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159 produkter
159 produkter
Central Nervous System Infections, An Issue of Critical Care Nursing Clinics
Inbunden, Engelska, 2013
811 kr
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This issue of Critical Care Nursing Clinics is Guest Edited by Cynthia Bautista, PhD, RN, CNRN and will focus on Central Nervous System Infections. Article topics will include bacterial meningitis, viral meningitis, viral encephalitis, cerebral abscess, spinal abscess, and ventriculitis.
811 kr
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This issue of Nursing Clinics of North America is Guest Edited by Al Rundio, RN, at Drexel University and will focus on Addictions. Article topics will include Office-Based Opioid Treatment, Addictions and Pregnancy, Peer Assistance, Relapse Prevention for Addictions, Adolescents and Addiction, Use of Photo Voice in Addictions, Health Promotion and Prevention Strategies, Maintaining Sobriety and Recovery, and SBIRT (Screening Brief Interventio and Treatment.)
799 kr
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This issue of Critical Care Nursing Clinics is Guest Edited by Sonya Hardin, PhD, RN and will focus on Aging and Critical Care. Article topics will include epidemiology of acute and critical illness in the older adult, impact of aging physiology in critical care, ethnogeriatrics perspectives in critical care, focused assessment and patient safety for the older adult in critical care, nutrition and hydration in older adults in critical care, infection and immune fuction in older adults in critical care and neurologic, psychiatric and renal issues in older adults in critical care.
811 kr
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This issue of Nursing Clinics of North America is Guest Edited by Stephen D. Krau, PhD, RN, CNE, from Vanderbilt University and will focus on genomics. Article topics will include Genetic and Genomic Testing, Integrating Genomics into Research, Genomic Assessments and Interventions in Psychiatric Nursing Practice, Genomics in Critical Care, Cardiomyopathy and Genetics, Genetics and Chronic Diseases, Genomics and Patients with Rare Chronic Diseases, Epigenetics and the implications for disease processes, Impact of Genetics on Oncology Nursing, and Pharmacogenetics.
799 kr
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Hematology, An Issue of Critical Care Nursing Clinics
660 kr
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Innovations that bring value propositions through new processes, resources, or technologies to practice. How are we changing outcomes through new innovations in practice? The articles in this issue will provide nurses with the information they need to improve patient outcomes. Articles are devoted to skin cancer screening in the medically underserved, innovative practices for risk assessment and documentation in preventative colon screenings, evidenced-based protocol for diagnosis and treatment of catheter associated urinary tract infection within adult neurocritical care patient population, changing the focus to the PATIENT plan of care, and a nursing focus on EMR usability enhancing documentation of patient outcomes.
799 kr
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Nutrition is an important aspect of care for any patient entering the hospital, but the patient admitted to the intensive care unit (ICU) is at an even higher risk for nutritional compromise. Nutrition affects all ages, from the neonate to the geriatric patient, and all patient populations. Evidence-based practice guidelines regarding appropriate nutritional support within the critical care setting are published. Yet, researchers continue to identify that despite published evidence, countless ICU patients continue to lack adequate and timely nutritional support on admission. Each of the authors in this issue promotes nutrition in their careers and individual practice areas, which brings knowledge from many different arenas throughout the nation. This issue discusses nutrition throughout the lifespan, special patient populations, implementation of guidelines, and how nutrition is being utilized as medical therapy.
Facilitating Aging in Place: Safe, Sound, and Secure, An Issue of Nursing Clinics
Inbunden, Engelska, 2014
799 kr
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The articles appearing in this geriatrics-focused issue are consistent with the collaborative and translational concepts held by a life course perspective. Each supports interprofessional collaboration and some are either authored or coauthored by interdisciplinary colleagues. Three goals are reflected in these articles: keeping community-dwelling older adults safe, sensible, and secure with solutions that will enable them to stay healthy, wise, and aware. Topics include maintaining physical functions, benefits and consequences of weight-bearing exercise on foot health; cancer prevention; managing nocturia's effect on sleep quality and safety; protection from financial exploitation; and providing safe and affordable living environments. Several articles address physical or cognitive challenges that include monitoring medication adherence, threat of anxiety and stigma in dementia, and approaches to managing self-care in the home for persons with dementia. These evidence-based articles address emerging and best practices to support targeted interventions for persons in community-dwelling home settings. They provide a frame-work of person-centered approaches that foster good health in older age, a central tenet of aging in place and the global response to population aging.
Monitoring Tissue Perfusion and Oxygenation, An Issue of Critical Nursing Clinics
Inbunden, Engelska, 2014
799 kr
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Critical care clinicians must be knowledgeable about the anatomic, physiologic, and biochemical processes that are critical to the restoration of a functioning microvascular affecting organ perfusion. These basic physiologic processes critical to tissue perfusion and cellular oxygenation are presented in this issue on Monitoring Tissue Perfusion and Oxygenation. A working knowledge of oxygen delivery and oxygen consumption at the microvascular level will provide critical information needed for clinicians to continuously question the adequacy of tissue perfusion given our current lack of microvascular bedside monitoring.
