This book offers insight into the diagnosis, management, and treatment of patients with gastrointestinal (GI) and liver disease. The abdominal assessment is an essential tool for providers to diagnose and treat GI illnesses appropriately. CT scan is a useful and frequently ordered test when trying to determine cause of acute abdominal pain. Esophagogastroduodenoscopy (EGD) is a procedure performed by a gastroenterologist to evaluate the upper structures of the GI tract. Colonoscopy is a procedure performed by a gastroenterologist to evaluate the large intestine and rectum. The book reviews common GI symptoms and disorders from irritable bowel disorders (including key differences between Crohn’s disease and ulcerativecolitis) to gallstones and gastroesophageal reflux disease (GERD). It also includes comprehensive review of the liver, abnormal liver function tests (LFTs), and transplantation. The LFT is a combination of serum testing, including alkaline phosphate, alanine aminotransferase (ALT), aspartate aminotransferase (AST) and bilirubin levels. The book provides up-to date information on the latest treatment guidelines for gastrointestinal and liver disease. Liver disease discussed in the book include viral hepatitis, fatty liver disease, autoimmune liver disease, acute liver failure, cirrhosis, ascites, spontaneous bacterial peritonitis (SBP), and hepatic encephalopathy (HE).
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Clinical Simulations for the Advanced Practice Nurse:A Comprehensive Guide for Faculty, Students, and Simulation Staff
Education of the advanced practice registered nurse (
APRN), especially as clinical application becomes more complex and clinical sites become more challenging to locate, requires additional expertise on the part of the educator. This book provides some insight into the additional methodologies that are available to the educator to address some of these challenges. Unlike other simulation books, this book is dedicated to advanced practice nursing students, their faculty, and the simulation staff that support their training. One third of the content is dedicated to narrative entries written for APRNstudents, faculty, and simulation staff, each with timely topics surrounding APRNtraining as well as sound advice from recent graduates, faculty experts, and leaders in the simulation field. The remaining two thirds of the book is dedicated to detailed clinical simulation cases arranged by APRNspecialty. These simulation scenarios are designed to promote critical thinking and clinical reasoning in advanced practice nursing students, new APRNgraduates preparing for boards, novice APRNsenrolled in onboarding or internship programs, experienced nurse practitioners looking to transition to a new clinical practice area, and advanced practice nurses seeking a review. The prepared simulation cases in this book will aid in alleviating the faculty/staff workload for design and allow the focus to primarily rest on support and implementation to enhance and measure outcomes. The book provides a method and firm foundation for transforming graduate nursing education to competency-based clinical evaluation, empowering programs with standardized templates and interprofessional education options for each case to advance graduate simulation education and research. This comprehensive guide includes all of the most commonly seen and most clinically prevalent clinical scenarios for all APRNspecialties. It also includes a broad range of scenarios not commonly found in other simulation books.
Cardiac Diagnosis for Acute Care:The NP’s and PA’s Guide to a Comprehensive History and Deciphering the Differential
This book presents clinical scenarios that involve various chief complaints and reasons for consults that typically confront cardiovascular clinicians in an acute care setting. It helps the novice and experienced clinician alike particularly those evaluating patients with potential cardiac problems identify and extract key features of the chief complaint in order to formulate an accurate diagnosis. The book prepares new providers in acute care settings to ask the right questions, ask questions early, immediately begin to form a differential diagnosis, and take the best care of the patient who presents with chest pain, shortness of breath, and syncope. It is a must-read for all physician assistants and nurse practitioners who need a handy tool to meet the needs of their patients when they enter the acute care setting. The book presents a case scenario format, contrasting the history obtained by an emergency department provider from that of a cardiovascular provider, helps readers identify critical findings simply and clearly. It exposes key questions and lines of questioning systematically for the most common complaints for which hospital-based cardiologists are consulted. The book is organized into three parts containing thirteen chapters. The first part describes common presentations of acute cardiac conditions such as chest pain, shortness of breath, syncope and elevated troponin. The second part discusses uncommon presentations of acute cardiac conditions such as fatigue, cough and abdominal pain. The final part provides a bonus section on writing up complete history and physical examination finding.
This book has been the go-to resource for evidence-based and practical guidance for novice and expert neonatal nurses in classroom and clinical settings since 1993. The sixth edition includes the latest information on neonatal embryology, physiology, medical and surgical management, psychosocial care, emerging infections, neuroprotection, pain control, care of the late preterm infant, and much more. The book is organized with a focus on integrative management of the newborn and family. There is extensive use of research findings in each of the chapters to provide evidence to support practice strategies and clinical decision making. In the sixth edition, the chapters have been thoroughly updated and refreshed with the latest research and practice tips, written by authors who are recognized experts in their fields. New features include callouts highlighting parent perspectives, quality and safety practice points, and emergency alerts. There are new chapters on trauma-informed care, neonatal abstinence, and support for families. Uniquely among neonatal textbooks, the sixth edition of this book includes a focus on the neonatal care ecosystem, with chapters on emerging trends in research and care delivery, genetics and genomics, and competency-based education and support for neonatal unit managers and directors. It provides a comprehensive assessment and examination of the care of neonates from a physiologic and pathophysiologic approach appropriate for any health professional concerned with neonatal care. The sixth edition recognizes that neonatal nursing and care are global issues. New protocols introduced in the sixth edition include neuroprotective interventions and neuroprotection of skin-to-skin contact. Contributors include physicians, nurses, infant developmental specialists, and other health professionals concerned with neonatal care from across the country and around the world.
