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The Second Edition of Connective Tissue and Its Heritable Disorders: Molecular, Genetic, and Medical Aspects is the definitive reference text in its field, with over 40% more pages on the nature, diagnosis, and treatment of disease than its predecessor. Collecting new research on disorders detailed in the first edition as well as on those previously excluded, editors Peter Royce and Beat Steinmann provide the most up-to-date clinical and scientific information for medical specialists treating affected individuals. Features of this revised and updated volume include detailed reviews of the clinical diagnosis, mode of inheritance, risk of recurrence, and prenatal diagnosis of each inherited connective tissue disorder; a thorough description of the morphology of connective tissues; a completely updated and revised section on the biology of the extracellular matrix; and the addition of syndromes such as craniosyntosis, and disorders of sulfate metabolism.

New to the third edition: new – regional anaesthesia in ophthalmic surgery new – intravenous regional anaesthesia new – percutaneous epidural neuroplasty a new block for the trigeminal nerve extended coverage of the brachial plexus block and infraclavicular block new – therapy for tennis elbow and for carpal tunnel syndrome new – intra-ganglion injection therapy for muscular piriform syndrome new – latest developments in neuroaxial blockade 40% bigger than the last edition Regional nerve blocks are important procedures in anaesthesia and pain therapy that can be employed rapidly and safely by a skilled practitioner. The book contains precise anatomical drawings and illustrations in full-colour throughout, and also provides detailed instructions on how to apply local anaesthesia. Practically oriented, the book could almost be taken to the operating room and used as a guide. It covers anatomy, indications, contraindications, dosages, explanations of individual drugs, as well as complications, caveats, and potential adverse side effects, and how to avoid them or treat them. Each procedure is explained step-by-step using numerous full-colour illustrations and photographs. Every block has a photograph showing the entry site accompanied by an anatomical diagram showing the needle track. For each procedure, a specific form (record and checklist) is provided for recording the individual treatment steps. The author presents both familiar and new therapeutic techniques for both the treatment of pain and regional nerve blocks during surgery. In addition, the most recent local anaesthetics and additives are discussed, with particular reference to the relevant indications and dosages. Visit http://www.abw-verlag.com/titel_details.php?42 for information about this book in German.

This fifth edition of Principles and Practice of Pharmacology for Anaesthetists continues to provide a comprehensive scientific basis and a readable account of the principles of pharmacology, as well as practical guidance in the use of drugs that is relevant to clinical anaesthesia. With these concepts in mind: Every chapter in this new edition has been thoroughly revised and updated An additional chapter on Adverse Drug Reactions is included For ease of reference, the structures of many commonly used agents are featured, with their sites of isomerism, when appropriate Recommended International Non-proprietary Names (rINNs) are generally used for generic agents, although preference has been given to the current nomenclature for adrenaline and noradrenaline As in previous editions, a comprehensive glossary covering abbreviations and acronyms is included to aid the reader. Principles and Practice of Pharmacology for Anaesthetists is an invaluable resource, both for candidates of professional examinations in anaesthesia and the practising anaesthetist wishing to refresh their pharmacological knowledge.

Part of the prestigious Novartis Foundation, this is the first book to review the pathology associated with acetaldehyde, a known toxic agent found in cigarette smoke and other pollutants and derived from ingested alcohol, amongst other sources. In the body, acetaldehyde affects several tissues, particularly the brain and liver, causing various diseases, including cancer, alcoholic liver disease and Alzheimer’s. Acetaldehyde-Related Pathology describes the toxic effects of acetaldehyde at the tissue and cellular levels, reviewing enzyme biochemistry, transgenic mouse models of alcohol dehydrogenase mutants, and the cell-signalling pathways implicated in alcohol-related pathology. It explores the mechanisms of acetaldehyde-induced damage to tissues, often a first step in carcinogenesis, including the oral cavity, the human airway, and the GI tract. The book considers pharmacological strategies and treatments for reducing oral and intestinal acetaldehyde. Acetaldehyde-Related Pathology features in-depth, round-table discussions by an international array of scientists from major laboratories worldwide involved in studies of acetaldehyde-related pathology. This book is essential reading for anyone interested in the effects of this compound – pathologists, biochemists, toxicologists, cell and molecular biologists.

Anaesthesia Science presents the scientific foundations upon which the clinical practice of anaesthesia and care of the critically ill are based. Written on the basis that basic science underlies the practice of anaesthesia Contributors include some of the world’s most eminent anaesthesiologists Provides coverage on less well appreciated aspects of the subject, such as the microcirculation, multi-organ failure, and the theory of pain Thoroughly integrates the clinical practice of anaesthesia with basic sciences, providing all the information needed in one convenient source Based on the Fellowship of the Royal College of Anaesthetists (FRCA) syllabus and aimed at trainee anaesthetists preparing for the FRCA, the European Diploma of Anaesthesiology and other equivalent examinations.

Prominent contributors address issues regarding the toxicity of aluminum which causes an encephalopathy in renal dialysis patients and is also known to damage animals and plants via acid rain. Examines the chemistry and biology of aluminum compounds focusing on the evidence for and against aluminum's role in Alzheimer's disease.

To reduce transfusion-related morbidity and mortality, it is recommended that an integrated approach to blood management is employed using all available tools to reduce a patient's exposure to donor blood. Meeting the need for a book covering the concepts of blood management as a trend towards multidisciplinary blood management, this new edition is an important resource, providing healthcare professionals with a tool to develop background knowledge in blood management, its organization, methods and tools. Practicing clinicians will be fully prepared to successfully start and run blood management programs.

