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Rapid Assessment of the Acutely Ill Patient sets out theprinciples and practices needed for early recognition andassessment of patients either at risk of or showing signs ofacute deterioration, or those recently relocated from higherlevels of care. The focus is on patient assessment, interpretationand evaluation of data, immediate management of significantproblems, ongoing and further assessments in order to improveclinical outcomes. Rapid Assessment of the Acutely Ill Patient provides aframework for a systematic initial patient assessment and exploresprinciples of effective assessment. Body systems are considered inorder of life-threatening priority following the ABCDE approach,dealing with the assessment and management of airway, breathing,circulation, disability - and everything else; covering topics suchas visual, palpatory and auscultatory assessment, use of additionaldocumented information (charts, notes etc), and interpretingdiagnostic investigations. Methods to ensure effectivecommunication and team-working are also discussed. Key features Part of the Essential Clinical Skills for Nursesseries Aimed at nurses working in wards and specialistdepartments Explores the assessment skills required for a rapid responseto a patient at risk of becoming acutely unwell Enables students and practitioners to develop practical andinterpretative skills Provides a framework for assessment and principles of firstline treatment Includes ‘Look’, ‘Listen’,‘Feel’ and ‘Measure’ icons Sheila Adam is Head of Nursing, Specialist HospitalsBoard, UCL Hospitals NHS Foundation Trust and author of Nursing inCritical Care: Science and Practice (now in its 2nd edition), TheOxford Handbook of Critical Care Nursing and Nutrition in theCritically Ill. John Welch is Nurse Consultant in Critical Care, UniversityCollege London Hospitals NHS Foundation Trust, and former Chair ofthe National Outreach Forum. Mandy Odell is Nurse Consultant in Critical Care, RoyalBerkshire NHS Foundation Trust, Nurse and Allied HealthProfessional representative for the Intensive Care Society andformer Chair of the British Association of Critical CareNurses.
Today, an increasing number of healthcare professionals (including nurses, midwives and members of many allied professions) have to conduct the vital first stage in a patient’s journey – taking a clinical history and conducting an effective physical examination. This book offers clear, practical guidance on the fundamentals of clinical examination for any practitioner who wishes to understand their patient’s specific needs and to plan appropriate care. Recognising that readers will come from a diverse range of clinical backgrounds and roles, the opening chapter (on consultation and the skills needed to take an accurate clinical history) underpins the systems-based approach. This, combined with the use of case study examples, allows healthcare professionals to focus on the principles of examining the system or systems that are most relevant to their specific area of practice. The book also includes a helpful glossary and list of abbreviations. This new, updated edition contains revised chapters on genitourinary assessment, obstetric assessment and mental health assessment. There is also a completely new chapter on eye, ear, nose and throat assessment, covering the EENT conditions most commonly encountered in primary healthcare. Contents include: • Consultation and clinical history-taking skills • Respiratory assessment • Cardiovascular assessment • Gastrointestinal assessment • Neurological assessment • Genitourinary assessment • Musculoskeletal assessment • Obstetric assessment • Mental health assessment • Perioperative assessment • Eye, ear, nose and throat assessment
Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today’s student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.
Aimed at all nurses, this key textbook equips them with the knowledge and skills required to care for the deteriorating patient in the clinical environment. The assessment, recognition and rapid escalation of the deteriorating patient is emphasized throughout the book. Using a unique system-based approach, each chapter contains structured learning outcomes and concludes with a competence-based skills assessment, which can be used to assess practice skills. These skills are recommended as essential for every nurse in an acute area and key to successful practice. Using real life case studies to link knowledge to actual practice and written by senior nurses for nurses, this book is an essential purchase for all nurses who work in acute care settings.
Covering all advanced practice competencies and roles, this book offers strategies for enhancing patient care and legitimizing your role within today’s health care system. It covers the history of advanced practice nursing, the theory behind the practice, and emerging issues. Offering a comprehensive exploration of advanced practice nursing, this edition also adds a focus on topics including the APN scope of practice, certification, and the ethical and legal issues that occur in clinical practice. The development of all major competencies of advanced practice nursing is discussed: direct clinical practice, consultation, coaching/guidance, research, leadership, collaboration, and ethical decision-making. Advanced practice competencies are discussed in relation to all advanced practice nursing and blended CNS-NP roles (case manager, acute care nurse practitioner), highlighting the shared aims and distinctions of each role. In-depth discussions on educational strategies explain how competencies develop as the nurses’ practice progresses. A chapter on research competencies demonstrates how to use evidence-based research in practice, and how to promote these research competencies to other APNs. A conceptual framework shows the clear relationship between the competencies, roles, and challenges in today’s health care environment. Practical strategies are provided for business management, contracting, and marketing. Comprehensive information covers the essential competencies of the new Doctor of Nursing Practice degree. More exemplars (case studies) provide real-life scenarios showing APN competencies in action. A new chapter shows how to provide reliable and valid data to substantiate your impact and justify equitable reimbursement for APN services, also enhancing your skills in quality improvement strategies, informatics, and systems thinking. Information on telehealth considerations covers the new sources of electronic healthcare information available to patients and describes how to counsel them on using reliable resources.
