The 7th edition of this powerful review tool helps you assess and build your knowledge of the information covered in the Core Curriculum for High Acuity, Progressive, and Critical Care Nursing - and achieve Adult CCRN (R) or PCCN (R) certification. Three 150-question exams mirror the style and content of the CCRN exam and PCCN exam. You can also access these same practice exams, along with 100 additional questions, on an accompanying Evolve website for interactive practice. Integration of the ACCN Synergy Model for Patient Care ensures that the needs or characteristics of patients and families influence and drive the characteristics or Developed in conjunction with and based on the AACN Core Curriculum for High Acuity, Progressive, and Critical Care Nursing, the Certification and Core Review is an ideal study companion to the Core Curriculum. Each exam mirrors the certification exam content, question format, and content distribution, giving you realistic practice for the Adult CCRN (R) exam and PCCN (R) exam. Answers are provided for each question, accompanied by rationales and references, to assist you in remediation. NEW! Three 150-item interactive exams on a secure Evolve site allow for access to interactive exam practice on any HTML5-compatible device, including desktop computers, iPhones, iPads, and Android devices. Exams address the complete range of vital content in critical care nursing and challenge your mastery of the essential knowledge base for Adult CCRN (R) and PCCN (R) certification. NEW and EXPANDED! 100 additional interactive questions on Evolve go beyond what can be found in the printed or electronic book, and provide even more practice for the Adult CCRN (R) exam and PCCN (R) exam. NEW and UPDATED! Content distribution matches that of the latest Adult CCRN (R) exam and PCCN (R) exam test blueprints, so you better know what to expect come exam day. NEW! Updated content throughout ensures currency, accuracy, and consistency with standardized guidelines and the latest evidence-based practice. UPDATED and NEW! All questions feature integration of the AACN Synergy Model, including both patient characteristics (resiliency, vulnerability, stability, complexity, resource availability, participation in care, participation in decision making, and predictability) and nurse characteristics (clinical judgment, advocacy/moral agency, caring practices, collaboration, systems thinking, response to diversity, facilitation of learning, and clinical inquiry). NEW! New behavioral and psychosocial content addresses new content now found on AACN's Adult CCRN (R) exam and PCCN (R) exam. NEW! Updated illustrations reflect current clinical procedures and assessment skills.

Fundamentals of Nursing, unlike other texts, is not limited to just one specialism, but considers nursing across all fields from Adult, to Child, Mental Health and Learning Disabilities as well as both within the acute and community settings. Fundamentals of Nursing will help you to prepare and succeed in the varied and exciting career you have chosen, enabling you to become the skilled, flexible and confident nurse modern healthcare demands. Fundamentals of Nursing helps you on this journey with comprehensive coverage of contemporary professional nursing developed to compliment the latest Standards of Proficiency for Pre-Registration Nursing Education (Nursing & Midwifery Council 2010) and the Essential Skills Clusters. Support for your learning is provided through: Full Colour Presentation - view procedures and other visuals in realistic full colour. Diagrams and text features stand out in the colourful and highly developed text design. Black and white and dullness are banned. Don't accept anything less! Step-by-Step Clinical Procedures, often including images, are based on clinical evidence and guide you through the procedure. You will also find Skills revision videos (available within MyNursingKit) which link to these procedures. Case Studies - helping to put nursing into context, these realistic scenarios across a range of nursing fields and settings are included in all chapters. Relevant guidance is included to help you understand what you need to consider when confronted with a similar situation. These are suitable for both personal reflection and group discussion. Newly Developed Chapters devised by specialists on Mental Health, Child and Learning Disability Nursing have been added to promote the widest possible experience and understanding regardless of your field, promoting the basic skills to meet any patient's needs independent of age or vulnerability. Clinical Alerts highlight particular areas of practice that you need to take into account when caring for an individual or group. Activities help you reinforce and prove your learning. Reference answers are provided to check your understanding. Lifespan Considerations highlight alternative practices when caring for infants, children and/or older adults. Community Considerations provide information on caring for individuals in the home care and community setting. This prepares you for more than just the acute setting. MyNursingKit - a premium website integrated with the text providing you with extra practice, revision and support. Including diagnostic tests, interactive scenario simulations and skills videos among other resources. Go to www.pearsoned.co.uk/kozier to login!

