Botulinum toxin (BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNT product 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 BoNT products 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 BoNT dosage information for each of these BoNT products 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 BoNT product 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 book is for the busy clinician working in pediatric primary care, family medicine, and urgent care. It is developed to be a quick reference to help providers navigate through some of the most common presenting complaints and symptoms encountered during the pediatric office visit. It is not a “textbook” to help write a dissertation. It is a book designed for, and by, busy clinicians in the trenches of ambulatory practice. The book is easy to use and gives quick practical guidance. It serves to be useful for an experienced clinician, or a newbie Nurse Practitioner (NP), or a Physician Assistant (PA) student going into their pediatric rotation. This book is unique in that it has been written by both NPs and PAs who work in and teach pediatrics to advanced practicing clinicians. It provides an overview of how to approach the history and physical exam of a pediatric patient based on their age and in the context of the parent/caregiver–child relationship during the pediatric healthcare encounters and discusses the concepts of pediatric growth and development. The book has been organized by common presenting symptoms and made to be a concise and focused review of the most common presenting symptoms within a system. It encompasses all key diagnostic and management essentials needed for safe and effective pediatric practice. By incorporating the most current literature and evidence-based practice, the book explains how to best assess, diagnose, and treat common pediatric disorders in an ambulatory care setting. Chapters consistently include focused assessment and diagnosis of the most common clinical problems and treatment options. The book discusses important developmental milestones, and illness prevention and management sections provide practitioners with important content to educate patients and families easily and thoroughly.

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.

Every nurse cares for patients facing end-of-life issues at some point in their career. For some nurses, working with terminally ill patients is an infrequent, yet important experience. For others, it is part of their daily nursing work. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care, Second edition, like the first edition, is a valuable, up-to-date resource for all nurses whether they work with terminally ill patients on a daily basis or only occasionally. This book is for nurses who are seeking to specialize in hospice, those who work in long-term care settings, postacute care settings, acute care setting, and those who are seeking to enhance their knowledge of end-of-life care within other specialties. This second edition has been thoroughly revised, updated, and expanded. New information has been added on the role of the hospice nurse as case manager, cultural issues, such as working with members of the LGBTQ+ community, and special communication considerations, such as working with deaf and hard of hearing patients and those who have limited English proficiency. In terms of symptom management at the end of life, new chapters have been added on the use of cannabis, nonpharmacological pain management interventions, wound care, care of the dying patient, and postmortem care. Each section of the second edition of this book focuses on nursing care at the end of life and offers concise, yet thorough, coverage of important topics. Throughout the book, numerous resources are provided and ‘Fast Facts’ boxes are used to highlight important pieces of information. Treatment options are also included in tables and figures throughout the book. Screening tools for depression, anxiety, and risk for wounds are included as well as scales that are important in hospice care, such as the Palliative Performance Scale and the Karnofsky Performance Scale.

Social workers are the number one providers of mental health services in the United States. This book describes the realities of the contemporary American mental health system and the impacts on clients and social workers. It takes a critical perspective on the lack of quality care for those among society’s most vulnerable individuals, the mentally ill. Unlike other texts that address mental health and illness, the book focuses on the issues and policies that create challenges for social workers in the mental health system and obstacles to a continuum of excellent mental healthcare. The book also focuses on ways that social workers can help improve the overall functioning of the mental health system. One theme of the book is that mental health diagnosis, treatment, and access to care are lacking due to an insufficient knowledge base. That is, some mental disorders are not yet well understood, and therefore, responses can be inappropriate or inadequate. The critical perspective ensures that an examination of mental health treatments, especially pharmacologic therapy, does not focus exclusively upon the benefits to clients taking prescribed medications. The book digs deeper to ask who benefits when clients take psychotropic drugs. With a focus on social work innovation in mental healthcare, the book provides descriptions of promising policies and practices to improve mental healthcare in the United States. This includes new drug and brain stimulation or neuromodulation techniques and expanded social work prevention efforts. The book is recommended as a primary text for mental health courses in MSW programs. It can also be used in upper level undergraduate college courses in social work, typically BSW programs. The book finally ensures that social work students will not only understand the issues of their clients (micro level) but understand mental health issues in a broader societal context (macro level).

This fourth edition of the book covers basic and advanced concepts related to the delivery of social work services in health care settings. When health care is responsive to those in need, the provision of services must be equitable, safe, timely, efficient, effective, evidence-based, and patient-centered while simultaneously exemplifying best practices for all. As pressure for quality services continues to increase, however, the equitable distribution and availability of affordable health care has changed. This has left many providers and patients alike filled with expectation and speculation as to what constitutes essential health care service delivery. The book advocates a proactive stance for health care social workers and is designed to serve as a practical guide for understanding and addressing the philosophy of practice in our current health care environment. Suggestions are made for achieving ethical time-limited, evidence-based social work practice in these settings. At the end of each chapter, a “Summary and Future Directions” section is provided that will help social workers to understand what can be expected and how to prepare for the practice changes needed in order to remain viable clinical practitioners. The book is designed as a practical guide to help social workers understand the roots of social work practice, stressing the importance of the person-in-environment and person-in-situation while utilizing strength’s perspective employing this information as a foundation for embracing the changes to come. As a skilled professional, the incorporation of evidence-based social work practice will need to serve as the cornerstone of all we do while always taking into account the uniqueness and situation-based strategy needed to help each individual patient/client/consumer.

