This book examines the concepts of preventive care and health promotion specifically in the context of the elderly. It adopts a broad concept of health and defines a number of goals around this theme. Thereafter it provides a succinct, up-to-the-minute critique of the worth, risks and costs of preventive care and health promotional strategies for older people. A broad range of such strategies are considered including cancer prevention, the prevention of non-cancer health problems and strategies aimed at enhancing functional status and strengthening the social support network. Principles for tailoring these strategies to the varied needs and wishes of elderly people are outlined. Likewise, practical measures are discussed for integrating these preventive strategies into the existing health care system. In particular, the role of screening, case-finding and targeting strategies in primary care are reviewed in detail. The book concludes with a wider look at the cost implications of preventive care for the purchasers of health and health care services.

This edited volume is a compilation of 30 articles discussing what constitutes food for health and longevity. The aim is to provide up-to-date information, insights, and future tendencies in the ongoing scientific research about nutritional components, food habits and dietary patterns in different cultures. The health-sustaining and health-promoting effects of food are certainly founded in its overall composition of macronutrients and micronutrients. However, the consumption of these nutrients is normally in the form of raw or prepared food from the animal and plant sources. The book is divided into four parts and a conclusion, and successfully convenes the well-established information and knowledge, along with the personal views of a diversified group of researchers and academicians on the multifaceted aspects of nutrition, food and diet. The first part reviews the scientific information about proteins, carbohydrates, fats and oils, micronutrients, pro- and pre-biotics, and hormetins, along with a discussion of the evolutionary principles and constraints about what is optimal food, if any. The second part discusses various kinds of foods and food supplements with respect to their claimed benefits for general health and prevention of some diseases. The third part brings in the cultural aspects, such as what are the principles of healthy eating according to the traditional Chinese and Indian systems, what is the importance of mealing times and daily rhythms, and how different cultures have developed different folk wisdoms for eating for health, longevity and immortality. In the part four, various approaches which are either already in practice or are still in the testing and research phases are discussed and evaluated critically, for example intermittent fasting and calorie restriction, food-based short peptides, senolytics, Ayurvedic compounds, optimal food for old people, and food for the prevention of obesity and other metabolic disorders. The overreaching aim of this book is to inform, inspire and encourage students, researchers, educators and medical health professionals thinking about food and food habits in a holistic context of our habits, cultures and patterns. Food cannot be reduced to a pill of nutritional components. Eating food is a complex human behavior culturally evolved over thousands of years. Perhaps the old adage "we are what we eat" needs to be modified to "we eat what we are".

Designed to accompany Elkin's Nursing Interventions & Clinical Skills, 4th edition text, these handy checklists serve as a valuable assessment tool for each skill presented in the textbook.

This title was first published in 2001. This work is a uniquely multi-disciplinary contribution to the existing bioethical literature on the topic of informed choice of medical services. It is also the first comprehensive bioethical text to confront the central issue of power in the clinical encounter and to argue for statutory protection of the right to informed choice. While the majority of bioethicists argue for a conciliatory, rather than adversarial, approach to the chronic problem of uninformed consent, the author of this work argues that the external regulation of medicine is essential if the right to informed choice is to be protected. This argument is based upon an extensive review of the bioethical, legal, political, medical, sociological and philosophical literature, as well as a wide range of empirical and anecdotal evidence, evolving from a detailed exploration of power and the limits of rationality in the clinical encounter.

Important changes within the NHS and nursing have taken place over the last fifteen years. The healthcare environment has been transformed and the picture of professional nursing redrawn and sharpened. But how do these changes relate to practising nurses and student nurses at the beginning of their professional practice and what effect will they have on the everyday lives of nurses and their patients? Social Policy for Nurses aims to answer these essential questions, providing the ideal introduction to health policy for nurses at all stages of their careers. Written in an engaging and accessible style, the book provides a comprehensive discussion of the current policy imperatives facing nurses across the UK. The text offers a clear overview of the nature of policy and policy-making, reminding nurses of their ability, and responsibility, to become involved. The importance of learning lessons from the past, both good and bad, is strongly emphasised and the book has helpful chapter summaries, case studies and learning activities to help readers engage with the policies discussed. The themes explored include: * Working in partnership and empowering the users * Building a healthier nation * Professionalism * Information technology The future for the profession and for a high-quality, collectively provided health service is now very much in the hands of all nurses. This book sets out to inspire the current and future generation of nurses to reflect fully on the influence that health policy has on their profession and daily practice, and on health service provision more generally.

