This volume reviews the state of the art in caring for patients dying in the ICU, focusing on both clinical aspects of managing pain and other symptoms, as well as ethical and societal issues that affect the standards of care recieved, The book also addresses the changing epidemiology of death in this setting related to managed care, practical skills needed to provide the highest quality of care to terminal patients, communicating with patients and families, the mechanics of withdrawing life supporting therapies, and the essential role of palliative care specialists in the ICU. The book briefly describes unique issues that arise when caring for patients with some of the more common diseases that preciptate death in the ICU. Contributors for the book were chosed because they have experience caring for patients in the ICU, and are also doing curent research to find ways to improve care for terminal patients in this setting.

Cognitive Aging and the Role of Strategy is the English Language edition of 'Vieillissement cognitif et variations strategiques', oriiginally published in French . Lemaire is a well-respected professor and text-book author of Cognitive Psychology in France and his English language edition will have updated content on theories of cognitive aging to provide a broad view of adult development and the aging process. This title will be of interest to students of specialist psychology courses at both undergraduate and postgraduate level.

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.

This well-respected core text provides a comprehensive solid foundation for students of nursing and practitioners who care for and or support people with learning/intellectual disabilities in a range of health and social care settings and scenarios. This book addresses learning/intellectual disability nursing from various perspectives, including historical and contemporary practice, health promotion, interventions for good mental health, people with profound disabilities and complex needs, care across the lifespan, and forensics. This new edition has been comprehensively updated throughout and now includes two entirely new chapters. One covers liaison nursing, and the other explores the future for learning/intellectual disability nursing. The book includes numerous case studies and learning activities to support the reader, as well as remaining clinically relevant. Uniquely this text is linked and benchmarked to the Nursing and Midwifery Councils, UK – Future Nurse Standards of Proficiency and the Nursing and Midwifery Board of Ireland’s Competencies for nursing students. This text is essential reading for anyone studying learning/intellectual disabilities at undergraduate and post-graduate levels; it will also be a useful resource for the wider family of nursing, as well as health and social care professionals.

Integrates the perspectives of contemporary nurse leaders to foster an innovative, collaborative future Encompassing the wisdom of both established and emerging nurse leaders, this expansive book demonstrates proof of theory in action and the influence of our great nursing legacy on today's luminaries as they carve out new terrain to benefit current and future health care needs. With a far-reaching, ambitious perspective, it is the first text to link the ideas of nurse leaders from very diverse specialty areas including holism, advanced practice, education, policy, global health, journalism, and spiritual communities. The book examines the professional and scholarly accomplishments of these nurse leaders within an historical context, and facilitates succession planning for the next generation through of combination of outcomes-based writing, storytelling and personal reflection. Dozens of expert contributors from practice and theory arenas describe how to develop leadership skills and tactics through the implementation of local, national, and international initiatives. With an eye to creative evolution in education, research and clinical settings, they discuss how emerging nurse leaders can be agents of change - beyond the confines of traditional practice and curricula - through innovation and collaboration. Contributors also relate the circumstances and experiences that sparked their nursing passions, the moral/ethical foundation from which they practice, and inspired messages toward communal, societal, and global impact within nursing of the future. Each chapter author follows a template to ensure continuity and includes end-of-chapter reflection questions. Key Features: Distills the perspectives of current and emerging nurse leaders from a diverse array of specialty areas to unify the collective of nursing Redefines praxis possibilities in education, research, and practice Outlines contributing nurse leaders practical and scholarly accomplishments Describes how to facilitate change through innovation and collaboration Teaches the development of leadership skills and tactics