This book delivers proven strategies to help nurses overcome stressors and challenges when—and even before—they arise. The first edition focused on the resilience strategies that nurses can implement to strengthen themselves. The second edition extends this insight, adding information on what nurses can also do to strengthen and motivate patients with whom they work, and who may be susceptible to feeling helpless in the face of overwhelming stressors. Featuring seven new chapters and new authors, the second edition reflects the latest research on resilience and wellbeing and applies it specifically to nursing professionals. The edition focuses not only on resilience strategies nurses can implement to help themselves, but also provides them with tools they can use to strengthen and motivate patients, their families, and health care communities at large. It describes a diverse range of proactive or preventative approaches nurses can harness in a variety of healthcare contexts. These strategies help to develop strength, flexibility, and the determination to adapt to professional challenges that may at first seem daunting. The book discusses several workplace challenges and presents a range of strategies to assist in avoiding or resolving such challenges. This will allow readers to be more prepared for new, difficult, and challenging encounters. The aim of this book is to assist nurses to cultivate qualities and use proven strategies to retain personal professional strength. It is structured into two parts that will help the reader to develop resilience and to be empowered to make changes based on thought rather than on reaction. Each chapter includes a series of activities that are designed to encourage readers to contemplate key concepts raised about resilience and how they can be adapted and implemented to support patients’ well-being as well as their own.

This book has two main goals: to provide descriptions of specific eye movement desensitization and reprocessing (EMDR) therapeutic “tools” and, by incorporating these tools, to develop an overview of an Adaptive Information Processing (AIP) model of the treatment of complex PTSD. The development of EMDR-related tools has been ongoing since the introduction of EMDR three decades ago. What will EMDR be in 2030? Unfortunately, the field—the field of psychotherapy for trauma-related disorders—has at times had a kind of dissociative disorder. Some therapists identify with one theoretical approach, and others are strong adherents of another identity. Often, these two “identities” do not communicate sufficiently, and sometimes they mistakenly think they have to fight with each other. Clearly, the author’s primary identification as a therapist is with EMDR-related methods based on an AIP approach, but the author attempting in the following chapters to also integrate the concepts and methods of cognitive approaches—approaches that are not only useful, but at times essential in the treatment of dissociative clients. The chapters of this book are divided into four parts. The first, comprising Chapters 1 and 2, is an overview of the application of the AIP model to complex PTSD and other dissociative conditions. The second part, Chapters 3 to 6, presents ways of treating (i.e., resolving) psychological defenses that are often linked intrinsically to disturbing memories but can be conceptually defined as separate entities because defenses typically contain dysfunctional positive affect, as opposed to the disturbing affect within memories of traumatic events. The third part, Chapters 7 to 14, focuses on several issues important in the EMDR treatment of dissociative conditions. And Chapters 15 to 17 are detailed case reports illustrating how these AIP “tools” can be employed in actual treatment sessions.

The third edition of this book is for primary care providers and any providers who encounter electrocardiograms (EKG) in their practices. It takes a clinical focus for the interpretation of EKGs, enhancing the understanding of complex conditions while providing a logical, practical application. It discusses and explains the pathophysiology of the conditions, which facilitates understanding rather than memorization. Throughout the book is useful clinical information that can be immediately applied to practice, as well as case studies with 12-lead EKG strips, which help to refine the reader’s EKG interpretation skills. This third edition is exceptional, with the inclusion of helpful tables that summarize complex information and useful illustrations to aid in visualization. Each end-of-chapter quiz features review questions designed to reinforce and enhance the learning objectives. The culmination of each chapter quizzes the reader’s mind and intuition with review questions to reinforce the learning objectives. The book delivers a compilation of narrative, diagrams, tables, actual patient EKGs, and case studies, which provides a complete yet succinct learning experience for the student and clinician. Providers are instrumental in identifying abnormalities on EKGs for further evaluation and treatment leading to life-saving measures. As the population ages, the incidence of abnormalities expressed on an EKG grows significantly, which poses a challenge to providers. Whether one is a nurse practitioner, physician assistant, or physician, the book is concise, to the point, and an absolute asset to one’s practice. It is an indispensable resource regardless of the experience level and whether one is learning for the first time or extending their knowledge and experience in the interpretation of an EKG.

