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

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.

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

The book 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.

Strengthen your knowledge base as well as the critical skills and behaviors needed to become a successful entry-level medical assistant with Blesi's MEDICAL ASSISTING: ADMINISTRATIVE AND CLINICAL COMPETENCIES, 9E. Clear and easy to understand, this streamlined edition now includes a complete, updated section on the structure and function of body systems with current medical terminology presented in context. Updates highlight the latest information in nutrition, the Affordable Care Act (ACA), ICD-10 and electronic health records. Expanded content focuses on increasing your personal effectiveness as you study professionalism, teamwork and time management. New chapters also discuss geriatrics and mental health -- topics of growing importance. You examine the latest procedures as you increase your general, administrative and clinical competencies. MindTap digital resources help you further develop a competitive advantage as you pursue a career in medical assisting today.

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.

This unique, spiral-bound handbook is compact, portable, and written with busy home health nurses in mind! Organized by body system, it offers instant advice on assessment and care planning for the disorders home health nurses are likely to encounter. Providing assessment guides for all body systems, the home environment, and the client's psychological status, it includes full care plans for over 50 illnesses and conditions most commonly encountered in the home. Each plan lists nursing diagnoses, short- and long-term expected outcomes, nursing interventions, and client caregiver interventions. Care plans are organized by body systems to allow for quick retrieval of information. Both short-term and long-term outcomes are included in the care plans to aid evaluation of the care provided. Detailed assessment guidelines are provided for all body systems to facilitate complete and comprehensive client examinations. Guidelines for environmental and safety assessments aid in the appraisal and improvement of clients' living conditions. Client and caregiver interventions are outlined in the care plans to promote active client participation in self-care. The convenient pocket size makes transportation and use convenient to home health nurses. Appendices on documentation guidelines, laboratory values, medication administration, home care resources, and standard precautions provide quick access to useful home care information. Related OASIS items are identified in the assessment section, and ICD-9 diagnostic codes in the care plans section assist with proper home care documentation. Visit frequency and duration schedules are suggested within each care plan to assist nurses in evaluating and planning care. NANDA nursing diagnoses are consistent with the latest 2001-2002 nomenclature. An increase in suggested therapy referrals within the care plans and in a new appendix helps nurses identify indicators for specialized services. A fully updated Resources Appendix includes websites for easy access to home health service information.

Multidisciplinary Anatomy & Physiology textbook for Health Professionals! This title will enable the reader to take an informed interest in the patient's or client's condition, and in the planning of total patient care or complementary therapy treatments. It is relevant to students studying anatomy and physiology at a basic level - nursing, complementary therapies, sport therapy, physiotherapy and occupational therapy. A systems approach is presented in an accessible way accompanied by clear illustrations. It is written in an easy to read style explaining otherwise complicated topics.

Psychiatric disorders in adolescents are an important social problem which is relevant to almost all healthcare professionals. According to the results of The National Comorbidity Survey-Adolescent Supplement (NCS-A), the lifetime prevalence of anxiety, behavior, mood, and substance use disorders among adolescents was 31.9%, 19.1%, 14.3%, and 11.4%, respectively. Approximately 40% of participants in this survey with one class of disorder also met criteria for another class of lifetime disorder. Comorbidity is increasingly recognized as a key feature of mental disorders among adolescents. Female adolescents are more likely than males to have mood and anxiety disorders, but less likely to have behavioral and substance use disorders. Regretfully, medical professionals are not sufficiently trained about adolescent psychiatric disorders. For example, primary care providers correctly identify less than a fourth of youth with a depressive or anxiety disorder. Also, many clinicians underestimate the importance of the problem of adolescent psychiatric illnesses and suicidal behavior. Lack of skilled medical providers impedes the delivery of needed services to adolescents with mental health issues. This coupled with a lag in the ability of primary health care services to incorporate psychiatric interventions, and a failure of public health initiatives to pay attention to adolescent mental health problems has led to continuing gaps in care over decades despite the public pronouncements of needs. In this book you will find relevant information for health professionals, since we believe that the mental health of adolescents is essential for sustaining healthy and productive societies.

Evidence-Based Practice in Nursing Informatics: Concepts and Applications serves as a valuable asset for nurses, administrators and practitioners who want to improve their understanding of nursing informatics. Critiquing fundamental concepts such as evidence based practice, and examining possible applications of such concepts in the contemporary context of nursing informatics, this text offers chapter and case studies focusing on technology's contributions to nursing theory and practice, nursing systems management, and decision-support in nursing.

Use this study guide to review and apply medical-surgical nursing concepts! With chapters corresponding to the chapters in Linton & Matteson's Medical-Surgical Nursing, 8th Edition, this workbook provides a variety of questions and exercises to help you master the LPN/LVN's role in medical-surgical care. Questions include matching, multiple-choice, labeling, case studies, diagram reading, fill-in-the-blank, ordering, and prioritizing challenges. Next Generation NCLEX (R)-format questions help you get ready for the Next Generation NCLEX-PN (R) examination - and for success in nursing practice! Questions arranged by level of difficulty move from simple recall to more difficult exercises designed to help you apply, analyze, and synthesize basic concepts. Alternate format questions include multiple response, labeling, prioritizing, ordering, and calculation questions to help you practice for the NCLEX-PN (R). Review questions on care for older adults focus on long-term care and community-based settings, asking you to apply content to real-world practice. Additional review questions are provided on the Evolve website for the textbook. NEW! Next-Generation NCLEX (R)-format questions help you review and practice for the new licensure examination. NEW! Case studies in the clinical chapters allow you to develop skills in clinical judgment. NEW! Updated exercises and review questions match the new content in the textbook, and cover newly approved pharmaceutical treatments and drugs.

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