After the Nancy Cruzan case was decided by the Supreme Court in 1990, and ultimately resolved by the Courts of the State of Missouri, the decision to withhold or withdraw life-prolonging nutrition and hydration appeared to many to be as noncontroversial as decisions to refuse respirators or dialysis. Even the Catholic Church held that, although there should be a presumption in favor of providing nutrition and hydration, the patient or the patient's surrogate could overrule this presumption, if either believed the treatment was disproportionate or burdensome. The Schiavo case changed all that. Although the decision to remove Terri Schiavo's nutrition and hydration was made by her husband - her legal surrogate - based on his wife's belief that such treatment was disproportionate, Schiavo's immediate family protested so much that the case took years to resolve. It eventually involved all branches of government at both the state and federal levels. The ethical dilemmas that such cases pose continue to stir great controversy. This in-depth examination of these dilemmas provides information and documentation from many perspectives. The editors have included a foreword by Dr. Jay Wolfson, Terri Schiavo's court-appointed guardian ad litem, as well as Dr. Wolfson's report to Gov. Jeb Bush on the case and Gov. Bush's reply; public statements by President George Bush and Senators David Weldon, Rick Santorum, Tom DeLay, Bill Frist, and Barney Frank; statements by the pope and other representatives of the Catholic Church on this issue; plus much medical and legal background material on both precedents to the Schiavo case and its aftermath, including the results of the autopsy report. For anyone wishing an in-depth understanding of these complex ethical issues, issues many of us will have to confront in our own families, this volume is indispensable.

Palliative and End-of-Life Care, 2nd Edition provides clinicians with the guidelines and tools necessary to provide quality, evidenced-based care to patients with life-limiting illness. This text describes the care and management of patients with advanced disease throughout the disease trajectory, extending from diagnosis of advanced disease until death. Four units provide the general principles of palliative and end-of-life care, important concepts, advanced disease management, and clinical practice guidelines. Clinical practice guidelines offer in-depth discussions of the pathophysiology of 19 different symptoms, interventions for specific symptom management (including in-depth rationales), and suggestions for patient and family teaching. Defines dying as a normal, healthy process aided by the support of an interdisciplinary team. Provides in-depth pathophysiology, assessment, and intervention information based upon the disease trajectory. Highlights opportunities for patient and family teaching. Describes psychosocial issues experienced by patients and their families. Reviews uncomplicated and complicated grief and mourning, providing suggestions to help the family after a patient's death. Includes case studies at the end of chapters to reinforce key concepts of compassionate care. New chapters including Advance Care Planning, Ethical Issues, Spiritual Care Across Cultures, Pharmacology, Sleep, and Nutrition. Includes a new appendix on Assessment Tools and Resources for more comprehensive coverage of palliative and end-of-life care.

This book (hardcover) is part of the TREDITION CLASSICS. It contains classical literature works from over two thousand years. Most of these titles have been out of print and off the bookstore shelves for decades. The book series is intended to preserve the cultural legacy and to promote the timeless works of classical literature. Readers of a TREDITION CLASSICS book support the mission to save many of the amazing works of world literature from oblivion. With this series, tredition intends to make thousands of international literature classics available in printed format again - worldwide.

Written by emergency nurses for emergency nurses, this comprehensive, evidence-based resource covers the issues and procedures that are often unique to the emergency department. New developments and changes in clinical practice are incorporated throughout. The user-friendly format features more than 350 high-quality illustrations and 150 tables that highlight essential concepts and offer quick access to vital information. Key coverage includes clinical fundamentals, treatment for trauma and medical-surgical emergencies, the foundations of emergency nursing practice, and special populations. 58 contributors offer valuable insights from a broad range of clinical positions in rural, suburban, and urban areas. High-quality radiographs and other diagnostic images help you learn to identify common conditions - especially head trauma, fractures, and dislocations. Logically organized, chapters are grouped into six sections for quick access to important content: Foundations of Emergency Nursing, Professional Practice, Clinical Foundations of Emergency Nursing, Major Trauma Emergencies, Medical and Surgical Emergencies, and Special Patient Populations. Tables and boxes highlight and summarize critical information for at-a-glance reference. A separate unit on special patient populations covers topics such as child abuse, elder abuse, intimate partner violence, sexual assault, substance abuse and behavioral/pediatric/obstetrical emergencies. Priority nursing diagnoses are highlighted in a quick-reference appendix to help you focus on the most serious problems. Five new chapters bring you the most reliable, up-to-date information on these key topics: Management of the Critical Care Patient in the Emergency Department Family Presence During Resuscitation Forensic Nursing Nuclear, Biological, and Chemical Agents of Mass Destruction Influenza: Seasonal, Avian, and Pandemic Expanded coverage of shock and sepsis provides essential information on pathophysiology and diagnosis, with valuable guidelines for managing these patients. A detailed discussion of various types of triage systems and triage acuity ratings examines valid and reliable methods for differentiating between patients who require immediate treatment and those who can wait. Additional coverage of behavioral health emergencies includes new information on agitation, substance abuse, and suicide prevention.