Cardiothoracic nursing has undergone great change over the last decade. With the continuing improvement of surgical techniques, pharmacology and pre- and post-operative care, there have been many new initiatives and innovations in the nature and practice of this specialised sector of nursing. Rehabilitation and patient education are to name but a few of the areas where exciting new challenges and opportunities for cardiothoracic nurses have opened up. This book is a definitive and accessible text for cardiothoracic nurses. Written for nurses from a nursing perspective, it offers practical advice and information on all aspects of cardiothoracic surgical nursing and pays particular attention to the continuing developments cardiothoracic nurses must face.

Now in its fourth edition, Rational Diagnosis and Treatment: Evidence-Based Clinical Decision-Making is a unique book to look at evidence-based medicine and the difficulty of applying evidence from group studies to individual patients. The book analyses the successive stages of the decision process and deals with topics such as the examination of the patient, the reliability of clinical data, the logic of diagnosis, the fallacies of uncontrolled therapeutic experience and the need for randomised clinical trials and meta-analyses. It is the main theme of the book that, whenever possible, clinical decisions must be based on the evidence from clinical research, but the authors also explain the pitfalls of such research and the problems involved in applying evidence from groups of patients to the individual patient. For this new edition, the sections on placebo and meta-analysis and on alternative medicine have been thoroughly updated, and there is more focus on insufficient reporting of harms of interventions. The sections on different research designs describe advantages and limitations, and the increased medicalisation and the effects of cancer screening on health people are noted. A section on academic freedom when clinicians collaborate with industry and ghost authors is added. This essential reference work integrates the science and statistical approach of evidence-based medicine with the art and humanism of medical practice; distinguishing between data, sets of data, knowledge and wisdom, and their application. Such an intellectually challenging book is ideal for both medical students and doctors who require theoretical and practical clinical skills to help ensure that they apply theory in practice.

Health Care Operations and Supply Chain Management This innovative text offers a thorough foundation in operations management, supply chain management,?and the strategic implementation of programs, techniques, and tools for reducing costs and improving quality in health care organizations. The authors incorporate the features and functions of Microsoft Excel where appropriate in their coverage of supply chain strategy, process design and analysis of health care operations, managing health care operations quality, and planning and controlling health care operations. Health Care Operations and Supply Chain Management offers real-world examples to illustrate the most current concepts and techniques such as value stream mapping and Six Sigma. In addition, the authors clearly demonstrate how operations and process improvement relate to contemporary health care trends such as evidence-based medicine and pay-for-performance. Health Care Operations and Supply Chain Management contains: Leading edge concepts and techniques Real-life data and actual examples from health care settings to underscore the main concepts in the text Instruction in the use of Microsoft Excel for health care operations and supply side management The book's numerous screen shots and detailed instructions guide the student through the use of Microsoft Excel's many functions and features.

The needs of cancer patients and their families are complex. Yet still more complex are the powerful social and cultural forces that shape the delivery of cancer care, and the way in which it experienced. Cancer Nursing: Care in Context addresses this by adopting a unique approach that situates cancer care in the context of society‘s attitudes to the disease, and the broader every-day needs of both patients and their carers. By combining evidenced-based information, a critical view of care and treatment, and ‘first-hand accounts’ of having cancer and caring for people with cancer, the book provides a new perspective how best to deliver the care that patients truly require. This second edition includes new chapters on prevention, diagnosis, symptoms, self-help and self-management, and living with cancer long-term. It also: • Addresses significant changes in cancer care, including expansion of nursing roles, the establishment of cancer networks and cancer collaborative projects • Considers NICE guidance on Supportive and Palliative care • Incorporates material on prevention and early detection • Includes evidence tables based on relevant literature Cancer Nursing: Care in Context is an invaluable resource for all those involved in the provision of cancer care and support to patients and their families.

This book is a collection of essays on occupational therapy theory and its application in practice. They represent the reflections, on aspects of occupational therapy, of experts in their own fields who are at the cutting edge of theory development. At the beginning of the twenty-first century, occupational therapists are beginning to conceptualise occupational therapy as a complex intervention. This book provides the level of detail to support such an understanding. Two chapters discuss the profession of occupational therapy: how it has developed and what is involved in being an occupational therapist. Other chapters explore the idea of occupation from different perspectives, providing detailed analyses of the concept that is central to the profession of occupational therapy. The third type of chapter describes how theory is used in occupational therapy practice, for example, in making decisions or implementing research findings.

This book provides Nurse Practitioners working in the field of Acute Medicine with an up to date, practical, and comprehensive guide to the management of acute medical patients. It serves as a text from which the busy highly skilled nurse can obtain information on assessment, diagnosis, and management of acute medical conditions. It identifies priorities for treatment and guides the reader through the management of the patient. Wherever possible the latest published guidelines have been included. The final chapter of the book considers the legal, professional and ethical issues faced by nurses working at an advanced level. The issues of role development, the development of protocols and prescribing are considered.

Advancing Occupational Therapy in Mental Health Practice looks at the contribution that occupational therapists make to the lives of clients living with mental illness. It examines current practice developments and the innovative research that is shaping occupational therapy within the mental health arena, nationally and internationally. The book employs a distinctive and engaging narrative approach, bringing to life key issues in practice and research. It introduces the reader to the mental health context, opening with a historical overview and then exploration of the current developments in occupational therapy before moving on to discuss the cultural context and the need for cultural sensitivity in practice. Service users and expert clinicians offer their narratives, through which the clinical utility and cultural appropriateness of existing occupational therapy concepts, assessments and outcome measures are discussed and the associated implications for practice highlighted. Advancing Occupational Therapy in Mental Health Practice introduces and explores a variety of specialised work contexts from practicing in acute inpatient settings to crisis intervention, home treatment, forensic mental health settings and the specialist role of occupational therapy in community mental health and social services. Chapters are enriched with case stories, personal narratives and guided reflection.

