Nursing and ancillary services Books

Book SynopsisRetaining its accessible and user-friendly style, the aim of this book remains the same: to provide nurses with as much relevant information as possible about the most commonly requested laboratory rests. This is not a book about laboratory technique - its focus is on the clinical significance of test results, and therefore the patient.Trade ReviewReviews of previous editions: "This is a really useful book for midwives. I expected it to be a textbook which I could recommend to students—and indeed that is true. However, when I picked this up I realised how useful it can be qualified staff, no matter how familiar the topics may be to those in practice ... . I would recommend this for any team or ward reference library." (Practising Midwife, January 2009) "If you have not come across this book before then I would certainly recommend this new improved edition." (Heather Jarman in Accident and Emergency Nursing, Volume 15, 2007)Table of ContentsPreface vii Acknowledgements viii Part 1 Introduction 1 1 Introduction to Clinical Laboratories 3 2 Some Principles of Laboratory Testing 13 Part 2 Clinical Biochemistry Tests 31 3 Blood Glucose and HbA1c 33 4 Plasma/Serum Sodium and Potassium 54 5 Plasma/Serum Urea and Creatinine; and e-GFR 75 6 Plasma/Serum Calcium and Phosphate 90 7 Arterial Blood Gases 108 8 Plasma/Serum Cholesterol and Triglycerides 134 9 Cardiac Markers – Troponin, Creatine Kinase (MB) and Brain Natriuretic Peptide (BNP) 148 10 Tests of Thyroid Function – Thyroxine (T4), Triiodothyronine (T3) and Thyroid stimulating hormone (TSH) 160 11 Liver Function Tests: Alanine Transferase (ALT), Gamma Glutamyl Transferase (GGT), Alkaline Phosphatase (AP), Bilirubin and Albumin 176 12 Plasma/Serum Amylase 196 13 Drug Overdose: Paracetamol and Salicylate 205 14 Therapeutic Drug Monitoring: Lithium, Digoxin and Theophylline 215 Part 3 Haematology Tests 225 15 Full Blood Count – 1: Red Blood Cell Count, Haemoglobin and Other Red Cell Indices 227 16 Full Blood Count – 2: White Cell Count and Differential 243 17 Tests of Haemostasis: Platelet Count, Prothrombin Time (PT), Activated Partial Thromboplastin Time (APPT), Thrombin Time (TT) and D-dimer 255 18 Laboratory Investigation of Anaemia: Serum Iron, Total Iron Binding Capacity, Serum Ferritin, Serum B12 and Folate 274 19 Erythrocyte Sedimentation Rate (ESR) and Plasma C-Reactive Protein (CRP) 290 Part 4 Blood Transfusion Testing 299 20 Blood Group, Antibody Screen and Crossmatch 301 Part 5 Microbiology Testing 323 21 Urine Microscopy, Culture and Sensitivity (M,C&S) 325 22 Blood Culture 339 Part 6 Screening Tests 353 23 Newborn Screening Blood Tests 355 24 Cervical Screening Test 370 25 Dipstick Testing of Urine 384 Glossary of Some Terms used in Laboratory Medicine 395 Abbreviations 400 Appendix: Adult Reference Ranges 402 Alphabetical Index of Tests 405 Index 407

Read more less

Book SynopsisTable of ContentsChapter 1 - Anatomy and organisation of the body Chapter 2 - Physiological chemistry and processes Chapter 3 - Cells and tissues Chapter 4 - The blood Chapter 5 - The cardiovascular system Chapter 6 - The lymphatic system Chapter 7 - The nervous system Chapter 8 - The special senses Chapter 9 - The endocrine system Chapter 10 - The respiratory system Chapter 11 - Introduction to nutrition Chapter 12 - The digestive system Chapter 13 - The urinary system Chapter 14 - The skin Chapter 15 - Introduction to immunity Chapter 16 - The musculoskeletal system Chapter 17 - Genetics Chapter 18 - The reproductive system

Read more less

Book Synopsis

Read more less

Book SynopsisThis comprehensive volume explore the role that nutraceuticals can play in addressing obesity, shedding light on their potential as tools to promote sustainable weight management strategies as well as addressing associated health risks.Delving into the intricate interplay between nutrition, health, and obesity, the book provides a compelling account that illustrates how nutraceutical interventions can be incorporate into holistic obesity management strategies. It begins with an account of the mechanisms by which nutraceuticals function, before featuring chapters on their efficacy and safety, how they can be integrated with other therapeutic interventions, and how they can be tailored for individuals with co-morbidities. Offering a global perspective on the issue, there is also coverage of the various regulatory contexts in which nutraceuticals are sold and used.Insightful and practical, the book will interest both practitioners and students across Allied Health, Pharmacy, and Clinical Medicine.

Read more less

Book SynopsisTracks to a typical IV therapy course and gives you easy-to-follow guidance on various issues you may encounter in class, such as delivery methods, flow rates, legal issues, profession standards, and documentation. This title discusses the necessary components of peripheral and central venous therapy.Table of ContentsIntroduction 1 Part I: Tapping Into IV Therapy 7 Chapter 1: Introducing IV Therapy: A Purpose-Driven Practice 9 Chapter 2: Keeping within the Letter of the Law 23 Chapter 3: Tools of the Trade 41 Part II: What’s Your Type? Components of IV Therapy 69 Chapter 4: Medications Made to Order: Pharmacological IV Therapy 71 Chapter 5: Beefi ng Up on Blood Component Therapy Basics 93 Chapter 6: Chemotherapy 101 107 Chapter 7: Maintaining Equilibrium with Fluids and Electrolytes 121 Chapter 8: Serving Up Parenteral Nutrition 157 Part III: Getting Down to IV Therapy Business 169 Chapter 9: Documenting Diligently: The Backbone of Infusion Therapy 171 Chapter 10: Calculation Central: Figuring Drug Dosages, Drips, and Flow Rates 183 Chapter 11: Gravity, Pumps, and Syringes: The Many Ways to Deliver IV Therapy 193 Chapter 12: Going for the Hand or Arm: Peripheral IV Essentials 203 Chapter 13: The ABCs of the CVAD 227 Part IV: Administering IV Therapy 255 Chapter 14: Practical Pharmacological IV Administration 257 Chapter 15: Transfusing Blood Components 269 Chapter 16: Infusing Chemotherapy with Caution 283 Chapter 17: A Balancing Act: Administering Fluids and Electrolytes 297 Chapter 18: Making Every Calorie Count: Parenteral Nutrition 309 Part V: Considering Unique Populations 329 Chapter 19: A Little Dab’ll Do Ya: IV Therapy for Infants and Children 331 Chapter 20: When Aging Is an Issue: IV Therapy for the Elderly 343 Chapter 21: There’s No Place Like Home: IV Therapy for the Homebound Patient 355 Part VI: The Part of Tens 367 Chapter 22: Ten Things You Need to Know in IV Therapy 369 Chapter 23: Ten Tricks of the Trade for Starting IVs 373 Index 377

Read more less

Book SynopsisClinical Nursing Skills at a Glanceis the must-have study and revision guide for pre-registration nursing studentsand newly qualified practitioners alike, providinga visual summary of the essential aspects of clinical nursing skills and procedures.The core platforms of professional practiceapplicable to nursing adults in a variety of clinical settingsareemphasisedthroughout the text, includingcareplanning,assessment, management,prioritisationand co-ordinationof care. Designed to allow rapid reference to critical information,the bookisdividedinto 12 sectionsorganisedaround systems of the body,witheachchapterdescribinga specific clinical skill.Withhigh-quality imagesthroughout, applications to practice, a review quiz,redflags'highlighting important aspects to consider in the clinical environment,and reflectingcurrent NMCstandards of proficiency for registered nurses, thisnewevidence-basedguide: Allows easy access tothe necessary knowledge and skills required by nurses toprovidequality careDiscussesgeneral principles of care applicable to all,includingverbal and non-verbal communication,record keeping,and admission and discharge proceduresCovers mandatory skills such as basic life support, infection control, andmedicine managementIncludes access toa companion website featuring interactive multiple-choice questions, case studies,andlinks toadditional resources Offeringsuperb illustrations, up-to-date information, and a reader-friendlyapproach,Clinical Nursing Skills at a Glanceis aninvaluableresource for pre-registration nursing students as well as newly qualified nurses, healthcare assistants, and allied healthcare professionalslookingto expand their knowledge of nursing skills and procedures.Table of ContentsList of contributors viii Acknowledgement ix About the companion website x Part 1: 1 Introduction: the setup of this book and how to use it 2 Part 2: Principles of skills 3 2 Care planning and the nursing process 4 3 Communication – fundamentals 6 4 Record keeping 8 5 Communication – de- escalation 10 6 Communication – difficult conversations 12 7 Informed consent 14 8 Privacy and dignity 16 Part 3: Mandatory skills 19 9 Moving and handling 20 10 Moving and handling: turning in bed, transfers, and hoisting 22 11 Basic life support 24 12 The choking patient; the recovery position 26 13 Infection control 28 14 Medicine management 30 15 Injection technique 32 16 National early warning score (NEWS) track and trigger system 36 Part 4: Neurological skills 39 17 Assessing level of consciousness 40 18 Assessing pupil reaction and limb strength 44 19 Assessing cognition 46 20 Pain assessment 48 21 Neurovascular assessment 50 22 Assessing and managing seizures 52 Part 5 Respiratory skills 55 23 Assessing and managing the airway 56 24 Respiratory assessment 58 25 Monitoring oxygen saturations 60 26 Arterial blood gas analysis 62 27 Chest auscultation 64 28 Peak expiratory flow rate 66 29 Administering oxygen 68 30 Nebulisers and inhalers 70 31 Tracheostomy care 72 32 Chest drain management 74 Part 6: Cardiovascular skills 77 33 Taking a pulse 78 34 Blood pressure 80 35 Temperature assessment 82 36 Non- invasive circulatory assessment 84 37 Central venous pressure monitoring 86 38 Electrocardiogram 88 Part 7: Gastrointestinal skills 91 39 Nutritional screening 92 40 Supporting eating and drinking 94 41 Nasogastric tube insertion 96 42 Enteral feeding 98 43 Management of diarrhoea 100 44 Management of constipation 102 45 Administration of suppositories and enemas 104 46 Stoma care 106 Part 8: Genitourinary skills 109 47 Urinalysis 110 48 Continence assessment 112 49 Urinary catheterisation 114 50 Catheter care 116 51 Catheter removal 118 Part 9: Musculoskeletal skills 121 52 Assessing tone and ability to mobilise 122 53 Venous thromboembolism assessment and risk reduction 124 54 Anti- embolic stockings 126 55 Musculoskeletal minor injuries: assessment and treatment 128 56 Falls – prevention, assessment and management 130 57 Stabilisation: neck collar 132 58 Care of the patient with spinal cord injuries – log roll 134 Part 10: Integumentary skills 137 59 Personal hygiene 138 60 Personal hygiene – mouth and hair care 140 61 Pressure ulcer – prevention and management 142 62 Venous ulcer assessment 144 63 Wound dressing using aseptic non- touch technique (ANTT) 146 64 Burns management 148 65 Care after death 150 66 Management of surgical drains 152 67 Suture and staple removal 154 Part 11: Endocrine skills 157 68 Capillary blood glucose monitoring 158 Part 12: Circulatory Skills 161 69 Venepuncture 162 70 Cannulation 164 71 Intravenous fluid therapy 166 72 Fluid balance monitoring 170 73 Blood transfusions 172 Index 174

Read more less

Book SynopsisPhysical Assessment for Nurses and Healthcare Professionalsoffers a practical and comprehensive guide to best clinical practice when taking patient history and physical examination. This accessible text is structured in accordance with the competencies for advanced practice in assessment, diagnosis and treatment as published by the RCN. Following a systematic, systems-based approach to patient assessment, it includes a summary of the key clinical skills needed to develop and improve clinical examination in order to confidently assess, diagnose, plan and provide outstanding care. In this revised edition, colour photographs and case studies have been included to assist health care practitioners in their assessment of the patient. This important guide: Includes a highly visual colour presentation with photographs and illustrations Features a wide range of key learning points to help guide practice Offers illustrative examples, applications tTrade ReviewIn order for nurses and related healthcare professionals to be able to provide a high level of holistic care to their patients based on clinical reasoning, it is essential that they possess effective physical assessment skills which will assist them in gathering the cues which will ultimately direct them towards compiling differential diagnoses. With regards to appropriate publications focusing on this aspect of assessment, there is a wide range to choose from, which vary in size, complexity and cost, all of which can be off-putting to the potential reader. Wiley Blackwell appears to have addressed these three issues within their new physical assessment publication, edited by Professor Carol Cox from the University of London. Those individuals seeking a very readable but concise resource (440 pages) will find that this book will meet their needs and will be impressed by a large number of quality illustrations/photographs and clearly laid out blocks of text. The content is divided up into 18 chapters ranging from interviewing and history taking through to imaging techniques, clinical investigations and interpretation and each of the different authors brings with them a wealth of experience and qualifications from their own clinical speciality. Each chapter provides the reader with clear and concise information interspersed with appropriate tables and diagrams which contribute towards enhancing the overall learning experience. Despite the high level of general readability, all of the content is very well supported by an appropriate level of quality references supporting evidence-based practice. With regards to consolidating the learning that has occurred during the reading of the chapter, the reader has the opportunity to review a relevant short case study which greatly encourages the nurse to reflect on their self-learning and to identify aspects of the topic that they may wish to further develop. Physical assessment is a vital component of patient care and is firmly ingrained within both undergraduate and post-graduate nurse/healthcare education and it is essential that professionals can source an affordable but comprehensive resource. With this book retailing for approximately $75 (NZ), it makes it very attractive for those on a limited budget. This book has a good appealing nature to it and will be a welcome addition to the range of physical assessment resources, regardless of a student's academic ability. Michael.J.McGivern Nursing tutor (New Zealand) Table of ContentsList of Contributors xvii Foreword xix Preface xxi Acknowledgements xxiii Introduction: The First Approach xxv Chapter 1 Interviewing and History Taking 1Carol Lynn Cox Chapter 2 General Health Assessment 15Carol Lynn Cox Chapter 3 Examination of the Skin, Hair, and Nails 37Siobhan Hicks Chapter 4 Examination of the Cardiovascular System 67Carol Lynn Cox and Carrie E. Boyd Chapter 5 Examination of the Respiratory System 103Carol Lynn Cox and Jessica Ham Chapter 6 Examination of the Abdominal System 123Anthony McGrath Chapter 7 Examination of the Male Genitalia 149Michael Babcock, Carol Lynn Cox, and Anthony McGrath Chapter 8 Examination of the Female Breast 159Victoria Lack Chapter 9 Examination of the Female Reproductive System 167Victoria Lack Chapter 10 Examination of the Nervous System 185Michael Babcock and Graham M. Boswell Chapter 11 Examination of the Eye 241Helen Gibbons Chapter 12 Mental Health Assessment 267Patrick Callaghan Chapter 13 Examination of the Musculoskeletal System 287Daniel Apau, Michael Babcock, and Nicola L. Whiteing Chapter 14 Assessment of the Child 333Carol Lynn Cox Chapter 15 Assessment of Disability Including Care of the Older Adult 375Carol Lynn Cox and Brandy Lunsford Chapter 16 Imaging Techniques, Clinical Investigations, and Interpretation 383Jennifer Edie Chapter 17 Basic Examination, Notes, and Diagnostic Principles 415Carol Lynn Cox and Brandy Lunsford Chapter 18 Presenting Cases and Communication 425Carol Lynn Cox and Brandy Lunsford Appendices 433 Index 441

