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

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

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

As health and social care organisations respond to the health modernisation agenda, the use of integrated care pathways in mental health is fast growing. Care pathways which detail expected multidisciplinary interventions within a care experience and use variances to monitor care and facilitate quality improvement have been emerging throughout UK mental health services over the last few years. Although advocated in health policy their introduction has been generally uncoordinated. Integrated Care Pathways in Mental Health is a timely gathering together of the recent developments in the field. It combines discussion of relevant and developing theory, with accounts of real time developments in practice. The combination of knowledgeable discussion and credible experience of the contributors make this is an innovative text which will be of great value to those who are challenged with developing mental health care. An introduction to care pathways in mental health services. Advice on using care pathways to monitor the quality of mental health services. Discussion on developing and operating integrated care pathways within multi-professional working practices. Legal aspects of integrated care pathways. Examples of working integrated care pathways.

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

This book focuses on the immediate and first aid nursing care of clients. This book includes additional chapters on medical surgical nursing, interstial lung disease, lung transplantation, etc. Significant modifications have been made in this book almost in all the chapters especially in cardiovascular disorders, respiratory disorders and immunological disorder. A comprehensive guide compiled as per the revised INC syllabus for undergraduate nursing students. Highly readable format offers you a strong foundation in medical surgical nursing. Content written and reviewed by leading experts in the field ensures that information is comprehensive, current, and clinically accurate. Covers the entire medical and surgical conditions along with medical and nursing management. A lifelong companion for basic nursing students.

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.

The preferred nursing fundamentals resources for generations of nursing students and educators, Fundamentals of Nursing: The Art and Science of Person-Centered Nursing Care, 10th Edition, equips beginning nursing students with a holistic, case-based perspective on nursing practice and emphasizes the clinical reasoning and decision-making essential to their success in today's competitive healthcare environment. Promoting nursing as an evolving art and science directed to human health and well-being, this bestselling text is designed to instill in students the highest level of scientific knowledge and technical skill while cultivating the blended competencies crucial to responsible patient-centered care in a wide variety of care settings. Updates throughout this 10th Edition reflect a growing emphasis on clinical judgment and NCLEX (R) readiness, training students to think like nurses and respond confidently and effectively to clinical challenges. Ample clinical examples, pedagogy, illustrations, and online learning tools and assessments engage students and distill need-to-know information, complemented by a suite of integrated teaching and learning resources that create a seamless, superior learning experience for every student. New to this Edition NEW! Clinical Judgment chapter conditions students think like nurses, incorporating the nursing process and the latest evidence-based practices to prioritize responsibilities and make confident clinical decisions. NEW! Integrated NCSBN concepts and terms keep students on the front lines of today's evolving nursing practice and ready them for success on the NextGen NCLEX (R). NEW! Evolving Case Studies familiarize students with the NCSBN Clinical Judgment Evaluation Model and reflect the Next Generation NCLEX (NGN). NEW! Diversity, inclusion, and equity content equips students with a diverse perspective on patient care essential to today's nursing practice. NEW! Timely coverage throughout the text reflects the impact of climate change and COVID-19 on patient care. NEW! 2021 AACN Essentials and ANA Nursing Scope and Standards of Practice incorporated throughout the text help you meet the latest curriculum standards in competency-based nursing education. NEW! Thoughtful Person-Centered Practice: Challenging Topics leverage Unfolding Patient Stories to reinforce clinical reasoning and judgment competencies in a real-world context. UPDATED! NCLEX (R)-style Chapter Review Questions in every chapter strengthen students' exam readiness.

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

This book is a comprehensive guide to developmental anatomy and physiology of children, related to the developing child from fetus up to adolescence. It takes a systematic approach and addresses all the body systems. As well as addressing normal growth and development it places pathology in perspective when related to developmental issues, such as congenital abnormalities. chapter outcomes and a chapter overview Clinical notes help link theory to practice and facilitate reflective practice Highly illustrated throughout Self-assessment exercises help understanding and aid revision

