This book provides a better understanding of emerging disabilities and their impact on all areas of life and explores implications for rehabilitation counseling practice, policy, and research. It first defines emerging disabilities and examines current societal trends that contribute to the onset and diagnoses of chronic illnesses and disabilities that are considered to be emerging in the United States. Then, the book provides an overview of medical, psychosocial, and vocational aspects that distinguish emerging disabilities from traditional disabilities. The first section of the book includes four chapters on emerging disabilities with organic causes or unknown etiologies. It examines disabilities and chronic illnesses that are characterized by chronic pain. The second section of the book examines the role of natural and sociocultural environments in creating new patterns and types of disabling conditions. It focuses on both lifestyle factors and climate change and how these contribute to the onset and/or exacerbation of chronic illness and disability and explains physical disabilities, chronic illnesses, and mental health conditions that result from violence. The final section of the book explores implications for rehabilitation practice, policy, and research to better respond to the unique concerns and needs of rehabilitation consumers with emerging disabilities. It suggests research topics, designs, and procedures for building upon our knowledge about the rehabilitation needs of emerging disability populations and developing evidence-based practices to facilitate successful rehabilitation outcomes for individuals in these populations.
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This book introduces an innovative model of care coordination clinical reasoning that builds on past work with the Outcome-Present State-Test (OPT) model of reflective clinical reasoning. It includes contemporary knowledge, skills, and abilities required to work effectively as a member of an interprofessional care team in the current health care arena. The OPT model has been described as a third-generation nursing process model that responds to the need for patient-centered nursing care coordination challenges. The fundamental aspects of the OPT model of clinical reasoning are explained and linked to care coordination challenges at several levels—those related to patient-centered care planning, team-centered negotiation, and service or health care system considerations. The book explains the Care Coordination Clinical Reasoning (CCCR) model and discusses some of the distinctions, system dynamics, and relationship issues that emerge when health care team members have different points of view with regard to care coordination. It also presents a series of case studies to illustrate how the CCCR model is activated and applied across the lifespan and in a number of healthcare contexts. Cases across the health care continuum related to primary care, acute care, rehabilitative care, and long-term care are presented with patient scenarios that are in need of care coordination. The book further summarizes the benefits of the CCCR model and suggests future evolution and development of the model and discusses the need for health care team members to develop competencies related to ongoing innovations.
Nurse practitioners and physician assistants are the backbone of primary care. They see a wide variety of patients who experience different types of pain. Knowing how to deal with a multitude of patients with different pain complaints can help move these patients through the healthcare system efficiently with positive outcomes. With substance abuse disorders on the minds of both providers and patients, information on the best practices to use for pain management with medication as well as other treatment modalities is vital to providing patient-centered care. In light of the opioid epidemic, the authors reveal safe prescribing methods, inclusion of the patient in the decision-making process, and ways to monitor opioid use. In addition, topics such as opioid withdrawal, working in systems with pain management, and when to refer to a pain clinic, are covered. More important, information on what the clinician and the patient should expect from such a referral is provided. This book provides useful information on treating both simple and complex pain conditions. Clinically pertinent information on assessment, opioid risk assessment, and treatment options help the clinician treat patients most effectively. Case studies provide the clinician with an opportunity to consider realistic pain presentations. Clinical pearls focus on the important aspects of each chapter, and trending points highlight new and upcoming treatments as well as information on specific topics. The section on integrative and interventional therapies offers valuable and contemporary alternatives to the treatment of pain that can be used in other areas of practice besides pain management.
Each individual is complex, and, as such, is an integral part of many distinct populations or groups. Such groups can be categorized based on the geographical location where people reside or by more specific personal information such as gender, age, race, ethnicity, socioeconomic status, or presence of a specific diagnosis or health condition. Unlike traditional textbooks that begin with extensive reviews of historical facts and gradually develop topics over several chapters, this book aims to prepare nurses and student nurses for practical, evidence-based application from page one. It is divided into five overarching sections, each exploring population health in the following settings: community based; home care and rural; school-based and primary care; medical homes and palliative care; and acute and long-term care. Sections begin with an overview chapter introducing readers to fundamental concepts about the setting and groups served therein, including characteristic trends, expenditures, and critical concepts. Overview chapters are followed by more succinct chapters highlighting specific populations across the life span and the diseases, illnesses, or healthy/risky behaviors common to them. Chapter topics include nurse advocacy and policy roles; care access; emergency preparedness; community resiliency; infectious and chronic disease prevention, care, and outcomes; obesity, addiction, alcohol use, and anxiety disorders; perinatal death; medication management; and emergency department use and misuse. Chapters include populations living at home, in rural settings, or on college campuses; the homeless, Veteran, and immigrant populations; and those utilizing primary care offices, medical homes, and acute and long-term care facilities. Strategies, resources, and data are used to exemplify the nursing role when caring for individual people who compose larger populations with similar outcomes. Chapters conclude with case studies written from the nurse’s perspective in each setting. Sample questions and answers with rationale are provided to help the reader integrate the information learned into practical application.