Read more less

Book SynopsisRapid Perioperative Care is an essential text for students and practitioners requiring up-to-date fundamental information on the perioperative environment.Trade Review“…this book would be a recommended read for all perioperative practitioners, including students, nurses, ODPs and junior doctors. It covers a wide range of subjects within perioperative care in an easy to follow, step by step guide. Each chapter is short, yet concise, making it straightforward to read. The section regarding the critical care side of perioperative practice is particularly useful and therefore opens this book out to a wider readership.” - Journal of Perioperative PracticeTable of ContentsPreface ix Acknowledgements xi Abbreviations xiii Section 1 Preoperative Preparation 1 Paul Wicker 1 The Role of the Anaesthetic Practitioner 3 2 The Role of the Surgical Practitioner 7 3 The Role of the Recovery Practitioner 11 4 Preoperative Assessment of Perioperative Patients 14 5 Perioperative Patient Care 21 6 Operating Theatre Attire and Personal Protective Equipment 27 7 Surgical Safety Checklist 29 8 Teaching Students How to Use Operating Theatre Equipment 32 9 Perioperative Equipment 37 10 Managing Perioperative Medication 41 11 Interprofessional Learning and Collaboration 46 12 Preventing Surgical Site Infection 49 13 Skin Preparation for Surgery 52 References and Further Reading 54 Section 2 Anaesthesia 65 Paul Wicker 14 Preoperative Evaluation of the Anaesthetic Patient 67 15 Preparing Anaesthetic Equipment 70 16 Checking the Anaesthetic Machine 74 17 Anatomy and Physiology: The Cardiovascular System 78 18 Anatomy and Physiology: The Lungs 82 19 General Anaesthesia 85 20 Local Anaesthesia 89 21 Regional Anaesthesia 93 22 Rapid Sequence Induction 96 23 Total Intravenous Anaesthesia (TIVA) 101 24 Airway Management 104 25 General Anaesthetic Pharmacology 109 26 Intraoperative Fluid Management 112 27 Monitoring Perioperative Patients 115 References and Further Reading 118 Section 3 Surgical Specialities 129 Sara Dalby 28 Laparoscopic Surgery 131 29 Vascular Surgery 134 30 Cardiothoracic Surgery 138 31 Orthopaedics and Trauma 143 32 Gynaecology Surgery 148 33 Plastic Surgery 153 34 Urology 157 35 Breast Surgery 161 36 Endocrine Surgery 165 37 Colorectal Surgery 168 38 Upper Gastrointestinal Surgery 174 39 Hepato-Pancreato-Biliary Surgery 178 References and Further Reading 183 Section 4 Surgical Scrub Skills 191 Sara Dalby 40 Basic Surgical Instrumentation 193 41 Surgical Positioning 196 42 Thermoregulation 201 43 Skin Preparation 205 44 Surgical Draping 208 45 Surgical Site Marking 210 46 Swab Counts, Sharps and Instrument Checks 213 47 Measures to Prevent Wound Infection 217 48 Electrosurgery 221 49 Wound Healing and Dressings 225 50 Bladder Catheterisation 229 51 Tourniquet Management 232 52 Haemostatic Techniques 236 53 Surgical Drains 241 54 Handling of Specimens 245 References and Further Reading 248 Section 5 Surgical Assisting 257 Sara Dalby 55 Legal, Professional and Ethical Issues 259 56 Surgical First Assistant 263 57 Surgical Care Practitioner 265 58 Pre and Postoperative Visiting 269 59 Retraction 273 60 Cutting of Sutures 276 61 Suture Materials 278 62 Surgical Needles 282 63 Wound Closure 285 64 Suturing Methods 287 65 Alternative Methods of Wound Closure 290 66 Injection of Local Anaesthetic for Wound Infiltration 293 67 Injection of Local Anaesthetic for Wound Infiltration – Caution and Complications 297 68 Camera Holding 301 References and Further Reading 304 Section 6 Recovery 311 Paul Wicker 69 Recovery Room Design 313 70 Patient Handover 317 71 Postoperative Patient Care 320 72 Postoperative Patient Monitoring and Equipment 324 73 Maintaining the Airway 330 74 Diagnosis and Management of Postoperative Infection 334 75 Postoperative Pain Management 337 76 Fluid Balance in Postoperative Patients 340 77 Postoperative Medications 343 78 Managing Bleeding Problems 347 79 Managing Postoperative Nausea and Vomiting 350 80 Critical Issues in Postoperative Care 354 81 Enhanced Recovery 357 References and Further Reading 362 Section 7 Perioperative Critical Care 375 Paul Wicker 82 Critical Care Nurses and Practitioners Roles 377 83 Management of the Critically Ill Surgical Patient 380 84 Malignant Hyperthermia 383 85 Inadvertent Hypothermia 386 86 Congestive Heart Failure 391 87 Venous Thromboembolism 397 88 Latex Allergy 402 89 Pressure Ulcers 406 90 Managing Diabetes in Perioperative Patients 412 91 Smoking, Alcohol and Drug Abuse 416 92 Perioperative Care of Elderly Patients 419 93 Anaemia, Coagulopathy and Bleeding 423 94 Care of Morbidly Obese Patients 426 References and Further Reading 431 Index 443

Read more less

Book SynopsisFundamentals of Care is an accessible introductory textbook for all health care assistants; assistant practitioners and social care support workers who are undertaking the newly introduced, mandatory Care Certificate, as well as offering a resource for providing care and support.Trade Review"This book is easy to read and navigate. The structure of the book leads the reader to be challenged into finding out more information and thinking about how this information can be used in practice. The chapters are presented in a clear way with a similar layout throughout all sections that enables the readers to find areas of interest quickly. While most of the subject matter is not new, this book pulls it together into a handy textbook that is very informative and will benefit those undertaking their Care Certificate and any health and social care assistant to really explore the fundamentals of their role and constantly improve their practice to ensure high-quality care is given." (BJHCA March 2017)Table of ContentsPreface xi Acknowledgements xiv How to use your textbook xvi Chapter 1 Health and social care provision in the UK 1 Introduction 2 An historical view 3 The NHS in the four countries 3 Provision of services 7 Regulation and monitoring of services 7 Professional regulation 8 Primary care services 9 Secondary care services 10 Tertiary care services 10 Ambulance trusts 10 Mental health trusts 11 Community health services 11 Social care and support 11 Assessment of care needs 12 Assessment of health needs 13 Chapter summary 14 Chapter 2 Working with others, teamwork 16 Introduction 17 Teamworking 18 Teams and teamworking 20 Team dynamics 22 Barriers to effective teamworking 22 Conflict 23 Chapter summary 25 Chapter 3 Understanding your role 27 Introduction 28 Who are you? 29 Job description 29 Agreed ways of working 32 Policies and procedures 32 Codes of conduct 33 Responsibility 35 Accountability 36 Delegation 37 Relationships 38 Chapter summary 40 Chapter 4 Your personal development 42 Introduction 43 Lifelong learning 44 How learning takes place, learning styles 44 Strategies to help with learning 45 Personal development plans 46 Appraisal 46 Your personal development plan 47 The personal development portfolio 48 Supervision 49 Training and development 50 Core learning 50 Giving and receiving feedback 52 Chapter summary 53 Chapter 5 Duty of care 55 Introduction 56 Duty of care 57 Your duty of care 57 Concerns 58 Promoting independence 59 Providing information 60 The constitution, complaints, comments and compliments 61 Raising concerns 61 Untoward incidents 62 Negligence 63 Conflict 63 Responding to conflict 63 Chapter summary 64 Chapter 6 Equality and diversity 66 Introduction 67 Legislation 68 Equality duty 68 Human Rights Act 69 Defining terms 70 Labelling, stereotyping and prejudice 71 Inequality 72 People with learning disabilities and those with mental health problems 74 Cultural sensitivity 74 Chapter summary 76 Chapter 7 Working in a person‐centred way 78 Introduction 79 Working in a person‐centred way 80 Person‐centred values 82 Enabling 84 Coordinated care 84 Personalised care 85 Person‐centred planning 85 Supporting people 86 Advanced care planning 86 The environment of care 87 Minimising discomfort, distress or pain 88 Responding to a person’s discomfort 89 Self‐esteem 90 Personal identity 91 Promoting wellbeing, identity and self‐esteem 91 Chapter summary 91 Chapter 8 Communication 93 Introduction 94 Care, compassion and communication 95 Communication 95 Types of communication 96 Verbal communication 97 Non‐verbal communication 97 Working in teams 99 Communication and language needs 100 Communication aids 100 Barriers to effective communication 101 Strategies to reduce barriers to communication 102 Preserving confidentiality 103 Chapter summary 104 Chapter 9 Privacy and dignity 106 Introduction 107 Protecting information 108 Disclosure 109 Implementing respect, privacy and dignity 110 Informed choice and choosing options 114 Assessing risk 115 Equality and diversity 116 Promoting independence 118 Chapter summary 118 Chapter 10 Fluids and nutrition 120 Introduction 121 Food and drink safety 122 Protecting people 124 Personal protective equipment in food hygiene 125 Nutrition and hydration 127 The Eatwell plate 128 Hydration 130 Poor hydration and nutrition 131 Helping people with their nutrition and hydration 133 Chapter summary 136 Chapter 11 Awareness of mental health, dementia and learning disability 139 Introduction 141 Mental health conditions 141 Service provision 143 Depression 144 Anxiety 146 Bipolar disorder 147 Psychosis 147 Dementia 147 Learning disabilities 150 The social model of disability 152 Assessing and making a diagnosis 155 Mental capacity 155 Assessing capacity 157 Chapter summary 158 Chapter 12 Safeguarding adults 160 Introduction 161 Safeguarding 162 Types of harm and abuse 163 Safeguarding vulnerable adults: the principles 165 A person‐centred approach 166 Safeguarding Adults Boards 167 Identifying and managing risk 167 Suspected or disclosed abuse 168 Reporting concerns 169 Chapter summary 170 Chapter 13 Safeguarding children 172 Introduction 173 Safeguarding and welfare 174 Child abuse and maltreatment 175 Impact of parents or carers on a child’s health and wellbeing 176 Types of abuse 176 Physical abuse 177 Emotional abuse 177 Sexual abuse 177 Neglect 177 Radicalisation 178 Trafficking 178 Female genital mutilation (FGM) 178 Gang abuse 179 Children and social media 179 The rights of the child 181 What to do if you have concerns of suspected or alleged abuse 181 Escalating concerns 183 Chapter summary 183 Chapter 14 Basic life support 185 Introduction 186 The heart 187 The lungs 187 Basic life support 187 The AVPU scale for checking a response 191 Cardiopulmonary resuscitation (CPR) 191 Airway obstruction 194 Documentation 196 Automatic external defibrillators 196 Chapter summary 197 Chapter 15 Health and safety 199 Introduction 201 The law 201 Health and safety policies 201 Hazards in the workplace 202 Workplace hazards 203 Working with hazardous substances 206 Reporting health and safety hazards 206 Risk assessment 207 Accidents and incidents 207 Medicines 208 Moving, handling and assisting 209 Fire safety awareness 209 Working safely 212 Managing stress 212 Chapter summary 215 Chapter 16 Handling information 217 Introduction 218 Key legislation 219 The electronic patient record 221 Making concerns known 223 The use of social media 224 Chapter summary 224 Chapter 17 Infection prevention and control 226 Introduction 227 Roles and responsibilities 228 Transmission of infection 229 The chain of infection 231 Breaking the chain 234 Safe disposal of waste 235 Sharps disposal 236 Safe management of laundry 237 Personal protective equipment (PPE) 238 Chapter summary 238 Chapter 18 Questions you always wanted to ask 241 Introduction 242 Chapter summary 249 Annotated bibliography 251 Index 257

Read more less

Book SynopsisTable of ContentsContributors x Foreword xiv Preface xv Acknowledgements xvi Abbreviations xvii About the companion website xx How to use your textbook xxi Section I General circumstances 1 1 The development and organisation of trauma services 3 David Bramley, Peter N. Goode, Michael Hüpfl and Brian Burns 2 Pre- hospital trauma care 13 John J. M. Black and Jonathan Howes 3 Initial assessment and resuscitation of the trauma patient 30 Peter N. Goode, David V. Skinner, Peter A. Driscoll, Ed Norris- Cervetto and Jon Walker 4 Role of the trauma nurse 55 Rob Way 5 Airway management in trauma 64 Luke Armstrong and Liza Keating 6 Thoracic trauma 74 Peter N. Goode, Dion Arbid, Peter A. Driscoll, Sion Barnard and Robert D. Jarman 7 Shock and hypovolaemia following trauma 104 Ashley Clews, Fiona Lecky and Peter A. Driscoll 8 Head trauma 115 Peter N. Goode, Alan C. Sweenie, Christopher J. A. Cowie and Helen E. Hastie 9 Maxillofacial trauma 137 Steve R. Watt- Smith, Sarah J. Wilson and Karen A. Eley 10 Eye trauma 151 Peter S. Phelan Copyrighted Material 11 Ear, nose and throat trauma 158 Paul Counter 12 Abdominal trauma 167 Thomas Hughes, Ben Bloom and Peter A. Driscoll 13 Urinary tract trauma 185 Alexander West, John Piedad, Lara Hemsworth and Nikhil Vasdev 14 Pelvic trauma 194 Al Mountain, Simon Scott and James Shelton 15 Musculoskeletal trauma 209 Paul V. Fearon, Steven Aldridge and Lee Hoggett 16 Acute spinal injury 225 Nick Todd 17 Early imaging in trauma and interventional radiology 250 Joshua Lauder and Peter A. Driscoll 18 Psychological trauma 259 P. Amos Simms 19 Supporting distressed relatives and breaking bad news 267 Chris A. J. McLauchlan 20 Transfer of the trauma patient 276 Charles Lee 21 Rehabilitation of patients with major trauma 289 Laura Graham Section II Special circumstances 299 22 Paediatric trauma 301 Julie Grice, Jacqueline Hardcastle, Sarah Stibbards and Mike Schofield 23 Trauma in pregnancy 332 Rebecca S. Black, Deborah J. Harrington, Rosamunde Burns, R. John Elton, Kyle Gibson, Brigid Hayden, Audrey Jeffrey, Dean Kerslake, Darren Walter, Arlene Wise and Kara Dent 24 Trauma in the older person 346 Charlotte Bates, Laurence Chuter and Jackie Gregson 25 Medical problems in trauma 358 Thomas Hughes 26 Management of severe burn 368 Sarah Pape and Angela J. Sollars 27 Chemical incidents and secondary contamination risks 383 Lorraine Stewart 28 Blade, ballistic and blast trauma 393 Peter F. Mahoney, John- Joe Reilly and Nabeela S. Malik 29 Major incidents. Part 1: The emergency services’ response at the scene 403 John J. M. Black, Lizle Blom and James Amos 30 Major incidents. Part 2: The hospital’s response 419 John J. M. Black, Lizle Blom and Peter A. Driscoll 31 Trauma systems in low- and middle- income countries 432 Anthony D. Redmond Section III Quality improvement in trauma care 437 32 Non- technical skill factors in trauma management 439 Laura Duffy, Peter N. Goode and Peter A. Driscoll 33 Evaluating the effectiveness of trauma care 450 Antoinette Edwards, Laura White and Fiona Lecky Imaging appendices A3 Initial assessment and management of the trauma patient. Imaging appendix: computed tomography overview 50 Joshua Lauder and Peter A. Driscoll A6 Thoracic trauma imaging appendix 95 Joshua Lauder and Peter A. Driscoll A8 Head trauma imaging appendix 127 Joshua Lauder and Peter A. Driscoll A12 Abdominal trauma imaging appendix 178 Joshua Lauder and Peter A. Driscoll A14 Pelvic trauma imaging appendix 202 Joshua Lauder and Peter A. Driscoll A15 Musculoskeletal trauma imaging appendix 220 Joshua Lauder and Peter A. Driscoll A16 Spinal trauma imaging appendix 239 Joshua Lauder and Peter A. Driscoll A22 Paediatric trauma imaging appendix 320 Joshua Lauder, Vivian Tang and Peter A. Driscoll Accompanying website chapters W2 Adult and paediatric pre-hospital equipment check list Charles Lee W3 Initial assessment and management of the trauma patient: the trauma team leader’s assessment of the whole-body computed tomography Alex Valkov, Joshua Lauder and Peter A. Driscoll W6 Thoracic trauma Peter N. Goode, Dion Arbid, Peter A. Driscoll, Sion Barnard and Robert D. Jarman W13 Urinary tract trauma Alexander West, John Piedad, Lara Hemsworth and Nikhil Vasdev W14 Pelvic trauma Alistair Mountain, Simon Scott and James Shelton W15 Musculoskeletal trauma Paul V. Fearon, Steven Aldridge and Lee Hoggett W17 Early imaging in trauma and interventional radiology Joshua Lauder and Peter A. Driscoll W21 Rehabilitation of patients with major trauma Laura Graham W22 Paediatric trauma Julie Grice, Jacqueline Hardcastle, Sarah Stibbards and Mike Schofield W28 Blade, ballistic and blast trauma Peter F. Mahoney, John-Joe Reilly and Nabeela S. Malik W29 Major incidents. Part 1: The emergency services’ response Christian Cooper and John J. M. Black W30 Major incidents. Part 2: The hospital’s response John J. M. Black, Lizle Blom and James Amos Index 455

