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Monday, August 10, 2015

Nursing Care of The Pediatric Neurosurgery Patient

Nursing care of the pediatric neurosurgery patient and family can be extremely
challenging and extraordinarily rewarding. Cathy Cartwright and
Donna Wallace have edited a wonderful clinical resource to assist nurses in
meeting the challenges. More than 32 contributors from 15 medical centers
have shared their expertise in 12 chapters that delineate the etiology, pathophysiology,
clinical presentation, and management of the most common
neurosurgical problems. The text, tables, illustrations, photographs, radiographs,
scans, “pediatric pearls,” and “parent perspectives” combine to
clearly present the essential information about each problem.
The more complex the illness or injury, the greater the potential contribution
of the skilled and empathetic nurse to patient and family recovery.
To paraphrase a parent quoted in this book, each child with a neurosurgical
problem will have a unique life story. Although the child’s life
story will be affected by the neurosurgical problem, it will be shaped by
the child’s family and the valuable contributions of nurses such as those
who have authored this book and those who will read it.



Saturday, August 8, 2015

Advanced Clinical Skills for GU Nurses

Poor sexual health is now a major public health issue in the UK, with all four
countries having a sexual health strategy, strategic framework or action plan
in place. The Government in England wishes to improve sexual health services,
with a focus on improving access.
All over the country nurses are working in new and innovative ways in
sexual and reproductive health. Many are working in advanced and specialist
clinical roles as independent practitioners and more creative posts are being
developed in the National Health Service to maximise optimum use of nurses’
skills. Several Nurse Consultant posts have now been developed in the speciality
of Genito Urinary Medicine (GUM).
With this important public health agenda in mind, this book provides a valuable
resource for nurses working towards, and at, advanced level in GUM, but
the content is also transferable and relevant to nurses working in non-acute
settings.
This book also provides a skill base for more junior nurses in GUM to aspire
to. Using a competency-based approach, many GUM nurses could develop
their practice to an advanced level, using nurse prescribing and/or patient
group directions to complement the level of service they provide.
I welcome the publication of this book, as I firmly believe, that historically
there has never been a better time for nurses to develop their roles in GUM
and sexual health, to drive forward improvements and to lead service delivery
in this challenging, changing and dynamic area of health in the twenty-first
century.