Written by expert pediatric nurse practitioners, this resource is a fully endorsed compendium of essential information. Using an easy-to-use outline format, it defines the parameters of the specialty by outlining the entire scope of PNP practice and covers everything in the Pediatric Nurse Practitioners (PNP) certification exams. In light of the increase in the number of PNP programs and students seeking certification, Core Curriculum for Primary Pediatric Nurse Practitioners offers the big-picture view that every PNP needs. Authored and endorsed by the National Association of Pediatric Nurse Practitioners (NAPNAP) and the Association of Faculties of Pediatric Nurse Practitioners (AFPNP). Chapters that cover the continuum of PNP practice, such as the Role of the PNP, Wellness Issues, Growth and Development, Genetics, diagnosing and managing Common Illnesses and Chronic Conditions, Pediatric Emergencies, Pharmacology, and Treatment Guides. Concise outline format is accessible and user-friendly. Covers all content on both the ANCB and ANCC certification exams

With patients leaving the hospital sicker and more care being done in outpatient settings or at home, patients need to become active, informed participants on their health care team. This one-of-a-kind text provides unique advice to help nurses apply their knowledge and skills to teaching patients in the clinical setting with specific diseases, including special populations. The book is organized into two basic sections - the first describes the theories and process of learning and teaching, and the second focuses on the major fields of patient education practice in place today. The new case study approach also makes it easy for students to understand how to apply teaching strategies to specific patient types resulting in better informed patients and a more positive teaching/learning experience. Covers a variety of learning theories and concepts, as well as strategies for applying them in patient teaching. Uses evidence-based patient education practice, with extensive citations to the research base. Presents key issues in patient education such as literacy, use of patient decision aids, and multiple patient conditions for which organized patient education should be developed. Includes study questions with suggested answers. Teaching basics streamlined for use as the main text for a course or as a supplement to any clinically oriented course. Includes multiple case examples, at every stage of the teaching process, which students can use as models to guide their own practice. New case study approach provides multiple case examples enabling readers to understand how to apply teaching strategies to specific patient types and settings. Now includes significant content in patient self-management of chronic conditions, the largest growing area of patient education.

Nursing Education in the Clinical Setting provides a practical approach to clinical nursing instruction. Although grounded in adult learning theory, this unique resource provides practicable suggestions and addresses common questions and issues. The text incorporates illustrative scenarios, discussion questions, and reflection exercises designed to facilitate thoughtful application of the content. Addresses the role transition for a nurse with clinical expertise to that of clinical nursing instructor. Provides important tips for effectively appraising student performance such as student involvement in self-evaluation and goal setting, and suggestions for how evaluation and appraisal are shared with the student. Incorporates sample scenarios to illustrate concepts and allow the reader to apply them. Integrates discussion questions and exercises designed to facilitate thoughtful application and critical thinking skills. Addresses all aspects of learning, including "cognitive" (e.g., critical thinking), "affective" (e.g., caring), and "psychomotor" (e.g., technical skills). Provides actual examples of tools to be used for documenting student performance and approaches for stimulating student involvement and critical thinking. Includes a separate chapter on Clinical Faculty as Clinical Coach that discusses how learning is facilitated in the clinical setting with the guidance of an effective teacher. Features a Clinical Toolbox that contains a variety of supplemental resources, including sample approaches for teaching and evaluation, suggestions for preparing anecdotal notes, and relevant reference material. Incorporates issues related to computer access of patient data banks for students, and the federal regulations mandated by HIPAA and their clinical education implications.

Completely updated to reflect current practice, the 3rd edition of this comprehensive resource provides a multi-disciplinary, in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options for the various types of incontinence. Assessment, behavioral therapies, and multidisciplinary care are emphasized as key elements in the treatment and management of incontinence. In addition to the life-span content discussed throughout the book, an entire chapter is devoted to bowel and bladder management in children. Authored and contributed by leaders in the Wound, Ostomy and Continence Nurses Society (WOCN). Provides an in-depth review of the physiology of continence, the pathologic mechanisms producing incontinence, and current treatment options to facilitate optimal assessment and care. Features detailed assessment guidelines to help clinicians accurately identify causative and contributing factors, and implement of a comprehensive management plan. Discusses urinary incontinence and fecal incontinence in separate sections to address the special considerations for each in an organized, focused, easy-to-use format. Features individual, complete chapters for each of the following types of incontinence: stress, functional, reflex (neurogenic bladder), and overactive bladder (urge incontinence). Devotes separate chapters to Pathology & Management of Postprostatectomy Incontinence and Bowel and Bladder Management in Children to ensure comprehensive coverage of these topics. Offers life-span content to help clinicians provide appropriate care for patients in every stage of life. Includes self-assessment questions with answers and rationales for review and self-testing. Integrates multidisciplinary care throughout to highlight its importance in successful treatment. Features a new chapter on Pathology & Management of Postprostatectomy Incontinence that provides detailed information on this increasingly important aspect of incontinence. Includes content on the impact of spinal cord injury on bladder and bowel function.

