Highlighting the experiences of midwives who provide care to women opting outside of guidelines in the pursuit of physiological birth, Claire Feeley looks at the impact on midwives themselves, and explores how teams and organisations can support or discourage the promotion of women's birth choices. This book investigates the processes, experiences, and sociocultural-political influences upon midwives who support women's alternative birthing choice and argues for a shift in perspective from notions of an individual's professional responsibility to deliver woman-centred care, to a broader, collective responsibility. The book begins by exploring the normal birth debates to demonstrate how hegemonic birth discourse and maternity practices have detrimentally affected physiological birth rates, as well as the wellbeing of women who opt outside of maternity guidelines. It also provides real life examples of how midwives can facilitate a range of birthing decisions within mainstream midwifery services. The second part develops a new model to explore how a midwife's socio-political context can significantly mediate or exacerbate the vulnerability, conflict and stigmatisation that they may experience as a result of promoting alternative birth choices. Part three further explores the implications of the model, looking at how team and organisational culture can be developed to better support women and midwives, making recommendations for a systems approach to improving maternity services. Discussing the invisible nature of midwifery work, what it means to deliver woman-centred care, and the challenges and benefits of doing so, this is a thought-provoking read for all midwives and future midwives. It is also an important contribution to interprofessional concerns around workforce development, sustainability, moral distress and compassion in health and social care.

International Classification for Nursing Practice (ICNP) functions as a common language for nursing in Europe. It is developed as a common nomenclature and classification system, reflecting the specific clinical realities of nursing practice. Telenurse promotes the use of ICNP in Europe according to a double strategy involving the following approaches; 1) organisation of dissemination conferences on a European level and dissemination meetings on a national level. 2. Building of simple demonstrators illustrating possible real uses of ICNP in shared electronic patient records. Telenurse has focused on two aspects of the use of ICNP in electronic records. Firstly, entry of ICNP data in relation to daily systematic documentation of nursing care and secondly, statistical analysis of ICNP data extracted from the electronic patient records in relation to the development of clinical quality and resource management. In relation to the DataIn phase Telenurse spans both streams within the group of projects concerned with electronic patient records, viz. the stream concerned with the architecture of electronic patient records and the stream concerned with the architecture of terminology's. In relation to the DataOut phase the small scale demonstrators of electronic patient records have been equipped with data extraction mechanisms for clinical databases. These developments have been supplemented by software showing how the results of the analysis of data stored in the databases can be fed back to clinical practice using electronic means.

This book is unique, because no other psychiatric/mental health nursing text has ever brought together 'opposing' or contrasting views of the same issue, and subsequently invited two seperate chapters to be written in order to articulate the different perspectives in the debate. Further, no book has then followed up such a wide and thorough discussion by inviting a third party to offer commentary. The purpose of this book is to present a range of key issues that psychiatric/mental health nurses face. They are practice, policy, research and education related issues. The purpose then is to present the most complete, balanced arguments possible in order to inform, educate, and stimulate psychiatric/mental health nurses. Furthermore the purpose of the book is to make psychiatric/mental health nurses more aware of the, often, uncertain nature of much of psychiatric/mental health nursing practice and knowledge. Psychiatric/mental health nursing is not characterised by 'black and white', easily delineated issues, and is perhaps characterised by various 'shades of grey'. Indeed, it is often stated as axiomatic that psychiatric/mental health nurses can be described as a 'broad church'. Consequently, the purpose of this book is to help psychiatric/mental health nurses appreciate this broad church, be able to understand the various 'shades of grey', be able to understand that, often, there are differing views, inconclusive arguments and contentious debates and for this to influence their clinical practice. As the international range of contributors illustrates, these debates (to a greater or lesser extent) are issues and debates that psychiatric/mental health nurses face the world over; these are matters of real international importance and significance. These issues have been touched upon, and to a limited extent, debated at psychiatric/mental health nursing conferences and, to an even lesser extent, within some psychiatric/mental health nursing journals. Thus, they are real issues that many nurses are facing, talking about and trying to resolve.key debates are presented with arguments from opposing viewpoints, followed by a third-party commentary, to give readers the necessary information to form their own view written by a range of international authors from different countries across three continents one of the first psychiatric/mental health nursing books to explore the pedagogical value of debate