This book for emergency physicians and fellows training in emergency medicine provides evidence-based information on what diagnostic tests to ask for and when and how to use particular decision rules. The new edition builds on the success of the current book by modifying the presentation of the evidence, increasing the coverage, and updating the current information throughout.

This collection presents up-to-the-minute qualitative research methodologies creatively developed by and within nursing. The book is written by authors at the forefront of their fields. It is aimed at enabling people to research critical issues for nursing practice and health care. Nurses face the imperative for practice grounded in research-based evidence. The book demonstrates how qualitative methodologies can produce rigorous and valid research. Drawing on empirical data each chapter introduces a particular contemporary approach; examines the literature in its field; discusses its relevance for nursing and health care; and explains what claims to knowledge can be made.

This practical text addresses a gap in the literature by mapping the links between philosophy, research method and practice in an accessible, readable way. It offers guidance to allied health professionals – increasingly involved in research as the emphasis grows on evidence-based practice – on how to engage in meaningful, good quality qualitative research. To help researchers take on this challenge, the book: highlights some of the choices involved in carrying out qualitative research offers a wide range of practical examples to show how different ways of doing qualitative research can be managed critically examines a variety of qualitative research methodologies of particular interest to allied health professionals clarifies the links between epistemology, methodology and method. The book is structured in three parts. Part I sensitises readers to the complex issues which challenge qualitative researchers at the planning stage of their projects. In Part II, the challenge of using different methodologies is critically explored by fifteen authors, who describe their individual research experiences. Part III examines the choices researchers make when they evaluate and present research.

Designed for all those involved in education within the practice-based setting, this book encourages the reader to become involved in their own personal development as a practice-based educator through reflection on their own practice. The reader is encouraged to generate and organise evidence of their own Continuing Professional Development (CPD) through practice-based learning and teaching activities. The text is user-friendly and includes sections on the context of practice-based education, the role of the practice-based educator, facilitating learning in a practice-based setting, and assessing and evaluating practice-based learning. The authors are all educators of experience who have for many years been involved in practice-based education Fully updated to cover current trends such as the move to community-based practice and inter-professional practice Practical features include activities, reflective assignments and literature references

Learning disability nurses play a leading role in the care and support of people with learning disabilities. Learning Disability Nursing explores the theory and practice of learning disability nursing, with an emphasis on understanding the experiences of learning disability nurses as they seek to practice effectively. It examines key issues faced by people with learning disabilities and those who support them and promotes the role of knowledgeable and reflective practitioners. * Develops a framework for learning disability nursing practice * Examines key issues for people with learning disabilities * Identifies distinctive features of learning disability nursing * Supports learning disability nurses in developing their roles and to support those with learning disabilities in exercising their rights. * Explores ethical and moral dilemmas, challenges and successes

This book provides practitioners with the foundations onto which they can build their own understanding and practice within housing. It is based on two fundamental principles: the importance of homes becoming enabling environments, and promoting user-centred services. The authors argues that occupational therapists working in the distinct context of housing require additional background knowledge and professional skills to those used within healthcare settings. Explores a broad range of theory bases and developing practice within the area of occupational therapy in housing Presents a vast array of knowledge, research and experience Written by occupational therapists working as practitioners, educators and managers, alongside academics in the social policy and disability issues

This book has been developed to help nurses who are in nurse practitioner roles by supporting them to develop their ‘advanced practice skills’. This book is intended to build on skills and knowledge that nurses will have acquired at staff nurse level. It is intended that this book will develop skills and knowledge which until recently have been more in the medical domain, such sexual history taking and physical assessment.

This extremely popular title has become the definitive pocket guide to the management of medical emergencies for front-line hospital doctors. It provides detailed guidance on the diagnosis and treatment of all common conditions and includes a step-by-step guide to the nine most important practical procedures in acute medicine.

Communities of Practice in Health and Social Care highlights how communities of practice (CoPs) can make service development and quality improvement in health and social care easier to initiate and more sustainable. Using a series of case studies from the UK and Canada the book demonstrates how the theory of CoPs is implemented in the delivery of health and social care and highlights the associated potential, complexities, advantages and disadvantages. Communities of Practice in Health and Social Care equips practitioners, managers, educators and practice mentors with the knowledge and skills to facilitate the development and maintenance of Communities of Practice and highlights how the effects of Communities of Practice might be made explicit.

A practical guide to laboratory diagnosis and treatment of hemostatic disorders. This concise book covers all you need to know to manage thrombotic and bleeding disorders, distilling the most clinically up-to-date information, and including the latest treatment strategies for key conditions and diseases. Essential Guide to Blood Coagulation covers both the stable and the acute stages of hereditary and acquired bleeding and thrombotic disorders. Faced with a bleeding patient, it may be difficult to determine whether blood loss is due to a local factor or an underlying hemostatic defect. There are a range of laboratory tests which can be performed to identify the cause of bleeding in a patient. This book highlights the tests that can be used in the laboratory to aid diagnosis. Originally published in Swedish, Essential Guide to Blood Coagulation, has been revised to include the latest treatment strategies available for patients and will help clinicians to expand their knowledge of hemostatic disorders.