Few publications have changed the landscape of contemporary psychology more than Richard Lazarus and Susan Folkman's landmark work, Stress, Appraisal, and Coping. Its publication in 1984 set the course for years of research on the dynamic processes of psychological stress and coping in human beings. Now more than a quarter-century later, The Oxford Handbook of Stress, Health, and Coping pushes the field even further with a comprehensive overview of the newest and best work in this dynamic subject. Edited by Susan Folkman and comprising chapters by the field's leading scientists, this new volume details the expanded knowledge base that has emerged from extensive research on stress and coping processes over the last several decades. Featuring 22 topic-based chapters - including two by Folkman - this volume offers unprecedented coverage of the two primary research topics related to stress and coping: mitigating stress-related harms and sustaining well-being in the face of stress. Both topics are addressed within their relevant contexts, including chronic illness, calamity, bereavement, and social hardship. The Oxford Handbook of Stress, Health, and Coping is an essential reference work for students, practitioners, and researchers across the fields of health psychology, medicine, and palliative care.

This incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disease states and gauges optimal responses to each, supporting recommendations with valuable case studies. Written by over 40 distinguished medical experts, Acute Emergencies and Critical Care of the Geriatric Patient -describes ideal patient-physician relationships in critical care settings -highlights emergency management of myocardial infarction and cardiogenic pulmonary edema -illuminates ethical questions surrounding confidentiality, informed consent, surrogate decision making, and patient comfort -assesses special pharmacokinetic and pharmacodynamic conditions in geriatric patients -provides vital information on stroke, seizures, and spinal cord compression -investigates critical complications caused by pneumonia, meningitis, and endocarditis -explores acute lung disorders such as emphysema, chronic bronchitis, pneumonia, central nervous system dysfunction, and abnormal control of ventilation -clarifies preoperative procedures for emergency surgery -reviews anesthesia strategies for pulmonary, cardiovascular, renal, hepatic, and neurological conditions in the elderly -and more! Including over 1000 references, tables, and illustrations, Acute Emergencies and Critical Care of the Geriatric Patient is an indispensable resource for geriatricians, primary care physicians, internists, emergency medicine physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in these disciplines, as well as nurses, pharmacists, and medical students.

In an era of changing demographics and values, this volume provides a cross-national and interdisciplinary perspective on the question of who cares for and about the elderly. The contributors reflect on research studies, experimental programmes and personal experience in Japan and the United States to explicitly compare how policies, practices and interpretations of elder care are evolving at the turn of the century.

eBook available with sample pages: 0203464478

This clear, helpful and interactive book will help you prepare for and succeed in your nursing and healthcare studies. Supporting anatomy and physiology, drug administration, clinical practice and preparation for assessments, this book will give you the tools to success. Using examples from practice to bring the subjects to life, Skills for Nursing & Healthcare Students is your essential guide to the core skills you will need to master. The book includes guided explanations and interactive exercises that will help you brush up on your maths and study skills and get up-to-speed with anatomical terminology, the basics of the human body, chemistry and cell biology.

The dynamic field of trauma nursing has emerged into a specialty that demands a Nursing Secrets book of its own. Trauma Nursing Secrets covers trauma nursing from the pre-hospital phase to the trauma resuscitation area, and follow the patient into the Intensive Care Unit and then into rehabilitation. Specific issues covered include forensics, trauma prevention, system injuries, toxicology in the trauma patient, organ procurement, skin, wounds, and ostomies, and evidenced-based practice. Engaging, interactive Q & A format Concise answers with valuable pearls, tips, memory aids, and "secrets" 17 succinct chapters written for quick review All the most important, "need-to-know" questions and answers in the proven format of the highly acclaimed Secret Series (R) Thorough, highly detailed index

None of the literature in the field of terminal care provides a full treatment of the laws, documents, and policies relating to the difficult issues arising at the end of life. When Life Ends was written to fill this gap by an attorney who serves on the bioethics committee of a large public hospital. It is an invaluable resource and practical tool for physicians, nurses, medical staffs, legal professionals, hospital administrators, and hospital bioethics committees because it provides: 1) in-depth legal commentaries on the refusal of life-sustaining treatment, advance directives, surrogate decision making, and the Patient Self-Determination Act; 2) more than 70 medical and legal documents to be used in connection with end of life decisions; and 3) hospital policies and procedures to suggest guidelines to hospital bioethics committees as they carry out their functions of developing policies and procedures to address end of life legal and ethical issues.

