The Care of Wounds

A Guide for Nurses
Author: Carol Dealey
Publisher: John Wiley & Sons
ISBN: 1118276183
Category: Medical
Page: 256
View: 5344

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The Care of Wounds addresses all aspects of holistic wound management. The fourth edition of this successful clinical text continues to reflect current research and evidence-based practice, while incorporating the considerable developments which have occurred in wound care practice since the previous edition. It includes chapters on the physiology of wound healing, general principles of wound management, wound management products, and the management of patients with both acute and chronic wounds. The title is an essential read for all nurses and healthcare professionals working in the field of tissue viability and wound healing. Comprehensive and clinically-oriented Examines best practice in wound management Incorporates national and international clinical guidelines where applicable Superbly illustrated with full colour throughout

Text Atlas of Wound Management, Second Edition


Author: Vincent Falanga,Christina Lindholm,Polly A. Carson,Jaymie Panuncialman,Lisa Mamakos,Lotti N. Tiziana,Jane K. Falanga
Publisher: CRC Press
ISBN: 1841848786
Category: Medical
Page: 222
View: 8266

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The second edition of this critically acclaimed Text Atlas of Wound Management presents new features for dermatologists and nurses who deal with the practical and clinical aspects of wound care. Expert contributors provide a hands-on approach to diagnosis and wound management, as well as a broad exposure to cutaneous wounds—both acute and chronic—to ensure complete exposure to the problems encountered and solutions offered. This colorful guide enables readers to feel as though they are analyzing wounds alongside the experts. With high-quality color illustrations throughout, new highlights include a chapter on histopathology and a section on sourcing products.

Wound Care at a Glance


Author: Ian Peate,Wyn Glencross
Publisher: John Wiley & Sons
ISBN: 1118995554
Category: Medical
Page: 128
View: 7205

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Wound Care at a Glance combines superb illustrations with accessible and informative text to make the key concepts of wound care easy to understand. Providing practical guidance for all healthcare professionals who care for people with wounds, or who have an interest in this complex area of healthcare, it succinctly addresses a wide range of issues including relevant anatomy and physiology, psychological issues, physical care considerations, patient safety issues, legal and ethical issues, and various treatment and management options.

Essential Nursing Skills E-Book


Author: Maggie Nicol,Carol Bavin,Patricia Cronin,Karen Rawlings-Anderson,Elaine Cole,Janet Hunter
Publisher: Elsevier Health Sciences
ISBN: 0723437777
Category: Medical
Page: 432
View: 4348

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As a nursing student you will have learnt lots of nursing theory and research – but how do you translate this into practice and apply it to the skills you need? Where do you start? What steps should be carried out and in what order? What should you do afterwards? Essential Nursing Skills answers these questions for over 130 clinical skills. Each one is explained from start to finish, using a step-by-step approach, with clear illustrations and colour photographs to enhance understanding. Small enough to carry with you and specifically designed and written to aid learning, this book is invaluable for nurses across all fields. • Attractive design – easy to use • Skills explained step by step • Comprehensive list of skills covers all that students will encounter in practice • Points for Practice sections encourage readers to reflect and learn • Further reading and references point to the evidence and knowledge base for each skill. Full-colour photographs illustrate many of the procedures Full colour is used throughout to help navigate procedures Section listing normal values of commonly used blood tests Skills to assess deteriorating patients and care for patients undergoing surgery Reflects changes in nursing and professional national guidelines.

Acute and Chronic Wounds - E-Book


Author: Ruth Bryant,Denise Nix
Publisher: Elsevier Health Sciences
ISBN: 0323080898
Category: Medical
Page: 704
View: 2610

