This book was conceived out of the authors' shared vision to synthesize key neurobiological developments with effective developments in clinical practice to offer both understanding and practical guidance for the many practitioners working to heal people burdened with traumatic sequelae. It is unique in bringing in all levels of the brain from the brainstem, through the thalamus and basal ganglia, to the limbic structures, including the older forms of cortex, to the neocortex. The book looks at the neurochemistry of peritraumatic dissociation (PD) and explores the effects on neuroplasticity and the eventual structural dissociation. Individual chapters focus on the definition of PD and tonic immobility (TI) and their associations with posttraumatic psychopathology, and review disturbances in self-referential processing and social cognition in posttraumatic stress disorder (PTSD) related to early-life trauma. Separate chapters focus on the modulatory role of the neuropetides in attachment as well as autonomic regulation, and highlight mesolimbic dopamine (ML-DA) system as central to the experiences of affiliation, attachment urge when under threat, attachment urge during experience of safety, and to the distress of isolation and/or submission. The book while increasing awareness of different parts of the self and ultimately creating a more stable sense of self, also incorporates psychoanalytic, cognitive behavioral, and hypnotic methods, as well as specific ego state, somatic/sensorimotor therapies, eye movement desensitization and reprocessing (EMDR), and variations of EMDR suitable for working with trauma in the attachment period. The latter methods are explicitly information-processing methods that address affective and somatic modes of processing.
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Compassionate Person-Centered Care for the Dying:An Evidence-Based Palliative Care Guide for Nurses
Caring for the dying and their families can be one of the most emotionally fulfilling, personalized, and loving acts a nurse can provide. This book, about the CARES tool, attempts to convey essential information on how to effectively care for the dying in a condensed and readily applicable format for the bedside nurse. It is divided into seven parts. A general background and the establishment of the CARES tool are found in Part I. The second part presents a detailed breakdown of the CARES tool by sections (comfort, airway, restlessness and delirium, emotional and spiritual support, and self-care). Part III shares the theoretical foundation of the CARES tool, and emphasizes the need for patient advocacy and strong communication skills. It also explores what can be done to promote a peaceful death. The fourth part consists of two chapters which address the changes in our culture that must occur and the new role of the doctor of nursing practice (DNP) for translating the current literature into evidence-based practice. Part V examines how the use of the CARES tool can impact nursing care and encourage end-of-life care involvement by other health care providers, and how hope can be nurtured for the dying. The penultimate part of the book provides insight into CARES tool application strategies employed at Sunnybrook Health Sciences Centre in Toronto, Canada. The last part summarizes the example scenario of an individual final journey and the individualized care he and his family were given in an effort to provide a peaceful and loving death. It also provides some recommended websites, readings, and references to continue the reader’s education on evidence-based compassionate care of the dying.
Fast Facts for the Long-Term Care Nurse:What Nursing Home and Assisted Living Nurses Need to Know in a Nutshell
Growing numbers of nurses are working in long-term care and playing a major role in the provision of long-term care services. This book provides an overview of the unique aspects of long-term care with a specific focus on nurses working in nursing home and assisted living settings. It offers a review of the unique aspects and settings for long-term care, special needs of the population served, and clinical challenges. The book is divided into five parts. The first part provides the basics of long-term care with chapters covering nursing responsibilities, regulations, and cultural change. The nursing process is discussed in Part II, which focuses on the minimum data set (MDS), assessment needs beyond the MDS, assessment skills, creative care plans, person-centered care and family care. The challenges involved in clinical settings such as promotion of medication safety, and reduction of medication errors and common risks are dealt with in the third section. As a significant number of individuals who need long-term care services have cognitive impairment, Section IV is devoted to the care of residents with dementias. Management skills, legal risks, and issues pertaining to surveys are presented in Section V. In recognition of the stresses that can arise in long-term care nursing, a chapter is dedicated to the important topic of self-care.
