This book is written for faith community nurses (FCNs) and provides information and resources necessary to be successful in the practice of faith community nursing. This specialty nursing practice combines the caring aspect of nursing with the spiritual and the sacred. The book is divided into three parts. Part I provides an overview of faith community nursing practices its roots, practice models, roles, and legal and ethical parameters. Faith community nursing is the specialized practice of professional nursing that focuses on the intentional care of the spirit as part of the process of promoting holistic health and preventing or minimizing illness in a faith community. Parish nursing is a recognized specialty practice that combines professional nursing and health ministry. Health care practitioners who make several small changes in how patients’ religious commitments are broached in clinical practice may enhance health outcomes. There are four models through which faith community nursing practice is delivered: the institutional model, the congregational paid model, the congregational volunteer model, and the paid consortium model. Part II includes chapters that inform the FCN about initiating a faith community nursing ministry, assessing the health needs of the faith community, health education, teaching, and program planning and evaluation. Part III presents information on meeting the special needs of the faith community and includes content on acute and chronic care needs, palliative care, and grief and loss. Additional chapters focus on connecting with community resources and vulnerable populations.
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Understanding a student’s ethnic identity process coupled with the student’s sexual identity and psychosocial identity can provide a much more useful and informative portrait of his or her circumstances than merely knowing the student as a “19-year-old sophomore”. This book was developed with both the student affairs professional and the student affairs graduate student in mind. After a brief introduction, it discusses various human development theories such as Schlossberg’s transition theory, Erikson’s theory of psychosocial development, Perry’s theory of moral development, and Kolb’s theory of experiential learning as well as personality types based on the Myers–Briggs type indicator. In the subsequent section of the book, the focus is on identity development in college students, with chapters covering Chickering’s Theory and the seven vectors of development, Black and biracial identity development theories, White identity development, and the lesbian, gay, bisexual, transgender, and queer (LGBTQ) identity development as well as disability and identity development. and career development theories. The final section of the book describes the factors that impact the selection of careers with chapters discussing the Holland’s theory of career development and Bronfenbrenner’s ecological systems theory, among other issues. Theory-based chapters open with a vignette in which the reader is presented with specific details of a case study for consideration. At the end of the chapter, the case is revisited and considered using a theoretical framework. Each case vignette provides the reader with immersion into a diverse perspective, and the chapter authors provide a clear discussion of their conceptualization of the student.
This book delivers a wealth of practical tools for incorporating spirituality into nursing. There are numerous articles on the concepts of spirituality and religion in nursing practice, including the nursing role in spiritual assessment, spiritual nursing diagnoses, spiritual care in various nursing contexts, and many more. Spirituality is a focus for debate and discussion within the nursing profession, and it is appropriate to consider this concept as it has captured the nursing world. The book discusses an interrelationship between resilience and holistic health. It also discusses challenges to incorporating spirituality into nursing practice. Although there is ample rationale for the inclusion of spirituality into nursing practice, education, and research, there are also challenges to such inclusion. Some would identify these challenges as “barriers”, but the word “challenges” seems to have more potential for positive action with respect to exploring each challenge and ways to overcome it. In order to appropriately incorporate spiritual assessment and care into practice, nurses need the requisite professional competency. Competencies are integral to nursing practice and usually accompany standards of practice. Standards for educating nurses about spiritual care are present in both educational and practice contexts in that they are part of the accreditation criteria for institutions. The book also focuses on spiritual assessment and spiritual care within the context of mental health care/mental health nursing and spirituality in palliative and hospice care.
This book presents a framework for nursing to build and, ultimately, sustain partnerships. Exemplar case studies written by nurses working in global health follow each chapter to illustrate specific elements of a strong partnership. The guiding principle for the book is that partnerships are paramount in creating sustainable outcomes. Varying degrees of partnership integration can include coordination, cooperation, and close collaboration. No matter their degree of partnership, nurses are ethically and morally obliged to be concerned with the world’s suffering. The book begins with a chapter which discusses types of existing partnerships and how nurses make the selection of an appropriate program to begin a partnership. Chapter 2 addresses how cultural perspectives, personal attributes, expectations, and knowledge of host country influence a volunteer nurse’s experience. In the third chapter, nursing roles in host country are addressed, community assessment as essential knowledge is highlighted. The importance of nursing licensure, mutual respect, and partnership is also dealt with. Chapter 4 presents examples of nurses’ experience with volunteers or partners, differences in the scope of practice between nursing partners, and the role of the nurse and nursing profession in host countries. This is followed by chapter which emphasizes the importance of resources, whether human, material, or financial, which are essential in developing a partnership. Two other chapters discuss important aspects of collaborative nursing research in international settings and explore the elements of sustainability to address the leadership required to maintain the partnership.
This book presents firsthand accounts from nurses at all professional levels, who share their life-changing experiences and insights with nurses interested in the global health arena. Their stories emphasize the practical, challenging, and rewarding aspects of global health nursing. The nurses describe their motivation for working in global health, along with the rewards and challenges. They discuss the importance of approaching global nursing with humility, respect, and appreciation for what they will learn from their colleagues. They describe how global health work has enhanced their ability to provide quality care to diverse populations, which include recent immigrants living in the United States. In addition to these vivid accounts, the book discusses the parameters of global health nursing, how to prepare for this nursing experience, key resources, global nursing research, and nurses as global health consultants. Woven throughout the book are descriptions of how these nurses have encouraged―through teaching and mentoring―the next generation of global health nurses. The book also provides coverage of domestic global health initiatives, and assists faculty to prepare themselves and their students for global health endeavors. The book is written for nurses at all stages of professional life.
Nursing theory and practice intertwine in a mutually supportive bootstrapping process as the nursing graduate develops skill. A theory must be a new whole in which decontextualized elements are related to each other by rules or laws. It seems that it is more plausible to believe that sufficient experience, accompanied by no theoretical knowledge, could produce skilled coping behavior. The study of the skill-acquisition phenomenon has shown that a person usually passes through at least five stages of qualitatively different perceptions of their task as skill improves. Performance improves to a marginally acceptable level only after the novice has considerable experience coping with real situations. While this encourages the advanced beginner to consider more objective facts and use more sophisticated rules, it also teaches the learner an enlarged conception of what is relevant to the skill. A more subtle and refined discrimination ability is what distinguishes the expert from the proficient performer. It is our hope that we have put into words once again what nurses and all clinicians know in their practice and that the marginalized caring practices presented here compel the reader to consider the societal worth and knowledge inherent in the caring, diagnostic, and therapeutic work that nurses do. As well, it is our hope that practitioners from other fields will join us in this conversation so that together we can design better institutions of public caring—in our schools, families, social work, courtrooms, and in all places where protection of vulnerability, sponsorship of growth, and the promotion of better citizenship occurs. The synthesis of the work on the Dreyfus Model of Skill Acquisition is drawn from Benner (2005).
Adolescence is an extremely unique and critical stage of development. In order to provide the helping professional with a clear understanding of typical adolescent development, and to fill the gap many have in understanding adolescence in general, this book offers a concise, in-depth, scientific overview of adolescent development specifically geared toward those applying the information in the helping professions. The intended audience for the book is helping professionals such as psychologists, mental health counselors, social workers, marriage and family therapists, educators, and nurses. The book covers adolescent developmental theories that provide a basis for understanding observations about the nature of adolescents. These theories include the intrapsychic, cognitive, behavioral/environmental, and biological theories. Puberty is also the signal indicating the beginning of physical and neurological growth. The hormonal changes of puberty initiate drastic growth in the body and organs of adolescents. The book reviews several aspects of overall adolescent health, including the issue of adolescent sleep and its importance and how adolescent diet and nutrition impact development. In addition to the “hardware” transformation in an adolescent’s brain, adolescents undergo important changes in their ability to think. The book also examines Piaget’s adolescent stage of cognitive development, the formal operational stage, and how changes in the way adolescents think impact their interactions with others. It introduces the multiple social changes with family and friends that occur during adolescence and examines how adolescents interact with TV, media, and technology and deals with the issue of cyberbullying and reviews the most common adolescent problems, such as drug use, risky behaviors, eating issues, and depression. Each chapter integrates several features to guide helping professionals in applying adolescent development in practice.