Human services professionals face tremendous challenges today. Clients, government agencies, and other funders increasingly expect professionals to produce measurable and verifiable outcomes. The main goal with this textbook is to help students better understand the utility of research to human services. That is to say, the book presents research as a tool for practice, something that can be used to help professionals in their work with clients, designing programs and services, and advocating for policy changes. In addition to presenting research as a tool for practice, the book also emphasizes connections between human service research and practice, stressing that each plays important and complementary roles in addressing social and personal problems. This textbook is primarily an introduction to social research as it relates to the human services. There are two new main features to this edition. Each chapter opens with a Vignette describing a situation in which a human services professional is faced with a task or dilemma that can be addressed through research or by employing a research technique in practice. The second new major feature is the Practitioner Profile, included in most chapters. These Practitioner Profiles present actual human services professionals who are not professional researchers but nonetheless incorporate research methods into their practice. Similar to the Practitioner Profiles, several chapters also include one or more Research in Practice features designed to help students better understand applications of research methods and concepts and the overall research process. At the end of each chapter, there is a list and brief description of the Main Points of the chapter, which serves as a review of the major concepts covered. Following the Main Points is a list of Important Terms for Review. Following the Important Terms for Review are three sets of questions, critical thinking, evaluating competency, and self-assessment.

Eye Movement Desensitization and Reprocessing (EMDR) is a powerful therapeutic approach. However, without the proper training and consultation, an untrained clinician (and this includes very experienced clinicians) could put their clients at risk. This Primer’s goal is to target those clinicians who have completed the EMDR therapy two-part basic training, 10 hours of supervised consultation, and have read Dr. Shapiro’s basic text (Eye Movement Desensitization and Reprocessing: Basic Principles, Protocols, and Procedures, 3rd ed.) and Getting Past Your Past, but still want additional information on using it skillfully. The Primer will encourage and raise the confidence levels of those trained but wanting to increase their ability to use EMDR therapy with consistent success. The primary intention of the Primer is to supplement Dr. Shapiro’s explanation of EMDR therapy. It is not meant to be a substitute for her training or previous writings. The reader is urged to read and study them all. The book adds case histories and extensive examples of successful EMDR reprocessing sessions. The cases represent composite or conglomerate portraits of the many clients with whom the author has utilized EMDR therapy over the past 20 years. The text is a Primer and presents the writing, examples, and illustrations in a less formal and more personal manner. The Primer has been written from a practical, learning-focused approach so that the clinicians who read it can become more familiar with the principles, protocols, and procedures of EMDR therapy. An attempt is made to take the clinician through complete and incomplete EMDR therapy sessions, explaining treatment rationale at given points. The book offers a Primer that can facilitate the process of mental health professionals becoming more confident and experienced clinicians in EMDR therapy. The process has been simplified as much as possible with diagrams, tables, and other illustrations.

Psychotherapy is regarded as an essential competency for the advanced practice psychiatric nurse. This book is a long-awaited companion to the foremost nursing psychotherapy book, Psychotherapy for the Advanced Practice Psychiatric Nurse. With many educational programs today providing only survey courses and in-class role-play experiences, graduates often report feeling intimidated at the thought of conducting formal psychotherapy. This book fills an important gap as it provides a practical, yet invaluably rich guide to a more thorough understanding of the major psychotherapies. The unique chapter format delivers a straightforward description of the psychotherapy school, followed by a synopsis of the leaders and developers of the school/approach to therapy and a summary of the philosophy and key concepts. The reader then steps into and experiences excerpts from real psychotherapy sessions presented in a longitudinal manner that progress from the initial session to termination. The sessions are drawn from the files of the chapter authors replete with the development of goals, interventions, and techniques, what worked, and what didn't work. The case studies in this book have a range of diverse theoretical approaches and varied client problems and psychiatric diagnoses. The book is organized into 15 chapters, with each chapter presenting a case study using a different theoretical approach. Each chapter follows a similar format, allowing for comparison among the psychotherapy approaches. The format begins with the author's personal experience, providing the reader with the understanding of how various theoretical orientations were chosen by the authors. This is followed by a background on the founders and leaders and the philosophy and key concepts of the approach. Next illuminated is how the approach describes mental health and psychopathology, therapeutic goals, assessment perspectives, and therapeutic interventions.