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Using a multidisciplinary approach, this all-inclusive resource provides clinicians with a strong knowledge base for understanding the complete spectrum of wound care, including the structure of the skin, its functions, types of skin damage, physiology of wound healing, and general principles of wound management. Seven new chapters cover Principles of Practice Development; Skin Care Needs of the Obese Patient; Foot and Nail Care; Facilitating Adaptation; Support Surfaces; Devices and Technology in Wound Care; and Reimbursement and Billing. Recent advances in disease etiology, diagnosis, and treatment are discussed in appropriate chapters and each chapter opens with a list of learning objectives and closes with review questions. Authored and contributed by respected experts in wound care management - members of Wound, Ostomy and Continence Nurses Society (WOCN) and Wound Healing Society (WHS). Risk assessment scales are included to assist with determining a patient's risk for developing a wound. Assessment tools are provided to assist the clinician with wound evaluation, care, and treatment. Patient compliance and guidance on how to identify and resolve issues of non-compliance are discussed in the new Facilitating Adaptation chapter. The multidisciplinary approach to wound care management is discussed in a single chapter and applied throughout the text to demonstrate how this approach works and why it is critical to successful patient outcomes. A wound care product formulary lists wound care products by category, usage guidelines (indications and precautions), and helpful hints is included to facilitate outcomes measurement and quality improvement. Algorithms demonstrate the critical steps for topical wound care management. Key information is highlighted in box or table format to enable the user to quickly focus on selected information. Clearly defined chapter objectives provide a focused guide to key elements within each chapter. A self-assessment exercise is included at the end of each chapter to provide a review of critical chapter concepts. Seven new chapters: The Multidisciplinary Team Approach to Wound Management; Skin Care Needs of the Obese Patient; Foot and Nail Care; Facilitating Adaptation; Support Surfaces; Devices and Technology in Wound Care; and Reimbursement and Billing. Revisions to every chapter reflect the most recent advances in disease etiology, diagnosis, and treatment. Updated content reflects the latest technologic advances and therapies to strengthen the clinician's knowledge base in available treatment options. Assessment tools to assist the clinician with evaluation, care, and treatment. Explanation of how to set up a practice and the principles of practice development.

Healing Wounds, Healthy Skin

A Practical Guide for Patients with Chronic Wounds
Author: Madhuri Reddy,Rebecca Cottrill
Publisher: Yale University Press
ISBN: 0300171722
Category: Health & Fitness
Page: 336
View: 4652

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Seven million Americans suffer from chronic or slow-healing wounds—this number includes people with diabetes, dementia, paralysis, spinal cord injury, multiple sclerosis, and poor circulation, as well as the elderly and those with reduced mobility. Healing Wounds, Healthy Skin provides patients and caregivers with everything they need to know on the subject, including: Why chronic wounds develop and who is at risk of developing them What "normal healing" is What the different types of wounds are, including those associated with chronic disease How to find appropriate care and get a correct diagnosis What role exercise and nutrition play in treatment and prevention What treatment options are available, from surgery to alternative therapies Also covered are the patients' psychological and emotional experiences, myths about wounds and wound healing, steps to take in an emergency, and a wound patient's bill of rights. With up-to-date information, insightful patient case histories, and a wealth of essential resources, this is the book that chronic wound patients and their caregivers can turn to with confidence.

Nursing Knowledge and Practice E-Book


Author: Maggie Mallik,Carol Hall,David Howard
Publisher: Elsevier Health Sciences
ISBN: 0702037524
Category: Medical
Page: 504
View: 7891

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Nursing knowledge and practice is a comprehensive textbook which forms an ideal basis for foundation nursing students. The core emphasis in the organisation and presentation of knowledge in this third edition remains focused on the in-depth knowledge required by nurses to deliver care in the practice setting. The chapter contents encompass knowledge that applies to all branches of nursing e.g. Communication, Confusion, Aggression and Rehabilitation Safety and Risk, Infection Control, Medicines etc. The structure of all chapters is unique in integrating knowledge from subject areas often taught separately in the nursing curriculum. This enables the foundation student to integrate this range of knowledge in making decisions about the delivery of nursing care to patients/clients in all fields of nursing. Exercises are included to encourage reflection on practice and develop critical thinking skills. It also promotes the expansion of professional knowledge through the development of portfolio evidence. Building on the outstanding success of previous editions the authors have drawn extensively on current best evidence, including research, policy and substantial internet based resources, reflecting UK and international perspectives. • Each chapter begins with an overview of the content and concludes with a summary to help evaluate learning • Case studies reflect the diverse range of client needs and care settings of the four nursing branches and help relate theory to practice • Reflective exercises and suggestions for portfolio evidence, along with decision-making activities, promote reflection on personal experience and links to nursing practice using a problem-based approach • Current research is highlighted throughout, demonstrating the evidence-base for practice decisions. • Key web sites, annotated further reading and references encourage readers to pursue contemporary evidence that underpins competency-based practice. Full colour throughout Content fully updated in line with developments in clinical practice, teaching requirements and the evidence-base Free electronic ancillaries on Evolve enhance the knowledge provided in each chapter with additional information, exercises and resources An introductory chapter on ‘Nursing Knowledge and Practice’ explores the role and context of nursing, nationally and internationally, providing foundation information on core knowledge areas common to all nursing curricula.

