Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

Master the skills you need to succeed as a patient care technician! Fundamental Concepts and Skills for the Patient Care Technician, 2nd Edition provides a solid foundation in healthcare principles and in the procedures performed by PCTs and other health professionals. Coverage of skills includes patient hygiene, infection control, taking vital signs, moving and positioning of patients, blood and specimen collecting and testing, ECG placement and monitoring, care of the surgical patient, care of older adults, and more. Clear, step-by-step instructions help you learn each procedure, and may also be used as skills checklists. Written by nursing educator Kimberly Townsend Little, this text prepares students for success on Patient Care Technician or Nursing Assistant Certification exams. More than 100 step-by-step skills and procedures cover the information found on the Nursing Assistant and Patient Care Technician certification exams. Practice Scenarios present realistic case studies with questions to help you practice critical thinking and apply concepts to the practice setting. Delegation and Documentation boxes cover the information needed from the nurse before a procedure and what information should be recorded after the procedure. Illness and Injury Prevention boxes highlight important safety issues. Chapter review questions test your understanding of important content. Chapter summaries emphasize key points to remember. Chapter objectives and key terms outline the important concepts and essential terminology in each chapter. NEW! A chapter on medication administration is added to this edition. NEW! New content is included on NG and gastric tubes, oral suctioning, incentive spirometry, use of a bladder scanner, and inserting peripheral IVs. NEW! Updated guidelines include CPR and dietary guidelines.

"You must learn to hold in your feelings," Matron said, firmly but not unkindly. "One day it will be your duty to support the family and other staff through this tragedy. You need to be strong." From the first time Vanessa Martin sets foot inside the world's most renowned children's hospital, she knows that she will never have another dull moment. From her first confrontation with the legendary matron, to consoling hordes of worried parents and caring for the wonderful bundles of joy themselves, Vanessa enters a world full of laughter, heartache and, most importantly, hard work. In this heartwarming memoir of a passionate, determined young woman trying to help as many children as she can, Vanessa pulls back the curtain on the bustling world of 60s London, and tells the remarkable story of finding her place within it. Nostalgic, charming and full of heart, The Great Ormond Street Nurse is the heroic tale of a woman who has dedicated over 40 years to the NHS.

This book discusses the contemporary medico-social, psychological, legal, and therapeutic concerns related to people affected by dementia as a patient or as a caregiver. It provides global emerging responses to dementia. It highlights different dimensions of dementia in terms of issues, concerns, policies, and strategies all around the globe. The contributing authors present issues from cross-cultural education visible in dementia studies and discuss the power of music, art therapy, artistic collaborations, and many innovative practices in dealing with dementia. Written by international specialists from various disciplines, the chapters include challenges and emerging issues related to the role of family caregivers, the concern with vulnerability to elder abuse and neglect, and the role of technology in dementia care. The book provides a diverse perspective to dementia care not covered in such a broad way by any other books on the topic. This book is intended for academics from a wide range of fields such as sociology, geriatrics, community medicine, public health, clinical psychology, social work all of which, collectively, bear on the problem and the solutions for better dementia care.

The ideal resource for those preparing for licensed practical nursing, medical assisting and other allied health careers, Colbert/James/Katrancha's ESSENTIALS OF PHARMACOLOGY FOR HEALTH PROFESSIONS, 9th Edition, delivers "need to know" drug information in a reader-friendly format that empowers students with the confidence to master pharmacology. A bestseller, it stresses clinical application to ensure readers understand the relevancy of the material and why it's important to learn. Giving instructors ultimate flexibility, Part I offers a comprehensive review of pharmacologic principles, while Part II covers specific drug classifications and their medical uses. Chapters organize drugs by classifications and include the purpose, side effects, interactions and cautions or contraindications. Medication preparation, supplies and route of administration are thoroughly covered as well. Also available: MindTap.

This text provides a foundational understanding of therapeutic relationships and the transitional discharge model (TDM), a person-centered, evidence-based model that supports a smooth transition from hospital to community for people with mental illness Starting with background into the ground-breaking work of Dr. Hildegard Peplau, the mother of modern psychiatric nursing, and moving towards a transdisciplinary transitional discharge perspective, chapters introduce students and practitioners to theoretical, historical, and current perspectives on therapeutic relationships as they relate to transitional care. These perspectives foreground empirical research and practical applications that can be implemented in hospital and community settings. The Appendix features an essential "TDM toolkit" with forms, learning topics, and checklists developed by programs that implement TDM. Essential reading for those studying psychiatric nursing, this book combines theory, research, and best practices into a "roadmap" for students across nursing and psychiatric disciplines to coordinate these systems without having to implement radical changes to practice.

