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Tuesday, August 19, 2014

Advanced Practice Nursing Edition 2 pdf ebook

With information overload a challenge in all of our lives, why should anyone read this book? The answer is simple—this book is not only informative, covering the major issues facing advanced practices nurses (APNs), but it is also vital to understanding the past, present, and future of advanced practice. This effort
weaves together historical views of APNs with present-day issues and trends. The contributors have masterfully analyzed the issues so that the reader will come to know both the larger policy issues facing APNs and how these issues translate into day-to-day care of patients.
The critical examination of financing, values, politics, and intraprofessional education and practice as well as interprofessional relationships combines to bring APNs into sharp focus. The evolution of APNs has been a major event in the history of nursing. While each of the four APN disciplines—clinical nurse specialist,
nurse practitioner, certified nurse midwife, and nurse anesthetist—has a unique history and place within nursing, the commonalities have established a force within health care that has changed the way care is delivered and will continue to change the system. In fact, the commonalities provide a critical basis for forging an even more powerful coalition of APNs to tackle common challenges related to ensuring patients get the best care possible. The social contract that nurses have with the public is unique, and APNs have extended that contract to higher levels of service, decision-making, and accountability.
This book captures the vitality of advanced practice nursing as an aggregated entity. The label of APN is now widely used and recognized by policy makers and patients alike. This represents unprecedented progress in nursing, when few knew what a clinical specialist or nurse practitioner was. We are largely past the days of having to prove the viability, utility, and safety of APNs. We are now constructively examining practice issues in order to advance patient care, not defend the practice.
Each chapter presents perspectives that are useful resources unto themselves. A valuable part of each chapter is the suggested exercises. Readers will appreciate the challenge that these exercises afford them. Taking the time to think through the questions will give APNs and others a chance to explore issues they may not have thought to explore. Even though each chapter is a resource itself, the collection of chapters is so well orchestrated that the full picture is definitely greater than the parts.
Whether this book is used by students, practicing APNs, policy makers, or other health professionals, it will be an extraordinary resource.




Monday, August 18, 2014

Key Nursing Skills PDF ebook

It is important to appreciate that assessment is fundamental to all procedures that a patient may undergo. It does not happen just once but is an ongoing process repeated at regular intervals depending on the patient’s condition.
The most usual time for a thorough assessment to occur is when a patient is admitted to acute or continuing care, but there may be other times when further detailed assessment is necessary. Assessing a patient involves both formal and informal assessment.
Formal assessment includes the gathering of objective information about the patient’s condition by interviewing him or her and obtaining answers to questions. Informal assessment includes the things that you notice about a patient while you are talking to them, and may include physical signs and subjective information such as their mood or behaviour.
The structure of these assessments will be discussed in more detail in this chapter. Assessment of physical vital signs is also undertaken and these are described more fully in Chapter 2. An effective assessment will ensure that a patient receives all the nursing care that is required, and will provide a baseline from which progress can be measured. To ensure that nursing care is planned and delivered effectively a structured approach called the ‘nursing process’ is used. The ‘nursing process’ is a planned, problem-solving approach to meeting a patient’s health care and nursing needs (Lippincott 2000).
It is a systematic sequence of events in which the first stage is to assess a patient’s needs by the collection of objective and subjective information. The next stage is interpretation of this information, which results in the identification of actual or potential problems that the patient is experiencing. This can be called making a nursing diagnosis (Lippincott 2000).
Nursing goals to alleviate or prevent these problems can then be determined and problems prioritized so that the patient’s immediate nursing care needs are met. These goals are used to plan the direction and type of nursing interventions required. They should be patient-focused, and SMART:




Friday, June 6, 2014

Nursing Spectrum Drug Handbook PDF ebook

Nurses need every resource possible to keep their patients safe from untoward drug effects. In the wake of rising public controversy about drug safety and two drug-focused Institute of Medicine (IOM) reports released in 2006, Nursing Spectrum Drug Handbook 2008 is an especially timely publication.
The first report, “Preventing Drug Errors,” found that adverse drug events harm at least 1.5 million Americans each year and that the average hospital patient is subject to at least one medication error per day. The second report, “The Future of Drug Safety: Promoting and Protecting the Health of the Public,” continues the national debate over drug safety that intensified after the 2004 withdrawal of Vioxx, the popular arthritis drug associated with double the risk of myocardial infarction. This report found that problems at the Food and Drug Administration (FDA), such as lack of clear regulatory authority, chronic underfunding, and organizational issues, have led to the agency’s failure to fully ensure the safety of the nation’s drug supply.

