This book presents theoretical underpinnings of perinatal and pediatric bereavement, chapters on dimensions of perinatal and pediatric loss that have been of interest recently, and clinical interventions derived from research. It is divided into two sections. The first section has 10 chapters focusing on aspects of perinatal loss. It presents background content on various grief theories developed in the past five decades. These theories have expanded our understanding of the processes of death, dying, and bereavement. Grief after pregnancy loss can be more complicated for certain groups. The book provides a comprehensive overview of perinatal grief among lesbian couples and an overview of perinatal loss in adolescents, discussing normal adolescent growth and development, and using Sanders’s integrated theory of bereavement to discuss the common physical, emotional, social, and cognitive reactions to loss. The second section has eight chapters focusing on various aspects of caring for families whose children are dying or who have died, and caring for children who are grieving. Sometimes, the death of a child can occur under traumatic circumstances, setting the stage for very intense psychological responses. The book focuses on the impact of the cause of the death on posttraumatic stress responses and overall parental health after the traumatic loss of a child and describes supportive interventions for bereaved parents. Suicide is one of the most traumatic losses a family can experience. Finally, the book presents the importance of creating and capturing meaningful moments in the time leading up to and after the death of a child, focusing on the importance of relationships among families and professionals as they prepare for the child’s death.

The goal of this book is to teach the ability to form an autonomous and clinically useful opinion about any 12-lead electrocardiogram (EKG). It introduces basic principles of anatomy and physiology, including a review of the heart’s electrical system. The heart has an intricate electrical system, made up of highly specialized cells, that is responsible for generating each heart beat. The heart’s electrical system consists of five structures: the sinoatrial (SA node), the atrioventricular (AV node), the bundle of His, the right and left bundle branches, and the Purkinje fibers. One of the most basic yet important pieces of information the EKG provides is the heart rate (HR). The most accurate way to measure heart rate is by measuring the R-R interval. Learning the normal electrical direction of forces in the heart provides a simple and scientific way of understanding and interpreting an EKG. The book also discusses vital elements of cardiology, such as atrial and ventricular arrhythmias, conduction abnormalities and heart block, ischemic and nonischemic disorders, and more. It explains various types of heart blocks such as premature atrial contraction, sinus arrest and asystole, and various types of pacemakers such as ventricular pacemaker and artrial pacemakers. Drug effects and toxicities, electrolyte imbalances, trauma, pericardial diseases, lung disease, cancer, cardiomyopathies, and systemic diseases are conditions that can cause specific changes on the EKG.

This book is a response that fosters education, practice development, and professionalism. The bachelor of science in nursing (BSN) is the essential educational foundation to give nurses the knowledge to improve health outcomes and provide the highest quality care. It provides the essentials of nursing theory and the importance of having a philosophy of nursing that informs our professional role. The book is written to assist with the transition from the role of the LPN to the baccalaureate-prepared registered nurse (RN). Licensed practical nurses (LPNs) who enter a university to advance their education through seeking a baccalaureate of nursing degree often find the experience of socializing into the new professional role challenging. The book analyzes the change process, discusses Benner’s stages of clinical competence, examines the philosophy of nursing and describes stress reduction measures. The terms leadership and management are described, and the role of the baccalaureate-prepared nurse as leader and manager is explored. Finally the book talks about the Skill Competencies required for the Baccalaureate-Prepared Nurse-electronic health records (EHRs); the Technology Informatics Guiding Education Reform (TIGER) Movement; Simulated E-Health Delivery System (SEEDS) and Nursing Informatics Education Model (NIEM). The Quality and Safety Education for Nurses (QSEN) program was created in 2005 by an expert panel of nursing educators with the aim of preparing future nurses to continuously advance the quality and safety of the health care system in which they practice. The group developed six core competencies to be incorporated into nursing curricula: client-centered care; teamwork and collaboration; evidence-based practice; quality improvement; safety; and informatics.