Read more less

Book Synopsis

Read more less

Book SynopsisWriting for Publication in Nursing and Healthcare helps readers develop the skills necessary for publishing in professional journals, presenting conference papers, authoring books, research reports, and literature reviews, and more. This comprehensive resource covers all aspects of writing for publication, including good practice in reviewing, the editorial process, ethical aspects of publishing, and the rules that govern academic writing, publishing, and dissemination. Assuming no prior expertise in the subject, the text uses an accessible, step-by-step approach that incorporates a wealth of real-life examples, hands-on activities, and valuable tips throughout. The second edition reflects the latest developments, guidelines, and practices both in academic publishing and in research assessment and dissemination. New and updated material covers the increasing use of social media to disseminate published work, post-publication scrutiny, contemporary issues surrounTable of ContentsList of contributors ix Foreword x Preface xii Acknowledgements xiv 1 Introduction: The Book, Its Philosophy and Its Focus 1Karen Holland, and Roger Watson Introduction 1 Why publish what we write? 2 What are perceived barriers to successful writing? 3 How can we succeed? 4 Summary 5 References 6 Internet resources 6 2 The Basics of Writing for Publication and the Steps to Success: Getting Started 7Roger Watson Introduction 7 Barriers to writing 7 Learning about the publishing process 9 Getting started 9 The ‘four rules’ of writing 10 How to fill a blank page 13 The process of publishing 18 What happens next? 21 References 21 Internet resources 22 3 Writing a Conference Abstract and Paper for Presentation 23Jan Draper Introduction 23 Section 1: How to write a conference abstract 23 Section 2: How to prepare for a conference presentation and paper 34 Conclusion 43 References 43 4 Writing for Publication: Blogs and Other Forms of Social Media 44Roger Watson Introduction 44 Writing for publication: the blog 45 Wikipedia® 54 Tracking your influence on social media* 57 Conclusion 60 References 60 Internet resources 61 5 Writing for Publication: The Journal Article 62Roger Watson Introduction 62 What message and to whom? 62 Targeting a journal 65 Read the guidelines 66 Section 1: Reading the guidelines 67 Section 2: Writing and organising the article 70 Section 3: Writing the paper 86 Better writing 91 Submitting your manuscript 96 Conclusion 96 References 97 Internet resources 97 6 Writing for Publication: The Book 98Karen Holland Introduction 98 Why write a book? 98 Getting started 99 Contacting a publisher 100 Writing a book proposal 101 Writing on your own: key issues to consider 103 Writing with others: key issues to consider 103 The process of writing a book: key issues to consider 104 Tips for successful management of writing a book 104 Tips for being a book editor and author 107 What comes next? 108 Summary 109 References 109 Internet resources 110 7 Writing for Publication: Reporting your Literature Review 111Helen Aveyard and Caroline Bradbury-Jones Introduction 111 What is a literature review? 111 Rationale for this chapter 113 Conclusion 119 References 120 Internet resources 121 8 Writing for Publication: Turning Assignments into Publishable Works 122Mark Hayter Introduction 122 Get advice on writing up your work for publication 123 Role of supervisors/authorship 123 What type of publication? 124 Editing research dissertations and theses for publication 130 Conclusion 142 References 143 Internet resources 143 9 The Editorial Process 144Roger Watson Introduction 144 Who are editors? 144 What is editing about? 145 Who else is involved? 146 What do editors look for in an article? 148 Editorial boards 150 What happens to your manuscript? 152 Digital object identifiers 155 Ethics 156 Corrigenda and errata 157 Compiling issues of the journal 158 Media exposure 158 Conclusion 159 References 159 Internet Resources 159 10 Being a Journal Reviewer: Good Practice in Reviewing 160Karen Holland Introduction 160 What is peer review? 161 Types of peer review 161 The role of a reviewer 162 What are the basic and specific guidelines the reviewer may use in the review of an article? 167 Reviewing for an international nursing education/practice journal: additional issues 171 What the editor and publisher can do for the reviewer 172 Why become a reviewer? 173 Summary 173 References 174 Internet resources 174 11 Ethical and Legal Aspects of Publishing: Avoiding Plagiarism and Other Issues 175Charon A. Pierson Introduction 175 Dilemma of ethics in publishing 175 Research misconduct 180 Summary and conclusions 187 References 188 Internet resources 189 12 Writing for Publication: Key Issues in Ethical Authorship and Dissemination 191Roger Watson and Karen Holland Introduction 191 The role of the editor in ethical challenges 192 How authors can check journals prior to submission of an article 192 Identification of unethical practice 193 The key ethical issues that editors identify in their work 194 Managing unethical issues 197 Errata and corrigenda 198 Retraction 199 Conclusion 200 References 200 Internet resources 201 13 Open Access and Open Science 202Roger Watson Introduction 202 What is open access? 202 Models of open access 205 Journal models 206 Creative commons licences 207 Ethics and open access 209 Deciding to publish open access 211 Open Science 213 Conclusion 214 References 215 Internet resources 215 Bibliography 216 Index 217

Read more less

Book SynopsisThe Nursing Associate's Handbook of Clinical Skills The Nursing Associate's Handbook of Clinical Skills provides evidence-based guidance for those undertaking the newly developed Nursing Associate (NA) role that bridges the gap between the Health Care Assistant (HCA) and the Registered Nurse (RN). Structured around the latest Nursing and Midwifery Council (NMC) Proficiencies, this invaluable handbook helps the prospective Nursing Associates develop the skills and core competencies required to succeed in a broad range of healthcare contextscovering more than 90 procedures, and communication and relationship management skills. This timely resource features contributions from a team of experienced clinicians and academics, addressing clinical procedures on topics including skin integrity, nutrition and hydration, mobility and safety, respiratory care, managing infection, administering medicine, and end of life care. Clear, accessible chapters contain a wealth of effective learning tools, including self-assessment tests, review questions, links to electronic resources, supporting evidence, and more. This must-have textbook:Helps trainee Nursing Associates to develop and refine their skills, and demonstrate proficiency in offering care and supportReflects current NMC annexes, providing practical guidance on a diverse range of communication skills, strategies and proceduresCovers the central elements of Nursing Associate care provision, including delivery, monitoring, and reviewingIncludes colour illustrations, photographs, tables, charts, graphs, and algorithms designed to develop skills and demonstrate the links between theory and practicePresenting the principles of care essential for meeting the needs of patients in dynamic health and social care environments, The Nursing Associate's Handbook of Clinical Skills is an indispensable guide for trainee Nursing Associates, as well as for health and social care assistants and those returning to practice.Table of ContentsAnnexe A Communication and relationship management skills 1 Theories and models of communication 2 Approaches to effective communication 3 Interpersonal skills and therapeutic relationship skills 4 Working in a team 5 Listening actively 6 Information gathering 7 Escalating concerns 8 Written communication 9 Addressing compliments and complaints Annexe B Procedures Unit 1 Procedures to enable effective monitoring of a person’s condition 10 Vital signs 11 Venepuncture 12 ECG recording 13 Blood glucose assessment 14 Specimen collection 15 Recognising and escalating signs of all forms abuse 16 Recognising and escalating signs of self-harm and/or suicidal ideation 17 Basic mental health first aid 18 Basic first aid Unit 2 Procedures for provision of person-centred nursing care 19 Pain 20 Promoting comfort in bed 21 Maintaining privacy and dignity 22 Promoting sleep Unit 3 Provide care and support with hygiene and the maintenance of skin integrity 23 Re-assessment of skin 24 Supporting a person’s skin integrity 25 Reassessment of hygiene status supporting a person’s hygiene needs 26 Providing oral and dental care 27 Providing eye care 28 Providing nail care 29 Monitoring of wounds and providing wound care Unit 4 Provide support with nutrition and hydration 30 Using nutritional assessment tools 31 Assisting people with feeding and drinking 32 Fluid balance Unit 5 Provide support with maintaining bladder and bowel health 33 Observing and monitoring urinary and bowel continence 34 Recognising bladder and bowel patterns 35 Care and management of people with urinary catheters 36 Assisting with toileting and choosing and using appropriate continence products Unit 6 Provide support with mobility and safety 37 Risk assessment tools associated with mobility and falls 38 Using a range of moving and handling techniques, aids and equipment Unit 7 Provide support with respiratory care 39 Managing the administration of oxygen 40 Measuring respiratory status 41 Using nasal and oral suctioning techniques 42 Managing inhalation, humidifier and nebulizer devices Unit 8 Preventing and managing infection 43 Recognising and responding rapidly to potential infection risk 44 Using aseptic non-touch technique 45 Using appropriate Personal Protective Equipment 46 Implementing isolation procedures 47 Using hand hygiene techniques 48 Decontaminating equipment and the environment 49 Safely handling waste, laundry and sharps Unit 9 Meeting needs for care and support at the end of life 50 Recognising responding to the needs of those at the end of their lives 51 Review of care of those people and their families at the end of their lives 52 Providing care for the deceased Unit 10 Procedural competencies for administering medicine safely 53 Reviewing a person’s ability to administer their own medicines 54 Undertaking accurate drug calculations 55 Accountability in ensuring the safe administration of medicine 56 Administering medicines 57 Managing the effectiveness of symptom relief medications 58 Recognising and responding to adverse effects of medications 59 Storage, transportation and disposal of medicinal products

Read more less

Book SynopsisTable of ContentsPreface, vii Contributors, ix Section One: General Aspects of Acute Medicine, 1 1 Introduction to Acute Medicine, 3Glenn Matfin and Nick Murch 2 Clinical reasoning in Acute Medicine, 12Glenn Matfin 3 Generic capabilities relevant to Acute Medicine, 22Glenn Matfin 4 Safe prescribing in Acute Medicine, 40Glenn Matfin 5 The acutely unwell patient, 50Glenn Matfin 6 Resuscitation, 65James Piper and Glenn Matfin 7 Enhanced and critical care Acute Medicine, 86Glenn Matfin 8 Acute medicine in the ambulatory care setting, 100Glenn Matfin 9 Acute medicine in the home, 104Daniel Lasserson 10 Effective discharge planning, 107Glenn Matfin 11 Point-of-care ultrasound in Acute Medicine, 113Rasha Buhumaid 12 Putting it all together -- managing the acute medical take, 138James Piper Section Two: Acute Medicine in Special Populations, 145 13 Older persons, 147Glenn Matfin and Howell Jones 14 Perioperative medicine, 160Robert Grange, Joshua Griffiths and David Shipway 15 The obstetric woman in the acute setting, 176Siara Teelucksingh, Emma Page and Anita Banerjee 16 Adolescents and young adults, 194Glenn Matfin 17 People with learning disabilities, 197Glenn Matfin 18 Inclusion health, 201Glenn Matfin 19 Lesbian, gay, bisexual, transgender, queer or questioning, and others (LGBTQ+), 209Howell Jones and Glenn Matfin 20 People living with HIV, 215Nadia Ahmed and Robert Miller 21 The poisoned patient, 221Glenn Matfin 22 Alcohol, drugs and substance abuse, 230Nick Murch 23 People with diabetes and other hormonal disorders, 245Glenn Matfin 24 People with neurological disorders, 299Hani Ben Amer 25 People with mental health issues, 335James Bolton 26 Acute oncology, 351Glenn Matfin Section Three: Common Presentations in Acute Medicine, 365 27 Common presentations in Acute Medicine, 367Glenn Matfin and Aya Akhras Index, 432

Read more less

Book Synopsis

Read more less

Book SynopsisAre you struggling to make sense of complex research papers and craft insightful critiques for your academic assignments? Then look no further! Critical Appraisal Skills for Healthcare Students is your indispensable guide to understanding research papers, mastering critical appraisal, and most importantly, succeeding in your summative assignments. While this text is written with Level 5 students in mind, you will find it is a useful text at any academic level when required to engage in evidence-based practice. In today's ever-evolving healthcare system, the ability to critically appraise research evidence is crucial. In pre-registration programmes, this core skill is often assessed through written assignments. However, students can struggle not only to interpret research papers and evaluate their quality, but also to write about this appraisal in an academic way. This comprehensive textbook equips healthcare students with the evidence skills they need, while also enhancing their ability to produce high-quality assignments. Authored by experienced academics with over two decades of teaching research and evidence-based practice, this text covers core topics such as: The significance of evidence in practice, locating and selecting appropriate literature, and navigating assignments based on the appraisal of research Strategies for reading research papers and understanding them before appraisal The fundamentals of critiquing research, with Key Fact sheets summarising the design issues of specific types of research How to move beyond EBP for academic assessment, towards using evidence in everyday professional practice Critical Appraisal Skills for Healthcare Students is an excellent core text to master the art of critical appraisal and enhance academic performance.

Read more less

Book SynopsisEverything you need to know about The Nursing Associate ... at a Glance! The Nursing Associate at a Glance is a comprehensive guide developed to support trainee nursing associates with revision and practice-based learning, helping readers to uphold and maintain their Code of Conduct, promote healthy behaviours, treat ill health, and provide and monitor care effectively. Aligned with the six Nursing and Midwifery Council standards of proficiency for nursing associates, the book provides indispensable information about a range of areas of care including: How to contribute to integrated care, including how to be resilient and how to understand the various roles of health and social care teamsHow to improve the safety and quality of care, including an examination of health and safety legislation and the use of risk assessment toolsHow to effectively work in teams, including positive interaction with other members of the care team and how to manage dataHow to provide and monitor care, including discussions of deteriorating, anxious and confused patients Perfect for trainee nursing associates seeking to successfully graduate from the nursing associate programme, The Nursing Associate at a Glance provides readers with the skills and knowledge required to be competent, confident and compassionate nursing associates.Table of Contents1 The Code 2 Legal and ethical 3 Duty of candour 4 Non - discriminatory behaviour 5 The demands of professional practice 6 Health and wellbeing: self care 7 The principles of research and evidence-based practice 8 Emotional intelligence 9 Effective communication 10 Maintaining appropriate relationships 11 Advocacy and person centred sensitive care 12 Reporting adverse incidents 13 Numeracy, literacy, digital and technological skills 14 Record keeping 15 Reflective practice 16 Promoting public confidence in the profession Platform 2. Promoting health and preventing ill health 17 Principles of health promotion 18 Health behaviours 19 Epidemiology, demography and genomics 20 Health inequalities 21 Life choices 22 Health literacy 23 Health screening 24 Immunisation and vaccination 25 Infection, prevention and control Platform 3. Provide and monitor care 26 Human development 27 Anatomy and physiology 28 Commonly encountered conditions when delivering care 29 Information giving pre- procedure 30 Shared decision making 31 Escalating concerns 32 Dignity and comfort 33 Nutrition and hydration 34 Mobility 35 The deteriorating patient 36 Anxiety and confusion 37 Discomfort and pain 38 End of life care 39 End of life decisions and orders 40 Medicines management I 41 Medicines management II 42 Medicines management III 43 Working in partnership with people, families and carers 44 Co morbidities and holistic care provision 45 Capacity, understanding information and making decisions 46 Self harm and suicide 47 Sharing information Platform 4. Working in teams 48 Roles and responsibilities 49 Interacting with members of the care team 50 Human factors and team working 51 Data management 52 Prioritising care and co-morbidities 53 Giving and receiving constructive feedback 54 Role modelling Platform 5. Improving safety and quality of care 55 Health and safety legislation 56 Clinical audit 57 Risk assessment tools 58 National Early Warning Score (NEWS2) 59 Hazards and incidents 60 Staffing and safe care 61 Revalidation Platform 6. Contributing to integrated care 62 Being resilient 63 The roles of health and social care teams 64 Long term conditions 65 Promoting independence 66 Accessing care 67 Discharge planning Appendix (i) Annexes A and B References Index