Eye Movement Desensitization and Reprocessing (EMDR) Scripted Protocols: Basics and Special Situations
Scripting is a way to inform and remind the Eye Movement Desensitization and Reprocessing (EMDR) practitioner of the component parts, sequence, and language used to create an effective outcome. As EMDR is a fairly complicated process, this book provides step-by-step scripts that will enable beginning practitioners to enhance their expertise more quickly. The book is separated into nine parts. The Client History part represents the first of the eight phases of EMDR treatment. The ability to gather, formulate, and then use the material in the intake part of treatment is crucial to an optimal outcome in any therapist’s work. Part II includes an important element of the Preparation Phase that addresses ways to introduce and explain EMDR, trauma, and the adaptive information processing (AIP) model. The importance of teaching clients how to create personal resources is the topic of Part III. Here, an essential element of the Preparation/Second Phase of EMDR work is addressed to ensure clients’ abilities to contain their affect and remain stable as they move through the EMDR process. Part IV shows how to work with clients concerning the targeting of their presenting problems when the usual ways do not work such as usage of drawings to concretize clients’ conceptualization of their issues and usage of an alternative initial targeting method. Part V includes protocols that have been scripted based on the material that appears in Francine Shapiro’s EMDR textbook. Parts VI and VII address EMDR and early intervention procedures for man-made and natural catastrophes for individuals and groups. Performance enhancement and clinician’s self-care are dealt with in the final two parts of the book.
This book provides a standard that reflects the basic elements of the 11-Step Standard Procedure; and the Standard 3-Pronged EMDR Protocol as they are applied to different populations. The diverse population includes children and adolescents; couples; clients suffering with complex post-traumatic stress disorder and dissociative disorders; clients with anxiety; clients who demonstrate addictive behaviors; clients who deal with pain; clinicians themselves. The book serves as a basis to encourage research into these various applications for EMDR. It is divided into seven parts. Part I is devoted to the scripted EMDR protocols such as olfactory stimulation, which are used to develop resources for children and adolescents who may have suffered traumatic events in their life. The protocols take into account the particular difficulties of this developmental group and help minimize common difficulties and major hurdles. Part II describes scripted EMDR protocols designed by couples therapists and sex therapists to further the progress of their patients precisely targeting templates of relational interaction, anxiety, or sexual dysfunction. Part III concerns the scripted protocols for dissociative disorders and complex post-traumatic stress disorder. The protocols represent the structured scripted efforts of many trauma therapists over a considerable number of years. Parts IV and V of the book address the concretization of much needed scripts for the EMDR treatment of addictions and pain—two interconnected public health worries. Part VI looks at the world of people’s adaptation to fears and tackles the usage of scripted protocols to detoxify the impact of specific phobias. Part VII demonstrates the usage of scripted EMDR protocols in clinician care and in the management of secondary post-traumatic stress disorder and vicarious traumatization.
This book is a practical resource for those involved in the training and supervision of school psychology practicum candidates, including supervising school psychologists, university trainers, and graduate candidates. It includes eight chapters that are organized to roughly follow the developmental sequence of a full academic year practicum, from entry through termination of the practicum. The content is relevant to the supervision and training of contemporary foundations of school psychological practice and addresses issues related to a wide range of practicum experiences. Topics addressed include case conceptualization across three broad roles (i.e., case study evaluation, case consultation, student counseling) of school psychological practice, the foundations of special education, and multitiered systems of support (MTSS) and internship preparation. Supervisors can help trainees to explore new school psychological roles, focus on professional behaviors that can help them gain independence, and develop a repertoire of self-care strategies. Each chapter is organized in a similar format, with a focus on key supervisory roles: candidate skill development, supervision, and advancement and evaluation. The content is aligned with the National Association of School Psychologists (NASP) training standards and meant to be a step-by-step guide to training and supervision related to practica. Each chapter concludes with a supervisor-to-do list to assist readers in applying the concepts addressed. The final chapter focuses on collaboration between university trainers and field supervisors, as well as strategies for addressing common issues in training, including problems with trainee professional competence.
This graduate-level, introductory textbook provides instructors and students with a comprehensive overview of the profession of clinical mental health counseling (
CMHC). Designed to cover the Council for the Accreditation of Counseling and Related Educational Programs ( CACREP) 2016 Standards and to provide an inclusive overview of the work of professional counselors, the book offers an in-depth exploration of the professional knowledge, skills, current issues, and dynamic trends in professional counseling that are essential parts of the educational journey of emerging clinicians. It provides readers with practical, applicable, real-world information upon which they can build through-out their programs of study and practice. Issues such as strength-based approaches, the various settings in which clinical mental health counselors may practice, record keeping and documentation, advocacy, professional roles, third-party payers and managed care, and self-care and professional development are vitally important to new counselors, and these subjects often are glanced over in an information-packed curriculum. In addition, the book covers the topics of crisis, disaster, and trauma, which constitute relatively new areas of emphasis within the CACREPStandards. Conceptually, it book looks at the history, roles, functions, settings, and contemporary issues of counseling through the lens of human ecological and integrated systems-of-care approaches. Unique to this particular textbook, and in juxtaposition to an ecological perspective of the individual, a focus on integrated systems of care in clinical mental health endeavors provides students with knowledge and skills that can help them to move seamlessly into the current world of work as clinical mental health counselors. The textbook is comprised of five sections, spanning the following clusters of CMHC-relevant information: (a) Introduction to Professional Counseling and Clinical Mental Health Counseling, (b) Working With Clients, (c) Practice Issues, (d) Working Within Systems, and (e) Client-Care and Self-Care Practices.
