Medical confidentiality has long been recognised as a core element of medical ethics, but its boundaries are under constant negotiation. Areas of debate in twenty-first century medicine include the use of patient-identifiable data in research, information sharing across public services, and the implications of advances in genetics. This book provides important historical insight into the modern evolution of medical confidentiality in the UK. It analyses a range of perspectives and considers the broader context as well as the specific details of debates, developments and key precedents. With each chapter focusing on a different issue, the book covers the common law position on medical privilege, the rise of public health and collective welfare measures, legal and public policy perspectives on medical confidentiality and privilege in the first half of the twentieth century, contestations over statutory recognition for medical privilege and Crown privilege. It concludes with an overview of twentieth century developments. Bringing fresh insights to oft-cited cases and demonstrating a better understanding of the boundaries of medical confidentiality, the book discusses the role of important interest groups such as the judiciary, Ministry of Health and professional medical bodies. It will be directly relevant for people working or studying in the field of medical law as well as those with an interest in the interaction of law, medicine and ethics.

This new edition of a classic text is the go-to reference for anyone concerned with the developmental progress of pre-school children. It provides the knowledge required for understanding children's developmental progress with age and within each developmental domain. Including new sections on atypical development for each of the core domains of development and additional material on the development of attention and self-regulation, this fifth edition integrates findings from the latest research throughout. 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. Fully aligned with current child development philosophies and practices, Mary Sheridan's From Birth to Five Years: Children's Developmental Progress is designed to support the wider group of practitioners - including those from health professions, social work and early years - that are now required to take steps for promoting children's development as part of their assessment and management plans.

Health and medicine cannot be understood without considering the role of nurses, both as professionals and as working women. In India, unlike other countries, nurses have suffered an exceptional degree of neglect at the hands of state, a situation that has been detrimental to the quality of both rural and urban health care. Charting the history of the development of nursing in India over 100 years, Indian Sisters examines the reasons why nurses have so consistently been sidelined and excluded from health care governance and policymaking. The book challenges the routine suggestion that nursing's poor status is mainly attributable to socio-cultural factors, such as caste, limitations on female mobility and social taboos. It argues instead that many of its problems are due to an under-achieved relationship between a patriarchal state on the one hand, and weak professional nursing organisations shaped by their colonial roots on the other. It also explores how the recent phenomenon of large-scale emigration of nurses to the West (leading to better pay, working conditions and career prospects) has transformed the profession, lifting its status dramatically. At the same time, it raises questions about the implications of emigration for the fate of health care system in India. An important contribution to the growing academic genre of nursing history, the book is essential reading for scholars and students of health care, the history of medicine, gender and women's studies, sociology, and migration studies. It will also be useful to policymakers and health professionals.

Students and newly qualified staff make up much of the workforce delivering end-of-life care but, because end-of-life care can be both technically challenging and emotionally demanding, it is an aspect of nursing that can cause considerable anxiety. This very accessible, straightforward book helps to allay those concerns and enables pre-registration students to prepare confidently for the challenges they will face when they are caring for dying patients and supporting their families. Each chapter is based on a different and realistic scenario - reflecting a range of circumstances - to demonstrate the essential generic knowledge and skills they need to develop, and draws out the important practical and theoretical issues students should consider and address if patients and their families are to receive the best possible care. Written by two experienced palliative care lecturer/practitioners, and mapping closely to the NMC's 2010 domains, the book is tailored to the needs of student nurses working with adult patients. It explores the importance of their role in end-of-life care and how this interfaces with the roles of other multidisciplinary professionals involved in the care of their patients. It will also be helpful to students of other health-care professions and support newly-qualified health-care professionals working in adult health.

Taking a structured approach that maps to the 'ABCDE' method of patient assessment, the book provides a one-stop-shop for nursing students that shows how to plan care for the acutely ill adult. The use of case studies and activities bring the book to life with clear and simple explanations of the relevant anatomy, physiology and pathophysiology helping to build a deeper understanding of acute illness and disrupted homeostasis. Key features: Adopts a patient-centred approach that considers the full context of care, the patient's own view and psycho-social needs Blends the underlying science of health and illness with practical application Contains activities, case studies, illustrations and figures to support a wide range of learning styles