Read more less

Book SynopsisTrade Review“For all those committed to supporting birthing people, Simkin’s Labor Progress Handbook is a scientifically grounded and eminently practical resource. At a time of renewed public attention to addressing birth equity across the globe, the authors provide indispensable wisdom to ensure women and families receive the care they deserve.” Dr Neel Shah, MD, MPP, Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School and an obstetrician-gynecologist at the Beth Israel Deaconess Medical Centre.Table of ContentsList of Contributors xvi Foreword xviii Chapter 1: Introduction 1 Lisa Hanson, PhD, CNM, FACNM, FAAN and Emily Malloy, PhD, CNM Causes and prevention of labor dystocia: a systematic approach 1 Notes on this book 4 Note from the authors on the use of gender-inclusive language 5 Conclusion 5 References 5 Chapter 2: Respectful Care 7 Amber Price DNP, CNM, MSN, RN 7 Health system conditions and constraints 8 LGBTQ birth care 9 RMC and pregnant people in larger bodies 9 Shared decision-making 10 Expectations 11 The impact of culture on the birth experience 12 Traumatic births 12 Trauma survivors and prevention of PTSD 13 Trauma-informed care as a universal precaution 15 Obstetric violence 16 Patient rights 17 Consent 17 Maternal mortality 18 References 19 Chapter 3: Normal Labor and Labor Dystocia: General Considerations 22 Lisa Hanson, PhD, CNM, FACNM, FAAN, Venus Standard, MSN, CNM, LCCE, FACNM, andPenny Simkin, BA, PT, CCE, CD(DONA) What is normal labor? 22 What is labor dystocia? 26 What is normal labor progress and what practices promote it? 26 Why does labor progress slow or stop? 28 Prostaglandins and hormonal influences on emotions and labor progress 29 Disruptions to the hormonal physiology of labor 30 Hormonal responses and gender 30 “Fight‐or‐flight” and “tend‐and‐befriend” responses to distress and fear during labor 31 Optimizing the environment for birth 32 The psycho‐emotional state of the pregnant person: wellbeing or distress? 33 Pain versus suffering 33 Assessment of pain and coping 34 Emotional dystocia 34 Psycho‐emotional measures to reduce suffering, fear, and anxiety 34 Before labor, what the caregiver can do 34 During labor: tips for caregivers and doulas, especially if meeting the laboring client for the first time in labor 37 Conclusion 38 References 38 Chapter 4: Assessing Progress in Labor 41 Wendy Gordon, DM, MPH, CPM, LM, with contributions by Gail Tully, BS, CPM, andLisa Hanson, PhD, CNM, FACNM, FAAN Before labor begins 42 Fetal presentation and position 42 Abdominal contour 42 Location of the point of maximum intensity (PMI) of the fetal heart tones via auscultation 42 Leopold’s maneuvers for identifying fetal presentation and position 46 Abdominal palpation using Leopold’s maneuvers 46 Estimating engagement: The rule of fifths 49 Malposition 53 Other assessments prior to labor 53 Estimating fetal weight 53 Assessing the cervix prior to labor 54 Assessing prelabor 55 Six ways to progress 55 Assessments during labor 55 Visual and verbal assessments 55 Hydration and nourishment 55 Psychology 56 Quality of contractions 56 Vital signs 57 Purple line 58 Assessing the fetus 58 Fetal movements 58 Gestational age 58 Meconium 59 Fetal heart rate (FHR) 59 Internal assessments 67 Vaginal examinations: indications and timing 68 Performing a vaginal examination during labor 68 Assessing the cervix 69 Assessing the presenting part 70 Identifying those fetuses likely to persist in an OP position throughout labor 75 The vagina and bony pelvis 76 Putting it all together 76 Assessing progress in the first stage 76 Features of normal latent phase 76 Features of normal active phase 76 Assessing progress in the second stage 77 Features of normal second stage 77 Conclusion 77 References 77 Chapter 5: Role of Physiologic and Pharmacologic Oxytocin in Labor Progress 82 Elise Erickson, PhD, CNM, FACNM and Nicole Carlson, PhD, CNM, FACNM, FAAN History of oxytocin discovery and use in human labor 83 Structure and function of oxytocin 83 Oxytocin receptors 83 Oxytocin and spontaneous labor onset and progression 84 Promoting endogenous oxytocin function in spontaneous labor 85 Ethical considerations in oxytocin administration 85 Oxytocin use 86 Oxytocin use during latent phase labor 87 Oxytocin use during active phase labor 87 Oxytocin use during second stage labor 88 Changes in contemporary populations and labor progress 88 Oxytocin dosing 89 High dose/low dose 89 Variation in oxytocin dosing among special populations 89 Higher body mass index 89 Nullipara 90 Maternal age 90 Epidural 91 Problems associated with higher doses or longer oxytocin infusion 91 Postpartum hemorrhage 91 Fetal Intolerance to labor 92 Oxytocin holiday 92 Breastfeeding and beyond 92 New areas of oxytocin research 93 Conclusion 93 References 93 Chapter 6: Prolonged Prelabor and Latent First Stage 101 Ellen L. Tilden, PhD, RN, CNM, FACNM, Jesse Remer, BS, CD(DONA),BDT(DONA), LCCE, FACCE, and Joyce K. Edmonds, PhD, MPH, RN The onset of labor: key elements of recognition and response 102 Defining labor onset 102 Signs of impending labor 103 Prelabor 103 Prelabor vs labor: the dilemma 103 Delaying latent labor hospital admissions 103 Anticipatory guidance 104 Anticipatory guidance for coping prior in prelabor 105 Sommer’s New Year’s Eve technique 106 Prolonged prelabor and the latent phase of labor 106 Fetal factors that may prolong early labor 107 Optimal fetal positioning: prenatal features 107 Miles circuit 109 Support measures for pregnant people who are at home in prelabor and the latent phase 110 Some reasons for excessive pain and duration of prelabor or the latent phase 111 Iatrogenic factors 112 Cervical factors 112 Management of cervical stenosis or the “zipper” cervix 112 Other soft tissue (ligaments, muscles, fascia) factors 112 Emotional dystocia 113 Troubleshooting Measures for Painful Prolonged Prelabor or Latent Phase 113 Measures to Alleviate Painful, Non‐progressing, Non‐dilating Contractions in Prelabor or Latent Phase 114 Synclitism and asynclitism 114 Open knee–chest position 118 Closed knee–chest position 119 Side‐lying release 119 When progress in prelabor or latent phase remains inadequate 120 Therapeutic rest 120 Nipple stimulation 120 Membrane sweeping 121 Artificial rupture of membranes in latent labor 121 Can prenatal actions prevent some postdates pregnancies, prolonged prelabors, or early labors? 121 Prenatal preparation of the cervix for dilation 121 References 125 Chapter 7: Prolonged Active Phase 130 Amy Marowitz, DNP, CNM What is active labor? Description, definition, diagnosis 131 When is active labor prolonged or arrested? 131 Possible causes of prolonged active labor 132 Treatment of prolonged labor 132 Fetopelvic factors 132 How fetal malpositions and malpresentation delay labor progress 134 Determining fetopelvic relationships 134 Malpositions 134 Malpresentations 134 Use of ultrasound 135 Artificial rupture of the membranes (amniotomy) when there is a fetal malposition or malpresentation 135 Epidural analgesia and malposition or malpresentation 135 Maternal positions and movements for suspected malposition, malpresentation, or any “poor fit” 136 Overview and evidence 136 Positions to encourage optimal fetal positioning 137 Forward‐leaning positions 137 Side‐lying positions 137 Asymmetrical positions and movements 137 Abdominal lifting 142 “Walcher’s” position 142 Flying cowgirl 142 Low technology clinical approaches to alter fetal position 144 Digital or manual rotation of the fetal head 144 Digital rotation 145 Manual rotation 146 Early urge to push, cervical edema, and persistent cervical lip 147 Manual reduction of a persistent cervical lip 148 Reducing swelling of the cervix or anterior lip 148 Disruptions to the hormonal physiology of labor 150 Overview 150 If emotional dystocia is suspected 150 Predisposing factors theorized to contribute to emotional dystocia 151 Possible indicators of emotional dystocia during active labor 151 Measures to help cope with expressed fears 151 Hypocontractile uterine activity 152 Factors that can contribute to contractions of inadequate intensity and/or frequency 152 Immobility 152 Environmental and emotional factors 152 Uterine lactate production in long labors 152 Sodium bicarbonate 153 Calcium carbonate 154 When the cause of inadequate contractions is unknown 154 Breast stimulation 154 Walking and changes in position 154 Acupressure or acupuncture 154 Coping and comfort issues 155 Individual coping styles 155 Simkin’s 3 Rs: Relaxation, rhythm, and ritual: The essence of coping during the first stage of labor 156 Hydrotherapy: Warm water immersion or warm shower 156 Comfort measures for back pain 156 Exhaustion 157 Sterile water injections 158 Procedure for subcutaneous sterile water injections 159 Hydration and nutrition 160 Conclusion 160 References 160 Chapter 8: Prevention and Treatment of Prolonged Second Stage of Labor 166 Kathryn Osborne, PhD, CNM, FACNM and Lisa Hanson, PhD, CNM, FACNM, FAAN Definitions of the second stage of labor 167 Phases of the second stage of labor 167 The latent phase of the second stage 168 Evidence-based support during the latent phase of second stage labor 169 What if the latent phase of the second stage persists? 169 The active phase of the second stage 169 Physiologic effects of prolonged breath‐holding and straining 170 Effects on the birth giver 170 Effects on the fetus 170 Spontaneous expulsive efforts 171 Diffuse pushing 172 Second stage time limits 173 Possible causes and physiologic solutions for second stage dystocia 174 Position changes and other strategies for suspected occiput posterior or persistent occiput transverse fetuses 174 The use of supine positions 174 Why not the supine position? 176 Use of the exaggerated lithotomy position 177 Differentiating between pushing positions and birth positions 178 Knees together pushing 178 Leaning forward while kneeling, standing, or sitting 178 Squatting positions 178 Asymmetrical positions 180 Lateral positions 181 Supported squat or “dangle” positions 181 Other strategies for malposition and back pain 182 Early interventions for suspected persistent asynclitism 183 Positions and movements for persistent asynclitism in second stage 188 Nuchal hand or hands at vertex delivery 190 If cephalopelvic disproportion or macrosomia (“poor fit”) is suspected 190 The influence of time on cephalopelvic disproportion 191 Fetal head descent 191 Verbal support of spontaneous bearing‐down efforts 192 Guiding the birthing person through crowning of the fetal head 192 Hand skills to protect the perineum 192 Perineal management during second stage 194 Topical anesthetic applied to the perineum 194 Differentiating perineal massage from other interventions 194 Waterbirth 194 Positions for suspected “cephalopelvic disproportion” (CPD) in second stage 197 Shoulder dystocia 197 Precautionary measures 202 Two step delivery of the fetal head 204 Warning signs 204 Shoulder dystocia maneuvers 205 The McRoberts’ maneuver 206 Suprapubic pressure 206 Hands and knees position, or the Gaskin maneuver 207 Shrug maneuver 207 Posterior axilla sling traction (PAST) 208 Tully’s FlipFLOP pneumonic 208 Somersault maneuver 208 Decreased contraction frequency and intensity 210 If emotional dystocia is suspected 211 The essence of coping during the second stage of labor 211 Signs of emotional distress in second stage 211 Triggers of emotional distress unique to the second stage 211 Conclusion 213 References 213 Chapter 9: Optimal Newborn Transition and Third and Fourth Stage Labor Management 219 Emily Malloy, PhD, CNM, Lisa Hanson, PhD, CNM, FACNM, and Karen Robinson, PhD, Cnm, Facnm Overview of the normal third and fourth stages of labor for unmedicated mother and baby 219 Third stage management: care of the baby 220 Oral and nasopharynx suctioning 220 Delayed clamping and cutting of the umbilical cord 221 Management of delivery of an infant with a tight nuchal cord 222 Third stage management: the placenta 222 Physiologic (expectant) management of the third stage of labor 223 Active management of the third stage of labor 224 The fourth stage of labor 226 Baby‐friendly (breastfeeding) practices 227 Supporting microbial health of the infant 228 Routine newborn assessments 229 Conclusion 230 References 230 Chapter 10: Epidural and Other Forms of Neuraxial Analgesia for Labor: Review of Effects, with Emphasis on Preventing Dystocia 235 Sharon Muza, BS, CD/BDT(DONA), LCCE, FACCE, CLE and Robin Elise Weiss,Ph.D., MPH, CLC, LCCE, FACCE, AdvCD/BDT(DONA) Introduction: analgesia and anesthesia—an integral part of maternity care in many countries 235 Neuraxial (epidural and spinal) analgesia—new terms for old approaches to labor pain? 236 Physiological adjustments that support maternal-fetal wellbeing 237 Multisystem effects of epidural analgesia on labor progress 237 The endocrine system 237 The musculoskeletal system 238 The genitourinary system 239 Can changes in labor management reduce problems of epidural analgesia? 239 Descent vaginal birth 243 Guided physiologic pushing with an epidural 244 Centering the pregnant person during labor 245 Conclusion 246 References 246 Chapter 11: Guide to Positions and Movements 249 Lisa Hanson, PhD, CNM, FACNM, FAAN and Emily Malloy, PhD, CNM Maternal positions and how they affect labor 250 Side‐lying positions 250 Pure side‐lying and semiprone (exaggerated Sims’) 250 The “semiprone lunge” 256 Side‐lying release 257 Sitting positions 259 Semisitting 259 Sitting upright 261 Sitting, leaning forward with support 262 Standing, leaning forward 263 Kneeling positions 264 Kneeling, leaning forward with support 264 Hands and knees 266 Open knee–chest position 266 Closed knee–chest position 269 Asymmetrical upright (standing, kneeling, sitting) positions 269 Squatting positions 270 Squatting 270 Supported squatting (“dangling”) positions 272 Half‐squatting, lunging, and swaying 274 Lap squatting 274 Supine positions 277 Supine 277 Sheet “pull‐to‐push” 278 Exaggerated lithotomy (McRoberts’ position) 279 Maternal movements in first and second stages 280 Pelvic rocking (also called pelvic tilt) and other movements of the pelvis 281 Hip sifting 282 Flexion of hips and knees in hands and knees position 283 The lunge 284 Walking or stair climbing 285 Slow dancing 286 Abdominal lifting 288 Abdominal jiggling with a shawl 289 The pelvic press 290 Other rhythmic movements 292 References 293 Chapter 12: Guide to Comfort Measures 294 Emily Malloy, PhD, CNM and Lisa Hanson, PhD, CNM, FACNM, FAAN Introduction: the state of the science regarding non‐pharmacologic, complementary, and alternative methods to relieve labor pain 295 General guidelines for comfort during a slow labor 295 Non‐pharmacologic physical comfort measures 296 Heat 296 Cold 297 Hydrotherapy 299 How to monitor the fetus in or around water 301 Touch and massage 302 How to give simple brief massages for shoulders and back, hands, and feet 302 Acupuncture 307 Acupressure 307 Continuous labor support from a doula, nurse, or midwife 307 How the doula helps 308 What about staff nurses and midwives as labor support providers? 309 Assessing the laboring person’s emotional state 310 Techniques and devices to reduce back pain 312 Counterpressure 312 The double hip squeeze 312 The knee press 314 Cook’s counterpressure technique No. 1: ischial tuberosities (IT) 315 Cook’s counterpressure technique No. 2: perilabial pressure 316 Techniques and devices to reduce back pain 318 Cold and heat 318 Cold and rolling cold 318 Warm compresses 319 Maternal movement and positions 319 Birth ball 320 Transcutaneous electrical nerve stimulation (TENS) 321 Sterile water injections for back labor 323 Procedure for subcutaneous sterile water injections 324 Breathing for relaxation and a sense of mastery 324 Simple breathing rhythms to teach on the spot in labor 325 Bearing‐down techniques for the second stage 325 Spontaneous bearing down (pushing) 325 Self‐directed pushing 326 Conclusion 326 References 326 Index 329