This state-of-the-art handbook will keep researchers and practitioners in gerontology abreast of the newest theories and models of ageing. With virtually all new contributors and content, this edition contains 35 chapters by the most highly respected luminaries in the field. It addresses theories and concepts built on cumulative knowledge in four disciplinary areas - biology, psychology, social sciences, and policy and practice - as well as landmark advances in trans-disciplinary science. With its explicit focus on theory, the handbook is unique in providing essential knowledge about primary explanations for ageing, spanning from cells to societies. The chapters in the third edition place a strong emphasis on the future of theory development, assessing the current state of theories and providing a roadmap for how theory can shape research, and vice versa, in years to come. Many chapters also address connections between theories and policy or practice. Each set of authors has been asked to consider how theories in their area address matters of diversity and inequalities in aging, and how theories might be revised or tested with these matters in mind. The third edition also contains a new section, "Standing on the Shoulders of Giants", which includes personal essays by senior gerontologists who share their perspectives on the history of ideas in their fields, and on their experiences with the process and prospects of developing good theory. Hallmarks of the third edition: Highlights important gains in trans-disciplinary theories of ageing. Emphasises the future of theory development. Provides insights on theory development from living legends in gerontology. Examines what human diversity and inequality mean for ageing theories. Emphasises interconnections between theory, research, intervention, and policy. Underscores international issues with greater representation of international authors. Includes section introductions by the editors and associate editors that summarise theoretical developments. Key Features: Highlights variability and diversity in aging processes, from the cellular level of biological ageing to the societal level of public policy. Provides insights on theory development from living legends in gerontology. Offers intergenerational, interdisciplinary, and international perspectives. Disseminates a forward-thinking, future-oriented focus in theory development.

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.

Integrating the science of self-care with other nursing and multidisciplinary perspectives, this is the first book for the Professional Nursing Practice course in RN to BSN curriculum to present a conceptual framework for contemporary nursing practice based on the science of self-care that also incorporates other nursing and multidisciplinary perspectives. Built upon the premise that nursing is both a caring and a knowledge-based profession, this cutting-edge book illustrates how to attain and integrate knowledge from nursing theory and theories of related disciplines to achieve optimal evidence-based nursing practice. Using case studies to demonstrate the relationship between nursing theory and practice, the text underscores the importance of having a deep understanding and conceptual model of the unique role of nursing in society and its practice domain. It instils a foundational understanding of the science of self-care and its contribution to contemporary nursing. It describes how this paradigm is gaining recognition as an effective anti-burnout strategy and demonstrates how it can be applied. Case examples from a variety of clinical situations integrated with nursing theory demonstrate the variables needed to achieve optimal nursing practice. The book illustrates what data to collect, how to analyse that data, how to design and implement intervention strategies, and how to determine their effectiveness. Key concept boxes, measurable objectives with critical thinking questions, and learning activities reinforce content. Additionally, more complex cases included at the end of the text and frequent links to nursing literature provide fodder for more in-depth analysis. Key Features: Provides an integrative model for nursing practice based on self-care that is useful in all clinical settings. Illustrates how to attain and integrate knowledge from the science of self-care with other nursing theories. Demonstrates the relationship between theory and practice through case studies. Introduces students to the importance of recording and analysing data to achieve evidence-based practice Includes measurable objectives with review questions at the end of chapters and many other pedagogical features.

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.

This third edition of a trusted resource brings together the latest literature across multiple fields to facilitate the understanding and prevention of falls in older adults. Thoroughly revised by a multidisciplinary team of authors, it features a new three-part structure covering epidemiology and risk factors for falls, strategies for prevention and implications for practice. The book reviews and incorporates new research in an additional thirteen chapters covering the biomechanics of balance and falling, fall risk screening and assessment with new technologies, volitional and reactive step training, cognitive-motor interventions, fall injury prevention, promoting uptake and adherence to fall prevention programs and translating fall prevention research into practice. This edition is an invaluable update for clinicians, physiotherapists, occupational therapists, nurses, researchers, and all those working in community, hospital and residential or rehabilitation aged care 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.

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.