Experience in caring for pediatric patients is essential for all physician assistant (PA) students. Through an organized and predictable approach, this book series serves as a guide and companion to help one feel prepared for what one will encounter during the clinical year. Each book was written by physician assistant educators, clinicians, and preceptors who are experts in their respective fields. Each book will answer questions such as, “What does my preceptor want me to know?” “What should I be familiar with prior to this rotation?” “What can I expect to encounter during this rotation?” This is followed by a guided approach to the clinical decision-making process for commonly presenting complaints, detailed explanations of common disease entities, and specialty-specific patient education. Chapters are organized in a way that will allow one to quickly access vital information that can help one recognize, diagnose, and treat commonly seen conditions. One can easily review suggested labs and diagnostic imaging for a suspected diagnosis and review urgent management of conditions specific to each rotation. Written by experienced PA educators, this guide details the clinical approach to common presentations such as cough, fever, and skin changes. It also provides a systems-based approach to more than 60 of the most frequently encountered disease entities one will see in this rotation, including dermatitis, pharyngitis, and otitis media. Distinguished by brief, bulleted content with handy tables and figures, the reference offers all pertinent laboratory and imaging studies needed to confirm a diagnosis, with medication and management guidelines. This guide also describes the most common procedures one will learn during the pediatrics rotation, including foreign body removal, reduction of subluxed radial head, and administration of nebulizer treatments. A special chapter on management of urgent pediatric conditions, such as asthma exacerbation, head injuries, and fractures, is also included.

The health sciences would not be complete without a caring science. Although all health sciences focus to some degree on caring, when the public thinks about caring, nursing often is foremost in their minds. This book focuses on instruments for assessing caring in the nursing literature but is useful to all in the health sciences or healing professions. It not only brings to the forefront the various conceptualizations of caring but also identifies approaches to the measurement of the concepts that have been derived from multiple perspectives on caring. The various instruments presented capture the multiple essences of caring, which may be viewed as an attitude, an ability, an attribute or characteristic, or a complex of interrelated behaviors. The book provides nursing leaders, students, and scholars with an up-to-date critique and compilation of the most salient and up-to-date instruments to assess and measure caring. It brings together in one source the many approaches to conceptualizing caring and the instruments that have been designed to measure it. The book provides questionnaire development procedures, theoretical underpinnings of instruments, reliability and validity evidence, and descriptions of instruments and their sources. This updated collection encompasses measurements of caring that have relevance in assessing caring among students as well as patients and nurses, thus allowing use in both educational and clinical care research. Some new instruments focus on assessing caring at the administrative/relational-system caring level, address a new a population (e.g., family), and include novel potential techniques such as computerization. This collection of caring instruments offers a story of nursing theory and knowledge development, as nursing scholars search for and experiment with measuring or capturing the elusive phenomenon of human caring, often considered nonmeasurable.

This book begins with several chapters on the background and efficacy of palliative radiation therapy (RT), along with crucial information on patient selection and assessment of life expectancy. Following these introductory chapters, the bulk of the book contains chapters on site-specific malignancies, containing comprehensive literature reviews, treatment plans, toxicity information, and symptom management. Life expectancy estimates for advanced cancer patients are necessary considerations in the fields of oncology and palliative care. To address the heterogeneity in patients with advanced cancers, numerous groups have proposed different multivariable life expectancy models using combinations of known tumor factors, patient factors, and laboratory tests. The most common indications for palliative RT include painful bone metastases, spinal cord compression, and brain metastases with the goals of symptom relief and/or local control. Radiation oncologists have long understood the potential benefit of RT in palliating the distressing symptoms of advanced abdominal and pelvic cancers. For abdominal malignancies, bony landmarks are less reliable for treatment planning, as compared to pelvic malignancies. The book discusses some case scenarios to illustrate the role of palliative RT in the treatment of bladder cancer, vaginal bleeding, rectal cancer, vulvar cancer, and liver metastasis.

This book is a presentation of how the two practices mindfulness and eye movement desensitization and reprocessing (EMDR) therapy are powerfully paired, and as a result, create a new paradigm for the delivery of trauma-informed services. It delves into the various perspectives on mindfulness and their clinical utility. The book is divided into ten chapters. The introductory chapter discusses shifting from trauma informed care to trauma focused care. Chapter 2 calls for a paradigm shift from simply approaching clinical care as trauma-informed to trauma focused. It presents a series of blueprints for integrating mindfulness practice and EMDR therapy is a major way to usher in this paradigm shift. Chapter 3 focuses on the practices that are typically viewed as more traditional or classic, such as sensory grounding, breath awareness, breathing meditation, body scanning, feeling tone meditation, labeling, walking meditation, and loving kindness meditation. Chapter 4 covers practices such as muscle clenching and releasing, making day-to-day activities into objects of meditation, movement practices, yogic breathing practices, and approaching the expressive arts with meditative intention. Chapter 5 provides suggestions for how clinicians can practice EMDR Phase 1, Client History. Chapter 6 guides both seasoned EMDR therapists and those who are newly learning EMDR in how they can deliver EMDR Phase 2, Preparation, in a more trauma-informed manner. Chapter 7 covers mindful approaches for acquiring negative and positive cognitions during Phase 3, Assessment. It discusses how mindfulness practice can assist in therapist attunement during Phase 4, Desensitization, and Phase 5, Installation, as they apply bilateral stimulation. Chapter 8 talks about mindful facilitation through abreaction, dissociation, and resistance in special situations in phases 3 to 6. Chapter 9 explores EMDR Phase 7, Closure and EMDR Phase 8, Reevaluation. The final chapter highlights the notion that without mindfulness practices, EMDR therapy may be incomplete.