Read more less

Book SynopsisTable of ContentsContributors xix Preface xxv Acknowledgements xxvii How to use your textbook xxix About the companion website xxxi Chapter 1 The critical care unit 1Vikki Park Introduction 2 Levels of care 2 The critical care environment 2 Critical care patients 3 Level 1 care 4 Level 2 care 4 Level 3 care 4 Critical care competence 5 The interprofessional team 6 Communication 7 Ways of working 7 Understanding philosophies of care 8 Humanising critical care 8 Surviving critical care 9 Death in critical care 9 Resilience 9 Nursing considerations and recommendations for practice 11 Future challenges 11 Conclusion 11 References 12 Chapter 2 Organisational influences 14Vikki Park Introduction 15 The four UK nations 15 Legislation 15 Professional Statutory Regulatory Bodies (PSRBs) 15 Shared decision making 16 Capacity for shared decision making 16 Confidentiality 17 Decisions relating to end-of-life care 17 Risk management 18 International influences 18 National influences 18 UK government organisations 18 Networks 19 National guidelines 20 Quality assurance 20 Local policies 21 Nursing considerations and recommendations for practice 21 Conclusion 21 References 22 Chapter 3 Legal and ethical issues 24Leonie Armstrong, Tracey Carrott, and Jacqueline Newby Introduction 25 Confidentiality 25 End-of-life care and best interest decisions 26 Ethical themes 27 Mental Capacity Act 27 Organ donation 29 Consent (authorisation in Scotland) for organ donation 30 First person consent 31 First person opt-in 31 First person opt-out 31 Appointed/nominated representative (not Scotland) 31 Deemed consent 31 The ethics of deemed consent 32 Consent from a person in the highest-ranking relationship 32 Cadaveric organ donation 33 The organ donation process 33 Post organ retrieval 34 Organ allocation 34 Conclusion 35 References 35 Chapter 4 Professional issues in critical care 37Aurora Medonica Introduction 38 Opportunities for learning 38 NMC Code in critical care units: journey to independent, safe practice 38 The core principles 39 UK National Competency Framework: critical care 41 Development of critical thinking in healthcare 42 The prioritising process 42 Support systems: the student 44 Conclusion 44 References 45 Chapter 5 Using an evidence-based approach 46Sadie Diamond-Fox and Alexandra Gatehouse Introduction 47 What is evidence-based practice (EBP)? 47 Step 1: formulating a clinical question – the PICO method 48 Step 2: locating the evidence/research: performing a systematic literature review 48 Step 3: critical appraisal and the hierarchy of evidence 49 Step 4: extracting the most relevant and useful results 51 Step 5: implementing research into practice 52 Quality healthcare in critical care 53 Clinical audit and quality improvement 53 Research and development in critical care 55 Conclusion 56 References 56 Chapter 6 Nursing care 58Sarah Crowe and Fiona McLeod Introduction 59 Standards of care 59 Physical care 63 Mobility 66 Critical care bundles 67 Conclusion 67 References 68 Chapter 7 Skin integrity 70Victoria Clemett Introduction 71 Anatomy and physiology of the skin 71 Impact of ageing on skin and tissue integrity 71 Pressure ulcers 71 Nursing assessment 75 Prevention of pressure ulcers 76 Management of pressure ulcers 79 Wound healing 79 Patient factors that affect wound healing 79 Nursing assessment 79 Recognising wound infection 81 Management of non-healing wounds 83 Conclusion 83 References 84 Chapter 8 Shock 86Barry Hill Introduction 87 Shock 87 Hypovolaemic shock 87 Blood analysis 88 Multiple organ dysfunction syndrome 89 Staging of hypovolaemic shock 89 Principles of managing hypovolaemic shock 90 Fluid resuscitation 91 Training and education for Registered Nurses 91 Cardiogenic shock 91 Obstructive shock 93 Altered pathophysiology 93 Tension pneumothorax 94 Cardiac tamponade 94 Pulmonary embolism (PE) 94 Distributive shock 95 Conclusion 96 References 97 Chapter 9 Communication 98Paul Jebb Introduction 99 Communicating effectively with patients 100 Communicating during a pandemic 100 Communication with families 102 Conclusion 103 References 103 Chapter 10 Electronic health records 105Timothy Kuhn Introduction 106 Digitisation within healthcare 106 Understand your responsibilities and the law in relation to record keeping 107 Intensive Care Society Guidelines 107 Understanding the different types of EHRs in critical care and how they are used 108 Understanding what patient data is available within the critical care unit and how this is recorded in an electronic health record 109 Understanding how EHRs are used in critical care audit and research 110 Understanding the benefits and barriers to EHRs 112 Conclusion 113 References 113 Chapter 11 Pharmacology 115Sadie Diamond-Fox and Alexandra Gatehouse Introduction 116 Principles of pharmacology and pharmacotherapy 116 The processes of drug therapy 116 Medication safety in critical care 119 Drugs and dialysis 120 Core drugs utilised within critical care 120 Respiratory drugs 120 Cardiovascular drugs 122 Haematological drugs 126 Renal drugs 126 Fluids and electrolytes 127 Gastrointestinal drugs 128 Insulin 129 H2-histamine antagonists and proton pump inhibitors (PPIs) 129 Anti-emetics 129 Laxatives and anti-diarrhoeal drugs 130 Neurological drugs 130 Analgesics 130 Opioids 130 Non-opioid analgesics 130 Epidural and regional anaesthesia 130 Sedatives and anxiolytics 131 Muscle relaxants 131 Anticonvulsants 132 Antideliriogenics 132 Immunomodulatory drugs 132 Antibacterial agents 132 Antifungals 133 Antiviral drugs 134 Corticosteroids 134 Immunoglobulins 134 Toxicology 134 Conclusion 135 References 135 Chapter 12 Anaesthesia and sedation 138Lorraine Mutrie and Iain Carstairs Introduction 139 Indications for sedation and anaesthesia 139 Anaesthetic and sedative medications 142 Sedative drugs 142 Neuromuscular blocking agents and reversal agents 143 Sedation management 145 Conclusion 147 References 148 Chapter 13 Medicines management and drug calculations 150Jan Guerin Introduction 151 Purpose of pharmacological interventions in the critically ill adult patient 152 Legal and professional issues 152 Collaborative multidisciplinary team working 154 Medication errors 154 Overview of routes and methods of administering medications in CCU 155 Rights of medication administration 158 Managing and reporting a medication error 159 Anaphylaxis 160 Pathophysiology and clinical manifestations of DIA 160 Management for DIA 160 Medication calculation formulae 160 Displacement 165 Conclusion 165 References 166 Chapter 14 Neurological critical care 167Samantha O’Driscoll Introduction 168 Neurological anatomy and physiology 168 Central nervous system 169 Neurological assessment 174 Signs and symptoms of increasing ICP 179 Primary and secondary brain injury 180 Management of raised ICP 180 Nursing care 181 Transfer 182 Conclusion 184 References 184 Chapter 15 Cognition 186Barry Hill and Sadie Diamond-Fox Introduction 187 Cognitive impairment 187 Causes of cognitive impairment 187 Signs of cognitive impairment 188 Delirium 188 Risk factors 190 Management of delirium 191 Sleep 193 Assessment of sleep in ICU 193 Conclusion 195 References 195 Chapter 16 Respiratory care: intubation and mechanical ventilation 197Barry Hill and Lorraine Mutrie Introduction 198 Respiratory failure 198 Hypoventilation 198 Ventilation/perfusion (V/Q) mismatch 199 Work of breathing 199 Arterial blood gases (ABGs) 200 Non-invasive ventilation (NIV) 201 Continuous positive airway pressure (CPAP) 204 High flow nasal oxygen 204 Intubation 204 Mechanical ventilation 206 Artificial ventilation 207 Minute ventilation (Vm) 207 Fraction of inspired oxygen 207 Positive end-expiratory pressure (PEEP) 207 Volume control 207 Pressure control 207 Inspiratory:Expiratory (I:E) ratio 208 Inverse ratio 208 Synchronisation 208 Humidification 208 Benefits of mechanical ventilation 208 Risks of mechanical ventilation 208 Ventilator care bundles 209 Prone positioning 209 Prone positioning in COVID-19 209 Weaning from mechanical ventilation 210 Conclusion 210 References 211 Chapter 17 Lung function in critical care 213Rana Din and Joyce Smith Introduction 214 Anatomy and physiology 214 Composition of air 215 Alveolar gas 215 Expired air 216 Lung volumes 216 Pulmonary ventilation 216 External respiration 217 Ventilation/Perfusion 217 Transport of gases 217 Internal respiration 218 Assessment of lung function 220 Normal breath sounds (vesicular) 221 Absent Sounds 221 Wheeze 222 Crackles 222 The work of breathing 222 Compliance 222 Resistance 222 Emphysema 222 Asthma 223 Obstructive sleep apnoea 224 Prone positioning 224 Conclusion 225 References 226 Chapter 18 Cardiac physiology 227Paul Sinnott Introduction 228 Functions of the cardiovascular system 228 Anatomy of the heart and great vessels 228 Pericardium 229 Layers of the heart 229 Chambers of the heart 230 Valves of the heart 230 Coronary circulation 232 Cardiac conduction system 235 The cardiac cycle 236 Cardiac output and blood pressure 237 Regulation of heart rate 238 Stroke volume 239 The regulation of blood pressure 240 The microcirculation 242 Capillary exchange 243 Effects of ventilation on the cardiovascular system 245 Conclusion 245 References 246 Chapter 19 Cardiovascular critical care 247Alice Shaw and Paul Sinnott Introduction 248 Cardiovascular assessment 248 Heart rate and rhythm 248 Atrial ectopic beats 249 Ventricular ectopic beats 253 Blood pressure 254 Invasive blood pressure monitoring 255 Central venous catheters (CVCs) and central venous pressure (CVP) 256 Markers of organ and tissue perfusion 258 Neurological status 258 Urine output 258 Blood results 259 Advanced haemodynamic monitoring 260 Cardiac pacing 262 Nursing considerations and recommendations for practice 263 Conclusion 263 References 263 Chapter 20 Fluids and electrolytes in critically ill patients 265Barry Hill Introduction 266 The role of the critical care nurse 266 Intravenous fluids 266 Crystalloids versus colloids critical care 267 Fluid management 268 Third spacing 269 Assessment and monitoring 269 Training and education 271 Electrolyte replacement therapy 271 Management of hyperkalaemia 272 Oral sodium and water 272 Oral rehydration therapy (ORT) 272 Oral bicarbonate 273 Parenteral preparations for fluid and electrolyte imbalance 273 Plasma and plasma substitutes 276 Plasma substitutes 276 Fluid overload 276 The four Ds of fluid management 276 Hyponatraemia 277 Hypernatraemia 277 Hypokalaemia 277 Hyperkalaemia 277 Hypophosphataemia 278 Hypocalcaemia 278 Hypomagnesaemia 278 Conclusion 279 References 279 Chapter 21 Critical care emergencies 280Alexandra Gatehouse and Sadie Diamond-Fox Introduction 281 A – Airway 282 B – Breathing 290 C – Circulation/Cardiovascular 291 D – Disability 298 E – Everything else (exposure, endocrine, electrolytes and environmental) 301 Care of the patient post return of spontaneous circulation (ROSC) 307 Critical care emergencies and human factors 307 Debriefing 309 Do-not-attempt-cardiopulmonary-resuscitation (DNACPR) and Recommended Summary Plan for Emergency Care and Treatment (ReSPECT) 309 Conclusion 310 References 310 Chapter 22 Gastrointestinal critical care 313Anna Riley, Joe Box, and Aileen Aherne Introduction 314 Anatomy and physiology 314 GI monitoring and investigation in the critically ill 317 Imaging and endoscopy 318 Bowel charts and abnormal GI motility 320 The acute abdomen in critical care 322 Common surgical procedures cared for in critical care 325 Post-operative monitoring 325 Abdominal surgical drains 326 Anaesthetics 326 Post-operative complications 326 Wound dehiscence 327 GI pharmacology 327 Conclusion 328 References 328 Chapter 23 Nutrition in critical care 330Barry Hill and Lorraine Mutrie Introduction 331 Pathophysiology 331 Fight or flight 332 Resistance 332 Exhaustion 332 Nutritional screening and assessment 333 Indirect calorimetry (IC) 333 Routes of administration 334 Nursing considerations and recommendations for practice 336 Care of people with feeding tubes 336 Glycaemic control 337 Refeeding syndrome 338 Discontinuing feed 339 Nutritional guidance 339 Conclusion 340 References 341 Chapter 24 Renal critical care 343Alexandra Gatehouse and Sadie Diamond-Fox Introduction 344 Anatomy and physiology of the renal tract 344 Vascular supply 344 Renin-angiotensin-aldosterone system (RASS) 344 The nephrons 345 Control of plasma osmolality 346 Electrolyte balance 346 Acid-base balance 352 Renal failure 352 Acute kidney injury 353 Classification of AKI 353 Pathophysiology 353 Organ cross-talk 354 Risk factors for AKI 355 Clinical features and examination 355 Investigations 355 Specific disorders associated with AKI 357 Drug-induced renal damage 357 Management of AKI 359 Clinical features and examination 361 Management 361 Chronic kidney disease 362 Management 362 Diabetic nephropathy 362 Continuous renal replacement therapy (CRRT) 364 Dosing of CRRT 364 Anticoagulation 364 Drug dosing and RRT 367 Kidney transplantation – critical care considerations 367 Conclusion 368 References 368 Chapter 25 Endocrine critical care 370Geraldine Fitzgerald O’Connor and Emma Long Introduction 371 Thyroid and parathyroid glands 371 Disorders of the thyroid gland 371 Thyroid crisis 372 Parathyroid glands 372 Disorders of the parathyroid glands 372 Hypocalcaemia 373 Pituitary gland 373 Disorders of the pituitary gland 373 Diabetes insipidus 374 Pathophysiology 375 Hyperglycaemia in the critically ill 376 Diabetic emergencies 376 Pathophysiology 380 Conclusion 383 References 384 Chapter 26 Haematological and immunological critical care 385Barry Hill, Gerri Mortimore, and Pamela Arasen Introduction 386 Normal physiology 386 Blood components 386 Haematopoiesis 387 Disorders of erythrocytes 387 B12 vitamin deficiency 387 Sickle cell anaemia 388 Genetic haemochromatosis 389 Haemostasis 390 Lymphoma 390 Disseminated intravascular coagulation 393 Thrombocytopenia 394 Neutropenia and sepsis 394 Vasculitis 396 Blood transfusions in adults 397 Blood sample collections 398 Blood groups 398 Compatibility 399 Indications for blood transfusions 399 Platelets 400 Fresh frozen plasma (FFP) 400 Cryoprecipitate 400 Granulocytes 400 Procedural safety 400 Pre-procedure and sampling 400 Administration of the blood product 400 Post-procedural care 401 Traceability 401 Patient information 402 Alternatives to blood transfusions 403 Summary of SaBTO recommendations on consent 403 Conclusion 408 References 408 Chapter 27 Musculoskeletal considerations in critical care 411Clare L. Wade and Helen Sanger Introduction 412 Trauma 412 Management of traumatic injury 413 Intensive care unit-acquired weakness 415 Assessment of musculoskeletal impairment or injury 418 Management of musculoskeletal injury and impairment 419 Conclusion 424 References 424 Chapter 28 Burn care within a critical care setting 426Nicole Lee Introduction 427 Classification of burn wound depths 427 Pathological considerations 429 Burn size estimation 430 An ABCDE approach to burn care 432 Breathing 433 Cardiovascular 433 Disability (neurological assessment) 434 Exposure (and everything else) 434 Psychological support 434 Acknowledgement 436 References 436 Chapter 29 Maternal critical care 438Wendy Pollock Introduction 439 Epidemiology 439 Adapted physiology 439 Recognising clinical deterioration 441 Nursing considerations and recommendations for practice 442 Conclusion 448 References 449 Chapter 30 Critical care transfers 451Kirstin Geer, Mark Cannan, and Stuart Cox Inter-hospital and intra-hospital patient transfers 452 Transfer of the critically ill adult 452 Critical care bed and repatriation 456 The risks of critical care transfer 457 Preparation for transfer 458 ABCDE process during critical care transfer 458 Conclusion 469 References 469 Chapter 31 Rehabilitation after critical illness 470Helen Sanger and Clare L. Wade Introduction 471 The impact of critical illness – what do we mean by morbidity? 471 Describing physical functioning and morbidity 472 Models of post-critical care morbidity 473 Assessment 473 Goals 475 Key timepoints in RaCI 477 Treatment 478 National guidelines and standards 480 Conclusion 481 References 481 Chapter 32 Dying and death 484Helen Merlane and Leonie Armstrong Introduction 485 End-of-life care 485 Palliative care 486 Dying 486 Recognising Dying 486 Advance care planning 488 Involve and support 489 Nursing the dying patient 489 The critical care environment 489 Symptom management 490 End-of-life care discharges from a critical care setting 491 Care after death 494 Conclusion 495 References 495 Index 497

