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.

Despite astronomical growth in the number of online nursing programs currently available, little support is provided for faculty on how to teach in that environment. While most assume that the knowledge and skills required for classroom teaching are readily translatable to teaching online, significant differences exist. Affordances provided by the online environment promote reflection and engaging with the content in a deep and meaningful way that factors in adult students' strengths as self-directed, motivated, and goal-driven learners. This resource provides step-by-step instructions for RN-BSN, masters, DNP, and PhD faculty on how to teach online effectively, engage their students, and foster success for both student and teacher. Teaching Online Courses in Nursing offers practical information on every aspect of teaching an online course. Foundational educational theories and concepts including new insights from cognitive psychology are explained and linked in such a way that operationalizing them during course design makes good sense. The core sections of the text focus on online course design that includes drafting course objectives and a syllabus and crafting discussion questions or cases. Key to teaching an online course is understanding and being comfortable with facilitation strategies in order to maintain a balance between being present in the course and not getting in the way of learning. Worksheets with guiding questions, discussion tracking tools, and other instructor resources will assist readers in developing the best approach for designing and teaching a specific online course. Key Features: Worksheets to guide each step of the process of designing and teaching a course online Includes best practices in online education and the latest research Features the outcomes-based approach of Wiggins and McTighe (2005), re-conceptualized for online course development Take-Away summaries at the end of each chapter sum up the key points

Pediatric integrative medicine is a rapidly evolving field with great potential to improve the quality of preventive health in children and expand treatment options for children living with chronic disease. Many families actively use integrative therapies making familiarity with the field essential for clinicians working with pediatrics patients. This book provides a clear, evidence-based overview of the field. Foundations of pediatric health are covered with a goal of reviewing classic information and introducing emerging research in areas such as nutrition science, physical activity and mind-body therapies. Complementary medicine therapies are reviewed with an eye to expanding the conventionally trained clinician's awareness about traditional healing approaches. Clinical applications explored include: Allergy Asthma Mental health IBS Bullying Obesity Environmental health ADHD Autism The book provides an excellent introduction to a relatively young field and will help the reader understand the scope of current evidence for integrative therapies in children and how to introduce integrative concepts into clinical practice. Integrative Pediatrics is a refreshing must-read for all students and health professionals focused on pediatrics, especially those new to the field or studying at graduate level.

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.

According to the Center for Research and Epidemiology of Disasters, the frequency and severity of disasters has increased over 300% in the last decade. Healthcare systems and individual healthcare practitioners, including nurses, are now fulfilling multiple roles in disaster preparedness in the whole of community: planning, preparedness, risk identification, mitigation, response and recovery. Nurses are considered first responders for biological events or when the disaster occurs where they are working. Nurses act as first receivers when accepting patients/victims for care whose injuries result from non-biological events occurring outside the nurse's workplace. The vast majority of practicing nurses received no disaster preparedness education in their basic nursing education program. Nurses graduating in the 21st century are exposed to some of the concepts of disaster nursing but have little experience unless there is a disaster or emergency where they work or go to school. Readers will be updated on this topic because articles in this edition demonstrate a vast array of implications for nurses in disaster preparedness around the world: chemical, biological, radiological/nuclear, explosives (CBRNE); natural disasters; new models of training and educating nurses for disasters, military nurse response, mental health issues as well as non-government organizations.

Dr. Goldsworthy has created a state-of-the-art issue that emphasizes the nurse's role in mechanical ventilation. Pertinent clinical topics include the following: basics of mechanical ventilation for nurses; current modes for mechanical ventilation; best practices for managing pain, sedation, and delirium in the mechanically ventilated patient; mobilization of and optimal oxygenation for the mechanicaly ventilated patient; managing complications; and effective weaning strategies. Authors also address mechanical ventilation in both children and neonates. The current content in this issue will leave nurses with the clinical information they need to effectively manage mechanically ventilated patients.

Highlighting and examining the vital role of nurses in protecting children from maltreatment, this book explores the input of nurses from different disciplines to the work of protecting children and young people. It draws on relevant theoretical, research and policy literature but focuses in particular on the evidence base for the value of their work.While orientated towards UK practice, the book includes some comparative material to add a wider European perspective. The text includes discussion of specialist public health nursing roles such as health visiting and school nursing, as well as the contribution of those who have more general nursing roles but whose work brings them into contact with children, young people and their families.This volume will inform all qualified nurses working in acute care and primary care settings who have contact with children, young people and their families. It will also be of use to those undertaking post-qualifying and post-graduate courses and is particularly relevant for Specialist Community Public Health Nurses (SCPHNs) many of whom, once qualified, have significant child protection roles in 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.