Compact Clinical Guide to Critical Care, Trauma, and Emergency Pain Management

An Evidence-Based Approach for Nurses
Author: Yvonne M D'Arcy, MS, CRNP, CNS
Publisher: Springer Publishing Company
ISBN: 0826108083
Category: Medical
Page: 376
View: 4570

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"This is an excellent resource for nurses practicing in critical care units, emergency departments, and trauma units, as well as for midlevel providers who manage these patients.--Doody's Medical Reviews "Compact ClinicalGuide to Critical Care,Trauma, and EmergencyPain Management is aconcise, easy-to-readresource for nurses whowant to reinforce theirfoundational knowledgein this area."--Critical Care Nurse This addition to Springer Publishingís Compact Clinical Guide to Pain Management Series presents evidence-based national guidelines and treatment algorithms for managing pain in patients in the critical care, trauma, and emergency room settings. Such patients often present with co-morbid and complex conditions which often make accurate pain assessment and treatment a challenge. In an easy-to-use, bulleted format, the book provides the most current information on assessing and managing pain in a variety of critical conditions. Both pharmacological management therapies and non-pharmacologic interventions are included along with information about pain assessment screening tools for special populations. Topics covered include the basics of pain physiology in critical, emergency, and operative care patients, assessing pain in the critically ill, medications and advanced pain management techniques useful with this population, and commonly occurring conditions in the various care environments. Also addressed are the management of particularly challenging patients (elderly, obese) and conditions (chronic pain, renal failure, chemically dependent patients, and burn patients). The book contains tables that efficiently summarize information and figures to illustrate key concepts. Pain rating scales and a helpful equi-analgesic conversion table are included in the Appendix. Key Features: Provides evidence-based information on treating pain in critical care, trauma, and emergency room patients for all practice levels Organized for quick access to pertinent clinical information on treatment options and pain types Provides cross-referenced indexing and easy-to-use assessment and screening tools Includes information for treating especially challenging and difficult to manage patient pain scenarios

Orthopaedic and Trauma Nursing

An Evidence-based Approach to Musculoskeletal Care
Author: Sonya Clarke,Julie Santy-Tomlinson
Publisher: John Wiley & Sons
ISBN: 1118438841
Category: Medical
Page: 360
View: 6728

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Orthopaedic and Trauma Nursing provides practitioners working in orthopaedic and musculoskeletal trauma settings with the essential evidence, guidance and knowledge required to underpin effective practice. This comprehensive and contemporary textbook explores the variety of adult and paediatric clinical settings where orthopaedic and trauma practitioners work, including acute wards, clinics, community hospitals, nursing homes and patients' homes. Divided into 5 sections, this book looks at: key issues in orthopaedic and musculoskeletal trauma care; specialist practice issues; common orthopaedic conditions and their care and management; musculoskeletal trauma care; and care of children and young people. Suitable for students at degree level as well as those clinicians practicing in more advanced orthopaedic and trauma care roles, Orthopaedic and Trauma Nursing is a foremost authority on orthopaedic and musculoskeletal practice for both students and practitioners. Orthopaedic and Trauma Nursing: Is strongly supported by the latest evidence, with chapters summarizing evidence, with reference to relevant and seminal research Offers practical guidance based on the relevant evidence Focuses on the perspective of the patient with patient narrative and case studies throughout Includes a section specifically dealing with children and young people

Nursing in Care Homes


Author: Linda Nazarko
Publisher: John Wiley & Sons
ISBN: 1405151854
Category: Medical
Page: 416
View: 1416

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Nursing in Care Homes is a practical guide for nurses of all levelsworking in care homes. It is directly relevant to everyday practiceand covers clinical issues such as continence care, wound care,infection control, and nutrition, as well as information on a widerange of issues including legal requirements, care home standards,and liasing with social and health care services. The revised andupdated second edition includes new chapters on maximisingabilities, risk management, stroke, and diabetes and calls upon therecommendations of the National Service Framework for Older Peopleand the requirements of the Care Standards Act (2002). Concise and easy to follow, Nursing in Care Homes is anessential guide to skilled professional care for all nurses in carehomes. It will also be invaluable to nursing students undertakingtheir placements in care homes.