This book describes and analyzes nurses’ roles in select cases from disasters that have occurred in areas around the world from the late 19th century to the present. These include an outbreak of typhoid in Tasmania in 1885 to 1887; a devastating earthquake in Italy in 1908; an Ohio (USA) flood in 1913; the Alaskan influenza epidemic of 1918; the World War II bombings of London and Manchester, England, in 1941; the bombing of Pearl Harbor, Hawaii, in 1941; the nuclear bombing of Hiroshima, Japan, in 1945; a destructive wild fire in Bar Harbor, Maine (USA), in 1947; the SARS crisis in Toronto, Canada, in 2003; and the effects of Hurricane Sandy on hospitals in New York City (USA) in 2012. Nurses’ actions are situated within local responses, national networks, and international aid. Nurses are a critical part of disaster response, and the book gives them a voice. Themes that recur throughout the narrative are: the notion of a nurse’s “duty to care” versus the need to protect herself or himself; the need for innovation and coordination of the response effort; and cooperation among the responders versus inherent political, racial, and interprofessional conflicts. Thus, the book examines political sensitivities, international conflicts, cultural differences, and societies’ varying professional and gendered expectations of nurses. In addition, the book highlights nurses’ voices during major World War II bombings, addressing realities that occurred during the war that have long been silenced for reasons of political and social correctness. These case studies document nurses’ roles in response to the London Blitz, the attack on Pearl Harbor, and the bombing of Hiroshima, revealing nurses’ response to these crises: their dedication to patients, their ability to triage and improvise, and their adaptation to nursing professional norms expected in various cultures.
This book is devoted to a discussion of the native American Indian health system and nursing. It is divided into three parts. Part I first provides a national and historical look at the peoples of what is now the United States. This is followed by a view of pre- and postcontact indigenous America and the effects on health resulting from policies by the new dominant culture. Next to be introduced is the idea that “nursing” has been occurring in indigenous America long before icons, such as Florence Nightingale, put a face to the profession. An introduction to nursing and the Indian Health Service (IHS) is then followed by health modalities outside of the IHS that is, indigenous knowledge and traditional healing. Part II shows how these experiences are/were played out in the various cultural regions of the United States: Northeastern Woodlands; Southeastern Woodlands; Southwest tribal regions; Great Basin; Indians-habitated California; Pacific Northwest; Alaska; and Northern Great Plains. Urban has been added to the regional groups found in the 48 contiguous states and Alaska. In Part III, the reader explores funding as a major component of increasing care options and access in Indian country. Two chapters discuss the issues of Indian health funding and American Indian nursing education.
This book provides useful information that will allow school counselors to stretch themselves and grow their confidence as they integrate these expressive arts interventions into their work with students. The book opens with a chapter addressing the value of the expressive arts as a conduit to personal growth and development. Also addressed is the integration of the arts into the school counseling milieu. The six sections of the book focus on a separate form of the expressive modalities. Within each section, the book presents the interventions based on the American School Counselor Association (ASCA) model domains: academic, career, and personal/social. The modalities included are the visual arts, music, movement and dance, expressive writing/poetry, drama, and a final section incorporating other modes of creative expression. The book closes with a chart that presents the various types of concerns for which students typically need assistance (such as grief and loss, self-esteem, social skills, etc.) and the interventions that may be most effective in addressing these issues.
This book presents a conceptual framework for contemporary nursing practice based on the science of self-care and also incorporates other nursing and multidisciplinary perspectives. It illustrates how to attain and integrate knowledge from nursing theory and theories of related disciplines to achieve optimal evidence-based nursing practice. Case examples from a variety of clinical situations integrated with nursing theory demonstrate the variables needed to achieve optimal nursing practice. The first chapter discusses, inter alia, the relative value of different ways and patterns of knowing within the discipline of nursing. This is followed by a chapter that explains the importance of knowing and understanding the proper object of nursing. Nursing is an action system; action systems begin with problem identification, framing, and delineation. Several factors condition or influence the requirements for self-care, and represent a point of articulation of nursing sciences with other sciences that inform health-related situations. Self-care agency is developed as one learns from his or her family members and others in society to care for self. A traditional collaborative-care system is a unique whole that is formed through the informal or formal negotiation for care by two adults. The dependent-care agent is a person in a relationship not only with the care recipient but also with other members of the family. The family may be a factor that conditions the therapeutic self-care demand and self-care agency of the family member who is the identified patient.
Despite the attention paid to diversity and inclusiveness, counselor education programs often overlook the gifted population, resulting in a training gap that complicates school counselors' awareness of—and ability to appropriately respond to—the unique needs of gifted individuals. This book is a complete handbook for understanding and meeting the needs of gifted students and is most useful to counselor educators, school counselors, and parents. It is mostly to inform school counselors and counselor educators about gifted kids as a special population and to offer guidance for responding with appropriate counseling services. The book is organized into thirteen chapters. The first chapter provides an overview on counseling gifted and talented students. The second chapter talks about aligning service to gifted students with the American School Counselor Association (ASCA) national model. The next two chapters discuss the characteristics and concerns of gifted students, and intersectionality of cultures in diverse gifted students. Chapter five presents theories that support programs and services in schools. Chapter six describes the common practices and best practices in identifying gifted and talented learners in schools. Chapter seven examines working with classrooms and small groups. Chapter eight focuses on academic advising and career planning for gifted and talented students. Chapter nine addresses personal/social counseling and mental health concerns. Chapters ten and eleven talks about creating a supportive school climate for gifted students through collaboration, consultation, and systemic change, and empowering parents of gifted students. Chapter twelve presents school counselors as leaders and advocates for gifted students. The final chapter provides brief summaries of the above chapters described in the book.
Stereo electroencephalography (
EEG) has become the predominant method across the world to invasively explore patients with focal epilepsy who are potential candidates for resective surgery. This required many epilepsy centers to introduce major workflow adaptations, investment in surgical and imaging technologies, and seek training in placement and interpretation of depth electrodes recordings. It became evident that a comprehensive, practical textbook outlining the different steps and nuances of the methodology was missing. This book covers all practical aspects of stereo EEGand is a quintessential staple for anybody learning and working in the field of epilepsy surgery, including adult and pediatric epileptologists and neurophysiologists, functional neurosurgeons, technologists, and trainees in these areas. The book is a complete and practical guide to thinking and doing stereoelectroencephalography ( SEEG) which will be a solid reference to practitioners around the world. Almost all chapters feature illustrative cases to explain specific aspects and key concepts of the SEEGmethodology. The section covering the practical approach to specific epilepsy syndromes includes voice-over slide presentations demonstrating the process of a systematic patient discussion, hypothesis generation, and electrode planning followed by data interpretation and delineation of surgical resection. The book starts with the historical background and principles of stereo EEGand discusses the role of the noninvasive evaluation and patient selection. It describes technical aspects of electrodes, multimodal data coregistration, and guidelines for invasive monitoring. The book then presents the conceptual framework of stereo EEGfollowed by surgical aspects of stereo EEGelectrode placement covering robotic and frame-based approaches, specific pediatric aspects, and potential complications. It describes data interpretation of physiologic, interictal, and ictal epileptic activity, and outlines conceptual and methodological aspects of electrical stimulation mapping. The book ends with discussing surgical procedures to remove the epileptogenic zone and a review of seizure and cognitive outcome with stereo EEG.