Fluids and Electrolytes: Essentials for Healthcare Practice is designed to give a solid understanding of fluid and electrolyte physiology and its implications for practice, including acid-base balance and intravenous (IV) therapy, in a concise and easily understandable format. Chapters incorporate physiological, developmental and practical aspects, highlighting some of the key issues that arise from childhood to old age. This accessible text is presented with clear graphical representations of key processes, numerous tables and contains interesting facts to explore some common myths about human fluid and electrolyte physiology. A valuable resource for healthcare students, this book also provides a strong comprehensive overview for practitioners, nurses, physiotherapists and paramedics.

Mentors for student nurses and newly registered nurses will welcome the revised fourth edition of this trusted handbook on how to teach others: peers, students, patients and relatives. It is written in a user-friendly style, 'talking through' strategies with the reader. This is a practical 'How to' guide, rather than an academic treatise, with particular emphasis on the use of competencies. . Learning objectives begin each chapter . Sets teaching within the context of nursing and education . Aids the teaching of reflective learning . Activities and exercises are incorporated into each chapter . Presents real world examples of the application of teaching in practice . Kirkpatrick evaluation model . Competency-based practice . SCARF - Status, Certainty, Autonomy, Relatedness and Fairness in education . Revalidation with the NMC . Accreditation of Prior Experiential Learning (APEL)

Written for graduate students and professionals in the fields of midwifery, women's health, and public health, this book explores the freestanding birth center model in the United States from its conception by pioneering midwives and others in the early 1970s to the present day. Compared to the hospital-based birth model, the freestanding birth center offers a well-documented, healthier, more cost-effective, and more humane way to care for women and newborns, consistent with the goals of the Affordable Care Act. This rapidly expanding model of care has many positive implications for high-quality, individualized care and birth outcomes across the United States. Written by U.S. leaders in midwifery, Freestanding Birth Centers: Innovation, Evidence, Optimal Outcomes offers a comprehensive guide to the evolving role of birth centers, clinical and cost outcomes, regulatory and legal issues, provider and accreditation issues, and the future of the birth center model. Woven throughout the text are descriptions of ""exemplar"" birth centers representing diverse geographical, business, and service models. These cases illustrate the possibilities for expansion and replication of this model of care. Key Features: Provides a thorough history of the birth center movement from its inception through future expansion of the model Serves as an essential resource with up-to-date evidence on clinical and cost outcomes Includes case studies linking the unique service focus of individual birth centers to the associated sections of the book Provides practical and comprehensive coverage of all issues involved in running a U.S. birth center First place winner in the 2017 American Journal of Nursing awards.

At lastua single-volume source for long-term care research instruments! Susan Voge and Sarah Beaton have brought together over 100 of the most frequently used (and some of the most difficult to find) measurement tools, providing users with immediate access to a wealth of useful information. Measurements for Long-Term Care lists instruments alphabetically by name. Each entry includes the name of the measurement tool, the toolAEs author or creator (with address), a description of the tool, its psychometric properties, the procedure for applying the tool, sample items such as examples of phrasing questions, scoring responses or data, the original source (publication) of the instrument, and references regarding the tool. The book includes abbreviations and acronyms, an index of instrument authorsAE names, an index of nursing diagnoses and related instruments, an index of subjects (client disorders and problems), and an index of instruments titles. Measurements for Long-Term Care will prove an excellent shelf and clinic reference for researchers, clinicians, and advanced-level students in long-term and chronic care, gerontologic nursing, and rehabilitation nursing.