This timely resource is the first handbook to give nurse practitioners guidance to prescribe, monitor, assess, educate, and advocate for patients taking psychiatric medications and promote safe practice outcomes. Written in a concise, bulleted style for quick access to critical information, this practical resource covers the key aspects of psychotropic medications used in general psychiatry, offers strategies to simplify medication decision-making, and provides evidence-based best practice recommendations to select and manage psychotropic medications.This resource begins with an overview of general pharmacological principles, a brief discussion of neurotransmitters, and covers rationale for medication use and the risks and benefits of the major classes of psychotropic medications. This is followed by information about common drugs across drug classes divided by age population. Each drug includes initial dosing and adjustments, simplified diagnostic criteria, practice management, rationale for use, black box warnings, drug interactions, identification of side effects and adverse reactions, basic lab test recommendations, treatment options, and self-management strategies. The book ends with important concepts for patient and/or caregiver education and advocacy. Tables and "Fast Facts" boxes throughout highlight key information. Chapters begin with learning objectives and include references, website resources, and recommendations for additional reading. Key Features: Follows a lifespan approach to psychiatric mental health pharmacology Provides population-specific treatment approaches for optimal medical decision-making Highlights critical information with "Fast Facts" boxes Delivers essential knowledge included in board certification exams Contains critical-thinking questions in each chapter to reinforce content

This important book presents a unique, personal account of the impact a mild traumatic brain injury can have. It tells the story of Pauline, who was 33 when a late football tackle caused a bleed in her brain which went undiscovered for 18 months. The account includes descriptions of hidden symptoms of concussion and post-concussion syndrome, pitfalls in diagnoses, the uneven progress of recovery and the effect of the varied reactions which others have to an acquired brain injury. The author incorporates memories alongside extracts from clinic notes, diary entries and emails to reflect the disjointed progress of diagnosis and recovery as- although similar- no two head injuries are the same. Through this book, the reader gains an appreciation of the confusion experienced by many brain injury survivors, which sheds light on why some may develop unusual behavior or mental health issues, and how such issues can be alleviated. Brain injuries are poorly understood by the general public and this can lead to difficult interactions. Moreover, complications in diagnosis means some may not realize they have this milder form of brain injury. This book will enlighten brain injury survivors and affected families and allow professionals an insight into their patients' experiences. As concerns grow over the risks which contact sports pose, this book shows how even mild brain injuries can wreak havoc with careers, relationships and one's sense of self, but that a happy life can still be found.

Get the review and practice you need to master the role of today's nurse! With chapters corresponding to the chapters in Yoost's Fundamentals of Nursing, 3rd Edition, this study guide provides a variety of exercises and activities to reinforce your understanding of nursing concepts and skills. Chapter reviews use engaging activities to make learning more meaningful, and review questions help you apply concepts to the practice setting. Now with new Next Generation NCLEX (R)-style practice questions, this study guide also prepares you for success on classroom and NCLEX examinations. Chapter review questions include multiple-choice, matching, true/false, and image labeling questions, testing your comprehension of nursing fundamentals and making learning more fun. Answers and detailed rationales for all of the questions are included in the back of the study guide. Skills performance checklists on the Evolve website are completely updated to match the latest versions of nursing skills, and are both interactive and printable. NEW! Next Generation NCLEX (R)-style practice questions in clinical chapters help you develop skills in clinical judgment. NEW! Updated content reflects changes to the Fundamentals of Nursing, 3rd Edition textbook. NEW! Preliminary Readings refer you back to the related chapter in the textbook. NEW! Open-ended questions provide questions, activities, and guidance to make study group time more productive.

Get the review and practice you need to succeed on classroom and certification exams! Corresponding chapter by chapter to Fuller's Surgical Technology: Principles and Practice, 8th Edition textbook, this practical workbook helps you master the role and the essential skills of the surgical technologist. Each chapter contains a variety of activities, including key terms, labeling, practice questions, and realistic case studies with critical thinking exercises. Making it easy to apply your knowledge to practice, this study tool ensures that you have everything you need for success in a surgical technology career. Case studies encourage you to think strategically and apply your knowledge to realistic situations in the operating room environment. More than 80 Skills Checklists provide clear guidelines for performing each skill, and help you evaluate your performance of core functions by practicing skills until you have mastered them. Variety of exercises includes a review of key terms, practice questions, labeling exercises, and case studies with critical thinking questions, reinforcing your understanding and preparing you for in-class testing and for the certification exam. Reader-friendly writing style and organization makes the content easier to understand. NEW Robotic Surgery chapter includes exercises for the most frequently performed minimally invasive procedures involving surgical robots. NEW! Updated and expanded Skills Checklists add coverage of patient preparation, transporting, positioning, and draping. NEW! Updated exercises are provided for the updated and expanded content in the surgical technology textbook. NEW! Additional multiple-choice questions mirror the types of questions found on the Certified Surgical Technologist exam.