While there are several comprehensive textbooks on movement disorders, all are lengthy, thick, hardbound books and thus are less useful for the busy, practicing clinician who often needs a quick guide on the diagnostic approach and therapy for various movement disorders. There are a few practical, therapeutic handbooks on Parkinson disease but there are none for other types of movement disorders (chorea, dystonia, myoclonus, ataxia, etc). The ever busy clinician will also benefit from a “primer” on
DBS—its new device types, indications, identification of ideal and non-ideal candidates, and trouble-shooting. This third edition is a practical yet authoritative guide to the diagnosis and work up, and the pharmacological, non-pharmacological and surgical treatments of all types of movement disorders for the clinician-intraining and the practicing clinician. The authors used an “expanded outline bullet point” format, with liberal use of flow charts, algorithms and tables, with emphasis on clinical presentation, work-up and management, rather than pathophysiology and disease mechanism. In summary, this book should provide a comprehensive and practical approach to the neurological, behavioral, and surgical treatment of movement disorders. Because the authors anticipate that clinicians may be reading this book comprehensively, from start to finish; or, using it “on demand” by quickly surveying specific chapters related to the phenomenology of a challenging patient—content overlap has been intentional, to emphasize concepts and principles in diagnosis and management. Several movement disorders can present with different phenomenologies, thus several disorders will reappear in various chapters. From the first to this latest edition, the authors aim has always been to empower the modern clinician with the necessary skills in making the evaluation of movement disorders less intimidating and more rewarding.
Child and Adolescent Counseling Case Studies:Developmental, Relational, Multicultural, and Systemic Perspectives
This book aids counselor educators, supervisors, and counselors-in-training in assisting children, adolescents, and their families to foster coping methods and strategies while navigating contemporary issues. It promotes the essence of counselor growth, and deals with conceptualization of the client’s presenting problems along with personal and client goals, step-by-step accounts of the happenings in counseling sessions, and counseling outcome. Case studies were written in contexts that reflect the fact that children and adolescents are part of larger systems family, school, peer, and community. Systemic context, developmental and relational considerations, multicultural perspectives, and creative interventions were infused in the cases. Time-efficient methods, such as brief counseling, were used in some of the cases. The case studies selected highlight contemporary issues and relevant themes that are prevalent in the lives of youths (i.e., abuse, anxiety, giftedness, disability, social media and pop culture, social deficits and relationships, trauma, bullying, changing families, body image, substance abuse, incarcerated family members, race and ethnicity, and sexual identity and orientation). These themes capture both the child and adolescent perspectives and are designed to provide breadth and depth during classroom discussions and debriefing.
As the field of intensive care unit (
ICU) electroencephalogram ( EEG) monitoring evolves, the use of continuous EEGmonitoring ( cEEG) is expanding beyond seizure detection. EEGprovides continuous and noninvasive monitoring of brain function and, coupled with quantitative EEG, enables clinicians to monitor for signs of acute and evolving cerebral injury. Early identification of these electroencephalographic biomarkers may, in turn, offer targets for therapeutic neuroprotective interventions. This book provides a contemporary and concise summary of important principles ranging from seizure identification and encephalopathy grading to advanced techniques of quantitative EEGand multimodality monitoring. These principles are important for current clinical care and advancement of the field. It includes 12 core chapters, each of which begins with text, tables, and figures and ends with a series of EEGimages illustrating the concepts and principles discussed in the text. Each chapter is written by experts in the field. In addition, case-based approaches to common scenarios focus on EEGpattern recognition, diagnostic evaluation, and management. The cases not only build upon EEGskills learned in the chapters but also cover additional diagnostic and management principles. The book also includes chapter-based board-style multiple-choice questions and videos available online to elucidate important concepts. This atlas will benefit an audience ranging from novices to experts in the fields of neurology, epilepsy, neurophysiology, neurocritical care, neonatology, and cardiac and pediatric critical care medicine.
As incredible it is to us to consider how far the ketogenic diet has come in 100 years, it is equally amazing to realize that this Ketogenic Diets book is now in its seventh edition, 25 years after its first publication by Demos Health. This edition continues the recent tradition of updating us every five years on what’s new and noteworthy in the use of ketogenic diets, and the authors appreciate many comments from parents and patients that this book has become a “gold standard” guide. The author’s intention is to continue to make this book helpful for everyone on the ketogenic journey: parents, patients, caregivers for sure, but also physicians, dietitians, scientists, nurses, and social workers. They consider it a success if it helped make ketogenic diet therapies more approachable and effective for you, your family, and/or your ketogenic diet center. Now, with over 10 years of experience, this seventh edition includes all-new material and guidance for adults starting dietary therapies, including information from a recent international expert guideline publication. For children, the 2009 pediatric ketogenic diet consensus statement was recently revised in 2018; details and changes from this important paper will be seen throughout this book. New chapters include exogenous ketones, a fifth ketogenic diet entitled the “modified ketogenic diet”, intermittent fasting, the influence of ketogenic diets on the gut microbiome, and expanded use for infants. Much of the final editing of this edition occurred during the COVID-19 pandemic, and the authors included information learned about how to manage ketogenic diet therapies in a crisis/pandemic situation. Finally, as ketogenic diets continue to be used by more countries every year, this book highlights some of the international recipes, cultures, and even scientific initiatives of this worldwide expansion.
This book provides us with what we need to sleep well. It provides the tools and techniques to reverse insomnia and improve sleep long-term. Insomnia, persistent trouble getting to sleep or staying asleep, affects our daytime functioning and wellbeing. The book breaks down the principles of cognitive behavioral therapy for insomnia (
CBT-I), the sleep program considered first-line treatment in the clinic, into a step-by-step and reader friendly program that can be easily followed at home. Written by a clinical psychologist and researcher who has worked in the sleep field for 40 years, the book uses data from a real patient to illustrate each step of the process. The book is complete with detailed sleep diaries, worksheets, and more, all of which are also available online to download and use on your own journey to sleeping better now and into the future. Guiding readers through this self-directed sleep therapy program, the book features updated information and new scientific findings on key topics for patients and health care providers including: tried-and-true CBT-Imethods of sleep management; successful cognitive therapy methods to deal with racing thoughts at bedtime; different sleep needs for women and men through life and health conditions; influence of nutrition, exercise, and sex on sleep in a brand-new chapter; depression, anxiety, and traumatic stress and how they intersect with sleep; and prescribed and non-prescribed medications, herbal remedies, and cannabis for sleep.
Botulinum toxin (
BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNTproduct requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNTproducts available in the USA(abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA(Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNTdosage information for each of these BoNTproducts is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNTproduct for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.
This edition of the Handbook of
EEGInterpretation promises to be the best iteration yet. Each chapter is written by a professor of neurology subspecializing in the field of epilepsy. As in any field of medicine, the best quality of care evolves and is reflected by new knowledge borne by the practitioner. In the case of electroencephalography ( EEG), this knowledge is a function of exposure and of experience. Hence, the book hopes to fill a void that exists by providing quick and easy access to topics in EEGin the hopes of ultimately providing better patient care. The book reviews abnormal nonepileptiform EEG. In addition to the chapter on abnormal epileptiform EEG, these are foundational chapters necessary to provide an accurate clinical correlation and facilitate appropriate patient management of patients with seizures and neurological illnesses that may have management decisions predicated upon interpretation of EEG. The book summarizes pediatric seizures and the role of ambulatory EEG, in addition to video- EEGand adult seizures, new chapters to emphasize the increasing role of event recording with EEG. The chapter on sleep provides a focus on and correlation of patients with sleep disorders and epilepsy. The chapter on neurointensive intraoperative monitoring, adds very instructive information to performing a variety of monitoring techniques in the operating room, in addition to a chapter on electrocorticography, to expand on examples that involve patients with epilepsy, brain tumor, vascular malformations, and other diseases of the cerebrum. The excellent final chapter, magnetoencephalography, includes examples to illustrate the powerful source localizing capability of this technique. With completion of the third edition of the handbook, it is the authors hope that it will continue to serve clinicians young and old, experienced and novice, physician and technologist alike.