This step-by-step guide takes the reader logically through the process of undertaking a literature review, from determining when this methodology might be useful, through to publishing the findings. It is designed particularly for students undertaking a dissertation using literature review methodology. However, it also caters to practitioners who wish to review the existing evidence in order to develop practice. Key features of the text include: a chapter on what makes a good literature review, so that readers are clear and confident about what they're aiming for; discussion of the value of literature reviews, whether for fulfilling the requirements of a course or for developing practice; a chapter structure that reflects the structure of a typical dissertation by literature review, making the material intuitive and easy to navigate; case examples throughout to illustrate how methodological principles work in practice; a troubleshooting guide to provide support and advice on common problems when carrying out a literature review; advice on the dissemination of findings. Written by an established author with significant experience teaching and supervising students doing literature reviews, this invaluable text offers systematic and insightful advice on all aspects of literature review methodology, from problem identification to synthesizing information to forming conclusions. It is ideal for any student or practitioner in health and social care looking to undertake a literature review for study or practice purposes.

First book to show how qualitative and quantitative methods in health and social care are used in practice. Ideal for helping students make an informed decision on what research methods to use for their research projects. Relates social research methodology to social research studies done in the real world and demonstrates the link between research and changing and improving practice. Ideal for students at level 4 to 6.

Help families of institutionalized elders with this compassionate and practical manual.

Critical care units are high-risk areas which contribute to increased health care costs and increased patient morbidity and mortality. Patients in critical care units are commonly confronted with existing and the potential to develop infections. Critical care practitioners play a crucial role as initial providers to critically ill patients with infections through the delivery of timely and appropriate therapies aimed to prevent and treat patient infections. The responsibility of critical care practitioners include prudent delivery of care to treat current infections as well as ensuring the delivery of care does not increase the development of new infections. Aggressive infection control measures are needed to reduce infections in critical care settings. Dissemination of scholarly work on the topic of infection in critically ill patients can play a role in improving patient outcomes. The information provided on infections in this issue of Critical Care Nursing Clinics promotes the dissemination of current literature on a series of timely and relevant infection topics in critical care environments.

Brief Cognitive Behavior Therapy for Cancer Patients is a practical, clinical guide that allows for the integration of techniques from multiple newer CBT models, organized around a clear conceptual foundation and case conceptualization. The book targets those cognitive, emotional, and behavioral processes that research suggests are instrumental in the maintenance of human psychological suffering. Author Scott Temple also draws on newer models that build on strengths and resilience and brings clinical work to life through vivid case examples, worksheets, and case conceptualization forms. Detailed vignettes show clinicians how to create a case conceptualization as a guide to treatment, as well as how to integrate Beckian and newer CBT techniques.

Why should researchers be interested in their feelings and emotions as they carry out research? Emotion is what it is to exist, to be human, and is present in every sphere of our lives. All activities are infused with emotion, even those that are constructed as 'rational', because rationality and emotionality are interpenetrated and entwined because all thinking is tinged with feeling, and all feeling is tinged with thinking. This book illuminates the emotional processes of doing social and organizational research, and the implications of this for the outcomes of research. With contributions from leading academics and research practitioners, it addresses the significant issue of the sometimes intense emotional experiences involved in doing research and the implications it has for the theory and practice of social research. By examining the nature of feelings and emotions, it explores how we might understand researchers' emotions and experiences, and considers the often powerful feelings encountered in a variety of research contexts. Topics discussed include: power relations; psycho-social explanations of researcher emotions; paradoxical relations with research participants and the sometimes disturbing data that is gained; research supervision; the politics of research; gender; publishing, undergoing vivas and presenting at conferences. This book will therefore be a valuable companion to researchers and research students from the start of their career onwards.

Fully revised second edition. Includes glossary of key social work terms. Includes detailed discussions of the changes to the organisation of social work practice and education in the countries of the UK. In addition to this, there is greater international content. Covers the full range of social work, not just one group/type, with discussions of children, adults and the elderly over topics including immigration, people trafficking and refugees, protection, substance abuse and socially excluded groups.

The first conceptual framework for frontier nurse practitioners! This pioneering text is the first to present a framework for remote-rural and frontier nurse practitioners (NPs), with a focus on the political and contextual forces that influence practice. This groundbreaking text distills contextual knowledge required for frontier practice, describes how it differs from work in more populated locations, and discusses the special skills and training needed in this setting. It addresses the art and ethics of frontier practice, the relationship between federal policy and frontier health care, and how to advocate for adequate health care in remote areas. Also included are rich narrative case studies, in which NPs vividly describe why they decided to practice in the frontier environment. They also discuss the educational and work experience needed for frontier practice, the potential complications of treating patients who are also friends and neighbors, and how to manage emergency medical and trauma experiences in remote environments. Key Features: Provides the first model for frontier and remote-rural NP practice based on narrative evidence Introduces the new frontier and remote (FAR) methodology and demonstrates its use in nursing research Illustrates how narrative nursing knowledge contributes to the discipline and informs theory Provides a systematic review of key literature relating to frontier NP practice Discusses the link between federal policy and rural health care and its impact on NP practice Distills educational and policy recommendations from the practice experiences of frontier NPs

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.