Bone stress injury (
BSI) represent an overuse injury to bone seen in athletes and active individuals. Despite being a common injury seen in clinical practice, there exists confusion on multiple aspects of this injury, including appropriate terminology. For example, “stress fracture” is often used interchangeably with “stress reaction” or “stress response”. Recent scientific discoveries on the topic of bone stress injury have advanced our understanding of risk factors for injury. Rarely can the injury be attributed solely to training errors. While training volume, intensity, and frequency do influence bone remodeling, most BSIare multifactorial and involve a combination of biological, anatomical, and biomechanical risk factors for injury. Recognizing risk factors for BSImay help to develop a comprehensive treatment plan to address each injury. Further, the goal of treating the injury should focus on methods to optimize bone health and develop strategies for future injury prevention. This book is organized to address aspects of clinical diagnosis, rehabilitation, and prevention. The authors invited experts across a range of topics to provide a more complete understanding of the full spectrum in BSItreatment. Initial chapters focus on evaluating injury, including the role of the clinical examination and imaging to guide treatment. Recognition of risk factors for BSIare separated into biological and biomechanical risk factors, including gender, age, and anatomical location. The book reviews methods to optimize treatment in each section by anatomical location, and reviews strategies for refractory injuries in designated chapters on medications, emerging technologies, and interventions. Further, the authors identify what is known about future injury prevention and methods to optimize bone strength. The goal of this book is to provide a comprehensive understanding of BSIthat improves clinical outcomes and provides a patient-centered treatment program.
Despite the increasing awareness of delirium as a cause of altered mental status, many of these patients will not be diagnosed as such. This book has evolved out of more than four decades of the author's gerontological nursing experiences caring for people with dementia in a wide range of clinical settings, including acute care, long-term care, and home and community settings. The basic premise is that although the short-term nature of the care setting focuses on nursing interventions for immediate medical problems, nurses have numerous opportunities to incorporate dementia-specific interventions in care plans. The second edition includes two new chapters on the Emotional Needs of People with Dementia and Self-Neglect and Elder Abuse. The book has eighteen chapters organized into six parts. Part I discuss types of dementia and other commonly occurring conditions that have similar manifestations; the chapters focus on nursing responsibilities for assessment and management of patients whose mental status is altered by underlying conditions such as dementia or delirium. Part II describes how nurses can apply a person-centered approach to address dementia-related issues. Part III discusses nursing care issues at various stages of dementia, and Part IV provides information about addressing emotional and behavioral issues. Part V describes considerations related to specific care settings and provides information about nursing strategies for daily care, safety, and pain. Chapters in Part VI are a guide to broader aspects of care for people with dementia, including self-neglect and elder abuse and ethical and legal issues. The last chapter discusses nursing strategies to address the needs of caregivers of people with dementia. A major emphasis throughout the text is on relatively simple interventions that nurses can incorporate in their discharge plans to teach families and care partners about sources of information and support to address the needs of people with dementia.
This book reflects the ongoing efforts and leadership of nurses to provide guidance and inform pediatric and child health nurses with standards of excellence as it pertains to the commonalities of practice that intersect with all areas of pediatric nursing. The guidelines provide a road map along the continuum to address health and the determinants of health for nurses in all roles providing care to children, teens, and their families. The book is organized around the identified guidelines of nursing excellence. It presents these seventeen guidelines as chapter titles. Each chapter concludes with a case study illustrating use of the guideline. The book will be an invaluable resource for nursing colleagues in clinical practice, education, research, and policy making. The following are some of the guidelines of nursing excellence addressed in the book: 1) Children and youth have an identified health care home (medical home). 2) Children, youth, and families receive care that supports growth and development. 3) Children, youth, families, and health care providers are partners in decisions, planning, and delivery of care, including appropriate community services. 4) Cultural values, beliefs, and preferences are integral to family-centered care. 5) Family concerns are recognized as a priority, and family strengths are respected and supported in the care of children and youth. 6) Children, youth, and families have high-quality, affordable, and accessible health care. 7) The child’s, youth’s, and family’s needs are identified, prioritized, and services are offered. 8) Children, youth, and families receive care that optimizes wellness, promotes and maintains physical and mental health, and prevents disease and injury. 9) Pregnant adolescents and women, children, youth, and families have access to genetic and genomic testing and genomic-appropriate counseling. 10) Children and youth receive care that is delivered in a physically and emotionally safe environment.