A major focus of the report—one that’s especially important for nurses—is postmarketing drug surveillance, the process for monitoring a medication’s risk-benefit profile after FDA approval. While the ramifications of these reports ripple through the healthcare industry and the halls of Congress, the implications for nurses are clear.We’ve always served as the defacto drug safety officers in health care.Now it’s clear that we must augment the “five rights” of drug administration—right patient, right drug, right time, right dosage, and right administration route—with enhanced patient education on drugs.We must also monitor patients receiving
both new and old drugs for evidence of drug effectiveness and adverse effects. Nursing Spectrum Drug Handbook 2008 makes these nursing responsibilities easier.Written specifically to help nurses keep their patients safe, it has many safety-themed features—including a 32-page “Safe drug administration”
insert, a photogallery that helps you identify tablets and capsules, and appendices on essential drug topics.
Most importantly, it offers the most succinct, most readable, and most comprehensive drug monographs available in a nursing drug handbook. Each monograph is designed and written for easy understanding and fast access to drug facts, and presented in the format that’s most useful to the busy nurse.




Sunday, May 18, 2014

Nursing Leadership and Management Theories, Processes and Practice PDF EBOOK

Nurses lead and manage nursing care for patients, families, aggregates, and communities in a variety of settings, ranging from ambulatory to community to inpatient. Nurses also lead and manage care across the health-care continuum, including primary health promotion and prevention; secondary skilled, long term, and rehabilitative; and tertiary: emergent, urgent, and acute care. Strategies are drawn from both leadership and management theories. Leadership involves both the leader and the follower. In this text, we have defined Leadership as the process of envisioning a new and better world, communicating that vision to others, motivating others and enticing them to join in efforts to realize the vision, thinking in a different way,
challenging the status quo, taking risks, and facilitating change (Valiga and Grossman). Effective Followers are individuals who work with and support leaders in their efforts to realize a vision by being engaged rather than alienated, suggesting new ideas and options, providing critical feedback on the ideas of others (including the leader), promoting positive relationships within the group, and acting as potential “leaders-in-waiting” (Valiga and Grossman). Management, one of the responsibilities of leadership, is a five-step process that comprises planning, organizing, directing, coordinating, and controlling (Garrison, Morgan, and Johnson).
The nurse’s approach to leadership and management reflects the dynamic state of nursing practice and health care. Leadership has evolved from theories of the past, which pronounced that only great and noble men could be leaders, to more current theories that look at leadership as a learned process or a changing role depending on the situation. Management has evolved from competing managerial activities in a hierarchical, bureaucratic organization to complexity theory involving both the physical and social sciences. We have included a discussion of each of these concepts and theories in this textbook.