Choice and equity of access to primary and secondary health care services is a priority within all aspects of the NHS, however it must be recognised that for some people access to health care can pose difficulties. For various reasons people with learning disabilities can present a range of challenges for the people around them, during times of ill health any difficulties will become ever more apparent. For the health professional working in mainstream primary and secondary care settings, these challenges can be difficult to overcome when attempting to identify health needs and deliver holistic care that is responsive to their individual needs. Health Care Provision and People with Learning Disabilities – A Guide for Health Professionals provides clear information that will assist mainstream health care providers in gaining greater understanding of people with learning disabilities and managing their health needs. Each chapter gives the reader information and guidance on dealing with a variety of situations found in health care settings. Examples of good practice are explained using case examples and experiences of people with learning disabilities and their carers. The book describes what is expected from the various health care teams and offers solutions to potential challenges and barriers they may be faced with. It includes information regarding specialist support services that can offer assistance to the individual and to the mainstream staff teams, while ideas are also offered on how to present information in a format people who have communication difficulties can understand. The evidence base for Health Care Provision and People with Learning Disabilities – A Guide for Health Professionals has been drawn from extensive research, personal experience, policy guidance, as well as some of the current legislation that is applicable to this diverse group of people. The information shared will prove useful for those working in health settings as well as those undertaking studies in health care.

Individuals with chronic diseases have to cope with various challenges to their physical and psychological well being as part of their daily lives. In the field of chronic disease management nurses have an integral role in supporting the needs of the patient and identifying the optimum in high quality care. Dealing with the increasing needs of the growing chronic disease and elderly populations presents difficult challenges. Resources need to be used effectively. Chronic Disease Nursing offers support to all nurses but particularly primary and secondary care advanced practitioners wishing to develop an effective system of care for those with a long term medical condition. There is guidance on the practical aspects of setting up a telephone helpline service, identifying the ethical and professional aspects of developing a nurse led clinic, selecting appropriate outcome measures for clinic setting, and suitable biologic therapies used in chronic disease areas and working across professional organisations. This book provides a framework for the development of a chronic disease nursing service, using rheumatology as an example.

Providing forward-thinking approaches and ideas for nurses of all categories, this reference has been written primarily in response to increasing concerns regarding the perceived lack of ability in both students and newly qualified nurses to perform clinical skills. By outlining the elements of essential nursing procedure in a readily accessible format, including rationale for recommended actions and promoting evidence-based practice, this text encourages the reader to keep a record of achievement in relation to clinical skill competence. The selection of skills included is based on extensive consultation with experienced clinicians, students, clients and teachers of nursing. Each procedure has been carefully researched to provide a contemporary foundation for practice. The text also contains a rapid reference section of common terminology, conversion tables, laboratory results and other useful information.

This book provides physiotherapists and exercise professionals with a comprehensive resource on the exercise components and skills of constructing and teaching CR exercise. It addresses the scope of knowledge and skills required by exercise specialists developing, delivering and teaching exercise based CR programmes. It has an evidence-based framework, and provides practical advice and suggestions based on the clinical experience of the contributing authors. Among the topics covered are assessment, exercise monitoring, the use of music, safety, teaching skills and maintaining physical activity. Thus the book provides a comprehensive and practical text that can be used to plan, develop and deliver all phases of exercise based CR. «…provides a virtual pharmacopoeia of exercise guidelines for patients with cardiovascular disease, with specific reference to exercise prescription, risk stratification, exercise physiology, monitoring techniques, and leadership and organizational skills. The authors represent a prestigious group of scientists, clinicians, researchers, and teachers, who are authorities in their respective fields. Clearly, the contributors have painstakingly worked to summarize, in a clear and concise manner, the latest research findings in each area, highlighting patient care and related applications. A „must-read“ for clinicians in the field of cardiac rehabilitation. I highly recommend this extraordinary text !» —Barry A. Franklin, PhD, Director, Cardiac Rehabilitation and Exercise Laboratories, William Beaumont Hospital, Royal Oak, Michigan USA; Professor of Physiology, Wayne State University, School of Medicine, Detroit, Michigan

Developing Nursing Practice with Children and Young People explores the context of children’s nursing in light of recent policy changes, and looks at contemporary issues and emerging roles within the field. Divided into four parts, Part One focuses on the emergence of children’s nursing in healthcare, detailing events and developments that have shaped the role of children’s nurses. Part Two examines many aspects of practice for registered practitioners in nursing, ranging from acute care settings to children’s nurses’ developing roles in primary care, mental health and with children and young people with special health and social needs. Part Three then provides a detailed analysis of advanced practice in children’s nursing. The advanced skills portfolio is presented in depth, augmented by exemplars of a number of advanced practice roles which have already been established. Finally, Part Four builds on the previous three parts by offering several case studies from practice – including accounts from children, young people and families, as well as assistant practitioners and student nurses. The text concludes by focusing on the longer term scope for children’s nurses.

Mental health is a significant factor in providing effective nursing care for patients in hospital and residential settings. Non-mental health nursing staff often lack the confidence, knowledge and skills to effectively meet the mental health needs of patients who are experiencing psychiatric problems and psychological distress. Mental Health Care for Nurses: Applying mental health skills in the general hospital provides a step-by-step guide which will help nurses identify these needs and address them in practice. The first part of Mental Health Care for Nurses: Applying mental health skills in the general hospital explores the context of mental health care in hospital and residential settings and provides a practical framework for assessment, planning and delivery of mental health care. The second part explores specific topics such as self-harm and suicide prevention, caring for the patient displaying challenging behaviour, maternal and perinatal mental health problems, mental health problems associated with old age, mood disorders, and illicit drug and alcohol dependence.