This book attempts to correct the dearth of nursing-relevant information about religions. The information in the book can help nurses to avoid being negligent to patients whose religiosity overtly and covertly influences their responses to health-related challenges and transitions. The book redresses the damage done by the prevailing discourse in the nursing literature that disparages religion in favor of a generic spirituality. It is divided into two parts. Part I discusses religion and nursing care, and explores the need for nurses to offer religious “interventions” at the bedside, provides information about how to talk with patients about religion and information about how to assess religiosity, addresses how nurses can support overt rituals, and offers legal and ethical perspectives in integrating this information in clinical care. The last chapter in this section reflects on the impact of a nurse’s religiosity on nursing practice. Several federal laws and most states have “conscience clauses”, which allow a nurse to refuse to participate for religious reasons in an abortion, sterilization, and often other procedures. Section II is the focal point of the book since it features contributions from 22 religionists who are not only experts about a faith tradition but also adherents of it. The religious groups covered in this section include Anabaptist-descended groups, Anglicans and Episcopalians, Baptists, Christian scientists, Latter-Day Saints, Lutherans and Methodists, Orthodox Christians, Pentecostals, Roman Catholics, Jehovah’s witnesses, Buddhists, Hindus, Jews, Muslims, Sikhs and atheists.

Radiology departments have an ever-increasing need for highly skilled and competent radiology nurses to work in all the imaging modalities. Radiology nurses are important members of the radiology team, contributing to safe, effective, and quality patient care. Keeping informed on new diagnostic and therapeutic procedures is challenging for the experienced nurse and can be overwhelming for the nurse who is new to the imaging areas. This book serves as an important primer for nurses who are novices in the imaging areas and as a valuable reference for nurses with radiology experience who need fast, reliable information if working in a modality that is less familiar. This second edition offers information regarding the basic skills that a radiology nurse uses in everyday practice. Nurses draw from prior critical care, postanesthesia, and/or emergency nursing knowledge and assessment skills in radiology and also learn new skills specific to the imaging environment, including vascular access, hemostasis, infection control, physiological monitoring, and documentation. Additional updated information on sedation and analgesia includes medications in easy-to-read tables. New chapters in this edition discuss legal issues, civility, disaster management, and leadership. These new topics are essential to the success of the nurse working in an imaging setting. Tables and figures enhance the chapters. “Fast Facts” boxes, which are located throughout the book, highlight key information. In summary, this book is a welcome addition to the resources for radiology nursing, which are few in number compared to other specialties. Nurses in other units, for example, medical—surgical or critical care, who care for radiology patients pre or post procedures will also appreciate the information in this handbook to improve patient care.

The growing prevalence of behavioral addictions makes it clear that the majority of counselors (if not all) will work with clients with addictive behaviors. This book is the culmination of 18 months of investigation into the most current information related to behavioral addictions. In each chapter, the author answers what she thought would be the most meaningful questions for clinical practice: How do I conceptualize it?, How do I identify it?, How do I assess it?, How do I treat it?, and How do I learn more? The books covers eleven behavioral addictions, including: internet gaming addiction, social media addiction, sex addiction, pornography and cybersex addiction, love addiction, gambling addiction, nonsuicidal self-injury, food addiction, exercise addiction, work addiction, and shopping addiction. Although not exhaustive, this list includes many of the most widely accepted behavioral addictions and those that the majority of counselors will encounter in their clinical practice. Along with describing each behavioral addiction in detail, the book also addresses important issues related to the addictive behaviors, such as distinguishing between gaming enthusiasts and those with internet gaming addiction, the association between social media addiction and cyberbullying, ethical considerations when clients disclose viewing illegal pornography, considerations related to adolescent sexting, the relationship between love addiction and codependence, the difference between sex addiction and sexual offending, the effects of legalized sports betting on gambling rates, distinguishing between nonsuicidal self-injury and a suicide attempt, the relationship between shopping addiction and hoarding disorder, the potential impact of neuromarketing, cultural considerations of work and study addiction, and conceptualizing exercise addiction with and without an eating disorder. Additionally, each chapter has a section devoted to the current state of neuroscience related to the behavioral addiction.