This book describes innovative, nurse-managed solutions for improving health care today. It addresses the key business, policy, medical, financial, and operational considerations necessary for successfully opening and operating nurse-led health facilities. With the mission to dramatically expand access to primary and preventive health care, these clinics provide a full range of services including primary care, health promotion, disease prevention, and behavioral health care to residents of underserved communities throughout the United States. The book provides a historical perspective on nurse-managed health centers (NMHCs), includes chapters on the practical aspects of starting and operating NMHCs, combined with case studies that illustrate the challenges, lessons learned, and successes of NMHCs, and deals with an assessment of the current status of NMHCs and a vision for their future. The book delivers a wealth of comprehensive information for nurses who are considering opening their own clinics. Reinforced with best-practice models and case studies, it discusses what it takes to successfully start and run a nurse-managed health center. The book addresses the history and growth of nurse-led clinics and describes the nurse-led paradigm of care. It identifies the different types of nurse-led clinics (primary care, school based, wellness, and more) and the clinical services offered within them. Also discussed are the requirements and mind-set of potential consumers and strategies for sustainability along with the role of the collaborative team. The pros and cons of a variety of business and operations models are examined along with quality metrics and initiatives. The book also covers various state and federal policy challenges and opportunities and explores the future of nurse-led care in view of ongoing health care reform.

This book provides a basic reference for nurses caring for women and their families during the antepartum and postpartum periods. It encompasses evidence-based practice guidelines and clinical recommendations for routine antepartum assessment and nursing care, care of women with pre-existing conditions prior to pregnancy or complications of pregnancy, routine postpartum assessment and care, postpartum complications, and care of special populations. Chapters are organized systematically to include assessment and management guidelines, health promotion and teaching recommendations, routine laboratory and ultrasound tests, and holistic evidence-based nursing care practices. A separate section addresses special populations and outlines care components specific to these women and their families. They include culturally diverse families, women on each end of the age spectrum, women with fetuses or newborns diagnosed with adverse outcomes, women who have a history of being victimized, and those with deployed partners. While targeted to hospital-based nurses and new nurses in hospital orientation and their preceptors, it is also a helpful resource for nurses who practice in a great variety of related settings, as well as nurse midwifery students. Appendices include a skills checklist, a list of commonly used medications, abbreviations, and lab values.

Women have unique biopsychosocial factors that make them more vulnerable to mental illness. Many of these mental illnesses can elicit enormous physical, emotional, financial, and social barriers. This is books serves as a quick-access clinical guide to the range of mental health issues and diagnoses that commonly affect women across the life span. The book is divided into four sections. The first section deals with the role of cultural competence in mental health and the various types of violence such as sexual assault, rape and stalking perpetrated on women. It emphasizes key stressors specific to women that are precursors to mental illness. The second section looks at the mental disorders affecting special populations among women including girl children and adolescent females, and aged women. Disorders for other unique populations such as disabled women, lesbian and transgendered women, female veterans, women with forensic health concerns, and women who have been the object of violence are also discussed here. In the third section, chapters address childbearing issues, including menstruation-related problems, infertility and its psychological implications, and antepartum, intrapartum, and postpartum psychological disorders. The final section of the book is devoted to the discussion of the various psychiatric issues common to women: anxiety disorders; mood disorders; eating disorders; personality disorders; psychotic disorders; sleep disorders; substance abuse disorders; grief and loss; schizophrenia; and sexual dysfunction.

This book is designed for nurses who are beginning to work field of pediatrics, and can be a great asset to the novice nurse who is orienting to the unit, or even to the student nurse who is beginning a clinical rotation in the specialized area of pediatric nursing. It presents suggestions on how to communicate and work with children using age-appropriate techniques. The book is divided into three parts. Part I deals with the pediatric principles with chapters highlighting the tips for working with children, discussing immunizations, preventive care and anticipatory guidance for the well child care. Physical examination and reporting child abuse are also described. The role of the pediatric nurse is focused in the second part, which discusses health care delivery and hospitalization. The nurse’s role in medical administration is also explained in this section. Part III reviews the common pediatric disorders such as emotional or behavioural disorders, neurologic and chromosomal disorders, skin disorders, respiratory disorders, cardiovascular disorders, blood and lymphatic disorders, gastrointestinal disorders, genitourinary disorders and muscoskeletal disorders. The book ends with a discussion on communical diseases of childhood.