MRCOG Short Essay Questions is the essential aid for all trainees studying for the membership examination of the Royal College of Obstetricians and Gynaecologists. This book contains 150 short essay questions, clearly structured to facilitate both learning and practice. Questions are divided primarily into obstetrics and gynaecology and secondly by main topics such as infertility, operative gynaecology and antenatal care. The answers are written in the form of bullet points; a format that not only clearly identifies the key points but also emulates the structure of the model answers given to the examiners by the RCOG. Khaldoun Sharif is a consultant in obstetrics and gynaecology at the Birmingham Women’s Hospital, and has a proven track record as an author of MRCOG revision books. His co-author, Parveen Abedin recently passed the examination and has therefore provided invaluable insights that have ensured the content is both appropriate and up-to-date.

This book covers fully the unique needs of patients in a UK setting. Each high risk group has a chapter dedicated to specific pathophysiological nuances, exercise prescription and exercise delivery. In addition, other influences on exercise including medications, appliances etc. are covered. Each chapter is based on the latest and best evidence.

Advances in research and the treatment of cancer mean that more patients and their carers are asking healthcare professionals about the latest treatments and how they may be of benefit. It is essential that staff working with cancer patients understand fully how these new treatments work in order to disseminate timely and appropriate information to patients. The application of biology to the delivery of cancer care is playing an ever-increasing role in the management of these diseases. The Biology of Cancer: Second Edition provides details of the most recent developments in cancer care and is divided into three sections: Understanding Cancer – examines predisposing factors to developing cancer, diagnosis and its implications on the individual and society. The Science of Cancer – a closer look at the cell, genetics, the immune system, tumour markers and monoclonal antibodies. Research and Treatment – exploring translational oncology, applying research methodology to cancer research and research ethics relating to cancer. This fully updated edition also looks at evidence-based research that can be translated directly to patient care and gives details recent developments. Written by experienced, practicing healthcare professionals, The Biology of Cancer: Second Edition can easily be applied to patient care. It is an informative text for students, newly qualified nurses and practising oncology/palliative care nurses.

Nurses play a key role in the rehabilitation process – maximising the quality of life and independence of individuals following trauma, disease or enduring chronic illness. Advancing Practice in Rehabilitation Nursing provides an in-depth analysis of specialist practice in rehabilitation nursing. It examines the research basis underlying clinical practice and identifies unique attributes of the nursing role within the context of multidisciplinary and multi-agency working. The first part of Advancing Practice in Rehabilitation Nursing explores general principles of specialist rehabilitation practice, which can be applied to both community and in-patient settings. The second part addresses specific issues in core areas of practice including stroke, acquired brain injury, spinal injury, orthopaedic rehabilitation and management of people with long-term conditions.

Knowledge Translation in Health Care is a practical introduction to knowledge translation for everyone working and learning within health policy and funding agencies, and as researchers, clinicians and trainees. Using everyday examples, it explains how to use research findings to improve health care in real life. This new second edition defines the principles and practice of knowledge translation and outlines strategies for successful knowledge translation in practice and policy making. It includes relevant real world examples and cases of knowledge translation in action that are accessible and relevant for all stakeholders including clinicians, health policy makers, administrators, managers, researchers, clinicians and trainees. From an international expert editor and contributor team, and fully revised to reflect current practice and latest developments within the field, Knowledge Translation in Health Care is the practical guide for all health policy makers and researchers, clinicians, trainee clinicians, medical students and other healthcare professionals seeking to improve healthcare practice.

As the fastest growing population sector worldwide, older adults are seen in almost every care setting in which clinicians practice. Developed as a resource for advanced practice nurses in any setting, Case Studies in Gerontological Nursing for the Advanced Practice Nurse presents readers with a range of both typical and atypical cases from real clinical scenarios. The book is organized into six units covering cases related to ageism, common health challenges, health promotion, environments of care, cognitive and psychological issues, and issues relating to aging and independence. Each case follows a similar format including the patient's presentation, critical thinking questions, and a thorough discussion of the case resolution through which students and clinicians can enhance their clinical reasoning skills. Designed to promote geriatric clinical education through self-assessment or classroom use, Case Studies in Gerontological Nursing for the Advanced Practice Nurse is a key resource for all those dedicated to improving care for older adults.

Coeliac Disease: Nursing Care and Management provides nurses with the knowledge and evidence base to understand the impact of the diagnosis of Coeliac disease, and examine the long term treatment and management of the condition. The authors take the reader through an investigative journey from the history of the disease through its pathology, characteristics, diagnosis, treatment and management. Clinical case studies bring to life both the physical and psychosocial aspects of care of patients making this an ideal text for clinical nurse specialists, Gastroenterology nurses and Endoscopy nurses.

Featuring 11 chapters, each one with a detailed glossary, Learning to Care for People with Learning Disabilities is designed to be used as a reference book in either the clinical setting, classroom or at home. Chapters are re-divided into discrete sections reflecting contemporary Learning Disability nursing practice. References to care in a range of primary and secondary care settings are made throughout the book. Each chapter begins with key points and concludes with a summary of the significant points to reinforce learning.

This is a comprehensive book with theoretical and practical input for health care researchers exploring the humanistic and individual aspects of health and illness. It covers the main qualitative research methods and provides clear, concise and well-evidenced clinical information for researchers from all disciplines.

At last, a book about the little pieces of occupation which make up life' s real situations and experiences and form a basis for therapy. Offered in the form of stories about practice previously published in the popular US publication Advance for Occupational Therapy Practitioners, this enjoyable book presents occupational therapists as «masters of the mundane.» Therapists, students and educators will find this easy to read text a useful tool in guiding clinical approaches to therapy. Accompanied by theoretical papers by Dr. Estelle Breines and colleagues previously published in refereed international journals, these stories will aid the reader in understanding principles of active occupation that guide practice and shed light on how these ideas can be applied to the education of therapists.

