This book is a clinically relevant reference guide for health care trainees, medical providers, and active allied health professionals who work with patients and clients suffering from all aspects of insults to the brain. Not limited to traumatic brain injuries, the book provides easy-to-follow formatting by providing information involving all aspects of acquired injuries to the brain and related clinical outcomes. Each chapter provides an overview of a subtype of brain injury, accompanied by history, pathophysiology, etiology, epidemiology, clinical presentation, other diagnostic considerations, treatment, prognosis, and clinical synopsis. Stroke is an enormous public health problem as it is one of the leading causes of both death and disability worldwide. Stroke symptoms, with very few exceptions, begin with the sudden onset of focal neurological deficits, which are confined to a vascular territory. Treatment of stroke can generally be divided into three categories: acute stroke management, rehabilitation, and secondary stroke prevention. Acquired brain injury (ABI), at any age, is a significant public health concern. It is particularly problematic in the elderly considering the increased rates of mortality and morbidity following ABI in this population. Optimal rehabilitation of ABI requires a multidisciplinary approach of trained rehabilitation specialists at appropriate timing and with appropriate intensity. Brain injury rehabilitation requires a comprehensive treatment program to reduce impairments and to restore function, participation, and quality of life. Useful case studies are also provided for most conditions described in the book.
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Over the years there has been a call and mandates by national originations such as the Quality and Safety Education for Nurses (QSEN), Institute of Medicine (IOM), and American Nurses Association (ANA) that nurses have more technology skills to meet ever-evolving workforce demands in the newer high-tech healthcare practice environments. This book provides a basic understanding of technology requirements using nursing informatics (NI) knowledge and skills needed in today's practice workforce as well as the basic considerations needed for professional development and lifelong learning. First it provides a foundation explaining the rapid evolution and importance of NI. The book then provides the basics to understating the primary tool used by nurses in today's clinical practice—the computer—as well as other technology and software needed in practice. It presents case scenarios and critical thinking questions and activities to engage the reader and enhance understanding of concepts. The book takes the reader further into clinical application such as general, everyday uses in project management as correlated with the nursing process, applications of NI and computer concepts used in research, as well as how NI and technology tie into and support education. It provides an overview of the connection between data, information, knowledge, and wisdom; definitions for quality and data quality; and criteria for quality data and information during input, storage, and at retrieval, display, and printing. The book also reviews competencies needed by the baccalaureate-prepared nurse in today's healthcare setting to recognize data quality, problems with data quality, and corrective measures.
This book helps students to learn about fundamental brain functioning and to apply the information with various clinical populations with whom they may help to serve. It also helps the professor to advance beyond the typical mindset of teaching only the basics in brain functioning. The book is divided into two sections. In Section I of the book, a foundational framework of neuroscience is provided, including important historical events, patients, and neuroscientists as well as an explanation of all the different techniques used in understanding human behavior. The first part of the text also focuses on core foundations of brain functioning, with an emphasis on the important neural systems often found dysregulated in psychopathology. Clinical techniques such as electrophysiology recordings, neuroimaging techniques, MRI scans are also discussed. The second section of the text explores many areas of psychopathology from a behavioral, cognitive, and neurobiological perspective before describing typical effective strategies used to treat the various disorders. The various disorders that are covered in this section include childhood disorders such as attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD), schizophrenia, mood disorders including bipolar disorder, anxiety disorders, the three types of eating disorders, anorexia nervosa, bulimia nervosa and binge eating, sleep disorders such as parasomnia and insomnia, substance disorders, and personality disorders including antisocial personality disorder and borderline personality disorder.
This book is a response to the need for nursing students to have resources about core Evidence-based practice (EBP) knowledge and competencies for each level of nursing practice degrees. It addresses critical essentials that nursing students must master as they move from one nursing degree level to the next. The book takes an inclusive view of EBP from the perspectives of direct care nurses, advanced registered nurse practitioners, healthcare systems leaders, researchers, and faculty. It aligns EBP content with specific Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and Doctor of Nursing Practice (DNP) essentials outlined by the American Association of Critical-Care Nurses (AACN) and addresses leveling EBP process and content across curricula. The book is organized into four major parts containing 20 chapters. Part I: Conceptual Foundations of Evidence-Based Practice contains five chapters and provides readers with necessary foundational knowledge on which to build clinical decision-making skills based on the best available evidence. Part II: Designing And Implementing Evidence-Based Practice Projects contains six chapters that systematically explore the critical elements of conceptualizing, developing, implementing, and evaluating EBP projects. PART III: Science-Based Decisions and Evidence-Based Practice contains three chapters that emphasize the importance of translational research and quality improvement for the implementation and evaluation of EBP. The final part, Evidence-Based Practice: Empowering Nurses contains six chapters that address the importance of an EBP culture and structural empowerment strategies required to achieve and sustain a culture that fosters EBP.
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.