Wednesday, March 26, 2014

LECTURE NOTES Obstetrics and Gynaecology DIANA HAMILTON-FAIRLEY pdf ebook

Welcome to the second edition of Lecture Notes: Obstetrics and Gynaecology. Professor Geoffrey
Chamberlain asked me to assist him with the combining of the original well-established separate
Lecture Notes on Obstetrics and Lecture Notes on Gynaecology by joining him as editor of this textbook
aimed at undergraduate medical, midwifery and nursing students, junior doctors, nurses and midwives. He told me then that he intended to retire from the editorship for the second edition. I owe him an enormous debt as a teacher, mentor and guide through my career and into the complex area of editing a book with an illustrious list of eminent obstetricians and gynaecologists as its previous editors. He graciously agreed to proof read this edition and I thank him for his helpful contribution to the final version. He continues to work as the Emeritus Professor of History of Medicine at the University of Wales.
In this edition I have asked two of my colleagues at Guy’s, King’s and St Thomas’s Medical School/Guy’s and St Thomas’s Hospital NHS Trust to expand the sections on Sexually Transmitted Diseases and Breast Disease to reflect the changes in the undergraduate medical curriculum which combines Obstetrics and Gynaecology, Breast Disease and Sexual Health in several UK universities.
I would like to thank them both: Dr David Lewis FRCP, MD from Sexual Health and Mr Nicholas Beechey Newman FRCS, MS who wrote the chapter on Breast Disease. I think their two chapters (6 and 18) are a valuable addition to the book and I hope you, the reader, will agree.
Feedback from students, Senior Lecturers and Professors has led to many smaller changes in the book including an expansion on the history taking and examination sections. At the end of each chapter
there are five self-assessment questions with the answers/marking schemes given in Answers to selfassessment questions (p. 306). The questions cover the full range that may be found within the examination system in the United Kingdom, both at undergraduate and postgraduate levels, including
extended matched questions, scenarios for practicing history taking as in Objective Structured Clinical
Examination (OSCE) as well as the more traditional Multiple Choice Questions.



Tuesday, March 25, 2014

HANDBOOK OF NUTRITION AND PREGNANCY pdf ebook

The Nutrition and Health™ series of books has, an overriding mission to provide health professionals with texts that are considered essential because each includes: (1) a synthesis of the state of the science; (2) timely, in-depth reviews by the leading researchers in their respective fields; (3) extensive, up-to-date, fully annotated reference lists; (4) a detailed index; (5) relevant tables and figures; (6) identification of paradigm
shifts and the consequences; (7) virtually no overlap of information between chapters, but targeted, inter-chapter referrals; (8) suggestions of areas for future research; and (9) balanced, data-driven answers to patient–health professionals’ questions, which are based on the totality of evidence rather than the findings of any single study.
The series volumes are not the outcome of a symposium. Rather, each editor has the potential to examine a chosen area with a broad perspective, both in subject matter as well as in the choice of chapter authors. The international perspective, especially with regard to public health initiatives, is emphasized where appropriate. The editors, whose trainings are both research and practice oriented, have the opportunity to develop a primary objective for their book, define the scope and focus, and then invite the leading authorities from around the world to be part of their initiative.
The authors are encouraged to provide an overview of the field, discuss their own research, and relate the research findings to potential human health consequences. Because each book is developed de novo,
the chapters are coordinated so that the resulting volume imparts greater knowledge than the sum of the information contained in the individual chapters.
Handbook of Nutrition and Pregnancy, edited by Carol J. Lammi-Keefe, Sarah C. Couch, and Elliot H. Philipson, is a very welcome addition to the Nutrition and Health series and fully exemplifies the series’ goals. This volume is especially timely since it includes in-depth discussions relevant to the changing health status of women of childbearing potential around the world. As but one example, there is an extensive chapter on
the obesity epidemic that continues to grow even in underdeveloped nations; the chapter includes an analysis of the comorbidities, such as gestational diabetes and related adverse pregnancy outcomes that continue to be seen in increased numbers annually.
As indicated by E. Albert Reece, MD, PhD, MBA, in the volume’s Foreword, the editors have ...assembled 23 superb chapters on the latest, evidence-based approaches for managing the nutritional requirements of pregnant women in a variety of settings.”




Saturday, March 22, 2014

Human Physiology the Mechanism of Body Function PDF EBOOK

The purpose of this book remains what it was in the first seven editions: to present the fundamental principles and facts of human physiology in a format that is suitable for undergraduate students, regardless of academic backgrounds or fields of study: liberal arts,biology, nursing, pharmacy, or other allied health professions.

The book is also suitable for dental students,and many medical students have also used previous editions to lay the foundation for the more detailed coverage they receive in their courses.

The most significant feature of this book is its clear,up-to-date, accurate explanations of mechanisms,rather than the mere description of facts and events.
Because there are no limits to what can be covered in an introductory text, it is essential to reinforce over and over, through clear explanations, that physiology can
be understood in terms of basic themes and principles.

