Provides recommendations by foremost scholars regarding best practices and future directions in LGBT aging. With its critical examination of contemporary issues facing lesbian, gay, bisexual, and transgender (LGBT) elders, this landmark Annual Review continues a nearly 40-year tradition of providing state-of-the-art knowledge, insight, and research on topics critical to gerontologists worldwide. The 37th volume addresses the cardinal changes occurring in the public policy arena—marriage rights, social security benefits, and other movements toward equality—as they pertain to LGBT elders, and focuses on a variety of key challenges affecting this population. Bringing together the work of highly respected researchers in health policy and psychosocial spheres pertinent to older LGBT adults, the Review also sets forth recommendations on best practices and discusses future directions for working with this population. Each chapter covers a specific issue affecting the older LGBT population and includes definitions of key concepts; a summary of current research; and a discussion of trends and future directions. The Review addresses such key topics as sexuality and sexual health, health and mental health disparities, caregiving, and service needs. It focuses on such critical issues for LGBT elders as social services, families and social supports, health and wellbeing for transgender and bisexual older adults, stigma for bisexual older adults, and special issues for older LGBT veterans and rural-dwelling elders. Also examined is the intersection of diverse characteristics such as gender, race, religion, disability, and sexual orientation. The book concludes with a discussion of programs and policies for older LGBT adults and offers concluding comments for professionals working with this population. Key Features: Provides an historical view of events, policy, and public opinion that have affected the lives of older LGBT cohorts Distils state-of-the-art research and data on such critical issues as sexuality, health and mental health disparities, caregiving, and service needs Considers the intersection of diverse characteristics such as gender, race, religion, disability, sexual orientation, and aging Discusses families and social supports, health and wellbeing for transsexual and bisexual older adults, LGBT veterans, and rural elders Examines future trends and changes in policy and programming to benefit older LGBTs .

This is a comprehensive text for nurse practitioners that integrates the required clinical skills with professional and theoretical issues in one book. It uses a systems approach to cover the most frequently presenting problems that the nurse practitioner will encounter. The scope of the book then widens to include psychological and emotional problems as well as the special needs of children and those patients with chronic health problems. Using a practical approach the content is based on current best evidence. The book has been derived from the editors' experience as a course team running the RCN Institute BSc Nurse Practitioner course in Lancaster and Carlisle. Nurse practitioners is an essential purchase for all nurse practitioners and nurse practitioner students. It is relevant to both primary and secondary care, and fulfils the needs of those nurses working towards a higher level of autonomous practice. Comprehensive coverage of the new clinical skills that NPs will need in their expanding roles will give them confidence and enable them to pass their courses Highly illustrated with clear line drawings to aid understanding and learning Subject experts have contributed to various chapters to ensure that best practice is given throughout End of chapter summaries aid revision Reference lists facilitate further study Fully updated in line with clinical and policy developments and includes new material in the form of research studies and literature The pharmacology content of each chapter has been increased to reflect the development of nurse prescribing and the growth of patient group directives New chapters on: Blood Disorders, Endocrine Disorders, Common Paediatric Problems, Common Mental Problems New user friendly page design and layout

This book explores international biomedical research and development on the early diagnosis of Alzheimer's disease. It offers timely, multidisciplinary reflections on the social and ethical issues raised by promises of early diagnostics and asks under which conditions emerging diagnostic technologies can be considered a responsible innovation. The initial chapters in this edited volume provide an overview and a critical discussion of recent developments in biomedical research on Alzheimer's disease. Subsequent contributions explore the values at stake in current practices of dealing with Alzheimer's disease and dementia, both within and outside the biomedical domain. Novel diagnostic technologies for Alzheimer's disease emerge in a complex and shifting field, full of controversies. Innovating with care requires a precise mapping of how concepts, values and responsibilities are filled in through the confrontation of practices. In doing so, the volume offers a practice-based approach of responsible innovation that is also applicable to other fields of innovation.

This groundbreaking annual review has provided over three decades of knowledge, insight, and research on topics critical to the field of nursing.

Section 1: General Microbiology Section 2: Immunology Section 3: Bacterial Infections Section 4: Viral Infections Section 5: Parasitic Infections Section 6: Fungal Infections Section 7: Hospital Infection Control Section 8: Applied Microbiology and Miscellaneous Index

The Guest Editors have secured top experts in the area of palliative care to write current and clinically relevant articles. Articles in this issue are devoted to: Caring for LGBT Populations; Integrating Palliative Care into Primary Care; Pain Management in the Cognitively Impaired; Pain Management in the Client with Substance Use Disorder; Rituals at End of Life; Death Bed Phenomena; Family Care During End of Life; Palliative Wound Care; Pet-Assisted Therapy in Palliative Care; Palliative Sedation: State of the Science. Readers will come away with the updated information they need to provide state-of-the-art palliative care to their patients.