Integrating Evidence into Practice for Impact, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2014
799 kr
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This issue begins with an overview that distinguishes evidence-based practice (EBP) and translation science, followed by a description of Hawaii's statewide EBP program that uses active and multifaceted translation science strategies to facilitate the rate and extent of adoption of EBP changes. With one exception, the remaining articles describe individual EBP projects from five different health care facilities that used the Iowa Model to guide their work. Each article includes an evidence summary, a description of implementation strategies, an evaluation of the innovation, and lessons learned. These completed projects were initiated between 2009 and 2012, address a variety of topical nursing issues, and, for the most part, focus on preventing complications (ie, blood sugar elevations, increased lengths of stay, extubation failures, noise-related injury, pain, surgical site infections, pneumonia, restraint use, delirium, and fever). An additional article describes the use of evidence to inform simulation-based learning, a possible strategy for ensuring competencies in and compliance with EBP interventions. Nursing leaders will come away with solid information about utilizing EBP to improve patient outcomes. The Hawaii program demonstrates that health care quality can be realized by employing the best available evidence and empowering the nursing workforce. It also offers a glimpse of the care that the future nursing workforce could provide to create a health system that provides accessible, affordable and quality care to everyone in the United States.
937 kr
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This issue contains a series of articles focused on various initiatives aimed at improving the quality of patient care delivery and promoting safe passage across the continuum of care. Exemplary, evidence-based nursing practice is the cornerstone of quality care, and this issue highlights many ways in which nurses have led changes to optimize patient outcomes. In addition, quality care enhances cost-effectiveness by reducing avoidable complications and diminishing avoidable hospital readmissions, a concept more important than ever due to value-based purchasing and the Affordable Care Act. Articles are specifically devoted to prevention of delirium in critical care patients, palliative care in the intensive care unit, prevention of pressure ulcers, fall prevention in high-risk patients, prevention readmissions, preventing sepsis mortality, and nursing interventions in the elderly critical care patient, to name a few.
937 kr
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Evidence synthesis is the evaluation or analysis of research evidence and opinion on a specific topic to aid in decision-making in health care. Although the science of evidence synthesis has developed most rapidly in relation to the meta-analysis of numerical data linked to theories of cause and effect, the further development of theoretical understandings and propositions of the nature of evidence, its role in health care delivery, and the facilitation of improved global health have increased rapidly since 2000. The articles appearing in this issue examine the role of evidence synthesis in nursing and health care and are written by expert translational scientists from across the world. Three introductory articles overview evidence synthesis and its role in evidence-based health care; methods, issues, and trends in the systematic review of health care evidence; and the development of a robust evidence base for nursing. Subsequent articles explore the impact of systematic reviews on policy and practice in a variety of settings, including perioperative care, pediatrics, rehabilitation and long-term/continuing care, mental health, and public health. The final articles discuss the impact of evidence on health policy and practice and the complexities of translating evidence into policy and practice. These articles show the importance of synthesizing evidence and translating policy and practice into action in our quest to improve health care and health outcomes.
Certified Registered Nurse Anesthesia: Critical Care Nursing in the Operating Room, An Issue of Critical Care Nursing Clinics
Inbunden, Engelska, 2015
811 kr
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APRNs are essential to deliver healthcare in today's complex environment. Certified Registered Nurse Anesthetists have met that challenge for over 150 years. Nurse Anesthetists have shifted from the intensive care unit as critical care nurses into the operating room arena. The operating room is an environment that is uniquely challenging. A critical care background is essential to meet these challenges, and all Certified Registered Nurse Anesthetists share that experience. The topic; "Certified Registered Nurse Anesthesia: Critical Care Nursing in the Operating Room", highlights critical care nursing as it is applied in the operating room setting. Critical care nurses will appreciate the knowledge base that is essential for the anesthetist. As healthcare reform demands greater efficiency, more and more procedures are performed outside the operating room. The line between the Operating Room, ICU and Interventional Radiology will become less defined. Critical care nurses are, and will be more involved in patient care while an anesthetic is administered. It is the goal of this proposed monograph to share knowledge and experience so that ICU nurses will learn more about caring for the anesthetized patient.
Transformational Tool Kit for Front Line Nurses, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2015
811 kr
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Nurses are faced with unprecedented challenges and opportunities. Healthcare delivery models are transforming that require adaptive and flexible nurses. The primary role of the frontline nurse is providing patient care. To be successful in this role it requires numerous competencies supported by evidence-based data. Frontline bedside nurses are fundamental to the success of value-based care delivery models. These transformational models rely on robust nursing contributions for success. Most frontline nurses don't understand value-based care models and their role in promoting positive outcomes for reimbursement. This issue is a tool kit to empower our frontline nurses for challenges they are facing with transformations occurring at their bedside practice site. The articles will be a best practice handbook for frontline nurses by providing resources to develop clinical skills to provide safe, quality, and accountable patient care needed for new healthcare delivery models.