This book aims to assist both the experienced bedside nurse and the recent graduate in understanding evidence-based practice (
EBP) and in embracing its implementation as a means of improving the quality of patient care. It reviews the process of EBP, which involves defining a clinical situation of interest, formatting a good clinical question, conducting a literature search, reading and critiquing research findings or published research reports, and deciding if the evidence warrants a change in practice. It also reviews basic research terms and principles. The book consists of eleven chapters. Chapter 1 provides introduction to EBP. Chapter 2 discusses how to begin selecting clinical question and provides tools to construct a high-quality clinical question. Chapter 3 discusses Iowa Model. The Iowa Model was designed with the idea that in order to choose a topic for an EBPproject, either a knowledge-based or a problem-based trigger must be used. Chapter 4 provides an overview of the research process as well as the proper terminology. Chapter 5 provides a brief overview of basic quantitative research designs, along with related key terminology needed to understand the basics of EBP. Chapter 6 explores the characteristics of four types of qualitative research designs: phenomenological, ethnological, grounded theory, and historical. Next two chapters explore finding and evaluating evidence. Chapter 9 examines some of the barriers to conducting research and implementing EBPprojects in nursing. Chapter 10 discusses evidence-based practice in the nurse residency program. Chapter 11 provides the examples of a PICO/Tprocess.
This book acquaints a student nurse with the demands and rewards of both an education and a career as a nurse. It is divided into four parts. Part I looks at the beginning of the new life for the student nurse. A career in nursing is a journey that begins with information gathering and planning on the part of the student nurse. A student nurse with a real-world perspective is better equipped to tackle the demands of the nursing profession. In the course of nurse education, nurses will be asked to put what they have learned into practice by working in a hospital or other clinical setting under the direction of a nursing instructor. The second, third and fourth parts talk about achieving success in the classroom, at the clinical site and at home. There is a strong correlation between good classroom performance and good clinical performance. In the clinical education setting, students need to apply classroom knowledge to “real world” situations. Many nursing programs have requirements called technical standards that must first be met by nursing students in order to qualify for enrollment in a clinical nursing course. Creative thinking can allow a nursing student to handle personal crises without unduly impacting progress toward graduation. Part V deals with success following education. This part focuses on licensure and the National Council License Examination (NCLEX), job hunting, financial exposure and malpractice insurance.
This second edition of the book, like the first, provides an overview of major issues associated with societal and global aging, paralleling the structure of many introductory social gerontology textbooks. Unlike most existing textbooks in the field, however, the discussion of each topic in this work is explicitly comparative, focusing on similarities and variations in the aging experience across nations, religions, and levels of economic and social development. The comparative perspective is enhanced further by topical essays and country-specific descriptions of aging policies, programs, and experiences. The book also introduces in this edition several important innovations not found in the previous version. First, the authors have dropped two chapters (The Welfare State and Disability and Active Life Expectancy), incorporating their content elsewhere. In addition, they split three earlier chapters (Health and Health Care Systems; Work and Retirement; and Families, Caregiving, and Community Support Systems) into two new chapters each, so now the authors include six separate chapters: Health Beliefs and Behavior, Health Care, Older Workers, Retirement and Pensions, Family Life, and Caregiving. Finally, because the first edition neglected two topics crucial to the lives of older people—physical environments and religion—the authors have added an entirely new chapter devoted to each. As for the first edition, the intended audiences remain students in undergraduate and graduate courses in global aging and their faculty. In addition, many of the topics addressed will also be of interest to faculty and students in undergraduate and graduate courses in the demography of aging and sociology of aging, as well as courses in gerontology taught with a comparative, international focus. The authors hope that it will serve to focus the attention of all gerontologists on the growth and value of the research and teaching going on in countries outside the United States and Europe.
The author of this book has effectively filled many roles in her career: psychiatric nurse, educator, dean, policy maker, president, chair, author, leader, mentor and, as the author would proudly note, gadfly. There are two roles in which the author has particularly distinguished herself and serve as the foundation for the second edition of her book, The Growth and Development of Nurse Leaders. The first is leader and the second is mentor. In this book, the author blends the roles of leader and mentor. To this end, the author predictably offers practical insights into effective leadership strategies—some to be expected in books on leadership, such as strategic planning, relationship building, mentoring, giving feedback, building a community of learning, using and portraying data, and securing resources. Other topics are more surprising and thought-provoking, such as recognizing and managing the shadow side of our personalities, neediness and failure as a leader, pretending as a leadership strategy, managing anger, and “the vision thing”. As to mentoring, when the author was president-elect of
STTIin the mid-1980s, she introduced the concept of “orchestrating a career,” and has presented often—and popularly—on this topic. In the ensuing years, the author has written about the various career stages, encouraging nurses (and women) to be optimistic and exert leadership to enrich their own experiences and those of others, taking the long view. The author speaks about nurse as careerist and, in the book, outlines her model on career stages and mentoring needs with its five stages (from preparation through being a gadfly, or wise woman). The book offers a cumulative reflection on the career-long journey of a leader and mentor who has achieved international impact. It offers each of us, regardless of our career stage, profound insights into and options for our own journeys to effective leadership.
This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).