The concept of trauma-informed care in the neonatal intensive care unit (NICU) aligns with the mission of transdisciplinary neonatal colleagues around the world. This book provides the steps to adopt and implement a trauma-informed paradigm in their NICU. Part I of the book reviews trauma and trauma-informed care and evidence-based updates to the core measures for age-appropriate care. Core measures for age-appropriate care in the NICU define measurable, evidence-based best practices in developmentally supportive, whole-person care. Integrating the concept of trauma-informed care operationalized by the core measures for age-appropriate care in the NICU meets the developmentally sensitive and critical needs of the hospitalized infant, and aims to restore health through healing relationships and integrative care. Part II discusses each core measure set, providing updated evidence-based research to substantiate the practice recommendations, and includes practical implementation strategies and resources to support success. This part presents guidelines for the healing environment; guidelines for the family as well as for pain and stress prevention, assessment and management; guidelines for protected sleep including discussions on safe sleep environment and sudden infant death syndrome (SIDS); guidelines for the activities of infants’ daily living; and guidelines for family collaborative care while explaining the correlation between acute stress disorder (ASD) symptoms in NICU parents and posttraumatic stress disorder (PTSD) and depression. Part III addresses the topic of trauma and the neonatal clinician’s experience with guidelines and recommendations to support and promote self-care for the clinicians.
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.
This book is an excellent introduction to nursing at the master’s level. It addresses a gap in literature regarding nonadvanced practice nursing degrees. The book focuses on key roles in both direct and indirect care settings as identified by the American Association of Colleges of Nursing (AACN). It provides a different perspective on the role of the nurse functioning within an interprofessional or interdisciplinary team, while providing tools that can be applied quickly. The book is organized into five sections comprising 16 chapters that can be extremely helpful to nurses moving toward the next level of their careers. Section one describes nursing history, nursing process, nursing theory selection, nursing research ethics, and clinical ethics and the role of the master’s-prepared nurse (MSN). Section two discusses the various roles of MSN such as clinical nurse leader, nurse educator, and advanced practice nurse. Section three presents the indirect care roles of MSN: public health nurse, informaticist, and nurse executive. Section four discusses MSN as change agent, AACN essentials, and Interprofessional collaboration. The final section focuses on special topics such as considerations for lifelong learning, self-care, and mentoring. The book could be introduced to students at the BSN level to help them make career choices as they move forward with their careers.
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.
A trauma-informed approach recognizes that trauma comes in many forms—physical, psychological, and emotional. Yet until recently, trauma-informed care was limited to populations outside the neonatal intensive care unit. This text is the culmination of author's most important work and reflects her years of experience championing the needs of hospitalized infants and their families. This second edition highlights the relevance of trauma-informed care for infants, their families, and the clinicians. The book addresses the most important issues impacting neonatal care practices. It also recognizes that the
NICUenvironment impacts health professionals. Compassion fatigue, burnout, and staff turnover are all facets of work in healthcare today, especially in a high paced, emotionally charged environment. Frontline workers are faced daily with making difficult decisions and having difficult conversations with families. This work takes a toll on the clinician and is traumatic. The book stresses care for the health professional and the need for self-care. During these challenging times of the pandemic, self-care is critical for health professionals. Using evidence, which is increasingly robust, to support interventions and competencies to measure care and health professionals' performance outcomes, may increase the implementation of trauma-informed care. Trauma-informed care supports infant and family integrative developmental care where health professionals across disciplines and families work together to provide safe, effective, high-quality care. Use of an individualized approach that focuses on attaining the best possible outcome for infants and their families is essential in providing neonatal care today. A trauma-informed approach makes that possible. The book needs to be in the toolkit of every clinician and neonatal educator.
Informed by a social justice approach, this user-friendly text for social work students provides a comprehensive introduction to contemporary school social work practice structured around the 2022
CSWE EPASCompetencies. With a focus on skills development, this innovative text is competency-based and encompasses professionalism, cross-disciplinary collaboration, research applications, theoretical foundations, policies, engagement, assessment, intervention, and evaluation. Following a brief historical overview and introduction to the discipline, the book delves into school social work practice and delivers timely content regarding professional identity, supervision, anti-racism, diversity, equity, inclusion, and social justice. Practice knowledge is examined through social work theory, evidence-informed practice, use of data, and policies regarding school, children, and families. The text addresses the full range of client engagement, service provision, the multi-tiered system of supports, trauma-based practices, social emotional learning, termination, and transition-planning.