This book is a gift back to all the staff nurses, nurse leaders, nurse educators, and system leaders who have helped us think deeply about what it means to provide excellent care to older adults. Its goal is to tell the story of how Nurses Improving Care to the Hospitalized elderly evolved into the national and international program it is today and what some of the essential elements are to ensure program success. The book consists of twenty chapters. The book provides the historical underpinnings of the program and the nurse leaders who helped conceptualize and shape the program. It describes the approach to Nurses Improving Care for Healthcare System Elders (NICHE) and how the geriatric institutional assessment profile along with a readiness assessment for the geriatric resource nurses and assurance of leader ship support are crucial to have in place at the outset of the program. Careful assessment, person-centered care, planning, and reliable follow-through with the geriatric syndromes most likely to create difficulties for older people are at the heart of the program. The book relates to the business proposition for NICHE and how external regulations and consumers are central to refinement of the program on an ongoing basis. The international context is exceptionally important as one’s world becomes more and more integrated in one practice approaches and concepts. As global demography shifts toward older adults, every older person in their family should expect and demand age-friendly healthcare. NICHE is the backbone of an age-friendly health system and the very special vignettes provided by nurses who have traveled the geriatric resource nurse journey are inspiring.
This newly updated, quick-access guide for critical care nurses covers the most common admitting diagnoses and reviews their causes, signs and symptoms, and interventions. Critical care nursing requires astute assessment, adept communication, and the ability to multitask, as well as a high degree of adaptability. In the
ICU, patient status and plan of care change constantly, presenting multifaceted problems for nurses and healthcare providers. This book provides the most current evidence-based guidelines and standards for the busy critical care nurse. Organized by body system, this reference presents the latest treatment modalities and provides quick access to lab values and hemodynamic parameters. Part I reviews the foundational aspects of critical care nursing, including the critical care environment, the electronic medical record, and specialty certifications for the critical care nurse. Part II progresses by body system to cover common procedures and interventions. Starting with neurological care and proceeding through each system, the chapters begin with an assessment and then provide the most common admitting diagnoses. Each diagnosis is presented with a cause, signs and symptoms, and interventions. Each chapter discusses the critical aspects of caring for a patient presenting with a specific diagnosis. Part III ends with patient- and family-centered care, discussing palliative directives and organ donation. The book provides quick access to essential information needed on a daily basis and includes Fast Facts boxes to help guide the reader.
This book provides a basic reference for nurses caring for newborns and high-risk newborns as well as care considerations for families. Nurses continue to function as valued members of a collaborative healthcare team, play a primary role in the assessment and care of the newborn, and provide education for new parents regarding the newborn's needs. Families experience dramatic transformations as roles develop and change during the newborn period, and rely on the knowledge, support, and encouragement of the nurse to learn to care for their newborn and meet the newborn's most basic needs. In-depth knowledge of the physiological changes of the newborn enables the nurse to detect possible complications that warrant additional assessment. Early identification of risk factors and complications can help ensure that proper newborn evaluation and care are provided when alterations are present. Advancements in obstetrical care practices have led to advances and new options for very premature newborns. The nurse plays an invaluable role in providing education to the family on the proper care of the newborn, including assisting with feedings. The book is divided into key topic areas including physiological adaptations to birth, newborn assessment and basic newborn care, newborn nutrition, common and high-risk neonatal conditions, special topics, and information based on a family-centered care model that addresses parent assessments, needs, and discharge instructions. Chapter objectives highlight procedures and policies to know as well as needed equipment, supplies, medications, and evidence-based protocols. The book provides essential information for new neonatal nurses and their preceptors in a concise, consistent, easy-to-use format. It encompasses all aspects of effective, evidence-based, holistic care in all practice settings. The book includes a special “orientation guide” and “Fast Facts” boxes in each chapter. It offers practice-relevant information for quick retrieval and highlights health promotion and discharge teaching.