As evidenced by the very large number of flow diagrams employed, the book emphasizes understanding based on the ability to think in clearly defined chains of causal links. This approach is particularly evident in our emphasis of the dominant theme of human
physiology and of this book—homeostasis as achieved through the coordinated function of homeostatic control systems.

To repeat, we have attempted to explain, integrate,and synthesize information rather than simply to describe, so that students will achieve a working knowledge of physiology, not just a memory bank of physiological facts. Since our aim has been to tell a coherent story, rather than to write an encyclopedia, we have been willing to devote considerable space to the logical development of difficult but essential concepts; examples are second messengers (Chapter 7), membrane potentials (Chapter 8), and the role of intrapleural pressure in breathing (Chapter 15).

In keeping with our goals, the book progresses from the cell to the body, utilizing information and principles developed previously at each level of complexity.
One example of this approach is as follows:the characteristics that account for protein specificity are presented in Part One (Chapter 4), and this concept is used there to explain the “recognition” process exhibited by enzymes.
It is then used again in Part Two (Chapter 7) for membrane receptors, and again in Part
Three (Chapter 20) for antibodies. In this manner, the student is helped to see the basic foundations upon which more complex functions such as homeostatic neuroendocrine and immune responses are built.

Another example: Rather than presenting, in a single chapter, a gland-by-gland description of all the hormones, we give a description of the basic principles of endocrinology in Chapter 10, but then save the details of individual hormones for later
chapters. This permits the student to focus on the functions of the hormones in the context of the homeostatic control systems in which they participate.





Friday, March 21, 2014

Certified Nursing Assistan CNA PDF EBOOK

The Certified Nursing Assistant Examination, referred to as the Exam, consists of both a written examination (the WE) and the clinical skills test (the CST). You must successfully pass both the WE and the CST to pass the certification examination. Specific details on both the WE and the CST, as well as tips on preparing
for each portion, follow.
The written examination (WE) is a computerized exam with a time limit, usually two hours. Test sites are regional or local, depending on the state jurisdiction. We recommend you follow the instructions given by the testing center without exception and arrive at least 30 minutes early or, if you’re traveling a long distance,
arrive a day early to locate the testing center and the most judicious travel route to avoid delays. Two forms of identification are often required, one of which is a picture ID. Because the testing environment is often kept cool, bring a sweater or light jacket for comfort. Remember to leave personal items (purses, cell phones, calculators, and so on) outside the testing areas. You will be furnished with testing materials as needed. Other helpful tips for a successful testing experience are as follows:
. Get a good night’s sleep.
. Don’t work the night before the examination.
. Avoid alcohol or excessive caffeine before the examination.
. Eat a light but well-balanced meal (protein, carbohydrates, and fats plus liquids) while studying and before the Exam. You (and your brain) need energy and maximum recall to be well prepared! Although heavy sugars give you an energy boost, avoid them because you might experience a sudden dip in blood sugar, causing fatigue and nausea. You might also become hungry later when you cannot eat, for example, when taking the
Exam. To avoid sudden dips in blood sugar bring protein snacks, such as dry roasted nuts or cheese rackers.
. Take your time with the test questions, but pace yourself to finish the examination within the allotted time.
. Read each question thoroughly and completely before selecting the best answer.
. Don’t panic if you are not familiar with a question. Remember the Testing Now Tips (TNTs) on your Cram Sheet.
. Believe in yourself; we do! You can succeed!

Passing scores for the WE vary from state to state. Expect to earn at least a 70% for a passing score. You might have to wait two to three days for results. If needed, follow directions for scheduling a repeat examination.
To successfully pass the Critical Skills Test (CST), you must earn a score of at least 70% while following each critical step with 100% accuracy. You should be given the opportunity to correct any missed checkpoints or other aspects of the skill during your performance; however, when you have finished a particular skill and progress to the next one, you will not be able to correct a mistake made on the previous one. If you need to repeat any portion of the CST, you’ll receive directions from the evaluator regarding subsequent testing opportunities according to each state’s testing guidelines. Some helpful tips for success on the CST are as follows:
. Practice, practice, practice!
. Follow each skill/procedure exactly as you learned them in your nurse aide program; this is not the time to improvise or take shortcuts!
. Follow safety standards and include them in your skill performance. This includes, but is not limited to, handwashing, handling of soiled items, and other safety precautions.