Clinical Skills: an introduction for nursing and healthcare covers the essential clinical skills required by nurses. It offers an ideal introduction to clinical skills for adult nursing students, and it will also be useful for student nurses in other fields of practice, for trainee nursing associates and for other healthcare students who need to carry out clinical procedures when caring for people in a healthcare environment. Written in an engaging and accessible style, the book will help students to: develop their proficiency in carrying out the nursing procedures required to qualify as a Registered Nurse understand when and how to provide nursing intervention and support to people in their care broaden and deepen their knowledge through the use of realistic scenarios apply their knowledge in a person-centred and compassionate way reflect on their own values and learning experiences to enhance their nursing practice improve their nursing skills by using the 'hints for practice' and 'alerts' The clear, reader-friendly presentation will help students develop the underpinning knowledge and understanding of the clinical skills they will need throughout their healthcare career. "The clinical skills book is a gem, easy to follow, eye catching, and relevant to all skills modules across all years of the nursing programme." Lecturer in Adult Nursing, School of Health, Science and Wellbeing, Staffordshire University

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.

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.

High-profile incidents of violence perpetrated by individuals who were found to have profound mental illness but had no history of dangerous behaviors - the Virginia Tech and Sandy Hook shootings, for example - often lead to the question: "What could have been done to help this person and prevent their violent actions?" This concise, accessible guide for helping professionals not trained in psychiatric health is a quick reference for identifying and intervening with a person experiencing a first psychotic episode. It guides non-medical helping professionals in how to identify a possible psychotic episode, how to interact compassionately and effectively with the individual, and how to make appropriate referrals toward receiving proper treatment.

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

Based on proven research, this textbook is a unique "how-to" for nursing faculty called upon to educate students, nurses, and other health care providers on how to provide optimal care for culturally diverse populations. It offers a systematic approach featuring ready-to-use materials for planning, implementing, and evaluating cultural competence education strategies and programs. A wealth of practical information on all aspects of culturally competent communication and treatment-in both classroom and workplace settings-is supplemented with an assessment and evaluation toolkit that can be adapted for all educational levels. The third edition is reorganized to facilitate the incorporation of cultural competence into a greater variety of environments, and provides additional examples and case studies to better illustrate content. Updated and revised information, research findings, and expanded ready-to-apply strategies and exemplars are woven throughout all chapters.

This state-of-the-art volume will focus on the evidence base, but practical nature of the optimizing physical activity and function, and the real world recommendations provided by experts in the field. In addition, the book will be written by a wide variety of national and international experts across multiple disciplines including nursing, medicine, physical therapy, and exercise physiology.

The use of first-hand service user accounts of mental illness is still limited in the professional literature available. This is, however, beginning to change, with a new 'recovery' focus in mental health services meaning that the voices of service users are finally being heard. Recovering from Psychosis: Empirical Evidence and Lived Experience synthesises a narrative approach alongside an evidence-based review of current treatment by including Stephen Williams' own personal experience as it relates to psychosis, recovery and treatment. A mental health professional himself, the author's account of his own recovery from severe mental health difficulties, without sustained intervention, challenges the orthodoxy of representation of service users in mental health. Recovering from Psychosis critically explores and reviews the current state of the art of research and knowledge about the nature and treatment of psychosis. Working simultaneously from empirical, lived experience and philosophical perspectives, Stephen Williams: Evaluates political and power related issues in professional understanding, knowledge-creation and treatment of people with psychosis; Introduces the current 'recovery movement', unpacking its origins and implications for the future development of 'recovery oriented services'; Reviews, summarizes and critiques the current state of 'recovery' research, looking at the advantages and disadvantages of such an approach, examining how this is influencing the transformation of UK mental health services; Analyses the difficulties in organisational implementation of recovery approaches, summarises the most empirically robust approaches to practice, personal and service delivery measurement; Reviews current 'models' of psychosis and how various professional scientific groups explain the experience and nature of psychosis; Uses lived-experience accounts taken from the scientific literature, portraying the nature of such experiences and analysing them in the face of contemporary psychological models. Recovering from Psychosis is an essential comprehensive guide for mental health professionals, psychologists, social workers and carers, who are working with people with severe and enduring mental health difficulties diagnosed as psychosis. It addresses the practical implications of working with such difficult conditions and serves as a hopeful story of recovery for service users.

