symptom or condition include: Key Questions to ask caller Other Protocols to Consider Reminder - what to note for proper documentation Assessment - Yes or No questions to determine the urgency of symptoms or conditions Actions - clear direction following Yes or No answers to questions Immediate actions - proven protocols that refer caller to emergency, physician, or at-home care instructions Home Care Instructions - comprehensive actions to take before emergency care, before appointment, or at-home care Emergency Instructions - in-the-moment first aid Report the Following Problems - what caller should tell their personal or ER physician Seek Emergency Care Immediately - if certain symptoms occur Reminder to determine if caller agrees with the advice provided and if not, reevaluate Must-have resource for medical offices, clinics, schools, community referrals, emergency departments, urgent care centers, home health agencies and managed healthcare providers About the Author Julie Briggs, RN, BSN, MHA, has an extensive background in Emergency Nursing, Management, Telephone Triage, Emergency Preparedness, Utilization Review and Quality Management. She is currently providing consulting and training services. She has been employed by Providence Health and Services in Portland, Oregon for the past 15 years in the capacity of Medical Management RN Care Coordinator and as the Manager of the Emergency Department at Providence St. Vincent Medical Center. Additionally, she served in the role of Director for multiple units including the Emergency Department, Critical Care, Cardiac Cath Lab, Ambulatory Care, and Radiology for 13 years at Good Samaritan Medical Center in Puyallup, Washington. She has authored numerous books in Telephone Triage, Emergency Nursing Triage, and Homemaker/Home Health Aide Training.

Postnatal PTSD, often referred to as birth trauma, is an underdiagnosed and misunderstood condition. Often mistaken for postnatal depression and with 4% of women developing the condition after giving birth, it is essential that health professionals learn to recognise and prevent postnatal PTSD. The book supports professionals to better understand, recognise, treat and help prevent birth trauma. It covers the impact of postnatal PTSD on bonding and relationships, birth trauma in Black, Asian and minority ethnic communities, how to support women having another baby and more. An accessible guide to supporting parents with postnatal PTSD, this book is essential reading for healthcare professionals and those involved with the birthing process.

This fully updated new edition of From Birth to Five Years: Practical Developmental Examination is a step-by-step 'how to' guide to the developmental examination of pre-school children. Based on up-to-date research into current child development philosophies and practices, this text supports the wider group of professionals who are required to assess children's developmental progress as part of their day-to-day working practices. It begins with a practical framework for developmental examination, then progresses through each of the key developmental domains, offering guidance on enquiry and observation, and on how to chart typical and atypical patterns, with red flags for recognising significant delay or disordered development. Advice is also given on how to make sense of the findings and how best to communicate this information to parents. To consolidate and expand on the practical and theoretical information across this book and its companion, Mary Sheridan's From Birth to Five Years, an updated companion website is available at www.routledge.com/cw/sharma, which includes the following additional learning material: An interactive timeline of the key developmental domains; Introductions to theory with links to further reading; Research summaries; Video clips demonstrating practical assessment skills; Downloadable resources including pictures to support examination of verbal and non-verbal development, and tips to facilitate and promote development. Developed alongside the original Mary Sheridan's From Birth to Five Years: Children's Developmental Progress, this unique guide expands on its normative developmental stages by offering practical guidance for health, education and social care professionals, or anyone concerned with monitoring children's developmental progress.

This concise guide offers a comprehensive step-by-step framework for midwifery students to learn about all aspects of the newborn infant physical examination (NIPE), a screening assessment completed on all babies between 6 and 72 hours of age. The Student Guide to the Newborn Infant Physical Examination encourages the reader to approach the examination in a system-based format, with case studies and practice tips to support learning. The book offers: * Evidence-based, well-illustrated assessment tools, which take into account the national screening committee standards, and is written by authors with both academic and clinical experience; * A clear direction on how to perform the NIPE in practice while exploring the wider context of screening in healthcare today; * Coverage of the changing role of the midwife, and the importance of understanding the whole context of the mother's care, health promotion and starting the practitioner-parent conversation. The Student Guide to the Newborn Infant Physical Examination is a core text for all pre-registration midwifery students and a useful resource for qualified midwives, neonatal nurses and practice nurses.

This practical guide helps student and practising nurses to understand the impact of their care when working with older people. With stories from older people who have had varied experiences of health care and nursing, chapters are underpinned by five key principles: providing patient-centered and dignified care, shared decision-making involving family and friends, multidisciplinary care, improving well-being through companionship and a sense of value, and an appreciation of both the challenges and rewards of working with older people. This book offers: Stories which reflect the complexity of care and health experienced by older people and their journeys. Topic-oriented chapters which provide a series of evidence-based readings which use the most up-to-date research evidence merged with national and international policy and practitioner experience. Practical tips and key messages for working with older people. The volume can be used to help nursing students and practising nurses to understand better how their care might impact positively on older people's health and well-being. This situates the reader within the world as experienced by older people.