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

Woodhead and Wicker's new text will be the foremost reference source for all perioperative practitioners. This new text is unique in its approach to focus on the principles of perioperative care in a wide variety of different surgical environments. Surgery for patients has changed dramatically over the last few years and a text such as this is needed for students and practitioners in this specialised environment. The content mirrors the dynamics of modern perioperative practice by focusing on surgical interventions in all the environments in which it is currently practised, including A&E departments, general practice clinics, intensive care units, and at the site of serious accidents. Reflects principles of practice, applicable to any perioperative environment Strong practical focus Edited by two of the biggest 'names' in the international perioperative nursing sphere, with contributions from other well-known and authoritative sources Excellent opportunities to develop links with the National Association of Theatre Nurses and the European Operating Room Association The team of contributors are experienced practitioners working directly with perioperative patients or in perioperative education An original model for ethical practice is proposed: the Reid model is the first such ethical model to be proposed for the perioperative environment Includes one of the only chapters in any perioperative book which specifically focuses on the care of the elderly. The research chapter encourages the use of evidence based practice and the development of perioperative research The unique chapter on care of the mentally ill will support practitioners who are not qualified in psychiatry to care for mentally ill patients. This is an area where there is a great information deficit Key points listed for each chapter Sections have been completely revised from previous edition - key subject areas now stand-alone chapters rather than sections within much larger chapters - creates ease of access for user Change of editorship Recognises the diversity of perioperative environments much more explicitly than previous edition

Understanding clinical investigations is an indispensable handbook providing easily accessible explanations of the common investigations carried out on all body systems. It addresses the relationship between normal physiology and disease processes and the place of clinical investigation within these events. The rationale for investigation is made clear and some guidance for further care is offered. Designed to give quickly referenced guidance on a broad spectrum of clinical investigation and monitoring, it will be helpful to all nursing staff and will assist in giving explaining tests to patients. Understanding Clinical Investigations provides: a unique combination of normal physiology, clinical investigations and pathophysiology an attractive, user-friendly design ensuring easy access to key information an appendix of normal values In this new edition each investigation has been updated in line in the light of recent guidelines and practice. New material has been added including chromosome studies and blood cholesterol values. Comprehensive range of common clinical investigations Combines normal physiology and clinical investigations and pathophysiology Appendix of normal values New design and format Each investigation has been updated in line in the light of recent guidelines and practice. New material has been added including chromosome studies and blood cholesterol values

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

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

This handbook provides a useful guide for the day-to-day management of people with breast cancer. It covers the journey from diagnosis to post-treatment comprehensive care. It explains when and why different treatment modalities are used, what the complications of both the disease and treatments are and how to manage them. Although this book has been written for students and health personnel working in a general hospital, it will be useful for those in specialist breast units as well. Dr Jenny Edge is a surgeon and head of Breast and Endocrine Surgery at the University of Stellenbosch. Dr Ines Buccimazza is head of the Breast Unit, member of the Multidisciplinary Breast Team and a senior specialist in the Department of Surgery at the Nelson R. Mandela School of Medicine at the University of KwaZulu-Natal in Durban.

The book is a comprehensive guide to all the main strands of EBHC - finding and implementing evidence for use in clinical practice. Its focus is health professionals in the primary care field, and it consciously uses case examples from a variety of professional contexts. Examples and questions relevant to primary care practice are featured throughout the text. It discusses principles as well as practice, and provides guidance for teachers.Written in clear, jargon-free language A 'how to do' manual, takes the reader step by step trough the process Case studies, worked examples and activities scattered throughout text Multi-disciplinary approach Fully updated New references Covers latest developments

This book is the first to focus on the work of nearly 600 sisters from 12 different Catholic orders who nursed wounded and sick Union and Confederate soldiers between 1860 and 1865. Drawing on archival sources and the personal papers of the women who participated, Maher gives a detailed account of their experiences: how they were called into service, where they served, what duties they performed, how they looked on their mission, and how they were viewed by those who worked with them. Through service on the battlefield, in hospitals, and on transport boats, the sisters became known for their dedication and practical skills. Maher begins with a dicussion of Catholic sisters in mid-nineteenth century America and the development of Catholic nursing during that period. While other women were prohibited by custom from nursing outside the home, Catholic sisters had established the practice of caring for the sick in the community and providing nursing care during epidemics and other public crises. During the Civil War, their assistance was sought by Union and Confederate governmental, military, and medical authorities. Through service on the battlefield, in hospitals, and on transport boats, the sisters became known for their dedication and practical skills. Maher examines the impact of their work in both modifying negative pre-Civil War attitudes towards Catholics and sisters and in paving the way for the development of a nursing profession outside the Catholic orders. Basing her study on letters, journals, and memoirs containing the sisters' personal accounts of their experiences, Civil War histories, and official medical and surgical records, Maher offers a richly detailed picture of a little-known aspect of U.S. history. Of particular interest for schools of nursing, Catholic educational institutions, and history courses concerning women's studies, the Civil War period, religion, and Catholicism.