Professional Skills in Nursing

A Guide for the Common Foundation Programme
Author: Rita Debnath
Publisher: SAGE
ISBN: 1446206114
Category: Medical
Page: 224
View: 1616

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"Students will find Rita Debnath's Professional Skills in Nursing a great introduction to the challenges of developing their clinical skills." - Mike Parkinson, Edinburgh Napier University What do I need to learn in order to progress through my course? How do I achieve the best possible patient-care? Professional Skills for Nurses answers both of these questions and supports the development of key nursing skills underpinned by theory. Designed specifically to meet the needs of nursing students in the initial stages of training, the book focuses on the essential knowledge and skills needed for effective patient-care while at the same time helping students to achieve the NMC outcomes required for entry into branch programmes. Each chapter focuses on a key aspect of nursing care backed up with - practical tips, - examples drawn from all branches of nursing, and - a range of study activities to help you reflect on your learning and get the most from practice placements. Key themes in healthcare such as ethics, evidence-based practice and health promotion are discussed throughout the book, highlighting how these relate to everyday nursing practice. Focusing on the core skills covered in the initial stages of training, Professional Skills in Nursing is the ideal introduction for students during the Common Foundation Programme.

Nursing the Surgical Patient


Author: Rosie Pudner
Publisher: Elsevier Health Sciences
ISBN: 0702044121
Category: Medical
Page: 624
View: 9349

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The new edition of this highly successful text brings it fully up to date with recent developments in surgical nursing, and includes a new chapter on perioperative stress and anxiety . The need for surgical nurses to remain at the cutting edge in relation to their knowledge and skills has never been greater, as the demands of higher patient throughput and reduced hospital stays take their toll. Nursing the Surgical Patient is written for, and by, nurses. It adopts a patient-centred approach to the care of people requiring a wide variety of surgical procedures. Compiled by experienced practitioners and educators in the field, it covers relevant anatomy and physiology, investigations, brief information on relevant medical conditions leading to surgery, an outline of the surgical procedures and the nursing care the patient will require. The key nursing care issues are described and explored, with case studies and care plans to bring theory to life. Comprehensive and research-based, yet accessible and engaging, Nursing the Surgical Patients a vital companion to nurses caring for surgical patients in either the primary or secondary care setting. This title is directed primarily towards health care professionals outside of the United States.

Pharmacology and Medicines Management for Nurses E-Book


Author: George Downie,Jean Mackenzie,Arthur Williams,Caroline Milne
Publisher: Elsevier Health Sciences
ISBN: 0702033332
Category: Medical
Page: 576
View: 4259

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This title is directed primarily towards health care professionals outside of the United States. An understanding of medicines and their effects on patients remains a crucial area of nursing knowledge. This book provides a thorough foundation upon which nurses can build their clinical experience to achieve competence. It not only provides information on the actions of drugs on the body but also gives clear guidance on the practical aspects of medicines management in both hospital and community. Organisation of the text broadly follows the British National Formulary for ease of use. Management of medicines linked to their therapeutic use Medicine administration linked with relevant care of patients where possible Basic principles of clinical pharmacology underpin the therapeutic chapters A chapter on the role of patients and carers is included All content revised in the light of changes in drug therapy, clinical practice and medicines management including nurse prescribing Key objectives for each chapter Self-assessment exercises with answers More detail relating to palliative care; nurse prescribing A new section on Intensive Therapy Totally redesigned in two colours with improved design and page layout, and better illustrations

Palliative Care

A Case-based Guide
Author: Jane E. Loitman,Christian T. Sinclair,Michael J. Fisch
Publisher: Springer Science & Business Media
ISBN: 1607615908
Category: Medical
Page: 83
View: 9216

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A clinical case-based handbook has a role in general clinicians’ practice of caring for patients with serious or life-limiting illness. The explosion of the field of Hospice and Palliative Medicine impacts all physicians and healthcare providers. Fellowship trained s- cialists graduate in greater numbers annually. These and more seasoned specialists are now certified by the American Board of Medical Specialties as subspecialists. Research in this field is expanding in scope and quantity, and peer reviewed journals devoted to this work are multiplying. Moreover, peer reviewed journals in primary care and other subspecialties of medicine regularly include papers that focus on end-of-life care, quality of life issues, and symptom management. Overall then, access to clinical information necessary to care for patients with life-limiting illness is not only essential, but also increasingly available. This case-based clinical book aims to help with the actual practice of caring for patients with life-limiting illness. Numerous texts and journals exist to provide the data to inform care, yet there remains a need to find practical points and information about the practical application of the principles of palliative care. Thus, we hope that the cases, key points, and practical tips will help health care providers who are not experts already in palliative care in the care of patients with serious illness and challenging problems. Some chapters follow one patient through the course of an illness to highlight the applicability of palliative care throughout the disease process.