Haematological oncology is a rapidly advancing and exciting field of medicine. This is the first British textbook addressing haematological oncology written specifically for nurses. The book is intended for qualified nurses working with, or having an interest in, haematological malignancies and will also be useful to student nurses and those undertaking specialist courses. The second edition of this successful text has been fully revised and updated throughout in line with recent developments in clinical practice. There are seven new chapters and expanded sections on bone marrow transplant, the immune system and palliative care. Comprehensive coverage of nursing issues in hematological malignancies providing everything a newcomer will need to know Addresses the role of chemotherapy, radiotherapy, and blood marrow transplant treatments in haematological oncology to enable effective management of patients Discusses pertinent daily issues for practicing nurses including oral care, nausea and vomiting, nutrition, infection control, social and psychological issues Reflection points provide an active reading experience and illuminate ideas and issues within the text Six new chapters: Research Priorities; Leadership Issues for Specialist Nurses; Fatigue; Adolescent Issues; Addressing the Needs of Families; Immune Modulators and Novel Therapies Expanded information on bone marrow transplant, the immune system and palliative care Improved design and layout New expert contributors to provide the latest information on their field

The volume can be used as a stand-alone volume, or as a companion volume to Juta's Complete Textbook of Medical Surgical Nursing. Juta's Introduction to Paediatric Surgical Nursing is easy to read and content can be integrated into everyday activities in the paediatric surgical ward. Chapter features include: - Clear illustrations that show anatomical anomalies - Medico-legal and ethical considerations for conditions - 'Clinical alert', 'Nursing alert' and 'Practice alert' and 'Information' boxes that highlight important information - Pre- and post-operative care plans - Learner activities at the end of each chapter Juta's Introduction to Paediatric Surgical Nursing meets the requirements of the current nursing programmes and the proposed updates and is suitable as a prescribed textbook for learners registered in these programmes: Auxiliary nurse, Staff nurse and Professional nurse. It is also recommended as a reference for clinical nurse practitioners.

This book aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.

Mosby's Surefire Documentation, Second Edition, uses clear concise reading style to give specific, practical advice of how, what, and when to document over 100 of the most common and most important situations nurses face. Divided into 3 sections: Caring for Patients; Dealing with Special Situations; and Practicing Yourself Legally; each entry tells exactly what to consider and document, so that nurses can ensure quality patient care, continuity of care, and legal protection. The second edition will be thoroughly updated to reflect the latest HIPAA and JCAHO recommendations and standards as well as the most current legal tips and advice. A special emphasis will be placed on the evolving role and means of electronic documentation in the clinical setting. UNIQUE! Case histories that illustrate key legal points Tips to help nurses streamline documentation without sacrificing accuracy Guidance for documenting unusual or difficult developments or events Clear, concise explanations of complex legal terms and concepts Advice on how and why to document for a variety of documentation systems Charting Checklists identify essential points to record for a particular situation Legal Briefs explain legal terms, such as a living will, or give practical advice for avoiding legal pitfalls Case Law Close-Ups describe specific court cases, explain the court's ruling, and point out the nursing implications Tips and Advice help the nurse solve documentation problems, such as correcting a mistaken entry, and give advice on recording data in complex situations Did you know? sections present interesting, practical, or little-known points related to a specific topic Completely updated content throughout that reflects the latest information and guidelines affecting documentation, including HIPAA and JCAHO standards. Expanded coverage of electronic documentation and its implications for nurses. A wealth of new and expanded special features such as Charting Checklists, Legal Briefs, and Case Law Close-Ups that further illustrate important documentation and legal considerations

Reacting against the dominance of obligation-based moral theories in both general and nursing ethics, the author proposes a 'strong' (action-guiding) account of a virtue-based approach to moral decision-making within contemporary nursing practice. Merits and criticisms of obligation and virtue-based approaches to morality are identified and examined. One of the author's central premises is that the notions of moral goodness and badness carry more moral weight than the traditionally important notions of moral rightness and wrongness. Therefore, the author argues that in order to deliver morally good care, it is vital to consider the kind of nurse one is and this means examining one's moral character. This book will be rewarding reading for a wide range of readers including clinical nurses, nurse educators and nurse ethicists; indeed, anyone interested in morality and ethics and the work of nurses will find this book stimulating reading.