This innovative volume provides fresh perspectives on how medical students and patients construct identities in relation to each other, using stories of their clinical encounters. It explores how paying attention to medical students' and patients' stories in clinical teaching encounters can encourage empathy and the formation of professional identities that embody desirable values such as integrity and respect. Written by an experienced clinician and based on original, rigorous research combining ethnography and dialogic narrative analysis, Storytelling Encounters as Medical Education: Crafting Relational Identity includes patient stories alongside those of students and clinical teachers. This is an important contribution for all those interested in medical education, narrative medicine, person-centred care and identity formation in healthcare. It will also be of value to scholars in a range of other disciplines, who are using a dialogic approach.

Organized around a metaphor of an academic journey, D. Jean Clandinin offers published tracings of an unfolding journey over 40 years that, at its outset, appeared to focus only on questions of epistemology. However, the book illuminates how that apparent beginning focus shape-shifted to questions of methodology, ethics, ontology, and subsequently, political concerns. Clandinin shows that, even at the outset, her research wonders were grounded in relational understandings of experience, understandings that were simultaneously ontological, methodological, epistemological and ethical. Jean's work is collaborative, an engagement alongside others and within the contexts in which they and she lived and worked, including those who were participants in the research. She continues to acknowledge that narrative inquiry changes people's ways of being in the world, and those changes have ethical significance. While what she and her colleagues now call relational ethics has always been central, recently her sense of ethics has become more explicitly political. She shows the development of ideas over time, beginning as she entered doctoral work and continuing through 2019 and onward. Jean's work, centered on relational understandings of experience, highlights ethical dimensions, and has come to define narrative understandings for generations of researchers. This book will be an invaluable resource for researchers and graduate students, and professional researchers in both educational and healthcare settings. .

The first pocket-size resource to guide PA students through their emergency medicine rotation.Prepare for and thrive during your clinical rotations with the quick-access pocket guide series, The Physician Assistant Student's Guide to the Clinical Year. The Emergency Medicine edition of this 7-volume series delineates the exact duties required in this specialty. Written by experienced PA educators, this guide details the clinical approach to common presentations such as chest pain, altered mental status, and headache. It also provides a systems-based approach to more than 40 of the most frequently encountered disease entities you will see in this rotation, including traumatic injury, cerebrovascular accident, and acute coronary syndrome. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures you will learn during the emergency medicine rotation, including incision and drainage, wound repair, and foreign body removal. Also included is a special chapter on non-medical situations you'll find in the emergency department, such as drug-seeking behavior, violent or incarcerated patients, and malingering and factitious disorders. Key Features: Provides a pocket-size overview of the PA emergency medicine rotation Describes common clinical presentations, disease entities, and procedures Offers clinical pearls throughout Reflects the 2019 NCCPA PANCE blueprint Includes three bonus digital chapters! Guided case studies to reinforce clinical reasoning, 25 rotation exam-style questions with remediating rationales, and additional resources to enhance your emergency department experience Other books in this series: The Physician Assistant Student's Guide to the Clinical Year: Family Medicine; Internal Medicine; Surgery; OB-GYN; Pediatrics; Behavioral Health

This critical-thinking blueprint for the triage nurse delivers essential knowledge for accurate decision-making in emergency triage situations. Formatted to provide easily accessible and retrievable information, the manual facilitates rapid recognition and understanding of acuity levels and their application to patient care. The newly updated second edition reflects current health conditions and scenarios in EDs, urgent care centers, offices, and first aid centers, both domestic and international. It contains important new information on program development, training, and quality management along with useful tips and tools. Completely new protocols, additional case studies, and quality management guidelines and tools further add to the merit of the second edition.The resource addresses a wide range of both adult and pediatric conditions that are system-based and listed in alphabetical order. Each protocol has been developed to ensure accuracy and consistency, regardless of which 5-tier triage system is in use. Abundant case studies and multiple appendices provide additional information to support the protocols, broadening the nurse's scope of knowledge and prompting in-depth examination of potentially lethal conditions. Additionally, appendices contain valuable training materials for program development, training, and quality management tips and tools. New to the Second Edition: Updated protocols reflecting current health conditions/situations in EDs, urgent care centers, offices, and first aid centers Important new information on program development, training, and quality management tips and tools Additional material including mass casualty, exposure (biological, chemical, disease), military care, infections (isolation concerns), behavioral issues (violence), and narcotic overdose New case studies Developing a triage program Quality management guidelines and tools Key Features: Facilitates consistency in triage decisions among different nurses Uses health care resources appropriately and efficiently Sets minimum expectations for triage decisions Guides nurses in asking the right questions, determining how soon the patient must be seen, and interventions to consider Serves as a valuable reference for both new and experienced nurses Serves as a training tool in orientation