This book provides a solid foundation for the development of nursing programs that ensure the academic and professional success of new graduates during and at the completion of their transitions using the concepts from transition theory, as well as other theories. It is divided into four major parts. The first part provides an overview of the nursing profession and the significance of academic success in nursing program. Strategies for success include good study habits, engaging in self-care activities, and learning how to advocate. The importance of portfolio development, understanding the Quality and Safety Education for Nurses (QSEN) competencies, and patient safety issues and an overview of the legal, moral, and ethical issues that informone’s role as a student and nurse are also provided in the first part. The second part focuses on the path from graduation to National Council Licensure Examination for Registered Nurses (NCLEX-RN®) success and one’s first nursing position. He/She will learn strategies for passing his/her exam and how to develop a resume, cover letter, and interview skills necessary to gain a position. The third part provides a more in-depth review of the issues relating to transition into professional practice and covers transition theory and transition process as well as strategies to guide one through this experience. In addition to learning about the role of the nurse generalist and the importance of time management and organization, he/she will develop skills to aid in delegation, leadership, and clinical practice. The final part of the book focuses on continuing role development and one’s continuing transition, with an emphasis on the importance of developing goals and objectives along with a 5-year plan to guide one through his/her journey into professional practice.
This book describes the foundational elements of counseling and psychotherapy with children and adolescents. It includes updates and expanded material about clients’ affect, trauma, substance abuse, progress monitoring, self-care, referral for medication, and mindfulness. Of particular interest is a series of new elements including elements addressing sexual and gender identity, social media, sexuality and harassment, and rules for use of technology. All of these topics have become increasingly important in counselors’ conceptualization of children and adolescent clients and therapy. The book emphasizes the conditions and processes of creating growth within the child, explicating the process of assisting growth and self-inquiry. There are new sections on grounding feelings in the body, teaching tools for distress tolerance, and highlighting the importance of progress monitoring. The book discusses teaching skills for negotiating social conflict—a substantial stressor for children and adolescents. It provides guidance on cocreating individual and family rules for use of technology. It also addresses frequent misconceptions and mistaken assumptions followed by the discussion on crisis intervention, effective referral skills, cultural competency and mandated reporting. The book then addresses issues such as coming to terms with one’s own childhood and adolescence and the rescue fantasy. There is a succinct introduction to interventions (i.e., including a list of more comprehensive texts on counseling with children and adolescents) and an updated review of techniques often used in work with children and adolescents (e.g., play therapy, brief, solution-focused therapy). For ease of reading the word caregiver will be used to indicate a parent, legal guardian, foster parent, and so on. The book focuses on counselor self-care and provides guidance for setting boundaries, knowing their edge, practicing within competency, and assessing and planning personal self-care. Finally, it closes with a brief overview of how to use the text for transcript analysis in training programs.
This handbook was developed as a guide to the strategies and best practices needed by clinicians to assess an individual’s health and well-being. It is intended for a broad audience of health science students and clinicians across disciplines who strive to exemplify excellence in evidence-based assessment and practice. The book provides a practical, scientific, and holistic approach to assessment, in a summarized format that provides ease of access to students and clinicians while in lab and clinical settings. It promotes evidence-based assessment to ensure that clinicians are using valid and reliable examination methods in which to base future decision-making. The book incorporates physical and mental dimensions of wellness, social determinants of health, prevention and self-care needs, into assessment in a manner that respects an individual’s personal perspectives, family and community. It summarizes abnormal subjective (history) and objective (physical exam) findings for common disease states across the life span. The book ensures that clinicians are able to conduct a self-assessment of their own personal health and wellness. Learning to effectively assess the health and well-being of an individual involves integrating skills of history taking, physical examination, and diagnostic decision-making within the context of patient-centered, culturally sensitive, evidence-based clinical practice. The book reviews the physical examination components required to inform clinical decision-making and lists the findings that are generally associated with differential diagnoses. Only with evidence-based assessment can a clinician ensure patient safety and high-quality, cost-effective care. The book comprises of 16 chapters. The first two chapters review evidence-based approaches to assessment—the importance of history taking and approach to general survey. Chapters 3 to 11 review assessment priorities and common diagnoses relative to specific body systems. Chapters 12 to 15 focus on assessments related to sexual and reproductive health and obstetric assessment. Chapter 16 focuses on mental status and mental health.