This book aims to fill a gap with an in-depth exploration of nursing ethics content from the western philosophical tradition and some of the methods used in teaching this content. It will address cross-cultural issues in using specific ethics content. It will also reveal the poverty of the present dualism model in nursing ethics and replace this with a more complex and more useful model that invites debate. Its scope is both wide and deep but that is needed to enrich the basis for teaching nursing ethics. Outlines and critiques all current ethical theories and considers their application to nursing practice Explores ethical issues in numerous cultures Includes case studies drawn from a range of countries Written by leading nurse educators and philosophers in the field

While high dependency care may be delivered in designated high dependency units, it also occurs in many other clinical environments. The book provides invaluable information for nurses working in all acute hospital wards and departments including recovery units, high dependency units, acute surgical or medical wards, and accident and emergency units. It is also a useful resource for nurses undertaking specialist post-registration programmes (particularly in critical care), in-house courses, and also those who are new to high dependency nursing. Some chapters are devoted to specific clinical areas such as cardiac care and respiratory care, with others covering broader clinical issues such as pain management and post-operative care. The underpinning anatomy, physiology and pharmacology are included in relevant chapters. In all these areas there is a strong emphasis on clinical application. Chapters on non-clinical, yet vital, components of high dependency nursing are also included to address aspects such as the development, management, interpersonal and social issues associated with high dependency care. The second edition of this highly successful textbook has been thoroughly updated throughout in line with the latest research, clinical and policy developments. Principles and Practice of High Dependency Nursing is an invaluable resource for nurses and managers working in acute care settings and sets the standard for modern high dependency nursing practice. Focuses specifically on high dependency care making the book much more relevant for non-ITU nurses Includes the underpinning A & P and pharmacology to obviate the need for further purchase Covers management and professional aspects as well as psycho-social issues making the book comprehensive providing all they need to know Provides Learning Objectives in each chapter facilitate study and revision Offers numerous illustrations help to clarify and amplify the text Fully updated in line with recent developments in policy and practice e.g. the government report Comprehensive Critical Care (DoH 2000) and NSFs Improved layout via use of boxes and tables to make it easier to find relevant information New chapter on The development, growth and context of high dependency care. All chapters updated in terms of references and evidence-based practice

This book lays a clear foundation of knowledge for any nurse involved with palliative care. It focuses on the needs and perspectives of the patient, and seeks to give the reader a strong, broad understanding of how best to deliver full, rounded care. Covering the wide range of care provision in hospices, hospitals and patients' homes, the book draws widely from practice examples to explain and expand theoretical issues. Research evidence underpins each of the chapters while guided activities enable readers to reflect in a focused way on their experience and current practice. While recognising the importance of team work in providing good quality palliative care, the book unashamedly concentrates on the unique nursing skills and knowledge required for this demanding work. Covering key issues in palliative care nursing such as spirituality, sexuality, ethics, loss and grief, this book defines and develops palliative care as a key nursing specialty. A clear, broad-based approach offers a thorough introduction for the non-specialist nurse. Written and edited by an experienced team of nurses working in this field, grounding it in current practice. Learning outcomes listed at the start of each chapter aid learning and comprehension. Reflective practice activities and an outline of CPD is especially useful for students working independently. Case histories, recommended reading lists, and references provide a solid evidence base for clinically based practice and facilitate further study. Thoroughly revised and updated to reflect changes in policy direction. A new chapter on pain and symptom management. Revised content reflects the recent shift in the evidence base concerning spirituality. Includes psychosocial issues of loss for the patient, their family, and careers.

Esta investigaci n presenta una propuesta de trabajo con adultos mayores a partir de un Modelo de Atenci n para el cuidado de adultos mayores a partir del m todo Montessori. El Modelo est siendo utilizado en una casa de cuidado de adultos mayores en el Estado de Colima, en el cual se han ido modificando las estrategias de atenci n en donde se busca principalmente el desarrollo de habilidades sociales, a partir de actividades l dico-recreativas, que les permite interactuar entre ellos. Adem?'s se destaca la importancia de la relaci n del cuidador-adulto mayor, y de la necesidad de contar con personal profesional. Este trabajo de investigaci n muestra la aplicaci n del Modelo haciendo al final una propuesta de actividades as como de la creaci n de una ludoteca para adultos mayores. Invitamos a los lectores a revisar el documento, as como a proponer acciones en beneficio de los adultos mayores, particularmente de los institucionalizados, para que se generen programas sociales; de igual forma a quienes cuidan adultos mayores para que se preparen cada d a y puedan brindar un servicio con calidad y calidez, finalmente para los profesionistas quienes tienen una gran oportunidad de generar cambios en la atenci n de este grupo etario, que muchas veces se encuentra abandonado.