Clinical Nursing Practices E-Book

Guidelines for Evidence-Based Practice: E-Book
Author: Elizabeth Jamieson,Janice M. McCall,Lesley A. Whyte
Publisher: Elsevier Health Sciences
ISBN: 0702033383
Category: Medical
Page: 432
View: 8169

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This title is directed primarily towards health care professionals outside of the United States. It is a well-known text that provides guidelines for over 40 common nursing procedures carried out by carers in a variety of settings. The development of competence in these practices is one of the most important aspects of pre-registration programmes, and this is one of the few UK-based texts that takes an educational approach to these practices as opposed to a purely procedure-driven approach. As in previous editions, the emphasis is on a holistic approach with the recognition that each patient is a unique individual. Each procedure contains rationale and information for patient education in addition to step by step guidance. Skills explained step by step to facilitate learning The comprehensive range of procedures including advanced practices will give readers confidence when they begin clinical work Relevance to hospital and community settings makes it applicable to a wide audience The rationale sections link to the evidence-base thereby ensuring best practice

Wound Care Essentials

Practice Principles
Author: Sharon Baranoski,Elizabeth A. Ayello
Publisher: Lippincott Williams & Wilkins
ISBN: 9781469880624
Category: Wound healing
Page: 613
View: 4093

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Rev. ed. of: Wound care essentials / Sharon Baranoski, Elizabeth A. Ayello. 2nd ed. c2008.

Placement Learning in Cancer & Palliative Care Nursing - E-Book

A guide for students in practice
Author: Penny Howard,Becky Whittaker (nee Chady)
Publisher: Elsevier Health Sciences
ISBN: 0702051748
Category: Medical
Page: 264
View: 5492

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Are you unsure about your cancer and palliative care placement? Do you need guidance on what to prepare to get the most out of your practice learning? Will you have the range of clinical skills to care for people with cancer? What learning opportunities will there be to meet your competencies? How can you maximise your learning during this placement? This book will help you with all these concerns. It will advise you on what to expect from the placement, what you can learn, how to link theory and practice, and how to make the most of your learning opportunities and meet your competencies. Takes a logical, step-by-step approach to preparing for learning on a cancer and palliative care placement Provides the principles of care, treatment and management of someone with a cancer diagnosis, linking university-learned theory to clinical practice Gives helpful evidence-based practice examples and resources to support placement learning Identifies clinical skills that underpin care of an individual with cancer Highlights potential learning opportunities and experiences available on a cancer and palliative care placement Explains how to develop your clinical portfolio by completing specific exercises and activities Maps all activities and exercises to the NMC competencies Advises on approaches to a range of situations that may arise as a student nurse Adopts a case-study approach to consolidating learning and to explore the patient pathway from pre-diagnosis, through a range of treatment options to living beyond cancer or end-of-life care. Series features: A unique guide to getting the most from clinical placements How to prepare for your placement What you can expect to learn during a placement Clear links to, and examples of, achieving NMC competencies Guidance on what to use as evidence for your portfolio Case studies that link theory with practice How to consolidate your experience and learn from the placement Tips, activities, further reading suggestions and useful websites.

Nursing Practice

Knowledge and Care
Author: Ian Peate,Karen Wild,Muralitharan Nair
Publisher: John Wiley & Sons
ISBN: 1118496795
Category: Medical
Page: 992
View: 7748

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Nursing Practice is the essential, textbook to supportyou throughout your entire nursing degree, from your first yearonwards. It explores all the clinical and professional issues thatyou need to know in one complete volume. Written in the context of the latest Nursing and MidwiferyCouncil Standards for Pre-Registration Nursing Education andthe Essential Skills Clusters, this book covers all fieldsof nursing: Adult, Child, Mental Health, Learning Disabilities andalso Maternity care, in both acute and community settings. Withfull colour illustrations, and plenty of activities anduser-friendly features throughout, this evidence-based textencompasses essential nursing theory and practice, providingstudents with information to support their success. Learning features in the book include: Hear it from the experts- tips and advice from real lifenurses, patients and their carers, and student nurses Red Flags- alerting the student to potential dangers Primary Care Considerations- informs students about care issuesin the community setting Fields boxes- giving further insight into other fields ofnursing, making the book relevant to all fields of nursingpractice Medicines Management boxes provide key information aboutmedicines Self-assessment and activities throughout A companion website to this title is available at ahref="http://www.wileynursingpractice.com/"www.wileynursingpractice.com/a Here you’ll find a range of resources for both the studentand the lecturer, including: Over 350 interactive multiple choice questions Flashcards Glossary Links to references and further reading Illustrations from the book Worksheets