Read more less

Book SynopsisCalculate the correct drug dosage every single time with help from this essential nursing guide In the newly revised Second Edition of Calculation Skills for Nurses, author Claire Boyd delivers a practical and effective treatment of crucial nursing calculation abilities designed to instil confidence and competence in healthcare professionals. Written for anyone working in the healthcare setting who requires mathematical assistance, the book is designed to teach the skills required by the Nursing and Midwifery Council Standards, Proficiency for Nursing Associates, Pre-registration Nursing Associate Programme, The CodeProfessional Standards for Practice and Behaviour For Nurses, Midwives, and Nursing Associates, and the NMC Essential Skills Clusters. This latest edition includes more practice activities, greater inclusivity, more test questions, more practice with budgets and data interpretation, and more online resources. You'll use a formula-based approach and gain the understanding necessary to know when to apply which formula and why. The book also includes: A thorough grounding in basic math, preparing you for more complex areas of nursing calculationComprehensive explorations of the information you need to know in the clinical arena, including working out drug dosagesPractical discussions of the application of concepts to nursing practice, including different areas of healthcare and working with budgetsIn-depth knowledge and understanding of key areas, while being tested to consolidate your familiarity with the text Calculation Skills for Nurses is perfect for practicing nurses and nursing students who seek to boost their confidence and competence in this core area of nursing.Table of ContentsPreface vii Introduction ix Acknowledgements xiii Latin Abbreviations xv The 24-Hour Clock xvii Part 1: Diagnosis 1 1 Calculations Self-Assessment 3 2 Calculations Revision 9 3 Metric Units and Conversions 33 Part 2: Understanding Nursing Calculations 43 4 Tablets and Capsules 45 5 Liquids and Injectables 53 6 Syringes and Meniscus 63 7 Displacement Values 75 8 Dosages According To Body Weight 81 9 Drip Rates and Drip-Rate Durations 87 10 Syringe Drivers and Pumps 97 11 Paediatric Nursing 107 Part 3: Putting it All Into Practice 119 12 Fluid Charts 121 13 Malnutrition Universal Screening Tool (Must) Assessment 127 14 National Early Warning Score (News 2) Assessment 131 15 Waterlow Assessment 141 16 Prescription Charts 147 17 Looking At Budgets 155 18 Interpreting Data 161 19 Employment Services – Sample Test Questions 173 20 Body Mass Index 185 Part 4: Testing Your Knowledge 191 21 Knowledge Tests 193 Answers To Activity Questions 205 Part 5: Appendices 225 Appendix 1: Fluid Chart 227 Appendix 2: Malnutrition Universal Screening Tool 229 Appendix 3: National Early Warning Score (News 2) Observation Chart 237 Appendix 4: Waterlow Pressure Ulcer Prevention/Treatment Policy 239 Appendix 5: Conversion Tables 241 Index 245

Read more less

Book SynopsisTable of ContentsContributors ix Foreword xx Preface xxi Acknowledgements xxiii Section 1 Principles of Care Planning 1 Principles of Care Planning: The Nature of Care Planning and Nursing Delivery for Infants, Children,and Young People 3 Doris Corkin and Pauline Cardwell 2 Risk Assessment and Management 17 Sonya Clarke and Doris Corkin 3 Safeguarding to Protect Children, Young People, and Their Families 22 Julie Brown and Sonya Clarke 4 Ethical, Legal, and Professional Implications When Planning Care for Infants, Children, and YoungPeople (ICYP) 33 Orla McAlinden and Sonya Clarke 5 Young People and Truth Telling 44 Catherine Monaghan 6 Sexual Health 51 Jim Richardson 7 Integrated Care Pathways 55 Pauline Cardwell and Lucy Simms 8 Interprofessional Assessment and Care Planning in Critical Care 60 Carolyn Green and Doris Corkin 9 Supporting the Planning of Care – Practice Assessor, Academic Assessor, Supervisor, and Student 72 Nuala Devlin 10 Holistic Care – Family Partnership in Practice 78 Erica Strudley-Brown 11 Reflective Account 85 Ian and Nicola Markwell 12 The Mental Health and Wellbeing of Children and Young People 92 Deidre O’Neill Section 2 Care Planning – Pain Management 13 Managing a Neonate in an Intensive Care Unit 101 Clare Morfoot 14A Continuous Patient- and Nurse-Controlled Opiate Analgesia and Ketamine Infusions 109 Sharon Douglass and Michelle Whitehouse 14B Epidural Analgesia 116 Sharon Douglass and Michelle Whitehouse Section 3 Care of Children and Young Persons with Special Needs 15 Young Person with a History of Epilepsy 123 Joanne Blair 16 Nut Allergy – Anaphylaxis Management 131 Susie Wilkie 17 Closed Head Injury 138 Carol McCormick 18 Obesity 149 Janice Christie Section 4 Care of Neonates and Children with Respiratory Disorders 19 Neonatal Respiratory Distress Syndrome 161 Susanne Simmons 20 Cystic Fibrosis 168 Hazel Mills and Julie Hanna 21 Asthma 175 Barbara Maxwell, Gillian Gallagher, Katie McMullan, and Catherine Russell Section 5 Care of Infants and Young Persons with Cardiac Conditions 22 Cardiac Catheterisation 185 Pauline Carson 23 Infant with Cardiac Failure 190 Pauline Carson Section 6 Care Planning – Surgical Procedures 24 Tonsillectomy 201 Jodie Kenny and Doris Corkin 25 Appendicectomy 208 Fearghal Lewis Section 7 Care of Infants and Young Persons with Orthopaedic Conditions 26 Ilizarov Frame 217 Sonya Clarke 27 Developmental Dysplasia of the Hip 225 Sonya Clarke Section 8 Care of the Gastro-intestinal Tract in Infants and Children 28 Gastro-oesophageal Reflux 235 Doris Corkin and Lynne Robinson 29 Cerebral Palsy and Nasogastric Tube Feeding 241 Susie Wilkie and Sonya Clarke 30 Enteral Feeding – Gastrostomy Care 248 Catherine Paxton Section 9 Care of Children and Young Persons with Endocrine Disorders 31 Nephrotic Syndrome 259 Janet Kelsey 32 Newly Diagnosed Diabetic 266 Pauline Cardwell, Doris Corkin, and Lynne Robinson 33 Acute Kidney Injury (AKI) 273 Hazel Gibson and Rosi Simpson Section 10 Care of Infants and Young Persons with Skin Conditions 34 Infant with Infected Eczema 283 Gilli Lewis and Debbie Rickard 35 Burns Injury 292 Doris Corkin and Lydia Webb 36 Children with Complex Needs 300 Julie Chambers and Doris Corkin 37 Sickle Cell Disease 308 Debbie Omodele, Danielle Edge, and Doreen Crawford 38 Transition from Children’s to Adults’ Services 316 Claire Kerr 39 Bereavement Support 323 Una Hughes and Patricia McNeilly Index 330

Read more less

Book SynopsisTable of ContentsContributors xvii Preface xxiv Acknowledgments xxviii 1 Your course your programme of study 1 2 The Nursing and Midwifery Council standards 24 3 Learning to learn 52 4 Equality and diversity needs 72 5 Learning in practice 94 6 Getting ready for practice 119 7 Getting the most out of the practice experience 140 8 Standards for student supervision and assessment 160 9 The practice assessment document 183 10 Receiving feedback and feedforward 214 11 The student as a teacher 238 12 Lifelong learning 269 Index 299

Read more less

Book SynopsisTable of ContentsContributors ix Preface xi Acknowledgements xii Part 1 1 Assessment of the child and young person 2 2 SBAR framework 4 3 The nursing process/care process 6 4 Person- /child- centred care and nursing models 8 5 The care plan 10 6 Record keeping 12 7 Engagement and participation of babies, children, and young people in their care and in the design and delivery of health services 14 8 Observation of the well child 16 9 Observation of the sick child 18 10 Septic screening 20 11 Advanced physical assessment 22 12 Developmental assessment 26 13 Paediatric early warning score 28 14 Paediatric critical care 30 15 Understanding investigations 32 16 Understanding blood gas analysis 34 17 Understanding blood chemistry 36 18 Understanding pathology specimen collection 38 19 Understanding X- rays 40 20 Pulse oximetry 42 21 Central venous access devices 44 22 Tracheostomy care 46 23 Infant resuscitation 48 24 Child and young person resuscitation 50 25 Emergency care of children 52 26 Resuscitation drugs 54 Part 2 27 Partnership 58 28 Family- centred care 60 29 Family health promotion 62 30 Communicating with children 66 31 Hospital play 68 32 Role of the community children’s nurse 70 33 Collaboration with schools 72 34 Family information leaflets 74 35 Safeguarding and child protection 76 36 Gaining consent or assent 78 37 Parenting 80 38 Breaking bad or significant news 82 39 Care of the dying child 84 40 Dealing with aggression 86 41 Minimizing the effects of hospitalization 88 42 Transition from hospital to home 90 43 Safety in children and young people’s nursing 92 Part 3 44 Foetal development 96 45 Examination of the newborn 98 46 Neonatal screening tests 100 47 The premature baby 104 48 Neonatal transport 106 49 Jaundice and hyperbilirubinaemia 108 50 Congenital heart disease 110 51 Neonatal resuscitation 112 52 Incubator/Overhead heater care 114 53 Sudden infant death syndrome 116 Part 4 54 Nutrition in childhood 120 55 Breastfeeding 122 56 Bottle feeding 124 57 Feed calculations 126 58 Growth charts 128 59 Child development: 0–5 years 130 60 Child development: 5–16 years 132 61 Age- appropriate behaviours 134 62 Common behavioural problems of childhood 136 63 Adolescent development 138 64 Child health promotion 140 65 Immunity and immunization 142 66 Childhood immunizations 144 Part 5 67 Child and young person health policies 148 68 Children’s rights in society and healthcare 150 69 The NHS change model 152 70 Nursing and midwifery council standards for pre- registration nurse education 154 Part 6 71 Pain assessment 158 72 Pain management 160 73 Preoperative assessment and preparation 162 74 Postoperative care 164 75 Pressure area care 166 76 Managing fluid balance 168 77 Administering medication 170 78 Drug calculations 172 79 Enteral and nasogastric feeding 174 80 The child with a fever 178 81 Infectious childhood diseases 180 82 Assessing infectious diseases 184 83 Prevention of infection 186 84 Hyponatraemia and its prevention 188 85 Thermal injuries 190 86 Childhood fractures 194 87 Plaster care 196 88 Traction care 198 89 Neurovascular assessment 200 90 Neurological problems 202 91 Brain injury and coma 204 92 Seizures 206 93 Meningitis 208 94 Sepsis and septicaemia 210 95 Respiratory problems 212 96 Asthma 214 97 CPAP and BiPAP 216 98 Cardiovascular assessment and shock 218 99 Inflammatory bowel disease 220 100 Gastro- oesophageal reflux 222 101 Coeliac disease 224 102 Appendicitis 226 103 Constipation 228 104 Renal problems 230 105 Haematological problems 232 106 Musculoskeletal problems 236 107 Reproductive and sexual problems 238 108 Skin conditions 240 109 Atopic eczema 242 110 Clinical holding 244 Part 7 111 Coronavirus, Covid- 19, and children 248 112 Living with long- term and life- limiting conditions 250 113 Cystic fibrosis management 252 114 Juvenile idiopathic arthritis 254 115 Epilepsy 256 116 Childhood cancer 258 117 Cleft lip and palate 260 118 Diabetes 262 119 Diabetes management 264 120 Childhood obesity 266 121 Eating Disorders 268 122 Mental health problems 270 123 Self- harm in childhood 272 124 What is a learning disability? 274 125 Autistic spectrum disorder 277 126 Communication with the parents of a child with learning disabilities 278 127 Positive behavioural support 280 128 Genetic conditions: Down’s syndrome 282 129 Other genetic conditions 284 Index 286

Read more less

Book SynopsisTable of ContentsContributors, Foreword, Preface, Part I: Key issues in orthopaedic and musculoskeletal trauma nursing, 1 An introduction to orthopaedic and trauma care, Julie Santy-Tomlinson, Sonya Clarke and Mary Drozd 2 The knowledge and evidence base for practice, Paul McLeish 3 Professional development, competence and education, Mary Drozd and Sinead Hahessy 4 The musculoskeletal system and human movement, Lynne Newton-Triggs and Jean Rogers 5 The team approach and nursing roles in orthopaedic and musculoskeletal trauma care, Sandra Flynn 6 Rehabilitation and the orthopaedic and musculoskeletal trauma patient, Rebecca Jester Part II: Specialist and advanced practice, 7 Clinical assessment of the orthopaedic and trauma patient, Rebecca Jester 8 Key musculoskeletal interventions, Lynne Newton-Triggs, Jean Rogers and Anna Timms 9 The complications of musculoskeletal conditions and trauma, Julie Santy-Tomlinson, Sonya Clarke and Peter Davis 10 Nutrition and hydration, Rosemary Masterson 11 Pain assessment and management in orthopaedic and trauma care, Carolyn Mackintosh-Franklin 12 Wound management, tissue viability and infection, Jeannie Donnelly and Alison Collins Part III: Common orthopaedic conditions and their care and management, 13 Key conditions and principles of orthopaedic management, Elaine Wylie and Sonya Clarke 14 Elective orthopaedic surgery, Rebecca Jester, Sandra Flynn and Mary Drozd 15 Musculoskeletal oncology over the lifespan, Helen Stradling Part IV: Musculoskeletal trauma care, 16 Principles of trauma care, Fiona Heaney, Yvonne Conway and Stefanie Cormack 17 Principles of fracture management, Julie Craig, Sonya Clarke and Pamela Moore 18 Fragility fractures, Julie Santy-Tomlinson and Karen Hertz 19 Fragility Hip Fracture, Karen Hertz and Julie Santy-Tomlinson 20 Spinal cord injury, Sian Rodger 21 Soft tissue, peripheral nerve and brachial plexus injury, Julie Craig, Beverley Gray Linnecor and Martyn Neil Part V: Children and young people, 22 Key issues in caring for the child and young person with an orthopaedic or musculoskeletal trauma condition, Sonya Clarke 23 Common childhood orthopaedic conditions, their care and management, Julia Judd 24 Fracture management in the infant, child and young person, Elizabeth Wright 25 Key fractures relating to infant, child and young person, Thelma Begley and Sonya Clarke Index,

Read more less

Book Synopsis

Read more less

Book SynopsisTable of ContentsPreface vi Introduction vii Acknowledgements x 1 Aseptic Non-Touch Technique and Infection Prevention 1 2 Performing Observations 17 3 ABCDE Assessment 41 4 Continence Care 54 5 Male Urethral Catheterisation 71 6 Female Urethral Catheterisation 102 7 Bowel Care 112 8 Stoma Care 145 9 Tracheostomy Care 157 10 Point-of-Care Training 173 11 Venepuncture 193 12 Peripheral Cannulation 214 13 Intravenous Therapy 228 14 Blood Transfusion 256 15 Basic Life Support 275 16 Performing An Electrocardiogram 288 Answers 309 Appendix 1: News 2 Observation Chart 323 Index 325