The book looks at a broad perspective of decision making and each chapter focuses on a specific aspect related to making crucial decisions. Following an initial introduction the book explores the concept of autonomy and the many factors that influence autonomous practise. The role of knowledge in decision making, using evidence to inform decisions, as well as different approaches to decision making are also examined - including the traditional or rational approach, decision analysis and the development of professional judgement. Dilemmas arise when decisions are made and therefore ethical decision making is an important component of this book. Management decisions may be different from those related to giving specific care to women, hence one chapter focuses on making management decisions. Emphasis is also placed on the role of the midwife in helping women make their own decisions, the role of reflection in enhancing the decisions midwives make and the support midwives can receive from their Supervisor of Midwives. Flowcharts explain and facilitate the decision-making process. A very practical approach to decision-making in midwifery, with contributions from midwives who have considerable experience in this area Provides guidelines on how to achieve successful autonomous midwifery practice, enabling theory to be effectively applied to practice Includes coverage of management roles and decision-making as well as clinical scenarios, offering frameworks and flowcharts to guide the inexperienced Suggests different approaches to making difficult decisions

The second edition to this successful textbook is for all physiotherapy students and newly qualified physiotherapists working in orthopaedics at both undergraduate and postgraduate levels. The authors have drawn on their many years of experience and clinical work in various orthopaedic settings to help students with clinical reasoning when faced with apparently diverse patient problems. The content of this book moves from normal to abnormal and from simple to complex. Case studies and self-assessment sections encourage participation by the reader to help students develop a reasoned and logical approach towards the management of their orthopaedic patients. Chapter summaries emphasize key areas of importance. Case studies illustrate problem-solving approaches and demonstrate how to manage specific client groups. Objectives and prerequisites are included for each section, alerting readers to what they should know before and after reading. Reading and practice assignments include recommended prerequisite knowledge and experience. Well-illustrated text includes line diagrams, photographs, and radiographs to clarify important concepts. New chapters on Hydrotherapy and Gait present current knowledge on these areas. Chapters have been updated to include more information on the upper limb. Chapters on Decision Making and Clinical Reasoning in Orthopaedics and Gait Analysis in the Clinical Situation have been thoroughly updated and revised.

A focus throughout on lifespan perspectives and a consideration of palliative care across all ages. Consideration of different cultural perspectives, beliefs, thoughts and practices outside Western societies and dominant paradigms. Integrates primary research throughout, including a focus on contemporary research from social media. Complements mainstream psychological approaches to life-limiting illness by exploring death, dying and palliative care with a critical health psychology lens.

This classic resource offers complete coverage of nursing case management - from theoretical background and historical perspective to practical applications and how the field is changing to meet the challenges of today's health care environment. It focuses on the implementation of various case management models used throughout the United States and abroad. Key topics include the impact of public policy on health care; understanding the effects of health care reimbursement and its application at the patient level; throughput and capacity management; the impact of the revenue cycle; compliance and regulatory issues; and principles needed to improve case manager-client interaction. This helpful resource is designed to help nurse case managers assess their organization's readiness for case management, prepare and implement a plan to achieve necessary improvements and evaluate the plan's success. Includes numerous proven case management models currently being used in institutions across the country Organized to take the nursing case manager on a journey from the historical development of nursing case management to the successful implementation of a case management program Offers detailed guidance for planning, implementing, and evaluating a case management program Outlines the planning process with information on key topics such as analysis of the organization, the role of the organization's members, selection criteria for new case managers, case management education, credentialing, and partnerships Features guidelines for implementing a case management program with information on ethical issues, technology, compliance, and regulatory issues Addresses the evaluation component of developing and implementing a case management program by presenting information on outcomes, research, documentation, continuous quality improvement, measuring cost effectiveness, care continuum, and evidence-based practice Presents acute care and community based models of case management Highlights the evolution of collaborative models of case management, addressing key elements of joint decision-making, shared accountability, and interdisciplinary systems of care Addresses health care delivery through case management and public policy by presenting current legislative issues and their affect on both health care reimbursement and the application of care at the patient level Presents the insights, experiences, and advice of nursing administrators who have researched and successfully implemented nursing case management programs in various facilities A new chapter, Telehealth Applications for Case Management, introduces the concept of telehealth; provides examples of telehealth usage in women's health, chronic disease management, and mental health; and summarizes the evidence that supports telehealth and identifies existing issues and challenges. Case Management: Life at the Intersection of Margin and Mission, is a new chapter that highlights strategies case managers and others can use to optimize their organizations' financial outcomes while simultaneously improving clinical outcomes for their patients. It emphasizes the work of case managers in the financial arena of health care, including revenue cycle management. A new chapter, Maximizing Reimbursement through Accurate Documentation and Coding, provides tips and strategies on maximizing reimbursement by designing and implementing programs focused on improving the physician's documentation. Effective Management Tools for Case Management Leaders: Strategy Maps and Balanced Scorecards, A Case Study is a new chapter that discusses strategy maps and balanced scorecards and their role in transforming an organization's mission and strategy into a management system and a comprehensive set of performance measures. Features updated information on HIPPA regulation (Health Insurance Portability and Accountability Act), patient safety and confidentiality issues, case management for Medicare patients, Medicare legislation, and utilization management.