Higher life expectancy on a global level requires complex nursing care as poor education and a lack of knowledge can lead to mistakes. There is a need for nurses who can provide high quality and advanced nursing practice. A mix of well-grounded education and innovative research is needed, where the first provides an understanding of best nursing practice care delivery and the second helps nurses determine best practices and improve nursing care."

TERMINAL SEDATION DURING THE 1990s During the 1990s a discussion took place in scholarly journals concerning a measure within palliative care that had earlier attracted little attention, to wit, the sedation of dying patients. There seem to have been two main reasons why the practice came under debate. On the one hand, some people felt that, when palliative medicine had advanced and methods to control symptoms had improved, it was no longer justified to sedate the patients in a manner that had often been done in the past. The system of 1 terminal sedation had turned into 'euthanasia in disguise' or 'slow euthanasia'. On the other hand, there were people sympathetic to the recently established Dutch system of euthanasia, people who agreed that terminal sedation was euthanasia in disguise, but who felt that, if it is not objectionable to sedate dying patients at their request, then why should it not be permitted for doctors to kill dying patients at 2 request? From these two motives a discussion about terminal sedation gained momentum. The intention behind this anthology is to continue and deepen this discussion. The anthology starts off with a chapter where an influential article from the 1990s has been reprinted.

In antebellum society, women were regarded as ideal nurses because of their sympathetic natures. However, they were expected to exercise their talents only in the home; nursing strange men in hospitals was considered inappropriate, if not indecent. Nevertheless, in defiance of tradition, Confederate women set up hospitals early in the Civil War and organized volunteers to care for the increasing number of sick and wounded soldiers. As a fledgling government engaged in a long and bloody war, the Confederacy relied on this female labor, which prompted a new understanding of women's place in public life and a shift in gender roles.

Challenging the assumption that Southern women's contributions to the war effort were less systematic and organized than those of Union women, "Worth a Dozen Men "looks at the Civil War as a watershed moment for Southern women. Female nurses in the South played a critical role in raising army and civilian morale and reducing mortality rates, thus allowing the South to continue fighting. They embodied a new model of heroic energy and nationalism, and came to be seen as the female equivalent of soldiers. Moreover, nursing provided them with a foundation for pro-Confederate political activity, both during and after the war, when gender roles and race relations underwent dramatic changes.

"Worth a Dozen Men" chronicles the Southern wartime nursing experience, tracking the course of the conflict from the initial burst of Confederate nationalism to the shock and sorrow of losing the war. Through newspapers and official records, as well as letters, diaries, and memoirs--not only those of the remarkable and dedicated women who participated, but also of the doctors with whom they served, their soldier patients, and the patients' families--a comprehensive picture of what it was like to be a nurse in the South during the Civil War emerges.

* This ground-breaking book binds together a contemporary understanding of sleep and brain injury. * It pairs empirical understanding through clinical practice with extensive up-to-date research. * The author discusses the neuroanatomy and architecture of sleep, including the need for sleep, definitions of good sleep and what can go wrong with sleep. * The focus then moves to the neuroanatomical damage and dysfunction from brain injury, and the resultant functional effects. * The author then adroitly fuses the two streams of coverage together, focusing on the neurobiological, neurochemical, and functional aspects of both sleep and brain injury to offer new insights as to how they interrelate. * The book then looks towards the applied aspects of treatment and rehabilitation, bringing further thoughts of how, because of this new understanding, we can potentially offer novel treatments for brain injury recovery and sleep problems. * In this final practical section four sleep foundations are given, necessary to optimize the three most common sleep problems and their treatments after brain injury. * This new approach highlights how sleep can affect the specific functional effects of brain injury and how brain injury can exacerbate some of the specific functional effects of sleep problems, thus having the potential to transform the field of neurorehabilitation. * It is essential reading for professionals working with brain injury and postgraduate students in clinical neuropsychology.