In Engaging in Narrative Inquiry, Second Edition, D. Jean Clandinin, a pioneer in narrative research, updates her classic formulation on narrative inquiry, clarifying, extending, and refining methods. This updated edition looks at changes and developments in the field since the publication of the first edition in 2013, exploring how narrative inquiry explores human lives through a narrative lens that honors experience as a source of important knowledge and understanding. The book includes several exemplary cases with the author's critique and analysis of the work. The following are new to this edition: New exemplary cases, including Menon's autobiographical narrative inquiry as the starting point for framing a research puzzle and justifying a study, Chung's account of a study that begins with living alongside participants, and a paper from Swanson's autobiographical narrative inquiry An expanded discussion of the philosophical grounding of narrative inquiry An expanded discussion of relational ethics in narrative inquiry that highlights links to a relational ontology An updated account of the field of narrative inquiry that highlights future directions, including the necessity of response groups, and questions of responsibility and community The increasing interest in narrative inquiry as research methodology across disciplines makes this book an essential guide and an excellent text for graduate courses in qualitative inquiry, education and nursing research, sociology, and all courses in autobiographical and narrative research and inquiry.

Rapid Research Methods for Nurses, Midwives and Health Professionals is designed to help you find and understand the meaning of key research terminology and, more importantly, develop your knowledge of some of the essential ideas and concepts they describe. This A-Z dictionary of terms is a collection of over 200 entries with a definition of each word put in context with additional tips on its use in assignment work. Alphabetically arranged in an accessible, reader-friendly format, this book: * Answers a clear demand for a practical, fast and concise introduction to the key ideas, concepts and methods in nursing and healthcare research * Provides students with fast and accessible information designed for revision and writing research-based assignments * Demystifies a field of study that students often find daunting

A handy pocket guide to help mental health student nurses prepare for their practice placements. Mental health nursing placements can be daunting - you'll be working in a variety of settings and supporting individuals with a range of mental health problems. There are new colleagues to work with, and newly learned nursing theory to put into practice. This pocket guide is designed to make your placements much more enjoyable and less stressful. From absence policy to personal safety, via least restrictive practice, it's full of practical detail, hints and tips. Written by a team comprising an experienced mental health lecturer, a Practice Education Facilitator and two recently qualified mental health nurses - this guidance is really produced with you in mind. Pocket-sized format - carry it with you at all times. Space to make your own notes - be it uniform policy, new terminology, or just the names of your new colleagues! Reduce your stress and make the most of your placements by having this book to hand from the start. Pocket Guides is a series of handy, pocket-sized books designed to help students make the most of their practice learning experiences.

The only certification study guide to focus on advanced infant and child health assessment. This is the only study guide available focusing specifically on the specialized knowledge and skills required to conduct the pediatric health assessment. Designed to accompany the text Advanced Pediatric Assessment, it reinforces essential content through case studies and multiple choice Q&As that mirror the Pediatric Nurse Practitioner Certification Exam format. The third edition includes new critical thinking exercises, case studies, and certification-style Q&As. It delivers a completely new chapter that covers clinical decision-making, formulating differential diagnoses, and evidence-based practice. It also provides SOAP notes for the well and abnormal exams. The third edition continues to deliver essential practice items for all aspects of the exam, along with sample documentation and a space where students can practice their own subjective and objective findings. In addition, Anatomic Labeling Exercises reinforce knowledge essential to the APN role. Each chapter is formatted systematically for ease of use and includes chapter overview, learning objectives, essential terminology, case studies, the well child, the ill child/child with problem, multiple choice questions mirroring the exam format, SOAP notes for well and abnormal exams, and answers. New to the Third Edition: Includes new critical thinking exercises, case studies, and certification-style exam questions Delivers completely new chapter addressing clinical decision making, formulating differential diagnoses, and evidence-based practice Provides SOAP notes for well and abnormal exams Key Features: Reinforces content for Advanced Pediatric Assessment with case studies and multiple choice Q&As that mirror certification exam format Provides essential practice items for the exam Includes Anatomic Labeling Exercises to reinforce required knowledge Delivers essential terminology Offers sample documentation and space for students to practice their own documentation

Spirituality is an important aspect of occupational therapy theory and practice, yet it remains little understood. This timely book adds to the current debate by exploring the meaning of spirituality within occupational therapy and by outlining evidence which supports this area of practice. Beginning with the three stances surrounding spirituality for the common good and the theology of occupation, throughout its 10 chapters the book goes on to cover topics such as: Spirituality of caring; Theories of spiritual development; Definition of spirituality from occupational therapy literature; Differences between assessing spirituality and religion; Spirituality and ethics; Spiritual and cultural diversity in the occupational therapy clinic; Therapeutic self. By the end of the volume the reader will have the toolset required to consider spiritual concepts and their application to health principles. Occupational Therapy and Spirituality is written in an accessible format and is designed for occupational therapy and occupational science academics, researchers, and graduate students.