AWHONN's Core Curriculum for Maternal-Newborn Nursing, 6th Edition provides the most up-to-date, accurate information available on today's maternal-newborn nursing practice. Its concise outline format covers concepts of reproduction, fetal development, normal pregnancy, intrapartum and postpartum periods, the normal newborn, complications in the mother and newborn, and ethical issues. With a fresh focus on patient safety and revised case studies, this clinical guide and certification prep tool features AWHONN-endorsed content for the practice of maternal-newborn nursing. AWHONN-endorsed content makes this the definitive resource to prepare for current practice and specialty nursing certification examinations. Content updates throughout provide the most current practice guidelines to promote quality care. Bulleted outline format allows for quick review and reference for the management of pregnant women and their newborns through all stages of care. Contemporary content covers the full scope of maternal-newborn nursing practice, incorporating information on families, ethics, legal issues, research, case management, genetics, and the transition to home and parenthood. ENHANCED! Focus on patient safety draws attention to developing expertise related to safe nursing practice. UPDATED! Case studies and review questions reflect the realities of practice and provide sample questions to help you prepare for certification examinations. UPDATED! Content on medication safety, including high-alert medications, emphasizes critical drug information that must be considered to provide safe patient care.

Innovations that bring value propositions through new processes, resources, or technologies to practice. How are we changing outcomes through new innovations in practice? The articles in this issue will provide nurses with the information they need to improve patient outcomes. Articles are devoted to skin cancer screening in the medically underserved, innovative practices for risk assessment and documentation in preventative colon screenings, evidenced-based protocol for diagnosis and treatment of catheter associated urinary tract infection within adult neurocritical care patient population, changing the focus to the PATIENT plan of care, and a nursing focus on EMR usability enhancing documentation of patient outcomes.

All nursing students are required to meet the seven standards produced by the Nursing & Midwifery Council (NMC) before being entered onto the professional register. Fundamentals of Assessment and Care Planning for Nurses addresses two of these important standards, helping readers become proficient in assessing patient needs, and planning, providing and evaluating care. This timely publication adopts a practical approach with NMC proficiencies at its core, providing guidance and insight into the application of key skills and demonstrating competency in real-life settings. Centres around a fictitious nuclear family to provide a practical basis to the various chapters and assessment Offers mnemonics to enable comprehensive history taking and systematic physical assessment Helps readers address socio-cultural considerations they may face in practice Includes links to literature that provides further support and additional information Fundamentals of Assessment and Care Planning for Nurses is an important resource for pre-registration nursing students and Nursing Associates who are required to demonstrate proficiency in the new NMC standards, and other registered practitioners seeking to update their knowledge.

For courses in undergraduate/graduate-level nursing theory. Nursing Theories: The Base for Professional Nursing Practice, Sixth Edition, is designed to help nurses apply concepts and theories to practice. This useful resource considers the ideas of well-known nursing theorists and relates the work of each to the clinical nursing practice. Chapters are organized to relate the theorist's work to the nursing metaparadigm, clinical nursing practice, characteristics of a theory, and strengths and limitations of the theory.

Written for both pre-registration nursing students and existing nursing practitioners, this book provides a collection of realistic fictional scenarios that explore how nurses tackle clinical dilemmas, weigh up options and make good decisions based on a sound understanding of theory related to practice. This book provides an annotated thinking aloud framework for critical reflection that identifies the relevant values, theories, approaches and models being used, allowinf readers to really understand how theory can be applied to practice. It provides students and educators with opportunities to discuss clinical dilemmas in a safe space in which they can explore their own values and beliefs, apply professional knowledge and consider new approaches to nursing. Featured in these clinical scenarios are professional dilemmas they may not have yet encountered in their practice to help them uncover new methods of decision-making. It explores best practice and takes account of other professional perspectives, including challenges and barriers to interdisciplinary working. After using this book learners will feel confident in their problem-solving and decision-making abilities.

For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience. Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as: Surviving Phase - preoccupation with survival Existing Phase - preoccupation with restriction of life experiences in order to cope Living Phase - preoccupation with quality of life and relationships Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis. Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.

Are you anxious about your mental health placement? Do you need help remembering the terms, therapies and guidelines?Mental health is a fascinating specialised field where you can make a real difference. The Clinical Helper for Mental Health Nursing is a quick and reliable reference for students and new graduates to reduce stress and boost confidence in the clinical setting.Covering the key information you must have at your fingertips, this pocket guide is essential for all nurses entering mental health practice.

CONTEMPORARY PSYCHIATRIC-MENTAL HEALTH NURSING, 3/e is the most up-to-date, evidence-based, culturally competent, authoritative, and comprehensive resource for psychiatric-mental health nursing. The authors emphasize the importance of empathy and client empowerment, while providing the knowledge and clinical competence that psychiatric-mental health nurses can use to help diverse clients heal on both psychobiologic and spiritual levels. They prepare students to tailor and humanize interventions for traditional as well as "new" psychiatric-mental health clients encountered in forensic settings, homeless shelters, and in other community and rehab settings. Since advances in neuroscience and genetics are redefining the scientific understanding of mental disorders, the authors offer a solid grounding in psychobiology, including brain imaging assessment and new psychopharmacologic treatment options. This edition adds a full chapter on Recovery and Psychiatric Rehabilitation Strategies, and many new boxed features showing how psychiatric disorders are portrayed in the news and movies.