Watson's Caring in the Digital World:A Guide for Caring When Interacting, Teaching, and Learning in Cyberspace
Jean Watson’s “Human Caring Theory” asserts that caring and love transcend distance, space, time, and physicality. This model of caring includes science, humanities, spirituality, and evolving facets of mind-body-spirit medicine. Establishing a firm intent to care in digital settings and then enacting caring in ways that have been validated through research and other forms of knowledge development can help sustain caring as a core value in nursing and beyond. The chapters in Part I offer an overview of Caring Science foundations, Caritas Processes, and examples of real-life applications and implementation strategies. The chapters in Part II provide activities that teachers, learners, and professionals can do to support caring in digital learning environments and during every-day digital communications. Part III explores existing online free and open global educational opportunities related to conveying and sustaining caring in the digital world, and provides simple practices that can support personal and ongoing intent to care. The Massive Open Online Course (MOOC) and caring online trainings are ongoing teaching-learning-sharing communities and provide forums for far-reaching awareness, dialogue, and cross-cultural/interprofessional collaboration. Part IV consists of teaching materials for a self-contained course on caring that readers may use to create their own course on caring in professional or academic settings. These course materials also provide a concrete example of how to create clear and well-organized content for online courses. A significant amount of knowledge development can occur through group discussion, sharing, and collaboration.
This book is written to provide a general overview of health literacy, as it is difficult to incorporate a comprehensive illustration of every type of health literacy encounter. It is divided into four parts with specific chapters within each part for quick and easy reference. The first part of the book provides an overall baseline knowledge of health literacy. It touches on health literacy and its impact on accessing care and navigating throughout a complex health care delivery system and reviews the major health literacy efforts of the federal government, scientists, health researchers, health policy experts, and health professionals. The second part focuses on the role of oral communication. It incorporates the role and importance of culture, language, and communication access services needed to provide quality, safe person-centered care and focuses on nursing strategies to enhance effective communication and understanding. The third part focuses on written health communication. It discusses content design and layout of written health information and patient education. How written information is presented can have a tremendous impact on readability and understandability. The final part of the book helps to prepare nurses who care for unique populations. It presents health literacy implications when caring for persons in in palliative care and making difficult end-of-life decisions and identifies the uniqueness of caring for young children, patients with mental health disorders and older adults. Finally, the book presents the ethical principles of human research subjects and how to ensure that research participants with low health literacy are protected.
This book is a study guide/self-evaluation tool to prepare for the ABPN exam and MOC exam in vascular neurology. It is representative of the areas tested on the exam, including the standard clinical and basic science of stroke and some of the esoterica that appear on the exam. The book serves as a study guide for any neurologist, internist, or family practitioner interested in expanding his or her knowledge in this important field. The practice exam question-and-answer format is an effective and engaging study method, as opposed to a didactic review or summary reader. It is useful also to identify areas of weakness that require further study. The book has over 600 questions divided across fifteen sections. The fifteen sections are as follows: Basic Science; Vascular and Brain Anatomy; Clinical Pathology; Pharmacology and Pharmacokinetics; Epidemiology, Genetics, Primary Prevention; Ischemic Disease of the Brain and Spinal Cord; Hemorrhagic Disease of the Brain and Spinal Cord; Neuro-Ophthalmology; Cardiovascular Disease; Hematology; Pediatric Cerebrovascular Disease; Neurovascular Imaging; Clinical Trials and Ethics; Recovery and Rehabilitation; and Case Studies in Cerebrovascular Disease. The questions include cytotoxic edema following cerebral ischemia, internal carotid artery; cavernous malformations; thiazide diuretics; fibromuscular dysplasia; transient global amnesia; spinal epidural hematomas; ischemic optic neuropathy; atrial fibrillation; Von Willebrand disease; Perinatal ischemic stroke; cerebral microbleeds; modified Rankin scale; botulinum toxin and so on. Explanatory answers with appropriate references are included to facilitate learning. Most of the references are relatively recent, but for certain topics, the classic references, such as Niels Lassen’s work on incomplete cerebral ischemia and Anthony Furlan’s classic description of retinal ischemia presenting as visual change in bright light have been included.
Continuous EEG monitoring is an important tool for assessing brain functions and allows clinicians to identify malignant EEG patterns quickly and provide more effective care. This book presents the wide range of technical and clinical issues encountered in successful critical care EEG. It focuses on the challenges of EEG interpretation that are unique to EEG monitoring in the ICU. The book is organized into five parts containing forty chapters. The first part describes technical issues such as EEG acquisition equipment, electrodes and montages, networking, remote monitoring and data storage, and staffing an ICU monitoring unit. The second part presents various indications for continuous EEG monitoring such as status epilepticus, ischemic stroke, subarachnoid hemorrhage, intracranial hemorrhage, infectious and inflammatory conditions, traumatic brain injury, and cardiac arrest. The third part focuses on EEG Interpretation and presents an overview of standardized critical care EEG terminology. Part four describes treatment of generalized convulsive status epilepticus, non-convulsive status epilepticus in adults, and status epilepticus in the pediatric population. It also discusses alternative treatments for refractory status epilepticus, and prophylaxis of seizures in the ICU population. The final part presents neonatal ICU EEG guidelines, American Clinical Neurophysiology Society (ACNS) consensus statement for pediatrics and adults, billing and coding for ICU EEG monitoring, report generation and communication with the ICU team, multimodality monitoring, and future directions for EEG monitoring in the ICU.
Inherited metabolic epilepsies represent a diverse group of disorders of inborn errors of metabolism in which epilepsy is a clinically significant component. This book, organized into six parts containing 43 chapters, is based on a sequential exposition of general principles, basic science, clinical science, small molecule disorders, large molecule disorders, and conclusions. Part I describe recognition, scope, and implications of inherited metabolic epilepsies and provides an overview of metabolic disease. Part II covers principles and mechanisms of metabolic epilepsies, metabolic energetics, an approach to molecular pathways with emphasis on the ubiquitous mechanistic target of rapamycin (mTOR) pathway that governs cellular proliferation and has implications from central nervous system (CNS) development to degeneration, excitatory/inhibitory imbalance that is at the heart of epilepsy, chaperone proteins representing a novel approach to metabolism, and neurophysiologic studies aimed at measuring neurotransmission. Part III explores neuroimaging including spectroscopy, electroencephalography, neuropathology, genomic technology, and use of the ketogenic diet in metabolic epilepsies. Individual disorders are categorized with the small versus large molecule format, with special emphasis given to certain metabolic disorders to highlight their unique characteristics. Part IV describes small molecule diseases such as amino and organic acid disorders, urea cycle disorders, pyridoxamine 5´-phosphate oxidase (PNPO) deficiency, disorders of GABA metabolism, DEND syndrome, Lesch-Nyhan disease to name a few. Part V presents large molecule diseases such as congenital disorders of glycosylation, lysosomal storage diseases, peroxisomal diseases, and leukodystrophies. The conclusion part covers diagnostic and therapeutic approaches, genetic counseling, family resources, and an algorithmic clinical approach to inherited metabolic epilepsies. The book will educate physicians, particularly specialists and trainees in pediatric and adult neurology, neurodevelopmental disabilities, epilepsy, and genetics, while caring for patients with inherited metabolic epilepsies, as well as spur further research into basic mechanisms and clinical trials in this group of maladies.