Evidence-based practice is central to safe, high-quality and effective nursing. However, learning how to critique evidence and apply it to practice can be challenging at first. Written in clear, student-friendly language, this book builds your understanding of the terminology, theory and practice of using evidence. Learn how to evaluate different sources of evidence, apply this to your clinical decision making and, ultimately, contribute to an evidence-based culture in your workplace. Key features o Each chapter is mapped to the new 2018 NMC standards, showing how what you have learned relates to the requirements of a registered nurse o Filled with activities and student case studies to help you understand how to identify, evaluate and implement evidence-based practice o Promotes an evidence-based culture in all aspects of nursing practice, supporting your professional identity and development

The current (postfeminist) gender order comprises a highly complex coexistence of old and new norms and expectations, freedom and constraints, within a neoliberal social order underpinned by individualism and involving a shift in gender performance by men and women. Health, illness and disease at different points in the life course can be used as a vehicle to illuminate structural and cultural inequalities that persist despite several decades of progressive reform in western countries. This collection brings together a number of key researchers, both established and new to the field, and based across North America, Australia, the UK and Europe, and comprises both empirical and theoretical work. Drawing on a wide range of disciplinary fields, including medical sociology, medical anthropology, nursing, gender studies, sociology of risk and age studies, all authors use heath, well-being, illness and disease as a lens through which to explore the complexities and inequalities associated with late modernity. This book will be of interest to scholars and students of age studies, medical sociology and anthropology, gender studies, healthcare and nursing.

Nurses typically go in to the profession of nursing because they want to "care" for patients, not knowing that the inherent stresses of the work environment put them at risk for developing psychological disorders such as burnout syndrome, posttraumatic stress disorder (PTSD), anxiety and depression. Symptoms of these disorders are often debilitating and affect the nurse's functioning on both a personal and professional level. While environmental and/or organizational strategies are important to help combat stress, oftentimes the triggers experienced by nurses are non-modifiable including patient deaths, prolonging life in futile conditions, delivering post-mortem care and the feeling of contributing to a patient's pain and suffering. It is paramount that nurses enhance their ability to adapt to their work environment. Resilience is a multidimensional psychological characteristic that enables one to thrive in the face of adversity and bounce back from hardships and trauma. Importantly, resilience can be learned. Factors that promote resilience include attention to physical well-being and development of adaptive coping skills. This book provides the nurse, and the administrators who manage them, with an overview of the psychological disorders that are prevalent in their profession, first-person narratives from nurses who share traumatic and/or stressful situations that have impacted their career and provide detailed descriptions of promising coping strategies that can be used to mitigate symptoms of distress.

Person-Centred Healthcare Research provides an innovative and novel approach to exploring a range of research designs and methodological approaches aimed at investigating person-centred healthcare practice within and across healthcare disciplines. With contributions from internationally renowned experts in the field, this engaging resource challenges existing R&D methodologies and their relevance to advancing person-centred knowledge generation, dissemination, translation, implementation and use. It also explores new developments in research methods and practices that open up new avenues for advancing the field of person-centred practice. Person-Centred Healthcare Research: * Enables students, practitioners, managers and researchers to gain a solid understanding of the complexity of person-centred thinking in research designs and methods. * Explores the theories and practices underpinning a topical subject within current healthcare practice. * Is edited by an internationally recognised team who are at the forefront of person-centred healthcare research.

Understanding Tourette Syndrome provides accessible, concise, evidence-based guidelines on this neurodevelopmental disorder, offering parents and professionals a deeper scientific understanding of the condition and its consequences. Zanaboni Dina and Porta explore signs, symptoms and treatment of the disease, with the aim of demonstrating to all those involved in the life of a TS child solutions to manage a range of situations from diagnosis to day-to-day life. Therapies and social intervention, including Habit Reversal Training and Deep Brain Stimulation, are described, allowing caregivers to evaluate the best course of treatment. With a focus on improving quality of life by offering practical recommendations for managing the condition at school and in the family, it places additional emphasis on sibling relationships and the importance of childhood friendship. The authors' expert subject knowledge and extensive experience of working with children and families, makes the topic accessible for any reader, and case studies demonstrate how to apply scientific understanding of the condition to a real-life situation. This unique guide is essential reading for parents and carers, as well as practitioners in Clinical and Educational Psychology, Counselling, Mental Health, Nursing, Child Welfare, Public Healthcare and those in Education. It will also be of interest to postgraduates studying courses in Psychology, Neurology and Psychiatry.