This book directs the therapist toward principles, processes, and practices that underscore effective therapy, regardless of the clinician’s theoretical persuasion. It is founded on a growing body of research about “what works in therapy”, providing specific, evidence-based ways for therapists to improve the benefit of therapy and their individual performance. The book is divided into eight chapters. The first chapter, The Influence of the Therapist, explores how the field of psychotherapy has evolved. It includes a discussion of promising developments and challenges to improving treatment outcomes and the individual performance of clinicians. The second chapter, Principles and Core Strategies of Effective Therapy, involves examination of concepts and directions in research and practice that are important to all psychotherapists. The third chapter, Early Client Engagement, focuses on ways to engage clients during initial interactions. Chapter four, Active Client Engagement (ACE): Information-Gathering Processes, introduces readers to the ACE model, which includes acquiring information, creating a context for collaboration, and evocation of clients’ strengths and resources. Chapter five, Therapeutic Conversations for Achieving Structure and Direction, focuses on creating a direction in therapy with clients. Chapter six, Matching and Classes of Intervention, covers several key areas critical to improving the outcome of psychotherapy. Chapter seven, Client Progress and the Benefits of Therapy: From Subsequent Sessions to Transition, explores the process of monitoring client progress. The final chapter, Professional Development: Achieving Clinical Excellence, considers ways for therapists to determine their baseline rates of effectiveness, obtain feedback, and engage in deliberate practice to improve their performance.

Bone and soft tissue sarcomas are a heterogeneous collection of over 170 distinct clinical entities. The prevalence of next-generation sequencing has accelerated the molecular classification and discovery of several new sarcoma entities and led to treatment paradigms. Sarcoma clinicians are applying the tools of precision medicine to identify driver mutations and select novel medications or agents in clinical trial. The landscape of sarcoma diagnosis and management is rapidly evolving with the advent of new diagnostic tools, precision medicine, immunotherapy, and cell-based therapies. The book’s content is structured by the most common sarcoma histologic subtypes as well as by general concepts. As sarcoma diagnosis and management requires an experienced multidisciplinary team, the book also includes overview chapters from each of the medical disciplines involved in the care of sarcoma patients. Importantly, each author was chosen based on his or her expertise specific to the content of the chapter. Each histologic subtype chapter includes a case-based study in which the reader is able to follow the diagnostic and treatment thought processes as the author illustrates their management of a complex medical situation. These cases illustrate commonly encountered situations in busy sarcoma clinics and allow the reader to apply the skills learned from the preceding chapter in understanding the author’s diagnostic and therapeutic approach. Significantly, the exceptional and novel digital version of this handbook allows rapid access to chapters or information through keyword searches at any time by computer, tablet, or smartphone. The editors design this handbook to facilitate management of sarcoma patients in an era of rapidly evolving sarcoma diagnoses and novel therapeutic approaches.

This book offers readers comprehensive, empirically grounded knowledge regarding suicidality. It provides a strong foundation for mental health professionals and students who may encounter and work with suicidal clients and those interested in this area. The book is divided into twenty one chapters across seven parts. The introductory part focuses on how societal and individual ethics, philosophies, cultures, ethnicities, and religions relate to suicidal behavior and how they inform clinical practice and treatment. Part II, "Suicidality Across the Life Span", explores suicidality among children and adolescents, adults, and older adults. The nature, risk, and protective factors of suicidality differ among the various stages of life. Part III, "Suicide and Mental Illness", centers on suicide across three high-risk diagnostic categories and focuses specifically on mood disorders, psychotic disorders, substance disorders, and personality disorders. Part IV, "At-Risk Populations", highlights several vulnerable groups such as active military personnel and veterans; Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) population; and the homeless, Native Americans, and incarcerated individuals. Part V, "Assessing Suicide", presents core guidelines and key components of assessing suicide risk. Part VI, "Evidence-Based Treatments", focuses on empirically supported, evidence-based psychosocial practices. It presents five widely used psychosocial evidence-based treatments for suicidality such as crisis intervention, cognitive behavioral therapy, dialectical behavioral therapy, interpersonal psychotherapy, and motivational interviewing. The final part, Surviving Suicide, examines family and friend survivors of suicide with a special focus on the grief process and approaches to working with family. It also examines the impact of client suicide on treating clinicians. Each chapter begins with a clear set of goals and objectives, followed by individual exercises, small group exercises, case examples, role plays, a closer look, key points, electronic resources, and knowledge acquisition tests.

This book is a focused guide, written specifically by and for case managers on how to assess an individual, and together create a case management plan, designed with the individual’s goals at the center of the plan. It is intended to bring to case managers a relevant book to enable the care transition processes of integration, which are safe and well-coordinated. It is a reference manual for nurses and other health professionals and presents a Case Management Society of America (CMSA) tested approach toward systematically integrating physical and mental health case management principles and assessment tools. The book delves into the role of the case manager and unpacks how case managers assess and treat complex patients. The book is organized into four parts containing ten chapters. The first chapter details the evolution of case management and the professional case manager. The second chapter describes the mechanics of integrated case management, health complexity, and integration between behavioral health and physical health. The third chapter presents the global models of integrated case management. Chapters four and five discuss assessing the adult and pediatric patient using the integrated case management complexity assessment grid. Chapter six presents common physical and mental health conditions. Chapter seven addresses social determinants. Chapter eight discusses motivational interviewing and shared decision making for the medical complex patient and family caregiver. Chapter nine explores the role of interdisciplinary care teams fostering successful transitions of care. The final chapter presents professional case management accreditation care coordination measures and outcomes.

