Dorothy Dore was born in the Philippines to a British father who served there in the Spanish American War, and to a Filipina mestiza mother. This young woman was attending an exclusive private school when Pearl Harbor was bombed on December 7, 1941. The Japanese Imperial Army made a swift invasion of the Philippines, and Dorothy's life became a nightmare. As recounted in this moving memoir, Dorothy studied nursing so that she could support the United States Armed Forces Far East (USAFFE). She spent the war years on the run, working for the USAFFE when she could, but abandoning those duties when her family was in need. Dorothy recalls the sacrifices of her family, the brutal treatment of civilians by the Japanese, and the vainglorious actions of some of the USAFFE guerrilla leaders. It is a compelling story of love, loss, family, courage, and survival during an especially horrifying time.

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.

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

This book aims to fill a gap with an in-depth exploration of nursing ethics content from the western philosophical tradition and some of the methods used in teaching this content. It will address cross-cultural issues in using specific ethics content. It will also reveal the poverty of the present dualism model in nursing ethics and replace this with a more complex and more useful model that invites debate. Its scope is both wide and deep but that is needed to enrich the basis for teaching nursing ethics. Outlines and critiques all current ethical theories and considers their application to nursing practice Explores ethical issues in numerous cultures Includes case studies drawn from a range of countries Written by leading nurse educators and philosophers in the field

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.

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 book aims to clarify the potential association between frailty and cardiovascular disease in older people. Covering the biological as well as the clinical point of view, it allows researchers and clinicians to discover the significance of this topic. The contributions cover the most important aspects in the potential relationship between frailty and cardiovascular disease. In particular, authoritative authors in this field have clarified the definition and the epidemiology of frailty and cardiovascular disease in older people. A large part of the volume is dedicated to the biological mechanisms of frailty and cardiovascular disease, trying to find those in common between these two conditions. Since this book is dedicated to both researchers and clinicians, we have proposed some chapters to the importance of comprehensive geriatric assessment in the evaluation and treatment of cardiovascular diseases and frailty. In this regard, the importance of geriatric evaluation in cardiac surgery for older people is well covered. Finally, the importance of cardiac rehabilitation and physical exercise is summarized, being, actually, the most important treatments for both frailty and cardiovascular disease. Written by many well-known and widely published experts in their respective fields, this book will appeal to a wide readership such as researchers in the field and clinicians, especially suited in geriatric medicine and cardiology who, every day, face frail older patients.

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

Tackle a variety of tasks in natural language processing by learning how to use the R language and tidy data principles. This practical guide provides examples and resources to help you get up to speed with dplyr, broom, ggplot2, and other tidy tools from the R ecosystem. You'll discover how tidy data principles can make text mining easier, more effective, and consistent by employing tools already in wide use. Text Mining with R shows you how to manipulate, summarize, and visualize the characteristics of text, sentiment analysis, tf-idf, and topic modeling. Along with tidy data methods, you'll also examine several beginning-to-end tidy text analyses on data sources from Twitter to NASA datasets. These analyses bring together multiple text mining approaches covered in the book. Get real-world examples for implementing text mining using tidy R package Understand natural language processing concepts like sentiment analysis, tf-idf, and topic modeling Learn how to analyze unstructured, text-heavy data using R language and ecosystem

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.

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 title flows from several panels at the Commission on Legal Pluralism Jubilee Conference, entitled Living Realities of Legal Pluralism, that was organised in conjunction with the Centre for Legal and Applied Research (CLEAR), the Research Chair in Customary Law and the Chair for Comparative Law in Africa, of the University of Cape Town. The panels highlighted controversial aspects of the legal protection of indigenous knowledge with which the contributors to this volume have critically engaged. This engagement is informed by recent legislative and policy developments in several countries in the global South, including South Africa.

The 7th Edition of a multiple AJN Book of the Year Award Winner!Prepare for the real world of family nursing care! Explore family nursing the way it's practiced today in the United States and Canada-with a theory-guided, evidence-based approach to care throughout the family life cycle that responds to the needs of families and adapts to the changing dynamics of the health care system. From healthpromotion to end of life, a streamlined organization delivers the clinical guidance you need to care for today's families. Updated, Revised & Expanded! Incorporating the science and evidence-based knowledge that reflects the changes in families, family health, health policy, and the environment which affect the health of families today New! Practice and reflection questions for every case study to help nursing students develop their ability to reflect on their practice of working with families which can challenge their own assumptions, beliefs, and biases New Chapter! Environmental Health and Families Revised! Relational Nursing and Family Nursing in Canada now appearing in the text rather than online New! NCLEX (R)-style questions in the Appendix to develop critical-thinking and clinical judgment skills related to family nursing A comprehensive overview of family nursing linking family theory and research to clinical implementation An evidence-based, clinical focus emphasizing today's families Case studies with family genograms and ecomaps Three family nursing theories-Family Systems Theory, Developmental and Family Life Cycle Theory, and Bioecological Theory -are threaded throughout the book and are applied in many of the chapter case studies. Canadian-specific content throughout Coverage of families dealing with end-of-life issues

Now in its second decade of publication, this landmark series draws together and critically reviews all the existing research in specific areas of nursing practice, nursing care delivery, nursing education, and the professional aspects of nursing.

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.

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.

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.