Britten places medicines in their social context, and considers the range of influences on prescribing and the sociology of health and illness. Exploring issues such as "the meaning of medicines" and "alternative treatments," the book provides important reading for students across a range of disciplines interested in medicines and society.

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

The book demonstrates how Resilient Health Care principles can enable those on the frontline to work more effectively towards interdisciplinary care by gaining a deeper understanding of the boundaries that exist in everyday clinical settings. This is done by presenting a set of case studies, theoretical chapters and applications that relate experiences, bring forth ideas and illustrate practical solutions. The chapters address many different issues such as resolving conflict, overcoming barriers to patient-flow management, and building connections through negotiation. They represent a range of approaches, rather than a single way of solving the practical problems, and have been written to serve both a scientific and an andragogical purpose. Working Across Boundaries is primarily aimed at people who are directly involved in the running and improvement of health care systems, providing them with practical guidance. It will also be of direct interest to health care professionals in clinical and managerial positions as well as researchers. Presents the latest work of the lauded Resilient Health Care Net group, developing applications of Resilience Engineering to health care, furthering safety thinking and generating applicable solutions that will benefit patient safety worldwide Enables health care professionals to become aware of the boundaries that affect their work so that they are able to use their strengths and overcome their weaknesses Written from a Safety-II perspective, where the purpose is to make sure that as much as possible goes well and the focus therefore is on everyday work rather than on failures. There are at present no other books that adopt this perspective nor which go into the practical details Provides a concise presentation of the state of resilient health care as a science, in terms of major theoretical issues and practical methods and techniques on the overarching and important topics of boundary-crossing and integration of care settings

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.

Patient organizations and social health movements offer one of the most important and illuminating examples of civil society engagement and participation in scientific research and research politics. Influencing the research agenda, and initiating, funding and accelerating the development of diagnostic tools, effective therapies and appropriate health-care for their area of interest, they may champion alternative, sometimes controversial, programs or critique dominant medical paradigms. Some movements and organizations advocate for medical recognition of contested illnesses, as with fibromyalgia orADHD, while some attempt to "de-medicalize" others, such as obesity or autism. Bringing together an international selection of leading scholars and representatives from patients' organizations, this comprehensive collection explores the interaction between civil society groups and biomedical science, technology development, and research politics. It takes stock of the key findings of the research conducted in the field over the past two decades and addresses emerging problems and future challenges concerning the interrelations between health movements and patient organisations on the one hand, and biomedical research and research policies on the other hand. Combining empirical case studies with conceptual discussion, the book discusses how public participation can contribute to, as well as restrict, the democratization of scientific knowledge production. This volume is an important reference for academics and researchers with an interest in the sociology of health and illness, science and technology studies, the sociology of knowledge, medical ethics or healthcare management and research, as well as medical researchers and those involved with health-related civil society organizations.

The first manual to provide a systematic review of essential content for the CNE (R)cl exam. This is the first review manual written for nurse educators who seek certification as a Clinical Nurse Educator specializing in the Clinical Learning Environment (CLE). The resource encompasses all of the essential knowledge-as designated by the National League for Nursing (NLN)--needed to pass the exam, and systematically follows the test blueprint so that those taking the exam will be optimally prepared. Brimming with teaching tips, evidence-based teaching boxes, case studies, outlines, bulleted lists, and critical thinking Q&As for each chapter, the book also provides chapter references for accessing additional content for each topic. Exam specifics and test-taking strategies help students to approach the exam with confidence. The book also offers a practice CNE test at the end of the book. Additionally, the resource is also a valuable orientation guide for new faculty. Key Features: Delivers well-organized, systematic coverage of review content to promote exam success Written for both novice and expert clinical nurse educators Reflects the number of questions in each section on the test blueprint Highlights areas designated by the NLN as essential knowledge needed for excellence in the field Includes case studies and critical thinking questions throughout all chapters Provides evidence-based teaching practice boxes Offers Teaching Gems with advice on improvement from practice experts Includes end-of-chapter review questions, PLUS a valuable 100 Q&A practice test with rationales for self-assessment