Publisher: Macmillan International Higher Education
Using a stimulating case study approach, this comprehensive book provides an understanding of the common signs and symptoms related to serious acute illness in adults. It outlines priorities in the assessment and management of the acutely ill and aids recognition of the pathophysiological changes which are inherent to serious illness.
The at a Glance series is popular among medical students and junior doctors for its concise and simple approach and excellent illustrations. Each bite-sized chapter is covered in a double-page spread with colour summary diagrams on the left page and explanatory text on the right. Covering a wide range of topics, books in the at a Glance series are ideal as introductory subject texts or for revision purposes, and are useful throughout medical school and beyond. Everything you need to know about Acute and Critical Care Medicine...at a Glance! Following the familiar, easy-to-use at a Glance format, and now in full-colour, Acute and Critical Care Medicine at a Glance is an accessible introduction and revision text for medical students. Fully revised and updated to reflect changes to the content and assessment methods used by medical schools, this at a Glance provides a user-friendly overview of Acute and Critical Care Medicine to encapsulate all that the student needs to know. This new edition of Acute and Critical Care Medicine at a Glance: Provides a brief and straightforward, yet rapid, introduction to care of the critically ill that can be easily assimilated prior to starting a new job or clinical attachment Encompasses the clinical, diagnostic and therapeutic skills required to manage acutely ill patients in a variety of settings Includes assessment of the acutely unwell patient, monitoring, emergency resuscitation, oxygenation, circulatory support, methods of ventilation and management of a wide variety of medical and surgical emergencies Includes new chapters on fluid management, oxygenation, non-invasive ventilation, recognition of the seriously ill patient and hospital-acquired infections This book is an invaluable resource for all undergraduates in medicine, as well as clinical medical students, junior doctors, nurses caring for acutely-ill patients and paramedics. Pre-publication reviews: "The material forms an excellent basis for junior doctors in critical care and anaesthesia to get a good grounding in the subject, without appearing too scary." –Senior House Officer "The system-based approach...provides excellent reference material when studying a particular subject, allowing the reader to easily delve into the book when necessary, without having to read from cover-to-cover. It is an excellent revision aid.... Much time has gone into eliminating superfluous data so maximal essential information can be conveyed quickly." –UCL student
A revised new edition of this comprehensive critical care nursing text, developed with the Australian College of Critical Care Nurses (ACCCN). This second edition of ACCCN's Critical Care Nursing has been fully revised and updated for critical care nurses and students in Australia and New Zealand. As well as featuring the most recent critical care research data, current clinical practice, policies, procedures and guidelines specific to Australia and New Zealand, this new edition offers new and expanded chapters and case studies. The ultimate guide for critical care nurses and nursing students alike, ACCCN's Critical Care Nursing 2e has been developed in conjunction with the Australian College of Critical Care Nurses (ACCCN). As with the first edition, the text in ACCCN's Critical Care Nursing 2e reflects the expertise of ACCCN's highly-qualified team of local and international critical care nursing academics and clinicians. This authoritative nursing resource takes a patient-centred approach, encouraging practising critical care nurses and students to develop effective, high-quality critical care nursing practice. ACCCN's Critical Care Nursing 2e outlines the scope of critical care nursing, before detailing the core components and specialty aspects of critical care nursing, such as intensive care, emergency nursing, cardiac nursing, neuroscience nursing and acute care. Specific clinical conditions such as emergency presentations, trauma, resuscitation, and organ donation are featured to explore some of the more complex or unique aspects of specialty critical care nursing practice. expanded chapters for cardiovascular, respiratory and neurological content new chapters on Quality and Safety; Recovery and Rehabilitation; Psychological care; and Obstetric emergencies new case studies elaborate on relevant care issues critiques of recent research publications explore related topics practice tips highlight areas of care particularly relevant to daily clinical practice learning activities support knowledge, reflective learning and understanding