"I just wish I had armfuls of time." These are the words of a four year old facing a life-threatening illness. This text portrays the psychological experience of such children, who are irreversibly changed from the moment of diagnosis. Barbara Sourkes is a psychologist who specializes in psychotherapy with children who have cancer and other serious diseases. In the account, she describes how she works with these children, using drawings, soft toys and dolls, stories and real medical instruments to allow them to communicate their experience of the illness, the treatment they undergo, their relationship with their families, and their feelings of grief and loss in coming to terms with the prospect of death. Making use of the words of children, offering interpretations and practical advice, this is a book that should be useful reading for those concerned with the care of terminally ill children.

Hospice Care and Cultural Diversity captures the richness and differences that make up the United States and its culture. This book shows you the complex issues arising from work with patients of a different culture and encourages research in hospices which support culturally innovative programs. Many people are individually knowledgeable and culturally sensitive, but few hospices have systematically planned for service to culturally diverse groups. This volume identifies who is implementing organizational programs of cultural sensitivity and acknowledges the efforts of those individuals working to make hospice accessible to everyone.Hospice Care and Cultural Diversity contains original research, personal insights, and overviews to help you understand what is being done in the field. Specifically, chapters discuss: National Hospice Organization activities, goals, and recommended actions death and dying from a Native American perspective breaking barriers to hospice for African Americans a case study of the development of a culturally sensitive treatment plan in pre-hospice south Texas caregiving norms surrounding dying and use of hospice services among Hispanic American elderly cultural considerations surrounding childhood bereavement among Cambodians in the U.S. one hospice's experience in identifying and meeting the needs of ethnic minority patientsPeople from many different cultures are eager to share their customs, practices, and beliefs. They want hospice providers to understand their culture, and they want their community served by hospice. The only book of its kind, Hospice Care and Cultural Diversity is a valuable reference and source of ideas for anyone interested in the delivery of hospice services. From students to experts, you will find much information to help make hospice care accessible and comfortable for all groups of people.

Master nursing skills with this guide from the respected Perry, Potter & Ostendorf author team! The concise coverage in Nursing Interventions & Clinical Skills, 7th Edition makes it easy to learn the skills most commonly used in everyday nursing practice. Clear, step-by-step instructions cover more than 160 basic, intermediate, and advanced skills - from measuring body temperature to insertion of a peripheral intravenous device - using evidence-based concepts to improve patient safety and outcomes. A streamlined, visual approach makes the book easy to read, and an Evolve companion website enhances learning with review questions and handy checklists for each clinical skill. Coverage of more than 160 skills and interventions addresses the basic, intermediate, and advanced skills you'll use every day in practice. Safe Patient Care Alerts highlight risks or other key information to know in performing skills, so you can plan ahead at each step of nursing care. Unique! Using Evidence in Nursing Practice chapter provides the information needed to use evidence-based care to solve clinical problems. Coverage of evidence-based nursing techniques includes the concept of care bundles, structured practices that improve patient safety and outcomes, in addition to the coverage of teach-back. Delegation & Collaboration guidelines help you make decisions in whether to delegate a skill to unlicensed assistive personnel, and indicates what key information must be shared. Teach-Back step shows how to evaluate the success of patient teaching, so you can see whether the patient understands a task or topic or if additional teaching may be needed. Recording guidelines describe what should be reported and documented after performing skills, with Hand-off Reporting sections listing important patient care information to include in the handoff. Special Considerations indicate the additional risks or accommodations you may face when caring for pediatric or geriatric patients, as well as patients in home care settings. A consistent format for nursing skills makes it easier to perform skills, organized by Assessment, Planning, Implementation, and Evaluation. Media resources include skills performance checklists on the Evolve companion website and related lessons, videos, and interactive exercises on Nursing Skills Online. NEW! 2017 Infusion Nurses Society standards are included on administering IVs and on other changes in evidence-based practice. NEW Disaster Preparedness chapter focuses on caring for patients after biological, chemical, or radiation exposure. NEW! SBAR samples show how to quickly and effectively communicate a patient's condition in terms of Situation, Background, Assessment, and Recommendation. NEW! Practice Reflections sections include a clinical scenario and questions, helping you reflect on clinical and simulation experiences. NEW! Three Master Debriefs help you develop a better understanding of the "big picture" by synthesizing skill performance with overall patient care.