This book provides a transformative approach to the study of nursing through nursing case studies in caring. It provides an innovative and exciting approach to the study of nursing from within the context of nursing situations. The book is divided into two parts. Part I provides an introduction to the concept of nursing situations; an overview of the philosophical and theoretical perspectives grounding the framework development; an explanation of the Barry, Gordon & King Teaching/Learning Nursing Framework; a conceptual translation and application of the framework to selected grand and midrange theoretical perspectives; and an in-depth exemplar of teaching the discipline of nursing through the use of a nursing situation at the graduate level. Part II presents examples of nursing situations across a variety of populations, health concerns, and practice settings. These include caring between a nurse and an older adult, a nurse and a young woman experiencing a sickle cell crisis, a nurse and a young woman who experienced sudden cardiac arrest, a nurse and an adult, a nurse and a young adult experiencing cancer, a nurse and a baby and its parents, a nurse and a child, a nurse and a group of men hospitalized with chronic mental illness. The settings are also varied such as an emergency room, NICU, long-term care setting or a hospice care. The last chapter talks about caring during the Ebola outbreak in Uganda.
The first edition of this book has come to fruition out of the professional observations and experiences of the authors and those that they have supervised and trained. While counsellor preparation programs frequently require a course in counseling assessment, school counselors-intraining often report dissatisfaction in the relevance of what is covered, as the content is not focused on what school counselors actually see and use in practice. Prior to this book, no resource existed that focuses on the concept of assessment specifically for school counselors and provides them with formal and informal assessments that provide opportunities for data collection that, in turn, informs one’s data-driven, comprehensive school counseling programs (
CSCP). Whether it be individual student data, school level data, school counseling program level data, or about the school counselors’ practices or beliefs, this professional resource offers a unique opportunity to meet the call from school counseling professionals to have guidance and access to instruments that focus on multiple levels of data. The book bridges the gap in knowledge and skills to allow school counselors to carry out their critical work in advocating for student success every day, based upon data. From this resource, the authors hope readers will gain the necessary attitudes, knowledge, and skills that are required to be a data-inspired and data-driven school counselor who serves as a leader and agent of change as a part of the development and implementation of a comprehensive school counseling program. One of the most salient and unique features of this book is that it offers readers with actual assessments that could be immediately implemented in one's school. The intended audience for this book is school counselors-in-training, practicing school counselors, those who serve in a district-level supervisory or coordinator position, as well as school counselor educators.
This book is the first resource fully dedicated to quantitative
EEG( QEEG) analysis, tailored for physicians or EEGtechnologists who work with critically ill patients. With the rise of continuous EEGmonitoring in intensive care, clinicians are increasingly called on to make real-time clinical judgments with little formal guidance on how to interpret QEEG. The book is configured to meet daily practice challenges. It addresses not only technical fundamentals, but also provides numerous examples of signature QEEGpatterns and artifacts to instruct both untrained and experienced eyes. The book walks the reader from essential principles all the way through to practical pattern recognition. With full-page reference samples pairing raw EEGwith quantitative EEGspectrograms, brief clinical vignettes, and explanatory captions noting significant features, it provides a roadmap for understanding and applying QEEGdata in critically ill patients. The book contains more than 400 full-page vivid color QEEGexamples paired with raw EEGto build interpretive skills and enhance clinical decision-making. It presents thorough discussions of both normal and abnormal findings and QEEGartifacts that set the standard for effective use of quantitative electroencephalography and trend analysis in the ICU. The book is organized into three sections. Section one presents the principles of quantitative electroencephalography. Section two discusses the clinical practice of quantitative electroencephalography. Section three describes the artifacts in quantitative electroencephalography. Complete with a broad range of patterns and page after page of full-color samples, the book is designed to be the authoritative QEEGreference for neurologists, intensivists, technologists, and trainees working in critical care settings.
This book is designed to raise the awareness of fellow nursing colleagues about the opportunities that exist for them in aiding governments and health infrastructures to obtain the targets established by the Sustainable Development Goals (SDGs). Additionally, it provides ample opportunities for the profession to integrate global considerations into nursing curricula, research efforts, and practice initiatives right now. The book first provides a background of emerging considerations in global nursing and global health for personal-planetary transformation, a brief history and future directions of the relationship between nursing and the UN, guidelines for global leadership and discussion of the importance of global citizenship, and ethics in the global health context. Then, it provides a primer on the 17 SDGs. Readers will find information about the SDG targets, options for how nursing can play direct and indirect roles in furthering the priorities of each goal, and the current initiatives under way that deserve global nursing’s input and partnership if they are to be truly effective. Finally, the book articulates a vision for the future of global nursing and global health, one that: moves from the firsthand global wisdom of nurses who guide us to further the SDGs in countries around the world; requires us to be reflective as individuals, with partners, groups, organizations, and communities as we commit to sustainable development; creates a collaboration consciousness to engender unity and peace; and illustrates a Post-2030 Agenda, beyond the SDGs, for planetary health.
This book addresses the role of neuromonitoring in neurocritical care. It discusses current utilization, benefits, and concerns for each commercially available neuromonitoring device and describes basic strategies for neuromonitoring implementation and analysis. Topics covered in the book include: intracranial pressure (ICP) monitoring, transcranial Doppler (TCD) monitoring, continuous electroencephalography (EEG) monitoring, cerebral oxygenation, brain-tissue perfusion monitoring and cerebral microdialysis. The roles of ICP monitoring and control are both unique and vital to neurocritical care. There are four main locations within the brain where ICP monitoring devices are frequently placed: fluid filled ventricle, brain parenchyma, subarachnoid, and epidural space. The decision of which location and device to use is based on the clinical scenario, appearance of the head computed tomography (CT) (i.e., size of cerebral lateral ventricles) and operator experience. Patients with brain injuries may have impaired cerebral autoregulation. Continuous monitoring of cerebral autoregulation is feasible in neurocritical care. In patients with brain injury, conservation of cerebral autoregulation is related to prognosis. Monitoring of cerebral autoregulation is useful for optimizing and individualizing the therapeutic management of patients with brain injury. The book also focuses on strategies for successful training of the neurocritical care nurse and the role of the nurse in neuromonitoring. The responsibility of the advanced practice nurse (APN) in developing a successful neuromonitoring unit is also addressed. Finally, the book focuses on the current benefits, misunderstandings, limitations, and unjustified expectations surrounding multimodal monitoring (MMM).
This book addresses new treatment pathways, outcomes, and economics of spasticity care within the larger context of the rapidly changing health care environment. Divided into four sections, the book is intended to provide both clinicians and researchers up-to-date access on the latest comprehensive treatment of spasticity. The first part of the book includes a general overview with four chapters highlighting why spasticity is important, epidemiology of spasticity and other signs of the upper motor neuron syndrome, and finally ancillary findings associated with caring for the patient with spasticity. The second part of the book focuses on the assessment tools in diagnosis and management of spasticity. It includes an outline of general overview measurement tools, specific techniques and scales, assessment of the upper and lower extremity, and setting realistic goals for treatment. The third part of the book explains the role of the physical and occupational therapist in spasticity management, the use of ultrasound in guidance of botulinum toxin management, and emerging technologies in the treatment of spasticity. The final part of the book is devoted to individual diseases involving spasticity and treatment within the context of these conditions. In addition to updated chapters on evaluation, genetics, and spasticity in adults and children with spinal cord injury, multiple sclerosis, stroke, traumatic brain injury, and cerebral palsy, the book include new chapters on more specialized areas including spasticity in patients with cancer, treatment of spasticity in patients in long-term care facilities, and the economics of spasticity treatment.
Clinical Neurophysiology in Pediatrics:A Practical Approach to Neurodiagnostic Testing and Management
This book serves as an excellent reference for the clinical provider as well as for trainees and technologists in gaining greater knowledge in the various subspecialty areas of clinical neurophysiology (CNP). Each chapter emphasizes a different focused area of neurophysiology and brings together the clinical and technical information needed for understanding. Chapters are devoted to pediatric sleep disorders, epilepsy, febrile seizures, and nonepileptic paroxysmal disorders. Other chapters are devoted to pediatric muscular dystrophies, electromyography (EMG), brachial plexopathies, and peripheral neuropathy. A chapter devoted to intraoperative monitoring is included along with other chapters on evoked potentials and autonomic disorders. In several chapters, multiple authors have contributed, each providing aspects related to their research or area of unique expertise. The future role of CNP in pediatric (and adult) neurologic diseases will most certainly evolve from where it is today. Advances in neuroimaging and molecular and genetic testing have allowed much more specific diagnoses than allowed by CNP procedures. This coupled with advances in technology and the availability of new procedures is making the future of CNP more exciting than its past was. The book discusses some ways in which CNP will evolve and the factors responsible for it.