The first edition of Fast Facts for the Adult-Gerontology Acute Care Nurse Practitioner book is created specifically for Adult-Gerontology Acute Care Nurse Practitioner (
AG-ACNP) students and new hires as well as for NPswho are changing positions or moving to a new organization. This book presents critical information at the NP’sfingertips for quick reference in clinical settings. It is designed to be kept in the pocket of a lab coat or handy on a computer on wheels and to be used during clinical rotations and in everyday practice. AG-ACNPscan use the book as review material for exams, a reference in clinical or simulation settings, writing case studies, and applying to patient care while in practice. It is unique in that it provides many tables and charts to provide large amounts of data in a condensed format. The book is designed to be a quick reference with helpful information in an easy-to-access format. It has quick tips on medication dosing, ordering diagnostic tests, documentation, and billing. Most importantly, many fine nuances and quick tips for each body system are included. While the AG-ACNPprogram provides a solid foundation, many important details cannot be memorized and take time and repetition to engrain into daily practice. To apply the concepts in the book, one requires a broader and deeper understanding of the pathophysiology, diagnoses, and treatments of diverse acute, acute on chronic, and critical care conditions.
This book is a very nonexclusive resource for anyone who works in neurocritical care, including physician assistants, nurse practitioners, clinical nurse specialists, and bedside nurses. It presents fast facts about commonly seen neurological conditions in the adult critical care setting. The book distills complicated neurologic conditions to deliver the essentials of best care for the neurocritical patient. Often missing from acute care courses, neurocritical care is a growing field, with more patients than ever admitted to the intensive care unit for neurocritical conditions. This specialty requires specificity and precision. It covers the defining characteristics, clinical presentation, diagnostics, treatment, and nursing considerations of common neurological disorders seen in acute care settings. The book is organized into seven parts comprising 17 chapters. The chapters review the assessment and diagnosis of common and not-so-common neurologic conditions that can often be difficult to recognize and manage. Part one describes the basics of neurological examination, neurological examination of stroke patient, comatose patient, and neurological examination for intracranial hypertension. Part two discusses stroke and it types such as ischemic stroke, hemorrhagic stroke, and subarachnoid hemorrhage. Part three covers traumatic brain injury and spinal cord injury. Parts four and five discuss neuromuscular disorders and seizures, which include Guillain–Barré syndrome, myasthenia gravis, isolated seizures, and status epilepticus. Part six talks about neuroinfectious disorders such as meningitis and encephalitis. The final part explores brain death and organ donation. Replete with illustrations and clinical pearls, the book is an invaluable resource for orientation into this often-challenging specialty.
This book presents a nursing practice guide to the neurologic examination. The information in this book is organized into two parts. The first part is dedicated to the neurological exam itself. The information provided here gives the reader a firm understanding of the preliminary assessment of the neurological patient. Chapters explore the need for history taking, evaluation of mental status, talk about the various cranial nerves, discuss the testing aspects of motor strength, sensation, reflexes and coordination. The evaluation of gait is a core component of a neurological examination. The sensory component of gait involves balance. The last chapter in this part covers imaging techniques such as computed tomography (CT) imaging and magnetic resonance imaging (MRI) and electromyography (EMG). The second part of the book is dedicated to some of the more common symptoms that may be encountered in clinical practice. Understanding common etiologies, guidance on what questions and tests may be useful in an assessment of the disorder, and treatment options are detailed in these chapters. The various symptoms presented in this part are vertigo, tremor, low back pain, peripeheral neuropathy, weakness, dementia, diplopia, headache and gait disturbance.
This book provides content required to deliver the best care for critically ill or injured children. It reflects the increasing acuity in all inpatient departments and the fact that these children are cared for in a variety of settings, including many specialty units in hospitals and in the emergency department, cath lab, diagnostic testing, and more. Pediatric acute and critical care nurses find themselves handling not only their patients, but care of their families and management of an interprofessional team of caregivers. With emphasis on evidence-based care and professionalism, this essential resource captures the professional role of the pediatric critical care nurse and the nurse’s contributions to the process of continuous quality improvement. The book comprises of ten chapters. Chapter one discusses caring for critically ill children and their families. Chapters two through nine are systems focused (pulmonary, cardiovascular, neurologic, renal, endocrine, gastrointestinal, hematologic, and immunologic systems). Each chapter reviews developmental anatomy and physiology, pathophysiology and defining characteristics of neonatal and pediatric disorders, clinical assessment, pharmacology, monitoring, diagnostic testing, pain and palliative care management, and a multidisciplinary approach to the plan of care. Each health problem is discussed along the continuum of the American Association of Critical-Care Nurses (AACN) Synergy Model for Patient Care and family-centered care with integration of ethical, legal, and environmental issues. Chapter ten discusses professional issues and includes content on quality, safety, communication, teamwork, work environment, and personal wellness.
Policy and Program Planning for Older Adults and People With Disabilities, 2nd Edition:Practice Realities and Visions
This book attempts to build students’ understanding of policy development through a critical analysis and review of policy frameworks, and the policy implementation process. The book is organized into four parts comprising twenty-one chapters. Part one of this book lays out a background as to the current and future demographic trends of older adults and makes the case for the reader that there are a variety of philosophical, political, economic, and social factors that affect public policy development. The chapters help the reader to explore a range of perspectives that define, shape, and impact the development and implementation of public policy. It intends to prepare the reader to critically analyze public policies related to aging. Part two provides an overview to major federal policies and programs that impact older adults and people with disabilities. It examines some historical developments leading up to the actual development and implementation of the policies. Policies include social security, medicare, the Older Americans Act, and the Americans with Disabilities Act, the Community Mental Health Centers Act, and Freedom Initiative. The last part of the book outlines specific programmatic areas that flow from aging policies, and specific components that flow from federally mandated policies. Each chapter contains same basic outline: an overview of the programs, specific features and strengths of the programs, gaps and areas for development, and challenges for the future.