A comprehensive overview of occupational and environmental health nursing, this book is AAOHN's statement of the scope of practice for this nursing specialty. It represents the latest body of knowledge significant to this field. Written in an outline format, it can be used as a textbook for an occupational and environmental health nursing course, as a clinical reference in a variety of occupational settings, and as a certification review tool. This new edition is based on recent revisions to the AAOHN's Code of Ethics and Standards of Practice. Written by experts in the field of occupational health nursing. Consistent outline format allows ease of access to information. Addresses the foundational sciences of occupational health: epidemiology, toxicology, industrial hygiene, ergonomics, and injury prevention to provide a comprehensive basis of knowledge. Incorporates trends in the legal, ethical, economic, political, and business climates as they relate to occupational and environmental health and safety, staying current with all areas that affect the occupational health nurse's roles and responsibilities. New chapter on disaster planning and management addresses responsibilities of occupational health nurses in hazard situations in both the workplace and in the larger community. The latest government initiatives and guidelines are covered, such as OSHA's Strategic Management Plan to reduce workplace fatalities, injuries, and illnesses, plus other new workplace-related government programs and legislation. Revised competencies of practice, with performance criteria, present the current practice expectations at each level of practice. Revised Code of Ethics is a guide for nurses to maintain and pursue professionally recognized ethical behavior in providing occupational and environmental health services. Revised Standards of Practice define the practice of this specialty and provide a framework for evaluation. Expanded content in the environmental, research, and health promotion chapters highlights the latest information in these areas.

Comprehensive, illustrated, and perhaps most importantly: applicable in practice. The latest edition of this best-selling textbook proves difficult to put down. The third edition of Fundamentals of Anatomy and Physiology is a concise yet comprehensive introduction to the structure and function of the human body. Written with the needs of nursing and healthcare students in mind, this bestselling textbook incorporates clinical examples and scenarios throughout to illustrate how the topics covered are applied in practice. Hundreds of full-colour illustrations complement numerous case studies encompassing all fields of nursing practice, alongside learning outcomes, self-assessment tests, chapter summaries, and other effective learning tools. This latest edition has been thoroughly updated by a team of international contributors to reflect the current Nursing and Midwifery Council (NMC) Standards for Education, with enhanced online learning resources including an image bank, a searchable online glossary, flashcards, interactive multiple-choice questions, and more. Offering a user-friendly introduction to anatomy and physiology, this textbook: Provides a variety of clinical scenarios and examples to relate theory to practice Outlines the disorders associated with each chapter's topic Presents information on medicines management for each body system Is written by an international team Features extensive supplementary online resources for both students and instructors Is available with accompanying study guide, Fundamentals of Anatomy and Physiology Workbook Fundamentals of Anatomy and Physiology is the perfect introduction to the subject for student nurses, particularly those in the first year of their course, healthcare assistants and nursing associates, and other allied health students.

This groundbreaking annual review has provided nearly three decades of knowledge, insight, and research on topics critical to the field of nursing. The 33rd volume delivers the most current research on traumatic brain injury (TBI) with a focus on its implications for improving health and wellbeing. The book examines promising new interventions for individuals suffering from TBI with supporting research about their efficaciousness. Invited experts--highly respected nurse scientists working in a variety of TBI-related arenas--stress outcomes and symptom development post-TBI. The Review encompasses current military research on TBI along with animal models in TBI research. It addresses the relationship of sleep disorders to TBI-related PSTD; biomarkers related to recovery from TBI; genomics, transciptomics, and epigenomics; cerebral perfusion pressure and intracranial pressure in TBI; and an informatics system for TBI research. Also covered are TBI in pediatrics and in caregiver research. Additionally, the Review also provides a unique literature review of under-reported research. Key Topics Military Research on TBI Animal Models in TBI Research PSTD and Sleep Post-TBI Biomarkers Related to Recovery Post-TBI Genomics, Transcriptomics, and Epigenomics in TBI Research Common Data Elements and Federal Interagency Traumatic Brain Injury: Research Informatics System for TBI Research Cerebral Perfusion Pressure and Intracranial Pressure in TBI TBI in Pediatrics TBI in Caregiver Research