Read more less

Book SynopsisLong-term Conditions in Adults at a Glance The market-leading at a Glance series is popular among healthcare students and newly qualified practitioners, for its concise, simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with clear, easy-to-follow diagrams, supported by succinct explanatory text. Covering a wide range of topics, books in the at a Glance series are ideal as introductory texts for teaching, learning and revision, and are useful throughout university and beyond. Everything you need to know about Long-term Conditions in Adults at a Glance! The go-to textbook for the treatment and management of long-term conditions in adults In Long-term Conditions in Adults at a Glance, a team of distinguished health and social care professionals deliver concise and engaging contemporary knowledge about health and associated disorders. The textbook's format, which includes visually appealing figures and tables, is particularly beneficial for those who prefer a visual approach to understanding complex concepts. Readers will also find: A thorough introduction to the sociological factors associated with long-term conditions, including environmental, housing, and lifestyle factorsComprehensive explorations of patient education and self-management, including behaviour change, health education, and patient responsibilityPractical discussions of a variety of long-term conditions, including arthritis, cancer, liver disease, and epilepsyEvaluations of the treatments and management of long-term conditions, including the use of evidence-based practice and chronic pain management Perfect for student nurses, trainee nursing associates and busy healthcare practitioners, Long-term Conditions in Adults at a Glance will also be of value to registered health and care professionals working in acute and primary care. For more information on the complete range of Wiley nursing publishing, please visit: www.wiley.com/edu/nursing To receive automatic updates on Wiley books and journals, join our email list. Sign up today at www.wiley.com/email All content reviewed by students for students Wiley Health Science books are designed exactly for their intended audience. All of our books are developed in collaboration with students. This means that our books are always published with you, the student, in mind. If you would like to be one of our student reviewers, go to www.reviewnursingbooks.com to find out more.Table of ContentsContributors viii Preface x Part 1 Long-term conditions: sociological factors 1 1 Determinants of health 2 Daniela Blumlein and Ian Griffiths 2 Health inequalities 4 Ian Peate 3 Environmental factors 6 Giuseppe Leontino 4 Housing 10 Ian Peate 5 Public health 12 Ian Peate 6 Lifestyle factors 14 Ian Peate 7 Socioeconomic status 16 Ian Peate 8 Holistic needs assessment 18 Ian Peate Part 2 Patient education and self-management 21 9 Behavioural change 22 Barry Hill 10 Health education: developing a partnership with patients with long-term conditions 24 Pamela Arasen 11 Patient responsibility 26 Ian Peate 12 Self-care and self-management 28 Barry Hill 13 Effectively supporting carers 30 Rachael Betty 14 Empowerment in long-term conditions 32 Sara Tavares 15 Experts by experience 34 Sue Tiplady Part 3 Long-term conditions 37 16 Alcohol dependency 38 Leticia Wedderburn and Helen Phillips 17 Anorexia nervosa 40 Tichaona Mubaira 18 Arthritis 42 Emily Ashwell 19 Asthma 44 Barry Hill 20 Angina 46 Barry Hill 21 Anxiety 48 Louise Lingwood 22 Atrial fibrillation 50 Barry Hill 23 Bipolar affective disorder 52 Vishal Jugessur and Angela Childs 24 Bulimia nervosa 54 Tichaona Mubaira and Lucy Saunders 25 Bronchiectasis 56 Barry Hill 26 Cancer 58 Ian Peate 27 Chronic fatigue syndrome 60 Roberta Borg 28 Chronic venous insufficiency 62 Aby Mitchell 29 Chronic obstructive pulmonary disease (COPD) 66 Barry Hill 30 Coronary artery Disease 68 Sadie Diamond-Fox 31 Chronic liver disease 70 Sadie Diamond-Fox 32 Depression 72 Sarah Bisp and Louise Lingwood 33 Diabetes mellitus type 1 74 Charlotte Gordon 34 Diabetes mellitus type 2 78 Charlotte Gordon 35 Dual diagnosis 82 Leticia Wedderburn and Daren Bailey 36 Diverticular disease 84 Laura Park and Claire Ford 37 Epilepsy 88 Ian Peate 38 Heart failure 90 Barry Hill 39 HIV 92 Ian Peate 40 Hypertension 94 Barry Hill 41 Inflammatory bowel disease 96 Claire Ford and Laura Park 42 Multiple sclerosis 98 Barry Hill 43 Parkinson’s disease 100 Kelley Storey and Annette Hand 44 Peripheral arterial disease 102 Aby Mitchell 45 Psoriasis 104 Ian Peate 46 Rheumatoid arthritis 106 Jane Douglas and Karl Nicholl 47 Sickle cell 108 Barry Hill 48 Schizophrenia 110 Reuben Pearce and Helen Robson 49 Vascular dementia 112 Ian Peate 50 Viral hepatitis 114 Ian Peate 51 Visual impairment 116 Caitlin Gallon and Claire Ford Part 4 Management of long-term conditions 119 52 Frameworks of care delivery – new ways of working 120 Barry Hill 53 Evidence-based practice 122 Claire Anderson 54 Leadership and management 124 Barry Hill 55 Chronic pain management 126 Claire Ford and Laura Park 56 End of life care 130 Jemma-Louise McCann and Sara Sinclair 57 Advanced care planning 132 Sara Sinclair Bibliography 134 Index 140

Read more less

Book SynopsisTable of ContentsPreface Introduction Acknowledgements Part 1 Chapter 1 Diagnostic tests and advanced formulae Chapter 2 Sepsis Chapter 3 Conflict Resolution Chapter 4 Patient Assessment Chapter 5 SBAR Communication Part 2 Chapter 6 Airway Chapter 7 Breathing Chapter 8 Circulation Chapter 9 Disability Chapter 10 Exposure Part 3 Chapter 11 Emergency fluid management in adults Chapter 12 Treating Paediatric Dehydration Chapter 13 Hypodermoclysis Chapter 14 Central Lines Chapter 15 Invasive and Non-Invasive Ventilation (CPAP/BIPAP) Part 4 Chapter 16 Critical care simulation Chapter 17 Medical Abbreviations Chapter 18 Answers to activities questions Appendix 1 NEWS II Observation Chart Appendix 2 Sepsis tool kit Appendix 3 Fluid prescription chart

Read more less

Book SynopsisCARDIOLOGY AT ITS CORE A comprehensive learning resource translating cardiology principles to practice for postgraduate clinicians who are commencing specialist training in cardiology Taking a first principles' approach to anatomy, physiology and pathology, Cardiology at its Core explores key areas pertinent to cardiovascular medicine from a conceptual perspective, combining the best points of a handbook and a textbook by translating principles to practice. The text is interspersed with a range of flow charts, tables and diagrams to engage the reader and enable long-term comprehension and recall. Each chapter ends with hot points' and self-assessment sections to highlight material of particular relevance and consolidate learning. Landmark trials, including those published as recently as 2022, are highlighted within the main text and summarised succinctly at the end of each chapter for further reading. Cardiology at its Core includes content on: Underlying mechanisms and pathophysiology, followed by an exploration of diagnostic strategies and management options Electrophysiological principles, atrial fibrillation, narrow complex tachycardias, broad complex tachycardias, and bradycardias and conduction disease The cardiac pump, arterial and venous system, regulation of the circulatory system, coronary vasculature, and stable angina and non-invasive testing Ischaemic heart disease, congestive heart failure, valvular disease, cardiomyopathies, and crucial integration of concepts from bench to bedside Cardiology at its Core is an ideal learning resource for those commencing specialty training. It is also broadly aligned with European guidelines, resulting in the provision of a relevant and contemporary revision aid for those undertaking core specialist examinations prior to completion of training.Table of ContentsAbout the Author ix Foreword xi Preface xiii Acknowledgements xv Abbreviations xix 1 Electrophysiological Principles 1 2 Atrial Fibrillation 15 3 Narrow Complex Tachycardias 31 4 Broad Complex Tachycardias 47 5 Bradycardias and Conduction Disease 63 6 The Cardiac Pump 77 7 Arterial and Venous System 89 8 Regulation of the Circulatory System 97 9 Coronary Vasculature 107 10 Stable Angina and Non-invasive Testing 115 11 Ischaemic Heart Disease 131 12 Congestive Heart Failure 151 13 Valvular Disease 171 14 Cardiomyopathies 197 Appendix: Answers to Self-assessment Questions 217 Index 229

Read more less

Book SynopsisWellbeing Strategies for Nurses Practical strategies for combating burnout and improving mental health while working as a nurse Wellbeing Strategies for Nurses explores clear, straightforward, and practical techniques for cultivating resilience and positive mental health strategies in the face of a demanding clinical environment. This pocket-sized book is easy to carry during your clinical placement and offers tips, advice, and hard-won words of wisdom from student and qualified nurses to support you through a challenging, yet rewarding, career. You'll find stress-busting tools as well as exercises intended for long-term relief of stress incorporated throughout the book. Readers will also find: A thorough introduction to self-care and wellbeing for nurses, as well as discussions of stress and guided meditation practice exercisesComprehensive explorations of breathing, humour, and nature therapyPractical discussions of muscle relaxation and the importance of healthy foods and hydrationTable of ContentsPreface vii Introduction ix Acknowledgements xiii Part 1 Occupational Ill-Health 1 1 Self-Care And Wellbeing 3 2 Stress 31 3 Sleep Well 49 Part 2 Strategies To Combat Stress 75 4 Breathing Therapy 77 5 Muscle Relaxation 91 6 Nature (Biophilia Theory) 101 7 Nutrition, Hydration, And Exercise 115 8 Colour Therapy 135 9 Aromatherapy 153 10 Sharing With Friends 167 11 Humour Therapy 179 12 Guided Meditation 193 13 Mindfulness 203 14 Visualisation (Guided Imagery) 213 15 Arts And Crafts 225 16 Stillness 247 Part 3 Guided Meditation For Groups And Individuals 255 17 Guided Meditations: Spring 257 Cool Waters 258 Rainbow 262 18 Guided Meditations: Summer 267 Tropical Paradise 268 Summer Meadows 273 19 Guided Meditations: Autumn 277 A Walk In The Forest 278 Moonlight 284 20 Guided Meditations: Winter 289 Candle Light 290 A Walk In The Snow 293 Answers To Activities 299 Appendix A: Effects Of Stress 303 Appendix B: Colouring A Rainbow 307 Appendix C: Glossary Of The Properties Of Essential Oils 309 Appendix D: Wellness Bingo 313 Index 315

Read more less

Book SynopsisPublisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product.The #1 review for the USMLE Step 2 CS is now even better!The Sixth Edition of First Aid for the USMLE Step 2 CS has been updated to reflect the latest NBME exam format and worksheet items, and incorporates feedback from recent US and international test-takers. This high-yield review delivers a thorough exam preparation guide for the USMLE Step 2 CS, offering a solid review of frequently test CS cases, along with proven study and exam strategies for clinical encounters.â44 full-length practice cases that simulate the real exam, updated to reflect recent exam changes, and test your ability to document the patientâs most likely diagnosis and how it is  supported by the hiTable of ContentsI. Guide to the USMLE Step 2 CSIntroductionUSMLE Step 2 CS-The BasicsPreparing for the Step 2 CSTest-Day TipsFirst Aid for the IMGSuppleent-The USMLE Step 2 CS Travel Guide II. The Patient EncounterIntroductionDoorway InformationTaking the HistoryThe Physical ExamClosureHow to Interact with Special PatientsChallenging Questins and SituationsCounselingThe Patient Note III. Minicases IV. Practice Cases V. Top-Rated Review Resources AppendixIndexAbout the Authors

Read more less

Book SynopsisTable of ContentsSECTION 1: REFRESHER MATH. 1. Relative Value, Addition and Subtraction of Decimals. 2. Multiplication and Division of Decimals. 3. Solving Common Fraction Equations. SECTION 2: INTRODUCTION TO DRUG MEASURES. 4. Metric, International (SI) System. 5. Unit, Percentage, Milliequivalent, Ratio,and HouseholdMeasures. SECTION 3: CALCULATING DOSAGES FROM MEDICATION LABELS AND SYRINGE CALIBRATIONS, AND SAFE MEDICATION ADMINISTRATION. 6. Oral Medication Labels. 7. Safe Medication Administration. 8. Hypodermic Syringe Measurement. 9. Reading Parenteral Medication Labels. 10. Reconstitution of Powdered Drugs. 11. Measuring Insulin Dosages. SECTION 4: DOSAGE CALCULATIONS. 12. Ratio and Proportion. 13. Dimensional Analysis/Units Conversion. 14. Formula Method. SECTION 5: DOSAGE CALCULATION FROM BODY WEIGHT AND BODY SURFACE AREA. 15. Adult and Pediatric Dosages Based on Body Weight. 16. Adult and Pediatric Dosages Based on Body Surface Area. SECTION 6: INTRAVENOUS CALCULATIONS. 17. Introduction to IV Therapy. 18. IV Flow Rate Calculation. 19. Calculating IV Infusion and Completion Times. 20. IV Medication and Titration Calculations. 21. Heparin Infusion Calculations. SECTION 7: PEDIATRIC MEDICATION CALCULATIONS. 22. Pediatric Oral and Parenteral Medications. 23. Pediatric Intravenous Medications.

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book Synopsis

Read more less

Book SynopsisBiomechanics of Injury, Third Edition, explains the biomechanical principles of injury and how injuries affect the normal function of human anatomy. With a clear, accessible writing style and nearly 400 full-color photos and anatomy illustrations, it guides readers through the mechanical concepts of injuries without a heavy emphasis on mathematics.Previously titled Biomechanics of Musculoskeletal Injury, this third edition expands coverage of injuries beyond those of the musculoskeletal system to include the head, neck, and spine. Joining noted biomechanists Ronald Zernicke and William Whiting is concussion expert and athletic trainer Steven Broglio, who offers insights on head trauma and other neurological injuries. Unique in its evaluation of and appreciation for the intricacies of injury mechanisms, Biomechanics of Injury, Third Edition, comprehensively examines these issues: The mechanical aspects of injury and the concept of injury as a stimulus for beneficial tissue adaptations The effects of injury on the normal function of the human anatomy and joint mechanics Mechanical parameters such as force, stress and strain, stiffness, and elasticity and their application to tissue mechanics and injury How connective tissues respond to mechanical loading and how those tissues are studied to quantify their mechanical behavior Factors such as age, gender, nutrition, and exercise, with an emphasis on how lifestyle choices might lessen the chance or severity of injury How the principles of mechanical load and overload, use and overuse, level and progression of injury, and the many contributory factors involved in injury combine to form a backdrop for viewing specific injuries Updated sidebars present a detailed analysis of anterior cruciate ligament injuries, rotator cuff pathologies, and concussion. In addition, the text discusses topics of current concern such as falls in older populations, throwing-related rotator cuff pathologies, and youth injuries from carrying backpacks.Biomechanics of Injury, Third Edition, also employs learning aids to help readers understand and retain information. Objectives at the start of each chapter highlight the main concepts. Key terms appear in bold in the text and are defined in the glossary. Key Points at the end of each chapter summarize central concepts. Questions to Consider appear at the end of each chapter to test readers’ understanding and ability to apply the information presented. Updated Suggested Readings are included at the end of each chapter for readers who wish to dive deeper into selected topics.Knowledge of the biological responses of tissues to mechanical loading improves our understanding of injury and its consequences. Biomechanics of Injury, Third Edition, will enable students and health professionals to reduce the likelihood that clients, patients, or athletes will experience painful and debilitating physical injury.Table of ContentsPart I. Introduction and FoundationsChapter 1. Overview and Perspectives on InjuryDefinition of InjuryPerspectives on InjuryChapter 2. Classification, Structure, and Function of Biological TissuesEmbryologyTissue TypesArthrologyChapter 3. Basic BiomechanicsKinematicsKineticsFluid MechanicsJoint MechanicsMaterial MechanicsBiomechanical Modeling and SimulationPart II. Tissue Mechanics and InjuryChapter 4. Tissue Biomechanics and AdaptationBiomechanics of BoneAdaptation of BoneBiomechanics and Adaptation of Other Connective TissuesBiomechanics of Skeletal MuscleAdaptation of Skeletal MuscleChapter 5. Concepts of Injury and HealingOverview of Injury MechanismsPrinciples of InjuryInflammation and Entrapment ConditionsBone InjuriesInjuries to Other Connective TissuesSkeletal MuscleJoint InjuriesNonmusculoskeletal InjuriesPart III. Regional InjuriesChapter 6. Lower-Extremity InjuriesHip InjuriesThigh InjuriesKnee InjuriesLower-Leg InjuriesAnkle and Foot InjuriesChapter 7. Upper-Extremity InjuriesShoulder InjuriesUpper-Arm InjuriesElbow InjuriesForearm InjuriesWrist and Hand InjuriesChapter 8. Head, Neck, and Trunk InjuriesAnatomyHead InjuriesNeck InjuriesTrunk Injuries