American health is at a crossroads with millions of people needing healthcare yet the system cannot keep up with the demand. We need healthcare but somehow it all seems complicated and not simple to attain. Nurse practitioners and physician assistants, working collaboratively shoulder to shoulder with physicians and other healthcare professionals can help resolve this mounting crisis. The book ends with a passionate plea to increase the use of the primary care workforce to prevent chronic care diseases and promote healthy living. Americans deserve the very best that healthcare has to offer.

This new edition of Nursing Care: An Essential Guide for Nurses and Healthcare Workers in Primary and Secondary Care is a comprehensive introductory textbook to nursing care for pre-registration nursing students and nursing associate students in the UK, and is relevant to other allied health students. This 'back to basics' edition is a concise, clear text on the essentials of nursing care which: Comprehensively covers all aspects of essential care Puts care into context and relates it to current UK government policy and targets Shows how to apply theory in practice using diagrams and case studies Provides opportunities to reflect on the theory and think critically on key issues Explains clinical skills in the context of care Includes features such as recap questions, points for debate, a glossary, further reading lists and a companion website to allow students to reinforce and expand their knowledge Fully updated to address the latest Nursing and Midwifery Council and government policy, this new edition of Nursing Care: An Essential Guide for Nurses and Healthcare Workers in Primary and Secondary Care is designed to help the student develop a proactive approach to the assessment, planning, implementation and evaluation of the care that they give. The invaluable advice can be applied to all branches of nursing and to all environments where patients are nursed, whether in hospital, at home or care homes. This book is essential reading for nursing students, qualified nurses and all health and social care workers.

This book includes assessments of various age group, minor remedies and its home management, nutritional assessement, formats such as community survey, school record and family case study, checklists for procedure and strategies to control emerging diseases. Checklists will be useful for students to carry out examination in systematic and organized way. Guides students to formulate their nursing diagnosis on individuals, families and communities. Nursing emergency kit, medical abbreviation and invention are given at the end of the book.

This book offers an extensive look into the ways living through the COVID-19 pandemic has deepened our understanding of the crises people experience in their relationships with work. Leading experts explore burnout as an occupational phenomenon that arises through mismatches between workplace and individuals on the day-to-day patterns in work life. By disrupting where, when, and how people worked, pandemic measures upset the delicate balances in place regarding core areas of work life. Chapters examine the profound implications of social distancing on the quality and frequency of social encounters among colleagues, with management, and with clientele. The book covers a variety of occupational groups such as those in the healthcare and education sectors, and demonstrates the advantages and strains that come with working from home. The authors also consider the broader social context of working through the pandemic regarding risks and rewards for essential workers. By focusing on changes in organisational structures, policies, and practices, this book looks at effective ways forward in both recovering from this pandemic and preparing for further workplace disruptions. A wide audience of students and researchers in psychology, management, business, healthcare, and social sciences, as well as policy makers in government and professional organisations, will benefit from this detailed insight into the ways COVID-19 has affected contemporary work attitudes and practices.