Nursing students struggling with the difficult area of IV therapy need a resource that guides them through the essentials and highlights what they need to know. This guide offers a visual, engaging approach that clearly explains topics such as: equipment and infusion devices, principles of peripheral and central venous therapy, peripheral and central complications, and special concerns for pediatric and older adult patients. The first section of the book presents content in an illustrated multi-modal approach that explains key concepts and reviews topics with a range of engaging learning activities. The last section contains 115 NCLEX review questions with answers and rationales for correct and incorrect answers. Narrows the gap between the facts learned in school and the wisdom that nurses need to survive in the real world. Material is presented in a clear and entertaining way by using adult learning principles and various active-learning strategies to engage nursing students of all ages, backgrounds, and learning styles. Consistent headings divide information into manageable units and reinforce a logical learning strategy. Icons for lifespan considerations, cultural implications, web links, caution/danger, and calculations help the reader identify special content in the chapter. Memory-reinforcing mnemonic devices and a variety of interactive activities promote learning. Clinical terms and shorthand expressions are highlighted in parentheses and another color after the layperson's explanation expose students to terminology that they will hear in the hospital setting. Boxed "Take Home Points" offer succinct points of advice that reflect years of nursing experience that students can use to prepare for their clinical rotation. A full-color insert illustrates concepts and principles of IV therapy, including illustrations of various complications. NCLEX-style questions are referenced by chapter and provided in a convenient 2-column format with answers and rationales that can be covered with a flap on the back cover. Features original cartoon illustrations and a theme monkey cartoon character that walks the student through difficult subjects with a light-hearted, engaging approach to learning. Separate chapters on pediatric and older adult patients discuss important age-related considerations associated with IV therapy. Includes a chapter on one of the fastest growing fields in nursing - community care - and how it affects nurses, patients requiring IV therapy, and their caretakers.

The second edition of this very successful 'how to do it' book on clinical governance. * The second edition of this successful book now includes more detail on NICE, CHI and other government initiatives * Expanded to include information appropriate for the whole of the UK * Completely updated in line with recent changes in the NHS * Additional examples of good practice from primary care and other specialties

Covers the syllabus as per Indian Nursing Council for undergraduate and postgraduate students of nursing. Simple and lucid presentation of content matter for the benefit of users. Content has the latest concepts about principles of nursing administration and management and delivery of the health system. Adequate emphasis is given to clarify concepts related to nursing management. Use of diagrams, tables, and boxes to make content self-explanatory and enhance pedagogical features. Chapter Outline and Learning Objectives in the beginning, and Chapter Highlights at the end of each chapter provide overview of essential concepts. Review questions in the form of essay type, short answer, and multiple-choice questions with answers for self-assessment. Each chapter has carefully selected references for further reading for the benefit of readers.

Good communication is fundamental to effective nursing, and the teaching of interpersonal skills is now an established part of all nursing courses, at both pre-and post-registration level. The book meets the student's needs, and is specifically tailored to nurses. It interweaves theoretical concepts of communication into the analysis of everyday nursing situations. This approach makes the book more interesting to read and has the added benefit of encouraging reflective practice. After reading and studying this book, students and qualified staff should be better able to make sense of face-to-face communication and know how their interactions can be improved. Applies theory to nursing practice Includes assignments drawn from varying nursing contexts Focuses on the real world of nurses and their communication needs Completely updated and revised. The new edition has been thoroughly revised and has a new layout which is as follows:PART A - Introduces readers to the broad principles of communication and their application in a wide range of situations. PART B - comprises of in-depth content relating to the specialist communication, knowledge and skills required of nurses caring for patients/clients covered by the 4 branch programmes, i.e. adults, children, people with mental illness and people with learning disability. PART C - covers the specialist communication needs and skills required of the registered practitioner at all levels following qualification.