This book is designed to help the Bachelor of Social Work and Master of Social Work students, enrolled in foundation field placements and field seminars, structure their field placement learning around the nine Council on Social Work Education (CSWE) profession social work competencies defined in the 2015 Educational Policy and Accreditation Standards. Its goal is to ensure that foundation field placement students integrate course learning related to the social work competencies with their field placement learning experiences in a purposeful, reflective, and integrated manner. The book helps structure students’ field learning on the social work competencies. It also educates social work field instructors on the social work competencies mandated by CSWE. The book is divided into 14 chapters. Chapter one provides an introduction to social work field placement and the expectations for social work interns. Chapter two focuses on assessing ones mastery of the professional competencies in ones field placement. Chapters three and four explore the importance of social work supervision, and using reflection and self-regulation to promote well-being through self-care. Chapter five focuses on the importance of engaging with individuals, families, groups, organizations, and communities; and interprofessional collaboration. Chapter six examines what professional social work behavior in communication looks like. Chapters seven and eight focus on engaging in diversity and difference in practice; and advance human rights and social, economic, and environmental justice within ones field placement and beyond. Chapter nine discusses practice-informed research and research-informed practice. Chapter ten focuses on engaging in policy practice in ones field placement. Chapters eleven and twelve covers assessment of the three micro-level client systems: individuals, families, and groups; and reviews assessment of the two mezzo-level client systems: organizations and communities. The last two chapters focus on micro interventions with individuals, families, groups, and organizations and communities.
This book presents a practical guide for the application of nursing conceptual models to nursing practice, nursing quality improvement (QI) projects, and several types of research, including literature reviews, instrument development; and descriptive, correlational, experimental, and mixed-methods designs for each of the nine conceptual models included in the book. It includes the definition and functions of a conceptual model of nursing, a discussion of the need for use of conceptual models to guide practical nursing activities, guidelines for selection of a conceptual model, and discussion of how to construct and apply the conceptual–theoretical–empirical (CTE) structures that are used to guide practical nursing activities. The nine conceptual models of nursing included in this book are: Johnson’s Behavioral Systems Model, King’s Conceptual System, Levine’s Conservation Model, Neuman’s Systems Model, Orem’s Self-Care Framework, Rogers’s Science of Unitary Human Beings, Roy’s Adaptation Model, the Synergy Model, and the Transitions Framework. A concise yet comprehensive summary of the content of each conceptual model is given, including concepts, definitions of the concepts (non-relational propositions), and associations between the concepts (relational propositions). The book is designed as a required or recommended text for undergraduate and graduate students, nurse educators, nurse researchers, and practicing nurses, including novice nurses and advanced practice nurses.
Eye Movement Desensitization and Reprocessing EMDR Therapy Scripted Protocols and Summary Sheets:Treating Eating Disorders, Chronic Pain, and Maladaptive Self-Care Behaviors
This book focuses on applying eye movement desensitization and reprocessing (EMDR) scripted protocols to medical related conditions. It delivers a wide range of step-by-step protocols that enable beginning clinicians as well as seasoned EMDR clinicians, trainers, and consultants alike to enhance their expertise more quickly when working with clients who present with medical-related issues. The scripts are conveniently outlined in an easy-to-use, manual style template, facilitating a reliable, consistent format for use with EMDR clients. The scripts distill the essence of the standard EMDR protocols. They reinforce the specific parts, sequence, and language used to create an effective outcome, and illustrate how clinicians are using this framework to work with a variety of medical related issues while maintaining the integrity of the Adaptive Information Processing model. Following a brief outline of the basic elements of EMDR procedures and protocols, the book focuses on applying EMDR scripted protocols to key medical issues. The book is organized into four parts comprising ten chapters. Chapter one presents protocol for EMDR therapy in the treatment of eating disorders. Chapter two describes EMDR therapy protocol for the management of dysfunctional eating behaviors in anorexia nervosa. Chapter three discusses EMDR therapy protocol for eating disorders. Chapter four presents the EMDR therapy protocol for body image distortion. Chapter five discusses EMDR therapy and physical violence injury: “best moments” protocol. Chapter six describes EMDR therapy for chronic pain conditions. Chapter seven presents EMDR therapy treatment for migraine. Chapter eight discusses EMDR therapy for fibromyalgia. Chapter nine describes the impact of complex posttraumatic stress disorder and attachment issues on personal health. The final chapter presents the EMDR therapy self-care protocol.