This fully revised and updated edition of Qualitative Research in Health Care offers a clear and accessible introduction to conducting and interpreting qualitative research, incorporating new examples, references and chapters relevant for a comprehensive introduction to the subject. New chapters and references include: Synthesising qualitative research Secondary analysis of primary data Ethical issues Mixed research methods and integrating qualitative with quantitative techniques Consensus and other methods for eliciting public and professional views and preferences Conversation analysis

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Clinical Context for Evidence-Based Practice provides insights into the key contextual issues to be considered in the implementation and assessment of evidence-based practice. Increasingly, implementation research is demonstrating that for evidence to be successfully implemented into practice, the context of practice needs to be considered. Clinical Context for Evidence-Based Practice addresses professional, educational, and organizational contextual issues that impact on the implementation of evidence into practice and the bringing about of practice change. Practical strategies that have been used effectively to overcome these contextual issues in a range of healthcare settings are identified. Specific contextual issues in different care settings are also addressed e.g. acute care, primary health care, peri-operative settings, paediatrics, aged care, mental health, midwifery. Each chapter is written by an internationally known and respected author, with experience of developing or reviewing contextual strategies that have an impact on the implementation and utilisation of research in practice. They explore how gaining a better understanding of context made a difference to the implementation process or outcome and address the potential to transfer different approaches to a range of healthcare settings. An informative, practical resource for nurses and other health care professionals Explores context-related models and approaches to implementation Informs implementation and enables effective decision making Critically appraises contextual factors across the spectrum of care Explores future directions and implications Includes case examples

The importance of appropriate and effective management of patient with long term chronic conditions cannot be underestimated. Case Management of Long-Term Conditions aims to provide all appropriate practitioners (including nurses, pharmacists, physiotherapists, and social care practitioners) who might be involved in delivery of proactive case management with a practical understanding of how their knowledge and skills can be utilised to improve outcomes for people with chronic long-term conditions. The text contains some broad reflections on care and service delivery based on reviews of evidence and views from clinicians in the use of these skills and competencies to deliver improved outcomes for clients.

The Evidence-Based Nursing Series is co-published with Sigma Theta Tau International (STTI). The series focuses on implementing evidence-based practice in nursing and midwifery and mirrors the remit of Worldviews on Evidence-Based Nursing, encompassing clinical practice, administration, research and public policy. Evaluating the Impact of Implementing Evidence-Based Practice considers the importance of approaches to evaluate the implementation of evidence-based practice. Outcomes of evidence-based practice can be wide ranging and sometimes unexpected. It is therefore important to evaluate the success of any implementation in terms of clinical outcomes, influence on health status, service users and health policy and long-term sustainability, as well as economic impacts. This, the third and final book in the series, looks at how best to identify, evaluate and assess the outcomes of implementation , reflecting a wide range of issues to consider and address when planning and measuring outcomes. An informative, practical resource for an international readership Providing critical evaluation of models and approaches to measuring outcomes Explores the importance of measuring successful implementation Examines outcomes in terms of long-term sustainability Addresses economic impacts and influence on health policy Provides practice-based examples Written by a team of internationally respected authors

General Hospital Care for People with Learning Disabilities is a comprehensive resource for those health professionals in a general hospital setting who may come into contact with people with learning disabilities. The book explores the nature of learning disabilities and highlights specific healthcare needs. It takes the reader through all the key factors in the healthcare process, through pre-admission assessment, care planning, intervention and treatment, and liaison and discharge planning, while highlighting key healthcare needs at each stage. The Department of Health, the National Health Service Executive and Mencap have all reported that people with learning disabilities have increased health needs compared to the general population, yet these needs are often poorly met and people experience difficulties in accessing appropriate services. This is a timely and accessible resource for healthcare professionals in need of a general introduction to caring for people with a learning disability. Relevant to the care of both children and adults with a learning disability Use of case studies to illustrate examples of situations explored in the main text Focuses on key areas of communication, understanding behavior and the often difficult area of consent

What you really need to know, but no one told you. The Essential Guide to Acute Care contains everything you really need to know about acute care that you can’t find in a standard textbook and have probably never been taught before. Starting with the concept of patients at risk, the Essential Guide to Acute Care explains how to recognise and manage the generic altered physiology that accompanies acute illness. The principles of acute care are explained simply yet comprehensively. Throughout the book ‘mini-tutorials’ expand on the latest thinking or controversies, and practical case histories reinforce learning at the end of each chapter. The chapters are designed to be read by individuals or used for group tutorials in acute care. Extensively rewritten and updated, this second edition is essential reading for anyone who looks after acutely ill adults, including: Foundation Programme trainees and trainers Trainees in medicine, surgery, anaesthesia and emergency medicine Final year medical students Nursing staff and allied professionals working in critical care

Evidence based practice is now widely accepted as a fundamental tenet of midwifery. The importance of evidence in defining midwifery policy and practice in the UK health system, and others, is acknowledged and enduring. While the development and evaluation of research in midwifery is well charted, the question of how such evidence is incorporated into practice has, to date, received less attention and discussion in the midwifery profession. Answering this need, Evidence Based Midwifery focuses on the dissemination and use of evidence for midwifery practice, and explores midwives’ experiences in using the evidence base to inform policy and enhance clinical practice. Written by a highly-regarded and diverse group from the UK and international midwifery community, Evidence Based Midwifery addresses issues of relevance to all midwives whether clinical practitioners or educators, students or supervisors, researchers or managers. Issues that influence evidence based midwifery are discussed, and topics covered include problem based learning, implementation of evidence based guidelines and the involvement of service users. Edited by founder members of the Evidence Based Midwifery Network International collaboration with contributions from the UK, Greece, Canada and the Netherlands Primary focus on the incorporation of evidence into midwifery practice Real-life examples throughout