Friday, April 3, 2015

Nursing Diagnosis NANDA 2012 - 2014 free pdf

Nursing Diagnoses 2012 – 2014
Domain 1 – Health Promotion Domain 4 – Activity/ Rest Deficient diversional activity Insomnia Sedentary lifestyle Sleep deprivation Deficient community health Readiness for enhanced sleep Risk-prone health behavior Disturbed sleep pattern Ineffective health maintenance Risk for disuse syndrome Readiness for enhanced immunization status Impaired bed mobility Ineffective protection Impaired physical mobility Ineffective self-health management Impaired wheelchair mobility Readiness for enhanced self-health management Impaired transfer ability Ineffective family therapeutic regimen management Impaired walking Disturbed energy field
Domain 2 – Nutrition Fatigue Wandering Insufficient breast milk Activity intolerance Ineffective infant feeding pattern Risk for activity intolerance Imbalanced nutrition: less than body requirements Ineffective breathing pattern Imbalanced nutrition: more than body requirements Decreased cardiac output Risk for imbalanced nutrition: more than body requirements Risk for ineffective gastrointestinal perfusion Readiness for enhanced nutrition Risk for ineffective renal perfusion Impaired swallowing Impaired spontaneous ventilation Risk for unstable blood glucose level Ineffective peripheral tissue perfusion Neonatal jaundice Risk for decreased cardiac tissue perfusion Risk for neonatal jaundice Risk for ineffective cerebral tissue perfusion Risk for impaired liver function Risk for ineffective peripheral tissue perfusion Risk for electrolyte imbalance Dysfunctional ventilatory weaning response Readiness for enhanced fluid balance Impaired home maintenance Deficient fluid volume Readiness for enhanced self-care Excess fluid volume Bathing self-care deficit Risk for deficient fluid volume Dressing self-care deficit Risk for imbalanced fluid volume Feeding self-care deficit Toileting self-care deficit
Domain 3 – Elimination and Exchange Self-neglect Functional urinary incontinence
Domain 5 – Perception/ Cognition Overflow urinary incontinence Reflex urinary incontinence Unilateral neglect Stress urinary incontinence Impaired environmental interpretation syndrome Urge urinary incontinence Acute confusion Risk for urge urinary incontinence Chronic confusion Impaired urinary elimination Risk for acute confusion Readiness for enhanced urinary elimination Ineffective impulse control Urinary retention Deficient knowledge Constipation Readiness for enhanced knowledge Perceived constipation Impaired memory Risk for constipation Readiness for enhanced communication Diarrhea Impaired verbal communication Dysfunctional gastrointestinal motility Risk for dysfunctional gastrointestinal motility
Domain 6 – Self-Perception Bowel incontinence Impaired gas exchange Hopelessness Risk for compromised human dignity Domain 8 – Sexuality Risk for loneliness Disturbed personal identity Sexual dysfunction Risk for disturbed personal identity Ineffective sexuality pattern Readiness for enhanced self-control Ineffective childbearing process Chronic low self-esteem Readiness for enhanced childbearing process Risk for chronic low self-esteem Risk for ineffective childbearing process Risk for situational low self-esteem Risk for disturbed maternal-fetal dyad Situational low self-esteem Disturbed body image
 Domain 7 – Role Relationships
Domain 10 – Life Principles Ineffective breastfeeding Readiness for enhanced hope Interrupted breastfeeding Readiness for enhanced spiritual well-being Readiness for enhanced breastfeeding Readiness for enhanced decision-making Caregiver role strain Decisional conflict Risk for caregiver role strain Moral distress Impaired parenting Noncompliance Readiness for enhanced parenting Impaired religiosity Risk for impaired parenting Readiness for enhanced religiosity Risk for impaired attachment Risk for impaired religiosity Dysfunctional family processes Spiritual distress Interrupted family processes Risk for spiritual distress Readiness for enhanced family processes Ineffective relationship
Domain 11 – Safety/ Protection Readiness for enhanced relationship Risk for ineffective relationship Risk for infection Parental role conflict Ineffective airway clearance Ineffective role performance Risk for aspiration Impaired social interaction Risk for bleeding Impaired dentition
Domain 9 – Coping/ Stress Tolerance Risk for dry eye Risk for falls Post-trauma syndrome Risk for injury Risk for post-trauma syndrome Impaired oral mucous membrane Rape-trauma syndrome Risk for perioperative positioning injury Relocation stress syndrome Risk for peripheral neurovascular dysfunction Risk for relocation stress syndrome Risk for shock Ineffective activity planning Impaired skin integrity Risk for ineffective activity planning Risk for impaired skin integrity Anxiety Risk for sudden infant death syndrome Compromised family coping Risk for suffocation Defensive coping Delayed surgical recovery Disabled family coping Risk for thermal injury Ineffective coping Impaired tissue integrity Ineffective community coping Risk for trauma Readiness for enhanced coping Risk for vascular trauma Readiness for enhanced family coping Risk for other-directed violence Death anxiety Risk for self-directed violence Ineffective denial Self-mutilation Adult failure to thrive Risk for self-mutilation Fear Risk for suicide Grieving Contamination Complicated grieving Risk for contamination Risk for complicated grieving Risk for poisoning Readiness for enhanced power Risk for adverse reaction to iodinated contrast media Powerlessness Risk for allergy response Risk for powerlessness Latex allergy response Impaired individual resilience Risk for latex allergy response Readiness for enhanced resilience Risk for imbalanced body temperature Risk for compromised resilience Hyperthermia Chronic sorrow Hypothermia Stress overload Ineffective thermoregulation Risk for disorganized infant behavior Autonomic dysreflexia
Domain 12 – Comfort Risk for autonomic dysreflexia Disorganized infant behavior Impaired comfort Readiness for enhanced organized infant behavior Readiness for enhanced comfort Decreased intracranial adaptive capacity Nausea Acute pain
Domain 13 – Growth/ Development Chronic pain Impaired comfort Risk for disproportionate growth Readiness for enhanced comfort Delayed growth and development Social isolation Risk for delayed development




Tuesday, October 21, 2014

The GALE ENCYCLOPEDIA of Nursing & Allied Health

The Gale Encyclopedia of Nursing and Allied Health
is a medical reference product designed to inform and
educate readers about a wide variety of diseases, treatments,
tests and procedures, health issues, human biology,
and nursing and allied health professions. The Gale
Group believes the product to be comprehensive, but not
necessarily definitive. While the Gale Group has made
substantial efforts to provide information that is accurate,
comprehensive, and up-to-date, the Gale Group makes no
representations or warranties of any kind, including without
limitation, warranties of merchantability or fitness for
a particular purpose, nor does it guarantee the accuracy,
comprehensiveness, or timeliness of the information contained
in this product. Readers should be aware that the
universe of medical knowledge is constantly growing
and changing, and that differences of medical opinion
exist among authorities.




Wednesday, October 15, 2014

Nutrition A Handbook for Community Nurses pdf ebook

Nutritional Issues Highlighted in Saving Lives:
Our Healthier Nation The following are all areas highlighted by the Government in their
recent strategy document.