Self-Neglect in Older Adults:A Global, Evidence-Based Resource for Nurses and Other Health Care Providers
Self-neglect is a global phenomenon and a serious public health issue. It is a poorly defined concept, which leads to challenges in identifying self-neglecting individuals as well as practical challenges in implementing interventions among health professionals, family members, and friends. This book is the first global, evidence-based resource that targets self-neglect and the important evidence-based interventions available to help older people in need. It is a road map for all clinicians and health care providers who come upon the complex and often heartbreaking phenomenon of self-neglect. The book is divided into twenty five chapters across six sections. Section I, Practical and Theoretical Perspectives, begins with a daughter profiling the progression of her mother’s condition over time to self-neglect from personal, social, and environmental perspectives, and describes self-neglect as the person’s inability or unwillingness to provide goods and services necessary to care for life’s needs. Section II, Issues Concerning the Self-Neglecting Individual, presents singular or multiple issues that either lead to or are a consequence of self-neglect such as mental health issues, delirium, hoarding, animal hoarding, farm animals and farmers, environmental neglect, and decision making. Section III, The Service Responds, details the response by health and social care professionals and agencies. Section IV, Research Evidence, profiles research evidence and delineate many lessons for health care professionals. Section V, Assessment and Measurement of Self-Neglect, presents methods of collecting and managing data on neglect and associated factors. The final section, Ethical and Education Issues, outlines the pedagogical demands placed on professional educators by the complex nature of self-neglect, and application of an ethical decision-making tool to a self-neglecting case.
Leading as a nursing dean or director is an honor and a privilege. It is also an intense experience that demands a full investment of one’s time, energy, wisdom, wit, and patience on a daily basis. Evidence suggests that serving as the chief nursing officer in an academic setting can be an overwhelming, stressful, and lonely experience. This book serves as a primer and all-purpose guide for nurses who are either new to academic leadership or aspire to academic leadership roles. It provides fundamental information in an engaging and conversational manner, with real-life examples that help the reader to understand and embrace the multifaceted opportunities and challenges of “deaning” and directing. The target audience is novice academic nursing leaders: deans, associate deans, assistant deans, chairs, and directors of nursing programs, departments, and schools. Section I introduces readers to selected aspects of the nursing dean/director role, including the processes of searching for and stepping into a position; day-to-day, for-profit, and interim deaning scenarios; and, finally, the process of stepping up from a dean or director position. Section II covers general responsibilities of nursing deans and directors, including enrollment management, student success, recruitment and retention, academic policies and programs, fundraising, stakeholder engagement, budgeting, strategic planning, clinical enterprises and faculty practice, and executive leadership. The book concludes with a section that covers work–life integration and self-care for nursing deans and directors.
This narrative-based book is the first to describe Human Caring Literacy from the perspective of caring scientists who “live the life” by incorporating the precepts of human caring into every aspect of their personal and professional lives. It describes the methods that help practitioners develop mindfulness, reflection, authentic presence, intentionality, and a caring consciousness in the service of providing authentic, heart-centered care for patients, their families, and societies. Critical Caritas Literacy ultimately is an ontology of being/becoming that comes from within the subjective inner lifeworld of each person, morally aroused for reflective and contemplative self-growth, self-caring experiences that contribute to the whole of humanity. Having a high level of Caritas Literacy allows one to quickly form deep, trusting relationships, often within the first hour of meeting. There is a professional requirement for nurses to achieve competence in the delivery of spiritual care and to assess and meet the spiritual needs of their patients. Culturally competent care can relieve medical and social ills, poor cultural competency reproduces stereotypes and may lead to further microlevel conflict. Structurally, health care settings can facilitate nurse’s dual role as conflict mitigator by caring for nurses, providing burnout prevention, providing self-care rooms and staff support, and offering frequent debriefing with the aid of holistic healers, chaplains, and social workers.