Acute Care Handbook for Physical Therapists - E-Book


Author: Jaime C. Paz,Michele P. West
Publisher: Elsevier Health Sciences
ISBN: 0323227538
Category: Medical
Page: 528
View: 3237

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Familiarize yourself with the acute care environment with this essential guide to physical therapy practice in an acute care setting. Acute Care Handbook for Physical Therapists, 4th Edition helps you understand and interpret hospital protocol, safety, medical-surgical ‘lingo’, and the many aspects of patient are from the emergency department to the intensive care unit to the general ward. This restructured new edition streamlines the text into four parts— Introduction, Systems, Diagnoses, and Interventions to make the book even easier to use as a quick reference. Intervention algorithms, updated illustrations, and language consistent with the ICF model all help you digest new information and become familiar with new terminology. This comprehensive resource is just what you need to better manage the specific needs of your patients in the complex acute care environment. Intervention algorithms, tables, boxes, and clinical tips highlight key information about the acute care environment in a format that makes finding and digesting information easy. The major body system chapters provide the evidence-based information you need to understand the complex issues of patients in the acute care environment so you can optimally manage the needs of your patients. Current information on medications, laboratory tests, diagnostics, and intervention methods relevant to patients in the acute care environment illustrates how the acute care environment can impact these elements. Clinical tips highlight key points and provide access to the tips and tricks accumulated over a career by an experienced clinician. Language consistent with the Guide to Physical Therapist Practice, 2nd Edition offers common linguistic ground through the use of Guide standards. Lay-flat pages and uncluttered design make the book easier to use as a quick reference. NEW! Restructured table of contents helps you quickly locate information. NEW! Language from the International Classification of Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association increases your familiarity with terminology. NEW! New intervention algorithms along with existing algorithms break clinical decision-making into individual steps and sharpens your on-the-spot critical-thinking skills. NEW! A quick-reference appendix covering abbreviations commonly found in the acute care environment supplies the translation tools you need, while flagging any abbreviations that may be harmful to the patient.

Foundations of Nursing Practice E-Book

Fundamentals of Holistic Care
Author: Chris Brooker,Anne Waugh
Publisher: Elsevier Health Sciences
ISBN: 0723435340
Category: Medical
Page: 748
View: 2631

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This title is directed primarily towards health care professionals outside of the United States. It is written specifically to meet the needs of nursing students undertaking the common foundation programme. It aims to explain how and why sensitive, holistic and evidence-based nursing care is carried out. Therefore it is relevant to students who will enter all branches of nursing and includes material that is both common to all and specific to each branch. The book aims to provide all students on foundation nursing and health care programmes with material of sufficient depth/breadth to achieve the NMC outcomes required for entry into the branch programmes. There is an emphasis not only on the theory that underpins nursing practice in the common foundation programme but also on nursing skills which form an increasingly emphasized part of the programme. The chapters have been reviewed by experts from each branch and also clinical skills to ensure the content reflects each branch accurately and appropriately. Emphasis on clinical skills & lifelong learning Realistic scenarios reinforce the need for patient/client-centred care with a holistic approach Activity boxes for all branches and age groups in each chapter ensure relevance to nurses in diverse settings An integrated approach to health promotion with activity boxes emphasises that health maintenance and promotion are central to contemporary nursing practice Reflection, critical thinking and research/appraisal skills are encouraged with a problem centred approach that will help to develop the skills needed to provide sensitive and effective, high quality care and to integrate theory with practice The emphasis on nursing/clinical skills underlines the importance of core skills - an integral part of the patient/client experience Cultural diversity is a core theme throughout The importance of evidence-based practice is highlighted and the text helps readers are assisted to acquire the skills to provide evidence-based care A wide range of general and branch-specific interactive boxes help to develop an understanding of some issues in other branches as well as the core issues that affect all nurses. Self- test questions and answers provide an opportunity for readers to take responsibility for and check their learning. Valuable learning tools are included: glossary of key terms, useful websites and references