This book offers an in-depth look at the ways in which contemporary undergraduate students may differ from past generations, as well as noting how some things never change, such as needs related to finding social support, romantic intimacy, and academic achievement. It first provides a brief overview of the various developmental transformations that are taking place within the many levels of cognitive, affective, and physiological development of emerging adults. The book then considers the typical counseling concerns that counselors can expect to meet across the academic year. Next, it addresses the social concerns of students as they seek to find the best way to fit in on campus. It addresses the growing diversity of college campuses as well as provides counselors with guidance on helping their clients connect into the campus community. Then, the book moves into ways to assist clients who are facing unexpected hurdles, including grief over the loss of significant others; difficulties with self-esteem and self-image presented by the competitive culture of college-age females; and navigational challenges in romantic relationships that may be more intense and sexually tinged than prior high school relationships had been. Specific mental health disorders that frequently appear in the college-age population are also addressed in the book. The book provides guidelines for treatment and intervention that are relevant to college counselors working within a brief counseling framework. Topics include eating disorders, substance abuse, depression, anxiety, self-injury, suicidal students, obsessive-compulsive disorder, and impulse-control disorders. Finally, the book provides readers with ideas for promoting student well-being beyond the counseling office.
Clinical case studies have long been recognized as a useful adjunct to problem-based learning and continuing professional development. This book collects over 90 of the most memorable and challenging movement disorder cases from the world’s leading authorities in this specialty. It presents case vignettes covering the entire phenomenology of movement disorders and walks the reader through the diagnostic process - much like being in the examining room with a master clinician. The movement disorders discussed in the book include: Parkinson’s Disease, tremors, chorea, dystonia, ataxia, tics, stereotypies, myoclonus syndrome, startle syndrome, and psychogenic movement disorder. Each case follows a set format consisting of four sections: The Case; The Approach; The Lesson; Reference and Suggested Readings. Imaging findings and other illustrations amplify the discussion where pertinent. The book is designed to help hone diagnostic skills and inform treatment decisions for the full spectrum of movement disorders. The lessons learned need not be all scientific, such as describing the first case on a new genetic disorder. More often, the lessons are that about human frailty, medical intuition, a caregiver’s strength, a doctor’s uncertainty, or a patient’s determination and will to survive. The book and its collection of cases, is as much about the art and the compassion, as it is about the science of our profession. Each case will invoke a lesson on persistence or practicality, thoroughness or focused observation, objectivity or intuition, and professionalism or empathy.
In the last decade, several professional societies have published guidelines on various aspects of monitoring, and other publications have further documented the utility of neurophysiologic intraoperative monitoring (NIOM). This book covers basic aspects of monitoring, provides details of monitoring specific types of surgeries, along with technical requirements and addresses the administrative aspects of running an NIOM service. The book is divided into three parts. Part I introduces the reader to the operating room environment and discusses all the basic NIOM modalities such as somatosensory, motor and brainstem auditory evoked potentials, electroencephalography (EEG) and electromyography (EMG), with each modality being discussed in a separate chapter. A chapter detailing anesthetic effects on NIOM is also in this part. The second part on clinical methods, reviews the use of NIOM in various types of surgeries including that of vertebral column, spinal cord, tethered cord, peripheral nerve and brainstem. The chapters present the basics of anatomy, physiology and surgery of the various procedures. Details of the monitoring modalities and their interpretative criteria are presented. Technical sections in each chapter review practical information about the logistics of monitoring a particular type of surgery. Part III, focusing on administrative issues, provides a lot of useful practical information, such as technical aspects of NIOM machines and remote monitoring. Other chapters discuss billing, ethical and legal issues. A separate chapter is dedicated to the requirement for training interpreting physicians and technologists.
Today, owing to advances in biochemistry and next generation sequencing, we know more about the specific causes of early life epilepsies associated with encephalopathy than ever before. This book is a highly practical but sophisticated guide to the care of children with pediatric epilepsy. The first two sections of the book deal with the basic mechanisms including pathophysiology of seizures and epidemiology, etiology and diagnosis of pediatric epilepsy. Section III of this book on age-related syndromes, groups the epilepsies in a novel way; looking at epilepsies from the perspective of an electroencephalographer. There are the familial epilepsies with focal seizures, the genetic generalized epilepsies, the self-limited epilepsies, the epilepsies with encephalopathy, and the epilepsies related to focal structural lesions. The book includes a discussion of those issues of particular relevance to the female patient beyond just teratogenesis, including polycystic ovary syndrome and catamenial epilepsy. Several antieplieptic drugs such as Barbiturate, Primidone and Benzodiazepine, and the ketogenic diet and alternative and anti-inflammatory therapies are covered in the Section V of the book. The penultimate section discusses epilepsy surgery and neurostimulation. The book ends with an expanded discussion of the epilepsy spectrum, illustrating that epilepsy is more than just a susceptibility to seizures by focusing on quality of life, psychiatric comorbodities of childhood epilepsy, and behavioral and cognitive side-effects of anti-epileptic drugs.
The practice of neonatal electroencephalography (EEG) combines clinical medicine and biomedical technology. This book consists of chapters concerning the approach to visual analysis, techniques of recording, artifacts of noncerebral origin, age-dependent normal findings, patterns of uncertain diagnostic significance, age-dependent abnormal EEG findings, and seizures. Chapters consist of explanatory text, tables, a list of figures, and the sample EEGs themselves with their legends. In presenting samples, the authors have emphasized specific components of the neonatal EEG. The basic principles of visual analysis and interpretation of the electroencephalogram (EEG) that applies to older patients also generally apply to neonates, although with some additional special considerations. The general principles of recording the EEG apply to the recording of the EEG in neonates with some important additions and exceptions. The differentiation of true brain electrical activity from extraneous artifacts is critical to the interpretation of neonatal EEG. Visual analysis of the neonatal EEG requires the recognition of the conceptional age-dependent features characteristic of specific epochs of development. The book electrographic features in four different formats: a table that lists specific elements, a narrative that describes the continuum of development, and a summary by epoch of conceptional age (CA) of the expected elements. A number of waveforms and patterns have not been reported to occur in normal infants. Sharp waves or sharp-and-slow-wave complexes are commonly recorded from the midtemporal region during sleep in apparently normal premature and term infants. Temporal sharp waves classified as normal are usually mono- or diphasic. The book also discusses disordered maturational development, maturational abnormalities and neonatal seizures.
This book, meant for campus mental health and student affairs professionals, is specifically designed to provide the most current information available regarding critical issues impacting the mental health and educational experiences of today’s college students. It shows how counseling services can coordinate their efforts with other on and off-campus institutions to expand their reach and provide optimal services. The book first provides an overview of the historical, developmental, medical, and contemporary considerations regarding college student development as they apply to counseling centers. It then explores the diversity composite of U.S. colleges and counseling centers (CCC) and articulates the standards and requirements of ethics as related to diversity. The four functions of essential direct clinical services provided to students are: individual counseling; group counseling; couples and family counseling; and assessment and testing. Computerized cognitive behavioral therapy (cCBT) and e-mail cognitive behavioral therapy (eCBT) are newer methods for remotely treating anxiety and depression. Written for both mental health counselors and administrators, the book addresses ethical and legal issues, campus outreach, crisis and trauma services, substance abuse, sexual harassment, spiritual and religious issues, web-based counseling, and psychoeducational services.
