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.