Psychological trauma can occur when a person experiences an extreme stressor that negatively affects his or her emotional or physical well-being. This book encompasses theories, diagnosis, and treatment as well as how trauma affects family members and caregivers. It also addresses the variables of gender, race/ethnicity, and culture as they bear on trauma psychology and the potential health consequences of trauma. In addition, the book illuminates controversies in the field and such emerging topics as posttraumatic growth (PTG), multiple traumas, and how traumatic events affect communities. A person could be diagnosed with posttraumatic stress disorder (PTSD) only if he or she experienced a criterion A stressor, which comprises two components: the person experienced, witnessed events that involved actual threatened death/serious injury, or a threat to the physical integrity of self/others, and the person’s response involved intense fear, helplessness, or horror. Given the serious often life-threatening conditions that trauma survivors often have, an adequate health care system response is perhaps the most pressing need of survivors of traumatic events. Children of parents with PTSD often describe damaged, preoccupied parents who are emotionally limited. Self-care is critical when someone works with clients or patients who have experienced trauma. Burnout is possible, as are compassion fatigue and secondary traumatic stress. Evidence-based treatments for PTSD can be cognitive behavioral therapy (CBT) interventions, such as prolonged exposure therapy, cognitive processing therapy (CPT), and eye movement desensitization and reprocessing (
EMDR). The book also deals with alternative medicine treatments such as meditation and dance therapy and movement.
This book provides specific and practical information and guidelines for clinical nursing professors/instructors. It addresses key fundamental elements of clinical teaching. This book is organized into seven major parts containing 21 chapters. The first chapter presents the basic facts of clinical teaching and includes the expectations for many experienced and novice instructors. The second chapter helps to assess basic knowledge of standard rules and policies in nursing education. The third chapter differentiates the opportunities and challenges posed by various types of clinical sites and the variety of requirements dictated by the site and course specialty. Chapter 4 reviews the priority tasks for the clinical instructor. Chapter 5 highlights the orientation day and provides a sample template for that day. Chapters 7 and 8 review characteristics of “high fliers” and “not-so-high fliers”. Chapters 9 and 10 discuss the importance of student self-evaluation and provide evidence to support a mid-term and final evaluation even if the clinical rotation is as brief as 4 days. Chapter 11 describes warning signs for students who are in danger of failing. Chapter 12 presents the most common grading systems used in nursing programs. Chapters 13 and 14 address preconference and postconference time. Chapter 15 provides insights that will prepare the clinical instructor for certain unplanned events such as lateness in student arrival. Chapter 16 highlights alternative assignments. Chapter 17 provides several examples of unsafe practice events. Chapter 18 contains a survey taken from senior nursing students within 1 month of graduating from a baccalaureate nursing program. Chapter 19 stresses the importance of self-care and the role it plays in modeling the same for your students. Chapter 20 discusses the responsibility of clinical instructors regarding writing letters of reference. The final chapter updates the current thinking about the utilization of the simulation lab in nursing curricula.
Eye Movement Desensitization and Reprocessing EMDR Therapy Scripted Protocols and Summary Sheets:Treating Trauma- and Stressor-Related Conditions
This book is designed to apply what we are learning through research and to support the increasing knowledge and capabilities of clinicians in the method of Eye Movement Desensitization and Reprocessing (
EMDR) Therapy. The book is divided into three parts. The first part covers trauma and stressor-related conditions. Chapters here show how EMDR Therapy is used for a range of disorders, such as reactive attachment disorders, address the issue of child attachment trauma for adults, and discuss EMDR for traumatized patients suffering from psychosis. Other chapters in this section deal with EMDR for adolescents and adults living with ongoing traumatized stress and the treatment of 911 trauma in emergency telecommunicators. The second part of the book focuses on grief and mourning. In the third part, the need for taking self-care for clinicians and prevention of compassion fatigue are explained. The book also contains an appendix, which includes the scripts for the 3-Pronged Protocol that includes past memories, present triggers, and future templates. This section helps clinicians remember the important components of the Standard EMDR Protocol to ensure fidelity to the model.
This book explicates mindfulness and yoga as tools for cultivating embodied self-regulation within healthy, active, engaged learners. It is structured in four parts, each comprised of two to four chapters. The first part sets the stage for mindfulness and yoga interventions in schools. It includes a review of the conceptual model for embodied self-regulation and addresses the risks and outcomes associated with a lack of self-regulation and engagement among students. The first section also includes the three-tiered model of intervention used in education and a framework for implementing mindfulness and yogic practices within the three-tier approach. The second and third parts explicate the philosophical underpinnings of mindfulness and yoga, detail the formal and informal practices in a on-the-cushion/mat and off-the cushion/mat format, and critically review the mindfulness and yoga protocols that have been implemented and studied in schools. Specifically, the second part focuses on mindfulness interventions and the third part focuses on yoga interventions. The fourth part addresses mindful self-care for students and teachers. The mindful self-care scale is presented as a framework for presenting actionable self-care goals for students and teachers. The longer form and the shorter form are offered with a scoring system and research on each of the aspects of self-care. Mindfulness and yoga practices help us be on-purpose, intentional in our teaching and in our lives.