This book demonstrates a logical approach to the nervous system that should serve the student throughout medical school rotations, postgraduate residency training, and medical practice during the lifelong learning task of evaluating patients with neurological problems. After a brief introduction to the concept of localization, Chapter 2 of the book deals with the brain and spinal cord of the central nervous system (CNS). The brain includes the cerebrum, cerebellum, and brainstem, and is organized into the four lobes of each cerebral hemisphere, plus the basal ganglia, thalamus and hypothalamus (diencephalon), brainstem, and cerebellum. Chapter 3 discusses the function of peripheral nerves and cardinal signs of peripheral nerve disease such as weakness, wasting and areflexia, and reviews the anatomical organization of peripheral nervous system (PNS). The fourth chapter includes special applications of neuro-logic covering coma, epilepsy, movement, vertigo, cord compression, and autonomics. The autonomic nervous system (ANS) enables, modulates, and controls the automatic functions we take for granted during day-to-day life until something goes awry. Chapter 6 focuses on the frontal lobe and associated subcortical structures that are the areas most involved in the pathogenesis of many psychiatric syndromes. The neurological examination is designed to assist with the localization of a patient’s disturbance affecting the nervous system. The exam consists of examination of mental status, cranial nerves, and that of other elements, namely motor, sensory and reflexes.
Image-guided interventions for pain management have evolved since being performed with palpation guidance. The utilization of fluoroscopic guided interventions for pain management has emerged in treating painful spinal conditions. During residency or fellowship, the trainee often has limited experience in standard of care and broad interventional pain management techniques. The goal of this book is to provide a rapid and accurate reference for interventional pain management physicians, allow dynamic teaching of interventional procedures, and understanding and visualizing interventional techniques for commonly performed interventional pain management procedures. It also describes etiology, physical examination techniques, and treatment plans of common painful conditions treated by an interventional pain management physician. The book consists of 9 chapters. The first chapter discusses the anatomy of spine and spinal cord for pain procedures. The second chapter provides an overview of C-arm and covers radiation safety, biologic effects of x-rays, radiographic contrast agents, needle anatomy and techniques of C-arm. The third chapter discusses pharmacotherapy in pain management. The fourth, fifth and sixth chapter describes disorders and commonly performed procedures of cervical spine, thoracic spine and lumbar spine. The seventh chapter discusses sympathetic blocks such as stellate ganglion block, celiac plexus block, lumbar sympathetic block, superior hypogastric block, ganglion impar block, and complex regional pain syndrome. The eighth chapter describes the mechanism of action, indications, screening, equipment, procedure planning, trial technique, and complications of spinal cord stimulation. It also presents current companies offering spinal cord stimulation. The final chapter lists common pain diagnosis and ICD codes.
Courses in epilepsy and EEG education are available through several national and international societies. However, there are few textbooks available for those interested in obtaining a well-rounded education in this discipline. This book contains enough information to provide an excellent foundation for understanding epilepsy and is concise enough to be read cover-to-cover. For easy readability, the book is divided into four parts. Part I covers the clinical aspects such as pathophysiology, genetics, epidemiology, etiology and differential diagnosis as well as epileptic seizures, epilepsy syndromes and neonatal seizures. The second part is devoted to various diagnostic procedures in a variety of settings. These include normal EEG, ambulatory EEG, EEG in an ICU, seizure semiology, scalp video and intracranial EEG, brain mapping, structural and functional neuroimaging, the Wada test, and epilepsy surgery and neuropsychological evaluation. Treatment aspects are dealt with in Part III. Chapters cover the first-, second- and third-generation antiepileptic drugs (AEDs) as well as the newest antiepileptic drugs and drugs in development. Epilepsy surgery and stimulation and dietary therapies are also examined. A separate chapter looks at alternative therapies including mindfulness meditation, yoga, Reiki and healing touch. The last part on special situations includes chapters on metabolic epilepsies, bone health, headaches, and the sudden unexpected death in epilepsy (SUDEP).
The ability to properly interpret and develop independence and proficiency in neuroradiological studies is crucial for all neurologists. A visual memory of a clinical case is retained and absorbed in a way traditional text readings are not. In this book, each topic is introduced with a brief clinical scenario to reinforce this connection, and the text is populated with a broad array of neuroimages, including
CT, MRI, MRA, and angiography. Every topic begins with a brief case scenario and image-based diagnosis, and is followed by a short introduction to the disorder, clinical presentation, radiographic appearance, diagnostic hallmarks, differential diagnosis, and treatment. The abundantly illustrated book covers the following major areas of neurology: ischemia including ischemic stroke and brainstem stroke syndromes; hemorrhage including amyloid beta related angiitis ( ABRA) and cerebral amyloid angiopathy ( CAA); arteriovenous malformations; neoplastic diseases such as primary central nervous system neoplasm; pituitary disorders; cystic lesions; demyelinating diseases such as multiple sclerosis ( MS) and optic neuritis ( ON); epilepsy including frontal and temporal lobe epilepsies and limbic encephalitis ( LE); infectious diseases such as HIVdementia complex; neurodegenerative diseases including Alzheimer’s disease ( AD), Huntington’s disease and Parkinson’s disease; toxic and metabolic disorders such as central pontine myelinolysis ( CPM) and cyclosporine toxicity; pediatric neurological diseases including acute cerebellar ataxia, mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes ( MELAS), and septo-optic dysplasia; neurocutaneous syndromes; trauma; and some miscellaneous diseases such as Behcet’s disease.
This book provides an up-to-date practical clinical guide to evidence-based stroke recovery and rehabilitation built on a foundation of basic neurophysiology, neuroscience, and psychological science. It provides in-depth information on the assessment and management of all acute and long-term stroke-related impairments and complications including cognitive dysfunctions, musculoskeletal pain, and psychological issues. The book examines risk factors, epidemiology, prevention, and neurophysiology as well as complementary and alternative therapies, functional assessments, care systems, ethical issues, and community and psychosocial reintegration. It features expanded coverage of key issues such as the role of robotics and virtual reality in rehabilitation. Chapters have been incorporated to cover fields of recent exploration including transcranial magnetic stimulation, biomarkers, and genetics of recovery as well as essentials like the use of medication and the survivor’s perspective. The up-to-date presentation of scientific underpinnings and multi-specialty clinical perspectives from physical medicine and rehabilitation, neurology, physical therapy, occupational therapy, speech and language pathology, and nursing ensures that the book will continue to serve as an invaluable reference for every health care professional working to restore function and help stroke survivors achieve their maximum potential.
Ambulatory electroencephalography (aEEG) monitoring is not limited to the home environment. It is a useful diagnostic test to evaluate an individual in whom seizures or seizure-like episodes are suspected in their natural environment wherever that may be. This book reviews some of the background distinctions for the technique of aEEG and instrumentation and polygraphic aEEG recording. aEEG monitoring often yields information in the evaluation of epilepsy and in the differential diagnosis of other conditions that mimic epilepsy including psychogenic nonepileptic seizures (PNES), syncope, cardiogenic etiologies, parasomnias, migraine, and transient ischemic attacks. The book discusses the yield of aEEG and compares it with other short- and long-term monitoring techniques in epilepsy. It then provides a thorough assessment of ambulatory sleep studies. Chronic intracranial aEEG monitoring is covered with a new type of aEEG monitoring to provide not only electrocorticography but also encompass treatment using neuromodulation. The book also delivers an inside look at aEEG in the future with development of “wearables” that will allow us to learn new information that involves not only detection but prediction. The practical implications of aEEG involved in proper coding and billing are also reviewed. Case histories are included of patients evaluated with aEEG to underscore key points of practical value.