Will you be ready when it's time...?
Whether whittling down to the essentials for a parent moving into a room or two or downsizing for ourselves, ignoring the spirit and basing decisions on health and safety alone could have devastating results.
In this hope filled book you will learn how to:
Identify needs and desires to create a quality new life Cope with the Depression Era mind-set Create emotionally sustaining environments to nurture the soul Ready and sell the family home Ask the RIGHT questions to help divest of treasures Manage your energy and spirit throughout the process Determine when it's time to consider alternative placement Perform the ordinary in a non-ordinary way -- allowing you to preserve and heal family relationships
Expert's Acclaim for Moving Your Aging Parents
"A creative and inspiring godsend for helping Mom and Dad transition to the next phase of life. Valuable for caregivers, healthcare professionals, and seniors interested in aging with independence, dignity and grace."
--Jacqueline Marcell, author Elder Rage, host of Coping With Caregiving radio show
"What a truly remarkable and elegantly written book. The information is relevant for every relocation regardless of the age or circumstances of the client."
--Sally B. Yaryan, Director, Professional Development & Education; Austin Board of REALTORS (r)
"As a thirty-five year plus veteran of health care practice as a Registered Nurse, specializing in the care of the elderly, I offer my heart-felt endorsement of this excellent book. It offers concrete plans to follow and emphasizes the emotional and spiritual counterparts that transform seemingly difficult chores into acts of mutual joy, growth, and love."
--Mary Durfor for Rebecca Reads
Learn more about this author at www.FocusOnSpace.com
From the Aging With Grace Series at Loving Healing Press www.LovingHealing.com

Provide quality nursing care through each stage of child development! Wong's Nursing Care of Infants and Children, 12th Edition uses an easy-to-follow, family-centered approach to describe the care of children at each age and stage of development. The book begins with a discussion of the influences on and assessment of child health, then provides chapters on child health promotion and health problems - all organized by age groups and body systems. Up-to-date, evidence-based information helps you develop critical thinking skills along with the sensitivity needed to become a compassionate, caring pediatric nurse. Written by a team of experts led by Marilyn J. Hockenberry, Wong's continues to be the leading text in pediatric nursing.

• Focus on family-centered care emphasizes the role and influence of the family in child health and illness with a separate chapter and Family-Centered Care boxes.
• Full-color drawings and photographs reflect the latest in nursing care.
• Nursing Care Guidelines boxes offer clear, step-by-step instructions for interventions in a variety of situations and conditions, and Nursing Care Plan boxes included expected patient outcomes and rationales for nursing interventions.
• Nursing Tips include helpful hints and practical, clinical information.
• Translating Evidence into Practice and Applying Evidence to Practice boxes help you apply research to improve the outcomes of nursing care.
• Atraumatic Care boxes contain techniques for care that manage pain, discomfort, or stress, along with approaches to promote self-esteem and prevent embarrassment.
• Emergency Treatment boxes serve as a quick reference for interventions in critical situations.
• Cultural Considerations and Cultural Competence content provides tips from clinical experts.
• Community and Home Health Considerations boxes address issues such as increasing immunization rates, decreasing smoking among teens, and preventing lead poisoning.
• Drug Alerts highlight important drug-related information for safe, appropriate care.
• Nursing Alerts call out critical considerations such as key assessment data, risk factors, and danger signs that must be considered in providing care.
• Research Focus boxes emphasize research with concise reviews of important evidence.

• NEW! Updated content reflects the objectives of Healthy People 2030, and updates and revisionsare made to each chapter.
• NEW! New Next Generation NCLEX® (NGN)examination-style questions are included in all chapters to promote critical thinking.
• NEW! NGN-style unfolding case studies replace nursing care plans in disease-focused chapters.
• NEW! More information on emerging viruses includes the latest evidence on COVID-19 in children.
• NEW! Updated immunization content is included in the Infectious Diseases chapter.
• NEW! More information on mental health issues of the school-age child is added.
• NEW! More information on vaping and smoking covers their impact on adolescents.
• NEW! More information on preventing obesity is included, as well as updates on hypertension guidelines and other chronic diseases of childhood.
• NEW! Updated figures and illustrations better reflect the diversity of families.