This book will enhance the knowledge and skills of healthcare nursing students and registered practitioners in public health approaches to preventative health care. It embraces practices within both the hospital and community settings and examines the development of partnership working. With research work and evidence throughout, this clinical resource is written in a practical style based on real life practice-based scenarios. It will help busy health care professionals relate theory to the practice environment.

This book covers several areas, such as immunology, infectious diseases, physiology, general nursing, and medicine as well as measurement accuracy and the history of our understanding of fever. This book employs an interdisciplinary approach to exploring our concept of body temperature and specifically fever. The present volume revolves around thermometry, taking the reader on a journey from the past to the present. Yet while the emphasis is on the clinical importance of obtaining accurate, quantitative measurements of body temperature, the reader is also introduced to the most recent clinical work on the subject. This book represents a truly cross-disciplinary collaboration, using evidence-based practice to integrate physiological and immunological knowledge. The authors' intention with this volume is to help readers gain better insight into the importance of using knowledge from different disciplines to develop an appreciation of the different aspects of body temperature. In addition, the reader will come to understand the concept of fever in a broader perspective than is traditionally adopted.

Delays in recognising deterioration, or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and, in some instances, unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today's nursing and other healthcare students need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, appreciating the complexities of caring for those who are acutely unwell as you learn to become practitioners of the future. Using a body systems approach, and fully updated in light of new NEWS2 and NMC future nurse standards, as well as acknowledging the challenges faced by people with delirium in acute care settings, the second edition of this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include recognition and identification of physiological and mental deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies. Including case studies and test yourself questions, this book is an essential tool for student nurses who are required to undertake acute care experiences and are assessed in theory and practice.

This is the second edition of a well-received book that has been revised and updated to reflect the state of the art in laser and light source technology. After an initial chapter describing the latest understanding of laser physics and safety, subsequent chapters consider laser treatment of vascular lesions, laser treatment of pigmented lesions and tattoos, laser removal of unwanted hair, ablative and non-ablative fractional resurfacing, and use of laser treatment for medical purposes. The book is extremely practical and reader friendly. All chapters are very well illustrated, include quick and clear bullet points, and feature a homogeneous structure covering core concepts, currently available technologies, indications and contraindications, an example of a consent form, and the author's personal treatment approaches. The authors are without exception world experts in the field from North America or Europe.

This handbook provides tools for nurse educators, ethics educators, practicing nurses and allied health professionals for developing confidence and skill in ethical decision making in interdisciplinary settings such as acute and chronic care hospitals and clinics. It is useful for all healthcare personnel who face ethical issues in the course of their work and who work with nurses to resolve these issues. While the content is based on a US context, the concerns of nurses internationally are discussed and emphasized. Nurses working in acute and chronic care settings face many obstacles to providing good care and are often the first line of defense related to patient safety and meeting the needs of patients and their families. Some of the obstacles to optimal patient care are institutional, some sociocultural, and others the result of inadequate communication. Evidence points to the idea that while nurses do have the knowledge and skills to address practice problems of various sorts, they may not be confident in their skills of ethical decision making and advocacy actions. This is a resource to develop moral agency on behalf of individuals and to address broader barriers to good care raised at the local, community, or social levels.

For all courses on pharmacology in nursing programs. This up-to-date text helps nursing students master pharmacology by tightly linking it to therapeutic goals and patient wellness. Organized by body systems (units) and diseases (chapters), PHARMACOLOGY FOR NURSES: A PATHOPHYSIOLOGIC APPROACH, 4/e provides complete information on the drug classifications used to treat each disease class. Students can easily locate all relevant anatomy, physiology, pathology, and pharmacology in the same chapter where each drug is discussed. Exclusive Nursing Process Focus features clearly and concisely relates pharmacotherapy to patient assessment, nursing diagnoses, planning patient outcomes, implementing patient-centered care, and evaluating the outcomes. This new Fourth Edition links pharmacology to patient care through exceptionally accurate, attractive graphics, rich media resources, extensive self-assessment tools, and features covering complementary medicine; diverse patient/lifestyle considerations; and evidence-based practice. It has been thoroughly updated to reflect current pharmacologic drugs, drug classes, processes, mechanisms, and warnings; and the newest QSEN competencies and NCLEX question formats.