The use of high frequency ultrasound as an imaging modality for the musculoskeletal system has expanded dramatically in the past decade. Despite its growth, standardized training for use of this modality is not yet available in the majority of residency training programs. This book illustrates and teaches the basic components of many of the skills and knowledge needed to begin incorporating the use of ultrasound in a musculoskeletal practice. The goal is provide a simplified approach for those getting started in musculoskeletal ultrasound. This includes developing understanding in use of the controls and function of the ultrasound machine, commonly used terminology, obtaining and optimizing the image, and proper scanning technique and the ergonomics involved. The book is also designed to instruct in the recognition of the appearance of various musculoskeletal tissue, commonly seen artifacts, foreign bodies and masses, and understanding basics of interventional ultrasound. It also provides an understanding of the basic physics used in ultrasound. Principles of further advancement of skills and initiating a practice are discussed. Doppler imaging helps to identify certain vascular structures, gives an indication of vascular flow, and can also be used to assess for increased vascularity in pathologic conditions. Separate chapters cover imaging of tendons, muscles, and nerves. Ultrasound allows visualization of both the needle and soft tissue target in real time. This improves accuracy of needle placement for both injection and aspiration procedures.
This book reviews the body of knowledge and practice standards that define the specialty of correctional nursing. The text also describes the health care needs of the youth, men, and women who are incarcerated in jails, prisons, and detention centers. The book supports correctional nurses by providing guidance and resources about the best practices to deliver nursing care that reduces suffering and improves the quality of life for incarcerated individuals, their families, and the community at large. The book is divided into four parts. Part I presents an overview of correctional nursing with chapters covering the ethical principles and legal considerations involved, and safety aspects of the nurse and the patient. The nurse-patient relationship is imposed on both the inmate and the nurse by the governmental entity that is responsible for providing the medical service. The second part talks about the health concerns and diseases of the inmates. These include discussions on alcohol and drug withdrawal, chronic diseases such as obesity, hypertension, arthritis, dental conditions, end-of-life care, women’s and juveniles’ health care, infectious diseases, mental health and pain management. Part III deals with the nursing care process with presentations on health screening, sick call and emergency care. The last part of the book discusses the professional roles and responsibilities on the nurses in correction centers. One of the chapters in this section discusses research participation and evidence-based practice.
This book provides a comprehensive survey of the range of issues to nurses and those interested in nursing’s contribution to the field of global health. The underlying assertion of the book is that global health encompasses the health problems of both rich and poor countries and implies a shared responsibility for achieving health and eradicating inequities. It takes into account the social, political, cultural, economic, and environmental factors including climate change that may impact health. The book is divided into three units. Unit I offers an overview of the foundations of global health and include the emerging concept of climate justice and its relationship to climate change and environmental health consequences. Additional tenets such as analysis of the distinctions that relate to public health, international health, and global health and the ethical context of global health, human rights, and social justice are explored. Unit II highlights issues of global health and the effects on the most poor and vulnerable worldwide particularly women, children, and those living in areas of conflict. In underdeveloped countries, safe water access is one of the most obvious determinants of the health of individuals and populations. Negative health effects related to violence within the scope of their vulnerability to HIV/AIDS and forced participation in sex trafficking as well as maternal mortality and childhood malnutrition are also examined. While much work toward achieving global health is underway and there have been notable accomplishments, Unit III addresses areas where efforts must be redoubled to achieve success. These areas include challenges of international nurse migration, nursing leadership in inter-professional education, importance of continuing education, and working globally with faith-based organizations.
This book is meant to educate and assist any healthcare professional who has the privilege of caring for patients with acute stroke. Although it is particularly helpful for clinicians who are involved with critical decision making, practitioners at all levels of training can use the book as a guide. The practice of stroke medicine has become quite complex over the past two decades. Fortunately, this is for good reasons. The intricacies associated with management of ischemic and hemorrhagic strokes reflect improved understanding of the disease process, advances in neuroimaging, and development of novel treatment options. In the first 24 to 72 hours of hospitalization, stroke patients are susceptible to a whole host of cerebral (neurological) and extracerebral (medical) complications. Being familiar with these complications and having the knowledge to properly identify and manage them can reduce length of hospital stay, adverse functional outcomes, and mortality. This book hopes that practitioners will appreciate acute stroke management as a dynamic process and understand the uniqueness of acute stroke as a clinical entity with its potential for complications that may be a direct or indirect consequence of the initial brain injury. The book consists of fifteen chapters. Chapter one provides an introduction to complications of acute stroke. Chapter two discusses cerebral ischemic infarction. Next three chapters focus on expansion of intracerebral hemorrhage; cerebral edema in stroke; and post-thrombolysis hemorrhage and hemorrhagic transformation of cerebral infarction. Chapters six and seven discuss endovascular and postprocedural complications and reperfusion injury in ischemic stroke. The next two chapters focus on stroke-related seizures, rebleeding, vasospasm, and hydrocephalus after subarachnoid Hemorrhage. Chapter ten describes the complications of cerebral venous thrombosis. The following four chapters discuss complications after stroke such as delirium, cardiac complications, pulmonary complications, and metabolic complications. The last chapter briefly describes poststroke infections.
This book provides a framework to assist nurses in achieving this ethical competence. James Rest’s four-component model (FCM) integrates the cognitive and affective processes that form an understanding of ethical nursing practice: sensitivity, judgment, motivation, and action. Beginning with a brief overview of ethical theories and principles and building on the experiences of readers who are practicing nurses, each chapter includes one or more evolving case scenarios. Questions posed with each case scenario encourage ethical sensitivity, awareness of personal values, and use of a decision-making model that integrates elements of virtue and care ethics. Recognizing the challenges that arise when attempting to implement a justifiable decision, strategies to maintain ethical motivation, or moral courage, are also presented. Skills to enhance the nurse’s actions in everyday ethical practice with patients, family members, and peers, such as protecting autonomy, promoting safety, and speaking out against lateral violence, are discussed. The two main forms of clinical ethics in a hospital are: ethics committees and ethics consultation services. As the nurse is obligated to maintain and improve the moral environment, several chapters discuss the competencies needed to recognize and address organizational and societal issues. The three ethical issues arising for clinical nurses in the provision of person-and family-centered care (PFCC) are: ensuring that the patient’s voice has primacy over that of the nurse; honoring the choices of the patient even when they conflict with those of the nurse; and engaging with family as the patient directs.
Neuromuscular Disorders, 4th Edition:A Symptoms and Signs Approach to Differential Diagnosis and Treatment
This book is a novel and valuable resource for both neurologists and generalists. It is intended for medical students, mid-level practitioners, residents, and fellows in neuromuscular medicine. Chapters of the book are divided into global presentations that should be familiar to neurologists and other healthcare providers. It provides guidance well beyond the spectrum of neuromuscular disorders. Signs, for instance, are examined from the perspective of both central and peripheral nervous system causes, with etiologies succinctly outlined for quick review by the provider. Clinical pearls are offered to refine both history-taking and examination skills. Key features of neuromuscular disorders that present with the symptoms and signs discussed earlier in each chapter are summarized in tables, at times with guidance on laboratory testing to help narrow the differential diagnosis. Finally, there are brief overviews of treatment and management. The book is divided into nine chapters. The first chapter is devoted to interpretation of diagnostic testing used in neuromuscular disorders. The next three chapters discuss acute generalized weakness, subacutely developing weakness, and chronically developing weakness. The fifth chapter presents the different ways that episodic weakness and exercise intolerance might manifest, as well as which findings on the physical, electro diagnostic, and other assessments can point to different etiologies. The sixth chapter discusses the symptoms and signs of ocular and bulbar muscle weakness in the context of disorders of the peripheral nervous system. The seventh chapter covers the presenting complaints and physical examination findings in patients with neuromuscular respiratory failure as well as diagnostic studies commonly used in the workup of such patients. The penultimate chapter concentrates on sensory loss and neuropathic pain. The final chapter addresses limb pain, a common complaint evaluated by neurologists.