This book aims to build a bridge between mental health and health care professionals by exploring the emotional layer of the patient experience and how people can work together to improve the quality of care at every level for every patient. It focuses primarily on helping adults manage the psychological and emotional effects of medical trauma. The first part of the book defines medical trauma and explains the unique characteristics, cases, and effects of this experience. Using ecological perspective as a framework, a model of medical trauma is created to incorporate four of the major contributing factors (the patient, diagnosis/procedures, medical staff, and treatment environment). The second part of the book presents new models, protocols, and the best practices for meeting the mental health needs of adult patients who experience medical trauma, and explores prevention and intervention strategies that can be employed across the continuum of care. It highlights examples of health care systems and organizations that have successfully applied innovative ideas for treating the whole person as well as share ideas not yet tested but worth pursuing. The second part is organized based on three levels of patient care: primary care (Level I Medical Trauma), specialist trauma (Level 2 Medical Trauma), and acute trauma (Level 3 Medical Trauma). It closes with a discussion of the implications for the future of health care and a presentation of ideas for innovation and continued improvement of the patient experience.

Many nurses fear the arrival of a child in acute distress or one who requires emergent life-saving care. Children often present for emergency care at settings other than designated pediatric emergency department (EDs). Safely caring for children requires specialized knowledge and skill which may not be provided to the nurse during orientation or through ongoing education. Historically, limited resources have been available when information was rapidly needed to care for children experiencing an emergency. This book is a concise pocket-sized resource that provides quick access to the nurse working in a variety of settings. This resource is intended for any nurse who cares for pediatric patients in an environment that may require emergency intervention; staff in EDs, urgent care centers, clinics, schools, detention centers, and summer camps, among others, will find value. The book provides nurses, regardless of the setting, with foundation from which to practice. Guidance for how to best incorporate the resource into practice is provided followed by pediatric developmental stages, growth and development, and how to communicate effectively with the child and caregiver. Disease pathology and recognition according to body system are covered in addition to red flag presentations, triage tips, perils and pitfalls of pediatric emergency care, and anatomy and physiology. The book addresses psycho-social considerations (e.g., child maltreatment, human trafficking), behavioral health, trauma, and congenital cardiac anomalies. It covers pediatric procedures and medication administration giving the user a quick reference during those rare situations. The chapter includes a resource number list in addition to quick access to resuscitation medications and blank notes pages to customize the book to meet personal needs. The author hopes that reader uses this guide in their daily practice, adding essential need-to-know content as new insights arise, and that soon one will own a guide that is customized just for them.

An ongoing evolution of complementary therapies with modern medicines is full of promise for the future, especially in a greater potential synergy of subjective patient self-awareness pertaining to what is suggested by the wisdom of nature and its skilled interpreters, as well as in research that evolves from objective assessments of group responses to large-scale organized medicine. The practicerelevant and evidence-based information related to complementary therapies contained in Complementary Therapies: Promoting Integrative Nursing, 9th Edition, will assist more nurses and healthcare professionals to integrate these therapies into the provision of care to their clients. This book is a valuable resource for nursing students, working nurses, and advanced practice nurses who desire to increase the use of complementary therapies in their practice. Using these therapies can enhance health, well-being, and the quality of life of patients; improve the quality of care; and improve satisfaction outcomes. Complementary therapies and integrative health approaches can be used by nurses to address the needs of the whole person, including their body, mind, emotion, and spirit. The book highlights many recent advances in technology including digital apps that can help nurses stay informed to effectively apply the therapies to patient populations. Along with definitions and descriptions of the selected therapies, it provides a background for each therapy, as well as the scientific basis and current evidence for the use of therapies for a variety of patient populations.

This book focuses on a unique body of knowledge known as population health management (PHM). Population health, an approach closely aligned with many public health strategies, enjoys strong general awareness and popularity among health professionals. Although population health books are abundant, a smaller number of population health management texts exist, and these vary considerably depending on the writers’ background, field of expertise, and perspective. It is not easy to bridge concepts from community, public, and global health, and then align them with the essential applications of health management. Combining these interrelated perspectives is the primary goal for the textbook. By melding together fundamental strategies, approaches, and tools from these diverse health-related disciplines, students learn to provide quality care, efficient health services, and produce successful outcomes that are sensitive to the needs of diverse populations. The book is divided into four sections and each section integrates a scaffolding framework that begins with PHM fundamentals and introductions to innovative strategies/tools, moves to problem-based applications, and culminates with integrated skill outcomes. Written by experts in their respective disciplines, each chapter is relatable for students from diverse health related programs such as health management, public health, social work, clinical degrees, and other health professions. As major Population Health Management transformations continue to evolve in the workplace, health management educators recognize the immediate need to design curriculums, introduce new skill-building approaches and tools, and enhance student competencies to meet the challenges and find solutions for a future healthscape that achieves the quadruple aim of access, cost, quality, and patient experience. The book provides students with the knowledge, skills, intentional mind-set to jettison the past in order to transition successfully for today and transform the future of population health management.