"This book could easily become the "go to" text for standardized patient utilization and the backbone for implementation strategies in learning programs...It is a must-have for all disciplines interested in adding the human simulation experience to their programs."--Nursing Education Perspectives "Today there is an explosion in the use of simulation in nursing and health professions education. The contributors to this text are experts in this format of teaching. They are the designers of the learning spaces, the authors of simulation cases and evaluation methods, the experts who program the human patient simulators and who teach the patient actors to enact the clinical scenariosÖI consider this a "handbook" on the design, evaluation and practice of simulation for clinical education. If you are a faculty member with concerns about how your students will make the transition from student to professional, use simulation in your curriculum and learn for yourself that pretending is simulation for life but simulation is pretending for the delivery of exquisite clinical care." Gloria F. Donnelly, PhD, RN, FAAN Dean and Professor Drexel University College of Nursing and Health Professions Human simulation is changing the face of clinical education in the health professions. Its use has expanded beyond medical school to encompass nursing and mental health clinical education. This comprehensive guide to establishing and managing a human simulation lab has been written by nationally acclaimed simulation experts and is geared for undergraduate, graduate, and professional settings. The text takes the reader step-by-step through the process of planning, organizing, implementing, and maintaining a simulation lab. It describes the required technology, how to train standardized patients, how to implement a simulation, evaluation and analysis of the simulation experience, and how to develop a business plan. The guide details simulation in undergraduate and graduate nursing programs, physician's assistant programs, and mental health education, as well as the use of simulation with critically ill patients, and in perioperative, perianasthesia, women's health, and rehabilitation science settings. Key Features: Offers a blueprint for developing, implementing, and managing a human simulation lab Details use of simulation in numerous nursing and mental health settings along with case studies Provides tools for evaluation and analysis of the simulation experience Presents undergraduate and graduate nursing simulation scenarios and pedagogical strategies Discusses simulation training and required technology Includes templates for writing cases for BSN and MSN levels
Written by and for nurse practitioners, and also suitable for physician’s assistants, Pharmacology for the Primary Care Provider, 4th Edition focuses on what you need to know to safely and effectively prescribe drugs for primary care. An emphasis on patient teaching helps you gain patient adherence to prescribed drug regimens, and guidelines for health promotion help in maintaining and improving your patients’ health. Now in full color, this edition expands the book's emphasis on the QSEN priorities of safety and evidence-based practice, and adds coverage of new drugs, new drug classes, and new therapeutic drug uses. Written by leading nurse practitioner authorities Marilyn Winterton Edmunds and Maren Stewart Mayhew, Pharmacology for the Primary Care Provider teaches principles of pharmacotherapeutics using today’s most commonly used drugs. A Key Drugs focus highlights the most commonly used and most representative drugs of each major drug class — with particular emphasis on the top 100 most commonly prescribed drugs. Emphasis on patient teaching helps you communicate with patients and family caregivers to promote adherence to the drug regimen. Emphasis on health promotion describes how to help patients stay well and improve their health, including coverage of immunizations and biologicals, vitamins, weight management, and smoking cessation. Evidence-Based Decision-Making and Treatment Guidelines chapter (11) provides practical guidelines for using the best current research evidence to make decisions about the care of individual patients. Extensive coverage of drug therapy for special populations such as geriatric and pediatric patients includes considerations related to age, pregnancy, race, and other factors. UNIQUE! Coverage of prescriptive practice includes topics such as prescriptive authority, role implementation, and the role of nurses (NPs, CNMs, CRNAs, and CNSs) and physician assistants in writing prescriptions. NEW! Full-color design and illustrations highlight the most important content. DRUG UPDATES reflect the latest FDA-approved drugs, drug classes, and therapeutic uses. Expanded emphasis on the QSEN priorities of safety and evidence-based practice helps you eliminate drug prescribing errors with color-highlighted Safety Alerts! and NEW Clinical Practice Alerts! NEW section on male hormone replacement therapies adds coverage of men to that for women. Updated evidence-based prescribing information reflects the latest national clinical practice guidelines and evidence-based treatment guidelines, including the latest clinical treatment guidelines for diabetes. NEW! Complementary and Alternative Products tables highlight interactions with drugs, and are emphasized with a distinctive icon. Updated Drug Overview tables are enhanced with color as well as Top 100 icons that highlight the most commonly prescribed drugs.