Infusion therapy can be delivered safely and effectively in the home setting. Successful home care agencies provide knowledgeable and qualified home care nurses and have structures and processes in place to ensure quality patient care. As an invaluable resource, this book can provide the framework for an effective home infusion therapy program that ensures optimal outcomes and patient safety. The first part of the book addresses the foundations of home infusion therapy. It describes the author’s model for safe infusion therapy, which provides a framework for the subsequent chapters. This model predicts that positive outcomes, including the absence of infusion therapy-related complications, patient satisfaction, and health care provider satisfaction, are maximized when four aspects of care are addressed during the home care planning process and during the process of providing care. The part discusses the importance of patient education. The role that patients and caregivers play in home infusion therapy is what makes home care unique. The nurse’s skill in teaching patients is equally important to any infusion administration skills. The part also describes concepts in infection prevention, an important goal of infusion therapy in all health care settings. The second part of the book addresses access devices and methods, including peripheral catheters, the growing use of midline catheters, and central vascular access devices, as well as subcutaneous infusion and intrathecal catheters. The final part of the book includes a chapter on infusion methods and issues followed by infusion therapy-specific chapters. Each of these chapters follows a similar format based upon the author’s model.

The years that encompass the period of adolescence are largely socially constructed and dependent upon the norms, beliefs, and behaviors of society. Adults interacting with teens, whether in their personal or professional lives, know the rewards, challenges, and sometimes the mysteries of these experiences. This book is designed to assist nursing and health care professionals to understand and to be successful in these interactions, to have positive impacts on teens, and to advocate effectively for youth. Teen development is an ongoing process of engagement with friends, adults, and institutions, and teens’ own perspectives that frame their individual responses, thoughts, and actions. Knowledge of brain development helps us to understand some aspects of teen behavior characteristic of early, middle, and late adolescence. Adolescent development, factors affecting teen health, suggestions for working and communicating with teens, and issues impacting adolescents in six holistic health domains, namely physical, intellectual, emotional, spiritual, sexual, and relational are addressed in the book. Selected issues facing teens with acute and chronic illness, matters associated with teens and technology, legal and ethical issues, and the marginalization of youth challenge readers to ponder their perceptions about adolescents.

This book emphasizes the importance of sleep across states of health, health care settings, and at all stages of human development. It uses an evidence-based approach to synthesize and integrate nursing and interdisciplinary research on sleep to serve as a foundation for curriculum, teaching, practice, and researchactivities. The book is divided into four units. Unit I addresses aspects of normal sleep, including normal sleep physiology and behavior and developmental and gender aspects. In Unit II, the book provides an overview of the importance of sleep and its consequences from an epidemiological perspective, extant sleep-related nosologies, and a guide to sleep assessment. Unit II also discusses the epidemiology, consequences, assessment, and treatment of the sleep disorders such as insomnia, sleep-related breathing disorders including central sleep apnea (CSA), parasomnias, narcolepsy and circadian rhythm disorders (CRD), and psychaitric and pediatric disorders, the health disparities associated with sleep disorders, and provides an overview of complementary and alternative therapies for sleep. Unit III focuses on integration of the clinical research on sleep into specific settings where many nurses work (occupational health, primary care, acute care, long-term care, psychiatric settings, pediatric primary care, pediatric acute care, and maternal-child health). In Unit IV, the book presents suggestions about ways to integrate sleep and sleep disorders into pre-licensure and graduate nursing education, ideas about the future of nursing practice related to sleep, and proposed directions for future research.