The NHS Experience is an accessible and engaging guide for all those journeying through the NHS, whether as patients, carers or professionals. It draws on the experience of staff and families at Great Ormond Street Hospital to provide good practice guidance for both users and providers of health care. Based on the successful Snakes and Ladders drama programme developed at Great Ormond Street Hospital, this unique book uses the story of Daniel, a fictional child with the life-limiting disease cystic fibrosis, to provide insight into the enormous challenges faced by patients, their families and the professionals involved in their care. Asking difficult questions about how we can improve the NHS experience for everyone at the front line, Daniel's story builds on information from a wealth of sources to highlight: the practical, ethical, resource and financial dilemmas integral to the NHS the vital issues around communication, trust, management of clinical errors, consent, shared decision-making and bereavement the realities of fragmented care, bed shortages, uncertain diagnoses, and complex and difficult treatment choices. This is a book that should be read by all healthcare professionals and everyone who uses the NHS.

This issue of the Nursing Clinics of North America focuses on the expanding knowledge of oncology nursing. The science of cancer, the disease, is expanding at an unprecedented pace producing knowledge that is unparalleled in its complexity. Nurses caring for oncology patients require specialized knowledge to care for their patients safely. The articles in this edition include cutting-edge information written by authors who practice in corresponding settings. The articles are devoted to Oncology Genomics: Implications for Oncology/Cancer Nurses; Informatics; Evidence-Based Practice in Oncology Nursing; Brain Cancer and Family Caregiving; Symptom Management and Palliative Care for Patients with Cancer; Lung Cancer and Tobacco: What's New; Health Disparities; Changes in Cancer Treatment: Nibs and Mabs; Clinical Trials and the Role of the Oncology Clinical Research Nurse Cancer Survivorship; and Oral Chemotherapeutic Agents.

Despite the scope and sophistication of contemporary health care, there is increasing international concern about the perceived lack of compassion in its delivery. Citing evidence that when the basic needs of patients are attended to with kindness and understanding, recovery often takes place at a faster level, patients cope more effectively with the self-management of chronic disorders and can more easily overcome anxiety associated with various disorders, this book looks at how good care can be put back into the process of caring. Beginning with an introduction to the historical values associated with the concept of compassion, the text goes on to provide a bio-psycho-social theoretical framework within which the concept might be further explained. The third part presents thought-provoking case studies and explores the implementation and impact of compassion in a range of healthcare settings. The fourth part investigates the role that organizations and their structures can play in promoting or hindering the provision of compassion. The book concludes by discussing how compassion may be taught and evaluated, and suggesting ways for increasing the attention paid to compassion in health care. Developing a multi-disciplinary theory of compassionate care, and underpinned by empirical examples of good practice, this volume is a valuable resource for all those interesting in understanding and supporting compassion in health care, including advanced students, academics and practitioners within medicine, nursing, psychology, allied health, sociology and philosophy.

Written by many of the world's leading lactation experts, the Textbook of Human Lactation incorporates evidence-based scientific knowledge to address key topics of importance in breastfeeding such as Anatomy and Biochemistry, Immunobiology, Breastfeeding Management in Infant and Mother, Maternal and Infant Nutrition, and Medications and Breastfeeding. Specific and detailed information is provided on the following: Complete description of the anatomy and physiology of the lactating breast Detailed explanation of the immunobiology of human milk Description of difficult syndromes and conditions in the infant and breastfeeding mother, and how to overcome these challenges Thorough discussion of the of the emotional and physiological component of breastfeeding, especially as it relates to mother/infant co-sleeping Detailed description of the nutritional competition and components of human milk Explanation of the science of drug transport into human milk, and the use of medications in breastfeeding mothers Discusses breastfeeding in the context of important topics such as infertility, polycystic ovary syndrome (PCOS), vitamin D, birth spacing, and family planning.