Read more less

Book Synopsis***A Waterstones Best Books of 2022 pick***'David Haslam is uniquely placed to reflect on how healthcare has lost its way, what needs to be done to fix it and why all of us are responsible for doing so... The importance and timeliness of his messages shines through.' Dr Phil Hammond'A fascinating and important book.' Dr Amanda BrownWith a single drug in the UK currently costing £340,000 per patient per year, or a gene therapy in the USA being costed at $1.2million, who should get such treatments, and how can we begin to afford them? Should we all be entitled to timely mental health therapy? How should we care for our old? As we grapple with the world's worst pandemic for a century, our minds are on our health more than ever. But what should we rightfully expect of doctors? In this original and thought-provoking book, Sir David Haslam explores what good healthcare should achieve and asks how we pay for it. Informed by patient stories and data from across the world - from US big pharma to Britain's NHS - this is an urgent and often moving examination of our most important asset: our health.Trade ReviewA superb analysis of the thorny, intractable, endlessly sidestepped issues that bedevil 21st-century healthcare... It is genuinely exhilarating to read a proper, heavyweight analysis framed in prose as blunt, on point and devoid of spin as Haslam's.... This brilliant book offers no glib solutions, only thoughtful suggestions, but the questions it poses are electrifying. * Observer *David Haslam is uniquely placed to reflect on how healthcare has lost its way, what needs to be done to fix it and why all of us are responsible for doing so... The importance and timeliness of his messages shines through. -- Dr Phil Hammond, author of Dr Hammond’s Covid CasebookA fascinating and important book. -- Dr Amanda Brown, Sunday Times bestselling author of The Prison DoctorCompelling... Refreshing * Guardian *It is hard to think of anyone more qualified to reflect on all aspects of health and healthcare than David Haslam... Clear and accessible. -- Professor Sir Michael Marmot, author of The Health GapThis insightful, extensively referenced work has taken the hugely complex challenges of the provision of universal state-funded healthcare in a sustainable way and unpicked them thoughtfully... I was absorbed from the outset. -- Professor Dame Helen Stokes-Lampard, Chair of the Academy of Medical Royal CollegesA must-read for all who care about the nation's health and our healthcare. -- Professor Martin Marshall, Chair of the Royal College of General PractitionersTable of Contents1: We've Got a Problem 2: How Did We Get Here? 3: Paying the Price 4: Why Is it All So Expensive? 5: Valuing a Life 6: Better than Cure 7: Overtreatment and Overdiagnosis 8: Hearts and Minds 9: Age and Ageing 10: And in the End . 11: Care in the Future 12: A Way Forward

Read more less

Book Synopsis***BUSINESS BOOK AWARDS 2022 SHORTLISTED TITLE***“I cannot recommend this book highly enough.” – Dr. Sarah Eagger, consultant psychiatrist Give yourself the kind of care you give others and create a personalized toolkit of simple and effective strategies to master stress and revitalise your life.Whether you are a health or care professional, informal caregiver, therapist, or simply a people-pleaser who ignores their own needs, Sarah Kuipers invites you to take a fresh approach to stress by helping you unearth the roots of poor self-care, and guiding you step by step to create a life that nurtures you, emotionally, physically and spiritually.Only when you thrive can you give of your best to the world each day. Discover 7 powerful principles that will help you: Create supportive beliefs around your own worth Gain a greater understanding of your risk factors Transform your thoughts and emotions Calm your anxiety Become more assertive Replenish your energy Nourish your spirit “This brilliant book… should be required reading for all caring professionals.” - Dr. Jane Buckle, former nurse and lecturer for healthcare professionalsSARAH KUIPERS ran a successful practice for over 20 years as a single mother, before burning out. Since completing a Masters in Research on stress and burnout she has facilitated numerous courses in personal development and stress management for medical students.Trade ReviewAn absolute must for anyone working in stressful or emotionally challenging environments. Easy step by step guide to self-care. * Amazon *An excellent resource for those who find themselves in a caregiver role whether it is a part of their employment or a personal situation. In order to provide care for another one must take care of themselves which is something so many people forget. Burnout and moral distress are very real and can have dramatic and traumatic impact on caregivers, learning how to avoid and treat these problems is critical. I think this book would be a good book for all entering the healthcare field. * NetGalley *As a counsellor, hypnotherapist and psychotherapist myself, many of the recommended resources are familiar to me yet there is something about the clear framework and spirit of this book, the way it is presented that motivates me to further transformative action. I already find I have personally benefited from reading and applying this book.The author regularly honours the importance of reaching out for the professional services of a counsellor/psychotherapist too when necessary. I believe it is an excellent book for counsellors to recommend to their clients as well as for their own personal benefit. * Amazon *Table of ContentsIntroduction: My Life Path How to Use This BookPART I: LAYING THE FOUNDATIONS Introduction: Developing Greater Awareness STEP ONE: CREATING SUPPORTIVE BELIEFS AND BEHAVIOURS Introduction: The Legacy of the Past Identifying Unhelpful Behaviour Patterns Creating New, Empowering BeliefsReleasing Your Self-Care SaboteursSTEP TWO: MONITORING YOUR STRESS AND WELLBEING Introduction: How Close are you to the Critical Zone? Assessing Your Wellbeing Stress: Recognizing the Warning SignsBurnout: How to Spot the Tell-Tale Signs What are Your Risk Factors? PART II: CHERRY-PICKING YOUR TOOLBOX Introduction: Discovering Your Unique Path STEP THREE: TRANSFORMING YOUR THOUGHTS AND EMOTIONS Introduction: Letting go of the Burning Coal Expressive Writing The Gift of GratitudeChoosing Your Questions Reaching Out for Help: a Sign of Courage STEP FOUR: CALMING YOUR ANXIETY Introduction: Creating Calm in the Eye of a StormConscious BreathingRemembering the Magical Moments Grounding: Connecting to the Earth STEP FIVE: ASSERTIVENESS: STEPPING INTO YOUR POWERIntroduction: Setting Clear Boundaries Learning to Say No Developing Skills in Assertiveness Becoming the Architect of Your Life Enrolling Support at Home STEP SIX: REPLENISHING YOUR ENERGY Introduction: What Fuels Your Fire? Family, Friends and Fun The Joy of Exercise and Time in Nature Music and CreativitySTEP SEVEN: NOURISH YOUR SPIRIT Introduction: Daily Centering Practice Mindfulness and MeditationYoga, Qi Gong and Tai Chi List of Resources List of References Bibliography

Read more less

Book SynopsisThe profession of occupational therapy has a highly specialised language, but until now there have been no standard definitions of its key terms.Based on the work of the terminology project group of the European Network of Occupational Therapy in Higher Education (ENOTHE), this book selects and defines the core building blocks of occupational therapy theory. Consensus definitions of a wide range of terms are developed through an analysis of published definitions from around the world. Concepts with similar meanings are clustered into groups, and the clusters are then arranged into a conceptual map. The book provides an analysis of what each term means in common usage, how it is used in occupational therapy, and its implications for therapeutic practice. The conceptual framework that emerges represents an important contribution to the profession's understanding of the fundamental concepts of occupational therapy. The consensus definitions presented in this book will facilitate communication between professionals as well as with clients and others, and will be of interest to occupational therapy practitioners, students, educators and researchers.Trade ReviewI really enjoyed reading this book, a potentially dry topic area has been described with passion in clear language allowing the reader to readily access precisely expressed logical concepts that underpin our professional practice. -- Simon Hughes, Consultant occupational therapistI relished the fact that this book celebrates the depth, detail and complexity of occupational therapy and that it is able to clearly articulate this to the reader. This book should be required reading for all students, educators and researchers as well as practitioners. I'm sure this book will develop into a key text and one that you will see on all our book shelves. It is a book that I devoured in one sitting, but one that I know I will be picking up often to refresh my thinking and remind myself aspects of detail. -- Simons Hughes, Consultant occupational therapist... a useful reference book, which helps to clarify the semantics which we use every day in our in conversations with clients, doctors and other medical personnel, and it has helped to clarify a number of concepts for me after forty five years as a practising occupational therapist. -- South African Journal of Occupational TherapyWe all read extensively in our professional lives. You will all be able to recall those articles and books that have been the most influential in developing your thinking. You may also recognise that those influential texts can most probably be counted on the digits of two hands. This book will be one of my ten most influential texts and I commend the working group for adding to occupational therapy's body of knowledge. -- Anne Lawson-Porter, Head of Education and Learning, College of Occupational Therapists, LondonTable of ContentsAcknowledgements. Foreword by Anne Lawson-Porter. Preface. Section 1: Introduction. 1. The ENOTHE Terminology Group. 2. The Language of Occupational Therapy. 3. The Conceptual Framework. Section 2: The Performer's Perspective. 4. Forms of Action. 5. Action. 6. Structuring Action. 7. Boundaries to Action. 8. Personal Requisites for Action. 9. Energy Source for Action. 10. Social Contract for Action. 11. Place for Action. Section 3: The Observer's Perspective. 12. Understanding Action. 13. Measuring Action. 14. Facilitating Action. Index

Read more less

Book Synopsis

Read more less

Book SynopsisAnthroposophic nursing care connects the treatment of the body with the care of the patient's soul and spirit. Attention is paid to touch, using warmth, cold air and light to promote healing. While physical wellbeing is central to our modern society, our bodies actually receive little respect and attention, especially when we become ill and old. This book argues that nursing values need to be rediscovered which respect the individual, embrace illness as part of life, and allow time for healing. Anthroposophic Nursing Practice highlights a form of nursing which is both holistic and optimistic. This important book gathers together knowledge and perspectives from generations of nurses, including Anna Wilde, Bernhard Deckers and Heikie Schaumann.This comprehensive work will inevitably become the classic text on the important practice of anthroposophic nursing.Table of ContentsChapter 1: How Do You Learn Anthroposophic Nursing?Chapter 2: Observation as a Method of Self-development and a Therapeutic Element in Care and DestinyChapter 3: The Anthropological Foundations of Nursing Extended by AnthroposophyChapter 4: Illness and DestinyChapter 5: Nursing as a Path of DevelopmentChapter 6: Meditation in NursingChapter 7: The Concept of Nursing Gestures as a Model for Nursing CareChapter 8: RhythmChapter 9: The Human Warmth Organism and Its CareChapter 10: Variations on Whole-Body WashingChapter 11: Preventing Bedsores, Pneumonia, and Thrombosis in Seriously Ill PatientsChapter 12: Rhythmical Einreibung According to Wegman/HauschkaChapter 13: Compresses in Anthroposophically Extended Nursing CareChapter 14: Active Principles in External ApplicationsChapter 15: Pregnancy, Childbirth, and Puerperium as Stages of Human BecomingChapter 16: Neonatal Nursing Care. Care Is Education—Education Is CareChapter 17: The Concept of Development as the Basis for Anthroposophically Extended Pediatric NursingChapter 18: Psychiatric NursingChapter 19: From the Question of Meaning in Cancer to the Cultivation of the SensesChapter 20: Anthroposophic Oncology NursingChapter 21: Geriatric Care as Care for Human BeingsChapter 22: Aspects of Caring for Elderly People who are Mentally Ill or ConfusedChapter 23: Caring for People with Dementia in Inpatient FacilitiesChapter 24: Palliative CareChapter 25: The Care and Accompaniment of the Dying and the Deceased

Read more less

Book SynopsisThe Making of a Pandemic provides a systematic account of how societal and psychological forces shaped the Covid-19 pandemic. The first part focuses on how biological and societal factors interact to create a pandemic. The second part explores how characteristics of the American economy, the American approach to public health, and domestic and international inequality combined to prolong the pandemic, hamper mitigation efforts, and arouse opposition to cooperation with public health measures. The third part examines the psychological processes that led to resistance to efforts to mitigate the pandemic and linked the resistance to right-wing ideologies. The book concludes by looking at the limits of the technical and medical reforms others have proposed to protect us from repetitions of the Covid-19 disaster and by calling for a “deep confrontation” with the societal and psychological factors that created and shaped the pandemic. Trade Review“Too many of us come to the topic of the pandemic both weary and entrenched in our views based on how it’s affected us and the people we know. Ehrenreich’s worldview isn’t well-hidden in his telling of events. If you share this view, the book will confirm what you believe, and it is chock full of additional data for your arsenal.” (Andy Slavitt, The Washington Post, washingtonpost.com, July 29, 2022)Table of ContentsChapter 1. INTRODUCTION.- Chapter 2. The Revenge of the Microbes.- Chapter 3. From Outbreak to Pandemic.- Chapter 4. Two Peas in a Pod: Pandemic and Global Warming.- Chapter 5. The Great Tradeoff: Public Health vs. the Economy.- Chapter 6. The Cost of Inequality.- Chapter 7. The Crooked Timber of Humanity.- Chapter 8. The Fourth Horseman.

Read more less

Book SynopsisThis textbook has been specifically prepared for BP students for learning pathology comprehensively and effectively in high user-friendly format.Table of ContentsSection I?General Pathology CHAPTER 1: Introduction to Pathology CHAPTER 2: Cell Injury CHAPTER 3: Disturbances of Body Fluids and Circulation CHAPTER 4: Inflammation and Healing CHAPTER 5: Immunopathology CHAPTER 6: Infectious Diseases CHAPTER 7: Growth Adaptations and Neoplasia CHAPTER 8: Genetic Disorders CHAPTER 9: Nutritional Disorders Section II?Systemic Pathology CHAPTER 10: Haematology CHAPTER 11: Lymphoid Tissues CHAPTER 12: Cardiovascular System CHAPTER 13: Respiratory System CHAPTER 14: Alimentary Tract CHAPTER 15: Hepatobiliary System CHAPTER 16: Endocrine System CHAPTER 17: Bones and Joints CHAPTER 18: Muscles and Neuromuscular Junction CHAPTER 19: Nervous System Appendix: Normal Values Index

Read more less

Book Synopsis, bring together experts to address the importance of caring, the reasons why it has eroded, and measures that can strengthen caring as provided by health professionals, families, communities, and society.Trade ReviewThe text is chock full of the thoughts of some of America's leading experts on the caring side of health care. This book should be read by any health care professional with an interest in this dimension of health care and is a must read for the medical community. A marvelous text. -- Joseph A. LiebermanIII, M.D.M.P.H. Journal of the American Medical Association On the whole, this volume deepens our understanding and appreciation of the importance of caring for all who are in need of personal attention and assistance when ill and disabled. The contributors seem to have given much thought to their chapters, weaving together personal stories, clinical experiences, research findings, and proposals for change. -- Else M. Kiefer Health Progress A remarkable broad and well-integrated package of philosophy and fact, a valuable and compact resource for health care professionals, as well as legislators and social scientists. -- John A. Benson, Jr., M.D. PharosTable of ContentsContents: I Caring and the Populations in Need of It Our Need for Caring: Vulnerability and Illness Who Needs Caring? Caring and Mental Illness II The Provision of Caring A History of Caring in Medicine Forces Affecting Caring by Physicians Caring and Medical Education Caring in Institutional Settings Home and Community-Based Care: Toward a Caring Paradigm Caring and Community-Based Voluntary Organizations III Assessments of Caring Appraising the Success of Caring The Politics of Caring

Read more less

Book SynopsisTable of ContentsIntroduction: What Are Dementia-Friendly Activities?Part I: Background1. What Is Dementia?2. Building a Dementia-Friendly Environment 3. Caregiver StressPart II: Tips4. Creating a Calendar 5. Embracing the Reality of People Living with Dementia 6. Autobiographical Memory as a Tool in Dementia Care Activities7. Group Dynamics8. Asking for Help9. Activities of Daily Living10. Tailored ActivitiesPart III: Activities11. Lifelike Dolls and Pets12. Exercise13. Music14. Technology15. Holidays16. Hospice Activities17. Meals and Baking18. Brain Exercise19. Artwork and Creativity20. Outings21. Entertainment and Home Visitors in a Community22. Sensory Rooms and Activity BoxesAcknowledgmentsBibliographyIndex

Read more less

Book SynopsisMedical Terminology: An Illustrated Guide, Ninth Edition helps readers develop a fundamental knowledge of the medical terminology necessary for a career in any healthcare setting. The text opens with a general introduction to word parts and the human body as a whole, followed by an overview of diseases and treatments. Each subsequent chapter on the individual body systems begins with an illustrated overview of the system with definitions of key terms relevant to that system. Tables of word parts and exercises on using them follow. The sequence of the systems chapters follows the same order as that found in a tradition A&P courses.Turning to the abnormal, a section on diseases and treatments is included, followed by definitions of related key terms.

Read more less

Book SynopsisIn today's contentious political environment surrounding abortion, clinicians, counselors and social workers need a clear framework for providing skilled, compassionate decision counseling. They need help working with the hard stuff: What do I do when my patient asks me if God will forgive her? or What do I say when a woman says that she feels like she's killing her baby? These are the questions asked by clinicians and mental health professionals everywhere; these are also the questions for which this book offers answers. The fields of healthcare and counseling psychology have long-awaited a manual for conducting pregnancy decision counseling across the spectrum of patient issues, employee skill levels, and clinic resources. Using case examples, individual and group exercises, guided self-reflection, and values clarification, the reader will develop the necessary skills to provide compassionate and informed pregnancy decision counseling. This book will define the gold standard for decision assessment and counseling for all pregnancy options and will be cited as the definitive guide for learning, teaching, and providing high-quality, compassionate counseling in abortion and family planning clinics nationwide.

Read more less