These are examples of indirect care standards that will be evaluated with each skill. For example, prior to performing a skill, you must actually use water and wash your hands; the evaluator will tell you after you’ve washed your hands correctly for the first time that you can tell him or her when you would wash your hands rather than actually washing them for each subsequent skill.
. Work confidently and efficiently; you must complete each procedure in a timely manner.
. Remember, the skills test is designed to measure your competency; you will not be given assistance by the evaluator except to remind you of time limitations related to the skill performance.
. Imagine getting the good news: You passed! Imagery is a powerful tool to encourage success.

Find a quiet location each day where you can concentrate and review your notes, textbooks,
CDs/DVDs, this review book, and any other helpful materials.




Friday, February 21, 2014

NANDA, NOC, and NIC Linkages: Nursing Diagnoses, Outcomes, and Interventions PDF EBOOK

This book emphasizes the linkages among the three standardized nursing languages — NANDA, NIC, and NOC. It discusses the need for these linkages as more clinical information systems are developed and used. This edition updates the original, published in 2001.
The purpose is to explain and demonstrate the linkages among the standardized nursing languages. It provides examples of how these linkages can be used in nursing education and practice settings. These worthy objectives are met.
The intended audience includes practicing and student nurses. The authors are well known nurse educators.
The book begins by presenting how to use the linkage book in practice and education. The newest edition shifts the emphasis from just the application of the three standard languages to how they are linked for a strong unified care plan. The book also points outs scientific gaps in need of nursing research. These features are unique to this book and are updates from the previous edition.
This is the only book on the market that truly integrates the linkage aspect and illustrates its need for well-rounded care planning. The new edition is more than justified since it updates the new listing of NANDA, NIC, and NOC. References after each chapter give the reader quick access to additional information
Based on years of research at the University of Iowa, this one-of-a-kind reference provides linkages between three standardized languages recognized by the American Nurses Organization: NANDA, Nursing Interventions Classification (NIC), and Nursing Outcomes Classification (NOC). A perfect companion to Dochterman: NIC, 4th Edition and Moorhead: NOC, 3rd Edition, this book is a useful tool for nurses in developing care plans for patients, and for institutions in tracking and quantifying nursing care.
• Links all of the NANDA-approved nursing diagnoses to outcome labels and three levels of suggested interventions
• Major
• Suggested
• Optional

• Uses easy-access, user-friendly tables to show terminology and criteria.
• Presents case studies along with nursing care plans to demonstrate the application of linkages.
• Defines all NANDA, NOC, and NIC labels.
• Makes an excellent companion to the new editions of NIC and NOC.
Complete with the most up-to-date NIC, NOC, and NANDA-I approved lists



Thursday, February 13, 2014

Handbook of Sexual Dysfunction

The area of treatment of sexual disorders has undergone an enormous expansion during the last few decades. The introduction of pharmacological treatment of these disorders (e.g., sildenafil for erectile dysfunction or antidepressants for paraphilias) rekindled the interest of physicians from different disciplines (psychiatrists, urologists, gynecologists) in sexual dysfunctions.

Physicians are finding these disorders amenable to pharmacotherapy. However, the new developments
in the area of “sexual pharmacology” have unfortunately also led to a biological reductionism in the field. In the past, most physicians viewed the etiology of sexual dysfunctions/disorders as mainly psychological, rooted in internal conflicts, deep-seated anxiety, and so on. In the present time, physicians in many
disciplines view sexual dysfunctions as mostly, if not purely, of biological origin and discard any notion of psychological factors in the etiology of sexual problems.

The initial hype about the success rates of sildenafil certainly contributed to this notion. However, clinicians who treat sexual dysfunctions/disorders on a daily basis know that in sexual functioning, psychology and biology are intertwined in a very complicated way.

In light of that, we feel a text that balances these two not contradictory but complementary etiological views would be highly desirable. A synthesis of biology and psychology in the area of etiology, pathophysiology, and treatment of sexual dysfunction is sorely needed in the field. This book intends to fill this void.






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