This fifth edition is updated with new, evolving theories, and provides an increased focus on specific practical applications for meeting the clients’ needs in an increasingly diverse and ever-changing socio-cultural landscape. It also attempts to address the dramatic changes mentioned above, including the Pandemic, economic instability, Black Lives Matter and climate change. The dramatic and unprecedented changes in the environment challenge us to adapt the theoretical conceptualizations, methods, and strategies for working with clients. The book provides an updated vision for working with transitions, with the integration of new theories, along with Schlossberg’s timeless model. It is predicated on several assumptions. The book includes enhancing resilience and coping, illuminated by updated literature and discussion of applications of Schlossberg’s theory and 4 S model–a model that offers effective techniques to understand and successfully navigate life transitions. The book addresses the roles of hope, optimism, and mattering. It also deepens the discussion of race, ethnicity, sexual orientation, and social justice, along with intersectionality regarding multiple identities as diverse individuals and their families navigate life transitions. The book highlights the role of escalating changes in the current global, political and socio-cultural landscape. It focuses on the increasing importance of helping adults navigate transitions and integrates Schlossberg’s unique transition model with both classic and emerging theories to guide adults in transition. The book discusses sociocultural and contextual factors in shaping the coping process and presents culturally sensitive strategies and interventions. It emphasizes social justice concerns and advocacy on behalf of underrepresented populations and delivers rich and diverse case studies focused on transition issues. The book includes updated learning activities and exercises to enhance understanding.

This is the first book designed to be reflective of the multidisciplinary care teams that offer their expertise to the perioperative care of pediatric patients. The author assembled a multidisciplinary set of over 120 expert perspectives on pediatric anatomy and physiology, pharmacologic considerations for the pediatric patient, and the practice of pediatric anesthesia. An invaluable resource for those in training and practicing anesthesia providers alike, the content in the book provides current and evidence-based guidance that is both comprehensive and practical, addressing all aspects of the field. It effectively provides a strong foundation in pediatric anatomy and physiology, and common syndromes, conditions, and diseases seen in pediatric patients. Through brief and consistently formatted chapters that are organized by body system, Pediatric Anesthesia presents state-of-the-art techniques—including indications and contraindications, preoperative evaluation, key assessment points, intraoperative management, complications, and clinical pearls—for safely administering anesthesia in more than 100 of the most common or complex pediatric procedures. In addition to the breadth of outstanding content in the text itself, instructors who choose to rely upon the book for teaching will have access to valuable supplements in the form of chapter summaries, additional case studies, multiple-choice questions, and PowerPoint slides to aid lectures and provide study notes. These assets truly set this text apart from others in the field as an effective teaching tool.

Knowledge-driven evidence-based treatment models take time and effort but also must be provided by someone who is knowledgeable about the range of psychiatric mental health problems to be addressed. Dr. Wheeler is among a handful of people in the profession who offer an up-to-date evidence-based text of the knowledge and skills required by advanced practice psychiatric nurses. Since the publication of the first edition in 2008 of Psychotherapy for the Advanced Practice Psychiatric Nurse a number of other books for advanced practice psychiatric nurses (APPNs) have been published and the number of graduate psychiatric nursing programs has steadily increased. This is a how-to compendium of evidence-based approaches to practicing psychotherapy for both the experienced and neophyte advanced practice psychiatric nurse. This book integrates neuroscience with relationship science and unites disparate psychotherapeutic approaches into a model that is concise and straightforward, yet sufficiently comprehensive to provide a framework for practice. The most useful therapeutic models are highlighted with principles, and techniques of treatment for nurse psychotherapists and those with prescriptive authority. This second edition expands the award-winning first edition, providing guidelines, forms, and case studies to assist APPNs in deciding which treatment to use based on psychotherapy outcome studies and practice guidelines. New chapters in the second edition includes: motivational interviewing; dialectical behavior therapy; group therapy; family therapy; eye movement desensitization and reprocessing; therapeutic approaches for addictions; and new current procedural terminology codes & reimbursement. Nurses who are healers understand that they can only accompany the patient on his or her journey if they have begun their own self-healing and that self-healing is a continuous process whereby one continues to develop clarity about one’s own strengths and weaknesses.