Salt
The Government has begun a series of meetings with the food
industry to explore ways of reducing the salt content of processed
foods. A number of major retailers have already taken action to
reduce the salt content of their own-brand products. Around 90%
of the salt we eat is derived from processed foods. Looking for lower
salt options in the supermarket, avoidance of adding salt during
cooking and use of alternative seasonings at the table can help to
reduce salt intake. It is important, however, to ensure that nutritional
messages are placed in context. It is recognised in the report
that salt is not the only factor that affects blood pressure. Reducing
excess alcohol intake and increasing physical activity are also highlighted
as being important.
Practical advice for those with high blood pressure should focus
on diet and lifestyle. Maintenance of a body weight within the desirable
range should be promoted, along with regular physical activity
and adherence to sensible drinking guidelines (no more than two to
three drinks a day for women and no more than three or four drinks
a day for men). In dietary terms, excess salt intake should be avoided
and consumption of fruit and vegetables encouraged to provide
potassium. Low-fat dairy products should also be promoted as a
useful source of calcium, which may also beneficially affect blood
pressure. For further information, see Q4.2.

Obesity
There is no specific target given for tackling obesity in Saving Lives:
Our Healthier Nation. The targets set in the previous health strategy,
The Health of the Nation, to reduce obesity incidence to 6% of men and
8% of women, were very ambitious. The latest figures on obesity
(BMI > 30) show that it has now risen to 17% in men and 20% in
women in England (Department of Health, 1999). Altogether, 62%
of men and 53% of women can now be classed as overweight (BMI
> 25). The Government states in Saving Lives: Our Healthier Nation that
the provision of information on healthy eating and the importance of
physical activity will help prevent obesity. It may be, however, that a
more clearly defined strategy is needed to begin to tackle this problem.
A major review of obesity, published by the British Nutrition
Foundation (1999a), suggested key action for policy-makers. This
might include fundamental changes in legislation, e.g. new legislation
to clamp down on miracle weight-loss cures that undermine the
efforts of reputable healthcare professionals and new transport policies
that promote increased levels of physical activity.
The relationship between obesity and health is discussed more
fully in Q4.4–4.12. Specific issues relating to obesity are discussed
throughout the book and a Government framework for tackling
obesity at local level can be found in the National Service Framework
for CHD (Department of Health 2000c).

Breast-feeding
The benefits of breast-feeding are recognised by the Government,
which is aiming to increase the prevalence of breast-feeding, especially
in areas of the country where breast-feeding rates are lowest. For more
information see Q3.21–3.34. There are numerous benefits associated
with breast-feeding (see Q3.24). As well as being a complete nutrient
source, breast milk has anti-infective properties and contains a variety
of enzymes, growth factors, hormones, nutrient-binding proteins and
non-absorbable carbohydrates. Breast-feeding may also help in the
development of a warm mother/child relationship.

Importance of good nutrition for schoolchildren
High on the Government’s agenda is the need to focus on the health
of Britain’s schoolchildren. The implementation of good habits in
childhood is important for the future health of the population. Over
the last 50 years, there has been a change in emphasis in relation to
concerns about schoolchildren’s diets. Historically, the focus was on
the adequate provision of nutrients, but providing adequate dietary
balance is now viewed as the main priority. The National Diet and
Nutrition Survey of young people (aged 4–18 years) is the most
detailed survey yet to be undertaken in this age group in Britain
(Gregory et al., 2000). This survey demonstrates that, although vitamin
intakes are generally adequate, a sizeable proportion of
children, particularly older girls, may have inadequate intakes of
some minerals. Also, there is a high intake of saturated fatty acids,
non-milk extrinsic sugars and salt among many children. Moreover,
with the exception of the youngest children (4–6 years), young people
in Britain are largely inactive. Clearly, these findings are worthy of our
attention because poor eating and physical activity habits in childhood
can store up problems for later life, particularly in relation to
obesity, heart disease, diabetes, osteoporosis and cancer.
There is clear evidence from the survey to justify the Government’s
concern about the diets of children living in households
where there is relative poverty. In particular, boys in households in
receipt of benefits seem to have lower energy intakes and poorer-
quality diets (Gregory et al., 2000). The independent report to the
Government on health inequalities from Professor Acheson indicated
that one in three of Britain’s children lives in poverty and, in
1996, 2.2 million children in Britain were in families receiving
income support (Acheson, 1998). This report highlighted the important
role of education in influencing health inequalities and providing
children with practical and social skills, including budgeting and
cooking. The Government’s Healthy Schools programme is aimed at
creating a healthy ethos in schools. This remit includes promoting
good nutrition and the acquisition of cooking skills, as well as increased
levels of physical activity. There are also plans to re-establish national
nutritional standards for school meals, which came into force in
April 2001.
A number of initiatives are under way to improve the nutrition of
schoolchildren and their awareness of healthy eating, including
school breakfast schemes, ‘healthy’ tuck shops and the development
of ‘Wired for Health’ – a website for teachers providing health information
to support the National Curriculum. Pilots for a scheme to
provide 4–6 year olds with free fruit at school, are underway with a
view to implementation by 2004 (Department of Health 2000b). For
further information, see Q3.59–3.76. The government has also
published a sports strategy which aims to encourage physical activity
among children by providing after school activities for all pupils and
establishing school sport co-ordinators in communities of greatest
need (for further details see Sports England website




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