This comprehensive and easy-to-use guide for dosage calculations and drug administration is an excellent reference guide for nursing and healthcare professionals. Critical thinking case studies, practice tests, and exercises prepare students for real calculations so they can confidently calculate safe and accurate dosage levels With a workbook style, comprehensive coverage and over 1,000 problems and answers, 'Dosage Calculations for Nurses' allows the student to work at their own pace in the areas where they feel need the most support. "This book is appropriate for new student nurses" Dawn Reasbeck, Sheffield Hallam University "Excellent book with lots of examples and practice tests. Clear and easy to understand." Alison Williams, School of Health & Social Care, Sport & Exercise Sciences, Glyndwr University "I found this book extremely practical, student friendly with a good range of self assessments for the student" Sharon Sykes, Senior Lecturer, Department of Nursing Studies, University of Central Lancashire "An excellent textbook for pre-reg nurses and non-medical prescribers" Ruth Broadhead, Senior Lecturer, School of Nursing & Caring Sciences, University of Central Lancashire

This book approaches the differential diagnosis and management of rare, hereditary cancer syndromes from a practical angle, addressing the issues pertinent to each tumour type as encountered by health professionals in their day-to-day practice. This book enables readers to correctly identify patients with rare cancer syndromes who would benefit from genetic counselling and testing, and provides the necessary knowledge for appropriate patient management and advising at-risk family members. It begins by describing recent advances in genetic testing for cancer-predisposing genes. Leading experts from Europe and Australia then offer detailed, up-to-date guidance on the diagnosis and management of a wide range of hereditary cancers. The concluding chapter examines the wider issues that are raised by genetic testing for rare cancer syndromes for patients, families and health professionals. This book is an invaluable source of information for all specialists involved in the care of such patients and their families.

A cardiac dysrhythmia is a disturbance in the cardiac rhythm which can be normal (e.g., sinus arrhythmia) or instantly lethal (e.g., sustained ventricular tachycardia). This issue of Critical Care Nursing Clinics of North America will provide state of the art diagnostic and treatment information for cardiac dysrhythmias as well as addressing how to achieve the most accurate diagnostic approach to interpreting an electrocardiogram, which is omnipresent in critical care and of critical importance in diagnosing arrhythmias. Articles in this issue are devoted to: The Normal Cardiac Conduction System; The Normal Electrocardiogram: Resting 12-lead and Continuous Cardiac Rhythm Strips; Premature Beats; Paroxysmal Supraventricular Tachycardia, Including the Special Type Called Wolff-Parkinson-White; Atrial Fibrillation, The Most Common Type of Supraventricular Arrhythmia; Ventricular Tachycardia and Its Disorganized Counterpart, Ventricular Fibrillation; Brady-Dysrhythmias, When Heart Rate Slows Myocardial Ischemia & Infarction and their Relationship to Dysrhythmias; Pharmacologically Induced Dysrhythmias; and Implantable Cardiac Devices and their Role in Dysrhythmias Management.

Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.

The go-to guide to evidence-based practice in nursing for more than a decade, Evidence-Based Practice in Nursing & Healthcare: A Guide to Best Practice, 5th Edition, presents the latest perspectives on research-backed nursing practice in an engaging, user-friendly approach that has made this the bestselling resource of its kind. AJN award-winning authors Bernadette Melnyk and Ellen Fineout-Overholt combine straightforward, conversational storytelling, inspiring quotes, and engaging case studies to make evidence-based practice accessible for students at any level of familiarity. With real-world examples and meaningful strategies in every chapter, this revised and reimagined 5th Edition gives students the confidence to meet today's clinical challenges and ensure the most effective patient outcomes for years to come. New to this Edition: NEW! Reimagined coverage and a new chapter on applying implementation science to clinical practice settings familiarize students with the latest evidence and emerging implementation and evaluation tools. UPDATED! Content throughout empowers you to more effectively teach evidence-based practice principles in academic and clinical settings. UPDATED! Making EPB Real case studies reinforce clinical application through real-world examples.

Pharmacologic options have exploded in recent years, forcing updates and creation of guidelines for their use in a near-simultaneous manner. While some nurses may encounter these new medications at the bedside, drugs with little or no indications in specific arenas may remain unknown to the nurse practicing in a specialized area. This issue of Nursing Clinics of North America offers a broad review of current pharmacologic therapy. Bedside applications (e.g., electronic apps) offering real-time information and updates for clinicians will be highlighted throughout the issue.

This is a one-of-a-kind, all-inclusive reference guide for new Clinical Nurse Specialists entering the field as well as seasoned practitioners looking to update their knowledge. Disseminating a wealth of current professional practice guidance and practical information on reimbursement and certification, the second edition has been fully updated to reflect changes resulting from the Affordable Care Act and the APRN Consensus Model. Four new chapters address changes and emerging trends, expanding focus on independent practice, increasing demands on health care due to the growing population of older adults, and updated reimbursement/economic issues. This authoritative toolkit is organized in an easy-to-use, bullet-point format and includes numerous clinical examples, case scenarios, and personal anecdotes culled from the contributors' own professional experiences. New to the Second Edition: Fully revised and updated. Addresses CNS practice within Affordable Care Organizations. Describes CNS leadership role in system-level evidence-based practice initiatives. Covers documentation and communication of CNS activities aligning with strategic initiatives and CNS practice priorities. Discusses facilitating transitions of care to assure safety and quality. Addresses the CNS role in interprofessional education in clinical settings. Key Features: Presents crucial information on negotiating and securing a job. Provides advice on establishing credibility, prioritising, and finding a mentor. Contains guidelines on mentoring staff, leading groups, and precepting students. Addresses documenting and measuring clinical outcomes. Describes how to network with professional organisations and community agencies. Offers practical guidance on applying for reimbursement and pursuing certification and licensure.

Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.

This groundbreaking annual review has provided over three decades of knowledge, insight, and research on topics critical to the field of nursing. The 34th volume presents abundant new research devoted to examining and forwarding the field of modern ethics in nursing. It reflects the rapid acceleration of change in the roles and responsibilities of nurses and the concurrent need for reexamination of professional ethical values. Articles focus on creating nurses who are able to negotiate, adapt, and provide excellent care to patients as they take on greater administrative duties, rely more on technology, and assume some of the roles and responsibilities of physicians. Chapters are comprised of carefully selected articles that underscore the importance of in-depth ethical education and professional character development in the nursing classroom, and its continued evolution as nurses adapt to a changing health care environment throughout their careers. They include examples of contemporary health care dilemmas and how nurses have used ethical values to guide their behavior in situations where they encounter highy vulnerable patients; address ethical problems relating to family issues such as self-neglect and the wellbeing of children in military families; and the systems-of-care issues regarding genetics, smart home technologies for older adults, interprofessional collaboration, and post-deloyment reintegration. Key Topics: Nursing Ethics: A Lifelong Commitment Ethical Analysis of Family Impact of Mental Health Stigma Ethical issues in Family Care Ethical Considerations in Self-Neglect The Effects of Parental Service on teh WEllbeing of our Youngest Military Members Ethics of Genetics in Primary Care Ethics of Smart Home Technologies for Older Adults Post-Deployment Reintegration: The Ethics of Embodied Personal Presence and hte Formation of Military Meaning Ethical Issues Encountered by Military Nurses

The average life expectancy of a male born on the Pine Ridge reservation in South Dakota today is 40 years old-the lowest life expectancy of all peoples not only in the U.S. but also in the entire Western Hemisphere. Written by and for nurses, this is the first text to focus exclusively on American Indian health and nursing. It addresses the profound disparities in policy, health care law, and health outcomes that affect American Indians, and describes how these disparities, bound into the cultural, environmental, historical, and geopolitical fabric of American Indian society, are responsible for the marked lack of wellbeing of American Indians. American Indian nurse authors, natives of nine unique American Indian cultures, address the four domains of health-physical, mental, spiritual, and emotional--within each region to underscore the many stunning disparities of opportunity for health and wellbeing within the American Indian culture as opposed to those of ""Anglo"" culture. In an era of cultural competency, these expert nurse authors bring awareness about what is perhaps the least understood minority population in the U.S. The text covers the history of American Indians with a focus on the drastic changes that occurred following European contact. Included are relevant journal articles, historical reports, interviews with tribal health officials, and case studies. The book addresses issues surrounding American Indian nursing and nursing education, and health care within nine unique American Indian cultural populations. Also discussed are the health care needs of American Indians living in urban areas. Additionally, the book examines the future of American Indian Nursing in regard to the Affordable Care Act. Key Features: Focuses exclusively on American Indian health and nursing-the first book to do so Written by predominately American Indian nurses Covers four domains of health: physical, mental, spiritual and emotional Highlights nine specific cultural areas of Indian country, each with its own unique history and context Includes chapter objectives, end-of-chapter review questions, and case studies

Now in its fourteenth edition, this best-selling textbook has been honed over many years to provide a clear, straightforward introduction to the human body for students of nursing, allied health or biomedical and paramedical science. The book covers the core essentials of anatomy and physiology, including basic pathology and pathophysiology of important diseases and disorders. This new edition presents additional illustrations to enhance understanding of key concepts, including pathophysiology and diagnostics. Included for the first time is an introduction to surface anatomy, while other updating reflects current scientific knowledge and developments, including coronavirus. Enhanced learning features and an extensive online resource help you grasp all the important areas. Like millions of readers before you, you will treasure Ross & Wilson as a go-to resource that you will refer to time and again to support this critical aspect of your healthcare education. Clear and easy to read - suitable for students new to the area and anyone whose first language is not English Hundreds of stunning illustrations and images to make learning easy Helpful learning features such as Learning Outcomes boxes, colour coding and orientation icons to facilitate navigation Definitions of common prefixes, suffixes and roots, examples, glossary and an appendix of normal biological values Self-assessment activities in each chapter, including 'spot check' questions for each section and case studies with answers to develop understanding of key principles Accompanying website with animations, videos, audio-glossary and other self-assessment material Evolve Study Resources Online content offered with Ross & Wilson Anatomy and Physiology in Health and Illness 14th edition includes: New for this edition - a set of expert-narrated 3D videos summarizing key topics in the book, powered by Complete Anatomy: the world's most advanced 3D anatomy platform Over 120 animations clarifying underlying principles and make learning fun More than 1700 audio glossary entries Body Spectrum (c) online colouring and self-test software Self-assessment questions to help students test their knowledge