What is evidence-based nursing? Simply, it is the application of valid, relevant, and research-based information in nurse decision-making. Used effectively, evidence-based nursing methods can be used to dramatically enhance patient care and improve outcomes. Evidence-based Nursing is a practical guide to evidence-based nursing for students and practitioners. Proceeding step-by-step, it enables nurses to understand and evaluate the different types of evidence that are available, and to critically appraise the studies that lay behind them. It also considers the ways in which these findings can be implemented in clinical practice, and how research can be practically applied to clinical-decision making. Easy to use step-by-step approach Explores all aspects of the evidence-based nursing process Includes updates of popular articles from Evidence-based Nursing Examines dissemination and implementation of research findings in clinical practice Includes clinical scenarios Chapters include learning exercises to aid understanding Evidence-based Nursing is a vital resource for students and practitioners wanting to learn more about research based nursing methods.

An essential guide to healthcare data problems, sources, and solutions Strategies in Biomedical Data Science provides medical professionals with much-needed guidance toward managing the increasing deluge of healthcare data. Beginning with a look at our current top-down methodologies, this book demonstrates the ways in which both technological development and more effective use of current resources can better serve both patient and payer. The discussion explores the aggregation of disparate data sources, current analytics and toolsets, the growing necessity of smart bioinformatics, and more as data science and biomedical science grow increasingly intertwined. You'll dig into the unknown challenges that come along with every advance, and explore the ways in which healthcare data management and technology will inform medicine, politics, and research in the not-so-distant future. Real-world use cases and clear examples are featured throughout, and coverage of data sources, problems, and potential mitigations provides necessary insight for forward-looking healthcare professionals. Big Data has been a topic of discussion for some time, with much attention focused on problems and management issues surrounding truly staggering amounts of data. This book offers a lifeline through the tsunami of healthcare data, to help the medical community turn their data management problem into a solution. Consider the data challenges personalized medicine entails Explore the available advanced analytic resources and tools Learn how bioinformatics as a service is quickly becoming reality Examine the future of IOT and the deluge of personal device data The sheer amount of healthcare data being generated will only increase as both biomedical research and clinical practice trend toward individualized, patient-specific care. Strategies in Biomedical Data Science provides expert insight into the kind of robust data management that is becoming increasingly critical as healthcare evolves.

Clinical Reasoning in Occupational Therapy is a key text for occupational therapy students and practitioners. Written by an internationally renowned group of clinicians, educators and academics and with a central case study running throughout, the book covers the theory and practice of the following key topics: Working and Thinking in Different Contexts; Teaching as Reasoning; Ethical Reasoning; Diversity in Reasoning; Working and Thinking within 'Evidence Frameworks'; Experience as a Framework; The Client. FEATURES includes case studies problem-solving framework questions at the end of each chapter commentaries on key topics relates theory to practice

The Basic Guide to Medical Emergencies in the Dental Practice is a must have book for all dental care professionals. Written in a clear and accessible style, chapters cover such key topics as patient assessment, adult resuscitation, respiratory and cardiac disorders, paediatric emergencies, emergency equipment and law and ethics. Illustrated in full colour throughout Follows Resuscitation Council’s Guidelines Accessible, full colour guide Handy format for easy reference and portability Evidence-based.

Health assessment is central to effective planning, implementation and evaluation of nursing care. All nurses are accountable for the care they provide and need to be able to accurately determine patient needs in order to plan and deliver evidence-based care. Vital notes for nurses: Health assessment provides students with the knowledge required to consider the many different factors which can influence patient’s health, comfort, well-being and recovery and to confidently assess patient needs. Vital notes for nurses: Health assessment explores concepts of holism, health and illness, factors to consider when assessing patients, communication skills needed for assessment, and all aspects of holistic assessment including physical, psychological, social, cultural and spiritual factors and nutritional needs. * Provides a concise, accessible introduction to health assessment * Includes physical, psychological, social, cultural and spiritual health assessment * Explores essential concepts in assessment and care planning * Within the Vital Notes for Nurses series * Adopts a holistic approach

Assessment and monitoring are fundamental aspects of the care of the acutely ill child, especially in high dependency areas and critical care units. Clinical Assessment and Monitoring in Children is a practical, introductory guide which provides detailed information on assessment and monitoring techniques, including physical assessment, physiological monitoring and an appraisal of additional assessment tools to enable practitioners to develop effective skills. The book adopts a physical systems approach, discusses assessment strategies and tools (starting with the least invasive and moving to the more complex) and examines how to analyse and apply the information to provide ongoing care. Each chapter explores physical assessment and examination whilst maintaining the focus on the child and the family. Clinical Assessment and Monitoring in Children assumes no prior knowledge, and provides the knowledge and skills needed to underpin decision-making and provide effective evidence-based care. This is an invaluable resource for all health care practitioners involved in caring for children. Key Features: • Explores assessment and monitoring of children from 0 – 16 years • Draws upon National Service Frameworks and clinical practice guidelines • Adopts a system by system approach • Provides knowledge and skills needed to underpin decision-making and provide effective evidence-based care • Includes hints on trouble-shooting and gaining the child and family’s co-operation • Includes case studies and suggested further reading

The need for evidence-based decisions that take account of both effectiveness and economics is greater now than ever. Using case studies and illustrative examples throughout the authors describe how the activities and outputs of evidence synthesis, systematic review, economic analysis and decision-making interact within and across different spheres of health and social policy and practice. Expanding on the first edition the book now covers approaches to evidence synthesis that combine economics and systematic review methods in the applied fields of social welfare, education and criminal justice, as well as health care. Written by economists and health services researchers closely involved in developing evidence-based policy and practice it showcases current state-of-the-art methodology and will be an invaluable read for all policy-makers and practitioners using evidence to inform decisions, analysts conducting research to support decisions and students discovering the need for evidence-based decisions to incorporate economic perspectives and evidence.