Medical Surgical Nursing Care 3e has an even stronger focus on the professional Practical nursing program and is a key component in the LPN/LVN series at Pearson. It has a clear and readable writing style, it provides a strong foundation for understanding common disorders that affect adults. Opening units of the book focus on concepts, issues, and foundational knowledge. The units that follow focus on common diseases and disorders organized by body system. Each unit begins with review of the system's structure and function, nursing assessment, and commonly used diagnostic tests for disorders of that system. To facilitate learning, disorder-specific content follows a consistent pattern, beginning with discussion about the disorder, its risk factors, causes, effects on the body, manifestations, and possible complications. Because nurses are integral members of the healthcare team, interdisciplinary care sections include nursing implications for medications, nutritional therapies, surgery and other treatments, including complementary therapies. Each disorder concludes with nursing care, including priorities of care, health promotion, assessment, nursing care measures, and a section addressing continuity of care to home or the community. This text provides more depth in common disease processes, their treatment, and related nursing care. Although organized by body systems for clarity, the book retains a nursing focus throughout. Rationales are provided for nursing interventions to help the student understand the "why," not just the "what."

The second edition of Statistics and Data Analysis for Nursing, uses a conversational style to teach students how to use statistical methods and procedures to analyze research findings. Students are guided through the complete analysis process from performing a statistical analysis to the rationale behind doing so. In addition, management of data, including how and why to recode variables for analysis, how to "clean" data, and how to work around missing data, is discussed.

Christopher Kerr is a hospice doctor. All of his patients die. Yet he has tended thousands of patients who, in the face of death, speak of love, meaning and grace. They reveal that there is hope beyond cure as they transition to focus on personal meaning. In this extraordinary and beautiful book, Dr. Kerr shares his patients' stories and his own research pointing to death as not purely the end of life, but as a final passage of humanity and transcendence. Drawing on interviews with over 1,200 patients and more than a decade of quantified data , Dr. Kerr reveals why pre-death dreams and visions are remarkable events that bring comfort and exemplify human resilience. These are not regular dreams. Described as "more real than real," they frequently include loved ones long gone and mark the transition from distress to acceptance. These end-of-life experiences help patients restore meaning, make sense of the dying process and assist in reclaiming it as an experience in which they have a say. They also benefit the bereaved who get relief from seeing their loved ones pass with a sense of calm closure. Beautifully written with astonishing stories, this book, at its heart, celebrates the power to reclaim how we die, while soothing the bereaved who witness their loved ones go with unqualified grace.

Classic Writings for a Phenomenology of Practice features examples of newly translated classic phenomenological texts that have been largely forgotten or misunderstood. The writings are unique in that they speak to the practice of doing phenomenological research for the purpose of gaining insights and better understandings regarding aspects of professional practice and ordinary life phenomena and events. Phenomenology does not have to be impenetrable philosophy, dealing with tedious technical issues. Instead, phenomenology may offer relevance, value, and enduring allure to readers and researchers who are engaged with the quotidian life experiences and events of students, patients, clients, friends, and other individuals. This phenomenological approach aims to stay as close as possible to the ordinary events of everyday life: seeing the first smile of a child, feeling compulsive, being humorous, having a conversation, experiencing childhood secrecy, encountering new things-topics that span a manifold of life experiences. In this collection of classic phenomenological writings, each author is thoughtfully introduced, and each text is followed by a conversational descant: a reflection on the phenomenological reflection. The presentation of these classic writings and their reflections aims to show us what it means to do phenomenology directly on the phenomena that we live-thus asking us to be attentive to the fascinating varieties and subtleties of primal lived experiences and consciousness in all its remarkable complexities. This book is relevant for scholars and students who are interested in human science research and the origins and practices of the phenomenological method.

Primary health care in South Africa is mainly delivered by clinical nurse practitioners with the support of family physicians. South African clinical nurse practitioner's manual, an adaptation of South African family practice manual, focuses on practical skills that clinical nurse practitioners should obtain during their training and will use in their professional practice. South African clinical nurse practitioner's manual deals with aspects of clinical examination and common procedures, as well as key proficiencies in areas of communication, occupational health, research, teaching and health care administration. It provides the theory and the practical steps of routine skills as well as emergency care over a full spectrum of primary care - from the newborn to the elderly. It also looks at topical issues in the South African context, including community-orientated primary care. Contents include the following: General assessment and physical examination; consultation and communication; interpretation of laboratory results; algorithms for emergencies; community-based interventions; developing clinical guidelines; writing articles for publication. Owing to the fact that clinical nurse practitioner training is becoming more formalised in all provinces, this manual forms an integral part of these training programmes, and should prove invaluable to this field of nursing.