Elder abuse has been increasingly recognised over the past ten years in many countries and progress has been made in both understanding and addressing the issue. This volume provides a much-needed international overview of the topic. Opening with an examination of what elder abuse is, Amanda Phelan sets it in a theoretical context and looks at assessment and approaches to the issue in residential and community care environments. The book then presents a range of country studies, which provide an overview of the context of elder abuse in the country and a discussion of related policy, legislation, research and practice. Countries covered include Ireland, United Kingdom, Spain, China, Australia, Kenya, Israel, Canada and the United States, whilst a regional chapter looks at South America. A concluding chapter draws together cross-cultural comparisons and provides some guidance as to best practice. The only comprehensive book in this area, International Perspectives on Elder Abuse is an invaluable reference for practitioners, academics and researchers from a range of disciplines, including nursing, social work, sociology, public health and social policy.

In an increasingly legalised healthcare environment, this new handbook provides an essential guide to nursing professionalism in the context of the law. With a professional career undertaking various healthcare-related roles, the author is both a mental health and general nurse who takes the reader through the workings of the legal system and how nurses can apply the law in an ethical and principled way. The handbook helps the reader to consider complex issues such as biomedical ethics, human rights, negligence and the importance of confidentiality, and provides guidance on decision making when faced with legal or ethical dilemmas. Easy to understand and peppered with numerous practical examples throughout, the Handbook of Medical Law and Ethics for Nurses will support development of the essential legal awareness needed by undergraduate and post-graduate nurses alike. Easy to read - suitable for pre-registration nurses as well as practising nurses, midwives and nursing associates Illustrated throughout with case study vignettes and linked to relevant legislation in England Links to case law to improve understanding of the legal system Covers hot topics and debates, supporting nurses to participate in appropriate and effective decision making Supports learning in nursing modules covering professional practice

For professionals working with people who experience severe psychosis, increasing empirical evidence for the benefits of psychotherapy for psychosis has been especially welcome. Given the limitations of medication-only approaches and the need for an expanded perspective, including for those diagnosed with schizophrenia, Surviving, Existing, or Living takes a fresh look at severe psychosis, offering a heuristic model for understanding psychosis along a continuum of severity, from the extreme experience of acutely impairing psychosis to a more enriched life experience. Pamela Fuller emphasizes that facilitating recovery from psychosis requires appropriately and effectively matching the type and timing of interventions to client readiness and capabilities. The need to consider each individual according to which of three primary issues/phases preoccupy the person with psychosis is essential for tailoring treatment. She identifies these phases as: Surviving Phase - preoccupation with survival Existing Phase - preoccupation with restriction of life experiences in order to cope Living Phase - preoccupation with quality of life and relationships Surviving, Existing, or Living examines the rationale for these three phases, and provides details of phase-specific treatment interventions as well as a 'how to' guide for facilitating engagement and for determining 'what to do when,' including with those experiencing acute, severe psychosis. Rich clinical case examples are provided to highlight concepts and the types of interventions. Trauma-specific and group interventions for psychosis are also described, as well as ways to foster resilience in the professional who works with individuals with psychosis. Surviving, Existing, or Living offers a detailed guide to help individuals experiencing psychosis move from suffering to recovery, beyond surviving or existing toward more fully living. The book will be essential reading for professionals in the fields of psychology, psychiatry, counseling, medicine, social work, nursing, occupational, recreational, and vocational therapies, experience-based experts, and students.

Appropriate for courses in Medical Surgical Nursing. Medical-Surgical Nursing: Critical Thinking in Patient Care, 5e has been revised and updated to provide the knowledge and skills needed to care for adult patients to promote health, facilitate recovery from illness and injury, and provide support when coping with disability or loss. Throughout the text, the authors make every effort to communicate that both nurses and patients may be male or female; and that patients require holistic, individualized care regardless of their age; gender; or racial, cultural, or socioeconomic background. The goal of the fifth edition is to provide the knowledge and resources that ensure a solid base for critical thinking and clinical judgment and that can be applied to provide safe, individualized, and competent clinical nursing care. Multiple learning strategies have been developed to facilitate success-audio, illustrations, teaching tips, and video and animation media. Understandable language and a consistent format are used, and students overwhelmingly report that they actually like reading the text.

A unique companion to professional play practice

All play professionals are united in their belief that play is important for children s development and there are inherent characteristics of play that underpin professional play practice across contexts. Providing an overarching concept of play, drawing together the evidence base across disciplines and linking theory to practice, "The Essence of" "Play "is the ideal handbook for all those working with children.