This lively, introductory text provides students and health practitioners with the foundations of a sociological understanding of health issues. Written for anyone who is interested in health and disease in contemporary global society, this book engages the reader to act upon their occupational and moral responsibilities. It explains the key sociological theories and debates with humour and imagination in a way that will encourage an inquisitive and reflective approach on the part of any student who engages with the text. With individual chapters covering sociology, health, science, power, medicalisation, madness happiness, sex, violence and death, Sociology and Health is organized so that the student moves through sociological approaches and themes which constantly recur in the experience of healthcare. Students will find this a readable and controversial text which covers the ground they need to know in a thought-provoking way. Lecturers will find it a helpful text for generating discussion in tutorials and seminars. There are summaries at the end of each chapter, suggestions for further reading and ideas for the reader.

Clinical nurse managers face myriad challenges, including administrative, clinical, and interpersonal issues. This concise, practical resource offers wise guidance for nurses working in this complex, fast-paced role. Addressing common complaints and anxieties, it offers quick access to insights, proven strategies, and tools for effectively coping with such situations as institutional change, a multigenerational and multicultural workforce, resistance to change, and toxic behaviors. Fully updated and revised, the second edition provides sound advice addressing the changing dynamics in health care that have amplified the challenges of clinical nurse management. It offers strategies for boosting staff morale during times of fear and anxiety, explains how to reclaim professional practice and focus on quality of care, advocates for nurses at senior levels, and discusses how to maintain one's identity in an interdisciplinary setting. Designed to assist clinical nurse managers at all levels in developing new and effective ways of leading in a rapidly changing health care environment, this resource helps foster a better quality of work life and professional practice. It features concise chapters and bulleted information for quick access and at-a-glance "Fast Facts in a Nutshell" boxes. Also included are helpful tools and worksheets for managing a variety of challenges, along with the "Top 10 Fast Facts for Thriving in a Changing Workplace." New to the Second Edition: Completely updated and revised New chapter, "Who Stole the Art of Nursing?" New content on fostering and nurturing therapeutic relationships More information on rewards and recognition to keep staff motivated Key Features: Presents timely content ready to be applied in a professional setting Presents information in an easy-to-access format with concise chapters, bulleted lists, and Fast Facts in a Nutshell boxes Advocates a back-to-basics approach to clinical care Packed with current, useful, and accessible information that fits in a pocket Written by a noted author, keynote speaker, and facilitator highly experienced in helping nurses in leadership roles

Building and Sustaining a Hospital-Based Nursing Research Program is designed to serve as a handbook for nurses, in hospitals of all sizes, to help them build and sustain a program of nursing research, which is a fundamental requirement in obtaining Magnet status and improving patient care. The book has three main areas of emphasis: 1. A framework / foundation for developing a nursing research program that creates new knowledge and enhances the scientific foundation of nursing evidence. 2. The structures, systems, and processes for building and maintaining and growing a nursing research program, including resources needed. 3. Evaluation processes for nursing research programs and experiential stories from clinical nurses. An underlying premise of this book is that nursing research is increasingly promoted by hospital nursing leaders, but nurses need more support and guidance to develop the program. Nursing research leadership can be fostered. Visual leadership prompts staff nurse interest in research that, when done well, provides new knowledge in patient, nurse and administrative outcomes. The Nursing Research Program at the Cleveland Clinic Health System is described as an example. These foundational steps were developed in 2004 and adapted over time as expectations became system wide, to include small and midsize community hospitals without extensive resources, and multiple ambulatory care and regional medical practices, in addition to the quaternary care medical center with 1300 beds. As a result, the content will include how to adapt structures and processes to fit the needs of various hospital / nursing staff size and based on program goals.

A Patient-Centered Approach to the Chronically-Ill addresses the unique needs of chronically-ill patients and the challenges they present for medical doctors. This book features four principles of the patient-centered approach that can be used by physicians in treating chronically-ill patients. By adhering to these four principles, physicians will be able to humanely treat chronically-ill patients with the care and attention that they need in order to encourage them to manage their symptoms in the best possible way.