Communication and Care Coordination for the Palliative Care Team:A Handbook for Building and Maintaining Optimal Teams
By focusing on the individual professional in relation to team health and success, this book shows how to develop high-quality, high-performing palliative care teams. It explores the types of providers involved in palliative care, their roles, possible conflicts, and the opportunity to amplify their work as a team while overcoming the stigma that may be attached to palliative care. The book focuses on the foundational role of communication in leadership, team building, and the delivery of patient care. Palliative care continues to be a rapidly growing area of medicine. The book is designed to help us avoid common pitfalls while starting a team or correct issues in an already formed palliative care team. Unlike most books about palliative care, the book is geared toward equipping practicing healthcare professionals or soon-to-be-practicing students with practical solutions for working within complex, multifaceted palliative care teams. Departing from the traditional foci of provider–patient rapport and pain and symptom management, the book offers pragmatic solutions to common organizational headaches and unique palliative care team issues by helping practitioners consider the intricacies of interdisciplinary team dynamics, occupational culture, and self-care in emotional, labor–intensive positions. While this book will be especially attractive for the working palliative care professional, it will also be a useful socialization tool for medical and nursing schools, as well as graduate communication and social work programs and advanced undergraduate courses in health communication, nursing, and sociology. The text’s driving theme is an emphasis on the foundational nature of communication for individual and collective performance within palliative care teams. The authors frame communication as constitutive; in other words, our unique experience in our organization is based on how we approach communication in our interpersonal, group, and organizational relationships.
Trauma Counseling, 2nd Edition:Theories and Interventions for Managing Trauma, Stress, Crisis, and Disaster
This book is a much-needed update that offers an in-depth and comprehensive exploration of the variety of relevant issues concerning clients’ traumatic, crisis-related, and disaster events that commonly are encountered by professional counselors and other mental health professionals. The textbook is framed, theoretically, within a systemic paradigm, including important recent physiological and neurobiological understandings of the impact of trauma on individuals. The book is organized into six sections. Section I offers a foundation for understanding the various trauma-associated issues. In fact, it tries, with a great deal of intentionality, in the first three chapters, to construct a trauma scaffold of foundational knowledge, upon which students can build increasingly more complex conceptualizations of more nuanced clinical issues associated with trauma. Section II explicates relevant constructs, such as loss and grief; these constructs continue to build upon and expand the trauma scaffolding of the first section. It also offers information about the traumatic events that may be experienced by specific age groups, people who are vulnerable, and other particular populations. Section III begins with his explication of the moral psychology of evil. Section IV presents a broader systemic context for understanding the effects of trauma on groups of people. Section V analyzes assessment methods and interventions associated with psychological trauma. It identifies and discusses the larger scope of integrative approaches to trauma, crisis, and disaster intervention, thus emphasizing the importance of more systemic models. Section VI begins by presenting ethical perspectives on trauma work. It explicates vicarious traumatization, highlighting the need for counselor selfawareness. It also focuses on the importance of mindfulness-based self-care for counselors, encouraging clinicians to be healing counselors rather than wounded healers.
This book deepens our understandings of the importance of theory in developing the science of nursing. The interest in middle range theory continues to grow as demonstrated by the increased number of published theories as well as the desire among nursing faculty and researchers to use theories at the midrange level to guide practice and research. Middle range theory can be defined as a set of related ideas that are focused on a limited dimension of the reality of nursing. Middle range theories are developed and grow at the intersection of practice and research to provide guidance for everyday practice and scholarly research rooted in the discipline of nursing. The book uses the ladder of abstraction to articulate the logic of middle range theory as related to a philosophical perspective and practice/research approaches congruent with theory conceptualization. The book is structured in four sections covering 23 chapters. The first section presents a meta-perspective on middle range theory. The first chapter elaborates on the structure of the discipline of nursing as a present and historical context for the development and use of middle range theories. The second chapter offers a clear and formal way of presenting the theories. The ladders represent the editors’ view of the philosophical grounding of the theory. The third chapter describes evaluation of middle range theories for the discipline of nursing. In the second section of the book, thirteen middle range theories are included: uncertainty, meaning, bureaucratic caring, self-transcendence, symptom management, unpleasant symptoms, self-efficacy, story, transitions, self-reliance, cultural marginality, and moral reckoning, and self-care of chronic illness. The third section contains five chapters that frame a systematic approach for concept building. The fourth section of the book contains two articles from Advances in Nursing Science that document a historical meta-perspective about middle range theory development over decades.