Interpreting Basic Statistics gives students valuable practice in interpreting statistical reporting as it actually appears in peer-reviewed journals. Features of the ninth edition: * Covers a broad array of basic statistical concepts, including topics drawn from the New Statistics * Up-to-date journal excerpts reflecting contemporary styles in statistical reporting * Strong emphasis on data visualization * Ancillary materials include data sets with almost two hours of accompanying tutorial videos, which will help students and instructors apply lessons from the book to real-life scenarios About this book Each of the 63 exercises in the book contain three central components: 1) an introduction to a statistical concept, 2) a brief excerpt from a published research article that uses the statistical concept, and 3) a set of questions (with answers) that guides students into deeper learning about the concept. The questions on the journal excerpts promote learning by helping students * interpret information in tables and figures, * perform simple calculations to further their interpretations, * critique data-reporting techniques, and * evaluate procedures used to collect data. The questions in each exercise are divided into two parts: (1) Factual Questions and (2) Questions for Discussion. The Factual Questions require careful reading for details, while the discussion questions show that interpreting statistics is more than a mathematical exercise. These questions require students to apply good judgment as well as statistical reasoning in arriving at appropriate interpretations. Each exercise covers a limited number of topics, making it easy to coordinate the exercises with lectures or a traditional statistics textbook.

Finding Your Way with Your Baby explores the emotional experience of the baby in the first year and that of the mother, father and other significant adults. This updated edition is informed by latest research in neuroscience, psychoanalysis and infant observation and decades of clinical experience. It also includes important new findings about how the mother's brain undergoes massive restructuring during the transition to parenthood, a phenomenon that has been named 'matrescence.' The authors engage with the difficult emotional experiences that are often glossed over in parenting books - such as bonding, ambivalence about the baby, depression and the emotional turmoil of being a new parent. Acknowledgement and understanding of this darker side of family life offer a sense of relief that can allow parents to harness the power of knowing, owning and sharing feelings to transform situations and break negative cycles and old ways of relating. With real-life examples, the book remains a helpful resource for parents, as well as professionals interested in ideas from psychoanalytic clinical practice including health visitors, midwives, social workers, general practitioners, paediatricians and childcare workers.

With clarity and eloquence, Trauma and Grief Assessment and Intervention comprehensively captures the nuance and complexity involved in counseling bereaved and traumatically bereaved persons in all stages of the life cycle. Integrating the various models of grief with the authors' strengths-based framework of grief and loss, chapters combine the latest research in evidence-based practice with expertise derived from years of psychotherapy with grieving individuals. The book walks readers through the main theories of grief counseling, from rapport building to assessment to intervention. Each chapter concludes with lengthy case scenarios that closely resemble actual counseling sessions to help readers apply their understanding of the chapter's content. In the support material on the book's website, instructors will find a sample syllabus, PowerPoint slides, and lists of resources that can be used as student assignments or to enhance classroom learning. Trauma and Grief Assessment and Intervention equips students with the knowledge and skills they need to work effectively with clients experiencing trauma and loss.

Prescribing Mental Health Medication is a comprehensive text for all practitioners who treat mental disorders with medication. This new (third) edition is fully updated and includes a variety of additional chapters. Prescribing Mental Health Medication covers the latest digital methodologies including Internet-based mental health treatment, electronic medical records and prescriber use of social media. Including information on all psychotropic medications in use in the United States and the United Kingdom, the book incorporates clinical tips, sample dialogues for talking about mental health medications to patients, and information specifically relevant in primary care settings. It looks at: * how to determine if medication is needed, proper dosing and how to start, stop and change medication * specific mental health symptoms and appropriate medication * special populations including non-adherent patients, medication abusers, those mixing alcohol and psychotropics, confused patients, children, adolescents, pregnant women and seniors * management of medication side effects and avoidance of medication risk * prescription of generic preparations * organizing a prescriptive office and record keeping. The additional chapters in this new edition of Prescribing Mental Health Medication cover topics such as combining specific medications, combining medications and psychological therapies, use of 'natural' substances in mental health treatment, successfully managing patient relapse, and appropriate prescriptions of potentially controversial medications such as stimulants and benzodiazepines. This practical text explains the entire process of medication assessment, management and follow up for general medical practitioners, mental health practitioners, students, residents, prescribing nurses and others perfecting this skill.