In collaboration with Consulting Editor, Dr. Steve Krau, Dr. Randolph F. R. Rasch has put together a state-of the-art issue of the Nursing Clinics of North America devoted to Infectious Diseases. Clinical review articles from expert authors are specifically devoted to the following topics: Ebola; HIV/AIDS; Lymphatic Filariasis; Tuberculosis; STDs; Influenza (seasonal); Malaria; Lyme Disease; Hepatitis (Hep. C & Hep. B); Zika virus, particularly related to pregnancy; Oral Infections; Rat Lung Disease; and Emerging infections. Readers will come away with the latest information they need to improve outcomes in patients with infectious diseases.

Circumcision remains as one of the most controversial topics in current urological practice. The most important argument against circumcision is the permanent change of anatomy, histology and function of the penis, with potential complications, with rates reported to be low in developed countries, whereas it may be up to 85% when circumcision is carried out by traditional circumcisers, rather than by medically trained professionals in developing countries. In some studies, reporting the complications of circumcision, primary haemorrhage was the most common (52%), whereas infection, meatal stenosis, incomplete circumcision, penile oedema, glandular injury, penile adhesions, iatrogenic hypospadias and urethral injuries were also detected at different rates. At times minor complications after circumcision which cannot be avoided even when the procedure is undertaken by specialized pediatric surgeons or urologist, in a properly equipped centres; specially if the child or his penis is congenitally abnormal, the obvious examples are, circumcising a child with an excessive suprapubic fat or a child with webbed penis or microphallus . This title aims to minimize complications of MC and to compete against its serious impact on men's' health, it will educate and teach physicians about potential complications and how they could manage it early on and avoid further patient problems This title will shed some light over the common as well the uncommon complications, which usually raise a debate about its management. There are different sets to classify MC complications: Either early, or late, minor or major, local or systemic, rare or common. Both rare and common complications will be discussed with comprehensive photos and illustrations for each complication and its operative remedy.

Dedicated to ostomies and continent diversions, this comprehensive reference book features information on the history of enterostomal therapy, anatomy and physiology of diseases that necessitate intestinal or urinary diversions, pouching system management principles, ostomy related complications, care of the cancer patient as well as the patient with chronic disease, and current trends and issues affecting the person with an ostomy. Current topics covered include intestinal diversions requiring temporary diversions, medical and surgical treatments for inflammatory bowel disease, colo-rectal cancers advances and ischemic intestinal disease. Fecal and Urinary Diversions: Management Principles is a valuable resource to students, nurses, physicians, surgeons, and individuals who care for a person with an ostomy without the benefit of a Certified Ostomy (ET) Nurse. Covers lifespan considerations to address the special needs of patients of all ages. Includes an 8-page color insert with 25 full-color photos illustrating ostomy-related complications to help nurses improve their assessment skills. Offers a unique framework for pouch selection to help nurses choose the most effective and cost-conscious options. Covers coping and quality-of-life issues to guide nurses in handling these important patient and professional considerations. Features practical, step-by-step guidelines for pouching, irrigation, and other techniques. Provides review questions and answers to help evaluate learning and prepare for certification or recertification.

This 2nd edition focuses on the preprocedural, procedural, and postprocedural care of the moderately sedated patient. It is designed for any clinician involved in the administration of moderate sedation and written by a clinician involved in the practice on a daily basis. The primary focus of this new edition is to provide all the content and tools necessary to demonstrate competency in moderate sedation/analgesia. Includes a greater focus on the core competencies necessary for clinical practice. Concept Checks are integrated throughout to help the learner assess the mastering of the content presented. Includes the recommended standards of practice from the ANA, AORN, American Academy of Pediatrics, and JCAHO's Sample Policies & Procedures. Contains sample clinical competencies for moderate sedation so the book can be used as a study guide and measurement tool. Incorporates throughout important information on the specific moderate sedation parameters of the pediatric and geriatric patients addressing preprocedural assessment, physiologic variations, pharmacologic considerations and sedative techniques. Includes a comprehensive pharmacologic profile of each medication used in the moderate sedation practice setting. Follows a recommended 'core curriculum' format, but each idea and concept are discussed in detail. Increased integration of actual Clinical Scenarios facilitates the application of content knowledge and utilization of critical thinking skills. Integration of herbal preparations and their impact on pre-sedation care. Latest JCAHO Sedation/Anesthesia Guidelines (2004) incorporated throughout. A larger trim size (8.5 x 11) provides more of a 'manual' feel and allows the reader to make notes and work through various tools throughout the book.