Clinical Governance: A Guide to Implementation for Healthcare Professionals provides a comprehensive overview of what is meant by clinical governance and how it can be implemented in practice. It explores the evolution of clinical governance, its key components, legal implications, the barriers to implementing it, and its impact. Clinical Governance provides step-by-step practical advice, facilitating better understanding of the key principles of clinical governance. This third edition has been fully updated throughout to incorporate a more integrated approach to achieving clinical governance, with an additional chapter on education and training. Each chapter includes reflective questions, activities and case studies taken from clinical practice as well as a full list of references and further reading.

Chronic pain is a very common problem, impacting on many patients. Assessment and management can be challenging. The ABC of Pain focuses on the pain management issues often encountered in primary care. Covering major chronic pain presentations, such as musculoskeletal pain, low back pain and neuropathic pain, the ABC of Pain also provides guidance on the management of pain in pregnancy, children, older adults, drug dependency and the terminally ill. Beginning with an overview of the epidemiology of chronic pain, pain mechanisms and the assessment of pain, it then provides practical guidance on interventional procedures and methods of effective pain management. The ABC of Pain is a comprehensive, evidence-based reference. It is ideal for GPs, junior doctors, nurse specialists in primary care, palliative care specialists, and also hospital and hospice staff managing chronically and terminally ill patients.

There is constant pressure for clinicians to practise evidence-based medicine. Cochrane Reviews are an important source of the evidence which informs clinical decisions but can still require considerable time to read and digest. This Cochrane Handbook of Alcohol and Drug Misuse serves as a concise guide to the evidence base for relevant interventions, highlighting the key points of Cochrane reviews for the busy practitioner. Each review is analysed in a structured format, starting with the question, a brief background and a summary answer, followed by the results presented in comprehensive and concise way. The authors then illustrate the value that the review adds to the current knowledge, the main methodological limitations of the included studies and finally the implications of the review’s conclusions for future research. Addiction to drugs and alcohol is an increasing problem that all clinicians have to deal with. This is especially true for medical and family specialists but more so for those dealing with psychiatric, psychological and social problems. The benefit of having the evidence underpinning the clinical approach to all aspects of this topic cannot be underestimated. The book’s comprehensive coverage of interventions provides an authoritative reference for all physicians working with these patients, from family practitioners to clinical specialists and psychiatric specialists. With addiction to drugs and alcohol an increasingly serious morbidity and public health issue, this book from the Cochrane Collaboration will find a wide audience. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from iTunes, Google Play or the MedHand Store.

The role and function of the nurse is rapidly changing. Some nurses are now required to undertake clinical diagnosis of the patient, a responsibility traditionally undertaken by a doctor. Clinical Diagnosis helps prepare nurses to fulfill this role, providing them with the skills and underpinning knowledge to make clinical diagnoses of patients effectively. Each chapter follows the same layout for each symptom or sign, exploring the definition, causes, history, precipitating factors, associated signs and symptoms, important considerations, relevant clinical examination, and investigations and tests. The first UK text to explore clinical diagnosis from a nursing perspective In the Essential Clinical Skills for Nurses series Written by an authority in the field Concise, accessible, and evidence-based

Drawing on the experience of the National Institute for Health and Care Excellence (NICE), Achieving High Quality Care is a practical guide on how to recognise and implement high quality evidence and guidance. This new title provides an overview of the evidence behind successful initiatives designed to change practice and improve the quality of health care. It provides an overall picture of change management, from understanding the barriers to change to how these barriers can best be overcome. It presents a concise summary of the evidence for change, plus examples of specific initiatives drawn from experience of putting NICE guidance into practice. The book includes a wide range of examples of positive change – plus key practical points highlighted throughout the text – to help readers achieve improvements in patient care. Finally, it shows how to measure change, assess improvement to agreed standards and to manage the ongoing process of change towards improving health care. Achieving High Quality Care is a helpful guide for busy health care professionals wanting to improve services and patient care. It is relevant to everyone involved in the organisation and provision of quality health care, including clinicians and health care managers, who are trying to lead change and improve care through implementing evidence-based guidance.

This lively handbook on the fundamentals of Evidence-based Medicine (EBM) leads the reader, step by step, through a process that proceeds from a patient’s medical history, via information searches and critical appraisal of the literature, to recommendations for treatment. Using a simple four-step approach, the author illustrates how to develop better questions and more effective searches, resulting in objective and clinically relevant information that can be evaluated and implemented in day-to-day practice. Sherlock Holmes and Dr Watson, the famous fictional detectives, assist throughout, drawing parallels between criminal and medical investigation, and simplifying the processes and themes of EBM. Evidence-Based Medicine in Sherlock Holmes’ Footsteps is a concise, accessible and instructive introduction to EBM for medical students, health care trainees, doctors and allied health professionals, and a valuable resource for anyone wanting to improve their ability to search, access and interpret the wealth of information at the fingertips of today’s medical community.