Play acts as a natural resource for children to meet physical, intellectual and emotional challenges and this book, unusually, considers play from the perspectives of children rather than adults. It provides a baseline of shared knowledge for all play professionals, exploring the fundamental value of play rather than a how to approach to practice. It considers:

• the therapeutic potential inherent in play;
• how play reflects and promotes physical, emotional, intellectual, linguistic and social abilities;
• the emergence of different types of play skills and why these are important;
• cross-cultural patterns in play, gender, atypicality and adversity, highlighting the relevance of these issues to professional play practice;
• the benefits of utilising play for assessment and other professional practice issues such as ethical play practice, balancing risk with health and safety and the creation and management of boundaries.

This text is designed for students and practitioners working with children across the helping professions, including early years education, play therapy, playwork, childcare, social care, nursing and allied health. Each chapter provides directed reading and small reflective tasks to encourage readers to digest key issues.

Developing Practical Nursing Skills helps you learn and perfect the practical skills required to become a qualified nurse. Adopting a patient-focused and caring approach, this essential text helps you integrate nursing values alongside physical skills in your daily practice. Now in its fifth edition, the text takes into account the NMC standards of proficiency and is relevant to nurses across all fields. Key features of the book include: i) New chapters on mental health assessment and end-of-life care, along with expanded content on sleep, pain and medication management. ii) Full-colour text design with clear illustrations and clinical photographs to aid visual learning. iii) Reader-friendly style with learning outcomes, activities and reflection points to help you link theory to practice. iv) Scenarios from a range of settings, including community, mental health and learning disabilities nursing. v) A focus on adults and young people, and with 'pointers' on caring for children and pregnant women to promote a lifespan approach. This is a complete clinical skills resource for all pre-registration nursing students. It is also a useful text for nursing associate and healthcare support workers.

"Public Health Nursing" is an essential resource for all health visiting students, school nursing students, and occupational health nursing students, that reflects the current key changes in community public health nursing. It is a key textbook for specialist practitioner programmes, and those new to the public health arena.

Written by relevant experts in the field, this practical textbook uniquely explores the three main specialties of Public Health Nursing: Health Visiting, School Nursing and Occupational Health Nursing. A particular strength of the book is the way it shows the diversity of each discipline and how they each address Public Health in vastly different ways according to the needs of their relevant population.

This will be essential reading for all students on the Specialist Community Public Health Nursing (SCPHN) programmes offered across the UK.

Key features: Focuses on the specialist community public health nursing part of the NMC registerMultidisciplinary, with contributors from all three specialismsConcerned with improving the health of the population, rather than treating the diseases of individual patientsFocuses on practice and competencies

Accident & Emergency: Theory into Practice is the comprehensive textbook for emergency nurses, covering the full range of emergency care issues, including trauma management and trauma care, the lifespan, psychological issues, physiology for practice, practice and professional issues. This book is about more than what a nurse should do; it is about why it should be done, leading to sustainable and safer practice. The third edition of this ever-popular text expands its horizons to include contributions from emergency care professionals in New Zealand, Australia and the Republic of Ireland, as well as the United Kingdom. Applied anatomy and physiology and how it changes in injury and ill health Treatment and management of a wide range of emergency conditions Includes emergency care across the life continuum, trauma management, psychological dimensions and practice and professional issues. 'Transportation of the critically ill patient' chapter outlines the nursing and operational considerations related to transportation of the acutely ill person. 'Creating patient flow' chapter overviews the concepts behind patient flow across the wider health system and introduces the key concept of staff and patient time. It explores some of the techniques used in manufacturing and service industries and its application to health system, illustrating how to reduce the waste of patient and staff time. 'Managing issues of culture and power in ED' chapter demonstrates that cultural awareness is about much more than recognising the different religious needs of patients and their families; it's also about recognising culture, diversity, stereotyping and expressions of power. Updated to reflect the latest practice and guidelines in this fast-changing field of practice.

There is currently a lively debate ongoing in society about the nature of trust and the conditions necessary to establish and sustain it. Given the role of trust in bridging uncertainty, it is perhaps not surprising that as our consciousness of risk has increased, the role and nature of trust in social practices has come under growing scrutiny. These developments are particularly relevant to health because participation in health practices is arguably based on and engendered through trust. There is thus a need for empirically based research, which intelligently unravels this complexity to support all stakeholders in the health arena. This multidisciplinary volume of work addresses this gap by contributing substantively to the exploration of trust in the experience, practice and organization of health. It offers an overview of recent scholarship, based on empirical research, which explores the significance of trust in relation to key health-related issues. At the same time, this text examines conceptual themes in relation to trust more generally, including the relationship between trust and auditing, consent, expert knowledges and social capital.