Management of Patients with Traumatic Injuries, An Issue of Critical Nursing Clinics
Inbunden, Engelska, 2015
811 kr
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Special considerations arise as critical care nurses care for victims of trauma and violence. This issue highlights the recent advances in the care of these patients, including victims of street crime and domestic violence. As a result of the wars in Afganistan and Iraq, changes in the echelons of care have been brought to U.S. trauma centers in order to better triage, manage, and provide post-surgical care to trauma patients. Articles in this issue address the advances in this field.
811 kr
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How has technology changed the art and science of nursing practice?Many facets of nursing practice have stayed constant over the years such as the way we advocate for our patients and the art of caring for our patients. However, nursing practice has evolved over the years especially in the bedside delivery of state of the art nursing care. Technology at the bedside has forced nurse educators to change the ways in which we always have taught nursing students. Technology has also begun to change the methods used in the actual bedside nursing care. In this issue, you will hear from some of the nursing experts in areas of nursing care that has changed in either the delivery of care or method of assessing care of the patient. Nursing experts will describe some of the historical changes and intrigue you in the changes expected to come to the bedside. Why is this issue important? First, we gain insight from a review of where we have been and nurses tend to reminisce on our past as well as romance our historical roots. Second, technology is ever changing and it is good practice to keep abreast of what is happening in other areas of nursing so that we can apply others successes in our own specific areas of nursing. Third, informatics in nursing is a growing field and nursing must embrace technology and learn to adapt various methods of delivery so that we can appropriately care for and advocate for our patients.With the changes in our national healthcare system, we must encourage nurses to try out new methods of delivery as well as encourage their ideas of how nursing can change. The articles in this issue reflect these changes.
Palliative Care in Critical Care, An Issue of Critical Care Nursing Clinics of North America
Inbunden, Engelska, 2015
811 kr
Skickas inom 7-10 vardagar
Intensive care units (ICUs) provide comprehensive, advanced care to patients with serious or life-threatening conditions and consequently, a significant amount of end-of-life care (EOLC). Indeed, approximately 20% of deaths in the U.S. are associated with an ICU stay, and nearly half of U.S. patients who die in hospitals experience an ICU stay during the last 3 days of life. Despite the commonality of the ICU experience, ICU patients typically suffer from a range of distressing symptoms such as pain, fatigue, anxiety, and dyspnea, causing families significant distress on their behalf. Thus, there is a growing imperative for better provision of palliative care (PC) in the ICU, which may prevent and relieve suffering for patients with life threatening illnesses. Effective palliative care is accomplished through aggressive symptom management, communication about the patient and family's physical, psychosocial and spiritual concerns, and aligning treatments with each patient's goals, values, and preferences. PC is also patient-centered and uses a multidisciplinary, team-based approach that can be provided in conjunction with other life-sustaining treatments, or as a primary treatment approach. Failure to align treatment goals with individual and family preferences can create distress for patients, families, and providers. If implemented appropriately, palliative care may significantly reduce the health care costs associated with intensive hospital care, and help patients avoid the common, non-person centered treatment that is wasteful, distressing, and potentially harmful. Due to the success of many PC programs, administrators, providers, and accrediting bodies are beginning to understand that palliative care in the ICU is vital to optimal patient outcomes.
Rural and Other Medically Underserved Populations, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2015
811 kr
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This issue will address health care issues and clinical implications of rural and other medically underserved priority populations. The Agency for Health Care Research and Quality identified priority populations to include rural residents, racial and ethnic minorities, low income groups, women, children, older adults, and other individuals who may require chronic care. The editors identified a need for articles focusing on priority populations to help further understand health implications of health disparities among specific populations. A main focus is on identifying useful clinically focused strategies to address racial, ethnic, and socioeconomic differences that are relevant and influence overall healthcare, access, and quality of life. The articles will provide clinicians and other consumers of Nursing Clinics of North America with a diverse and unique perspective on an array of clinically relevant and population focused topics. Some example topics included are: Tailoring interactive multimedia to improve diabetes self- management; Addressing mental and physical health among older adults; Using mobile devices to access evidence- based information in a rural setting; Identifying family history and development of risk factors for diabetes among underserved preschool children; Addressing smoking cessation, Cancer screening issues, Cardiovascular health, and Obesity.
811 kr
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Heart failure is the only cardiovascular disease that is increasing. The impact on the critical care environment and the health care system, as a whole, is significant from both a cost and burden to the system perspective. There are 6.5 million hospital days a year and nearly $40 billion dollars in yearly health care costs attributed to heart failure in the United States. There are more Medicare monies spent for diagnosing and treating heart failure than any other Diagnosis Related Group. There is a 24% hospital re-admission rate for this diagnosis which leads to financial implications for health care systems.The human cost is also significant. Less than half of Americans diagnosed with heart failure survive greater than 5 years. The ongoing health care needs and cost of this chronic disease takes a significant toll on patients' finances, time and quality of life. Over $2.9 billion dollars is spent annually on the pharmaceutical management of heart failure in the United States. This diagnosis is the leading cause of hospitalization for patients who are 65 years of age and older. Few health care providers in the critical care environment are not affected by heart failure on a routine basis. Caring for these patients and their families is both a challenging and yet a rewarding experience. This edition will provide critical care nurses with a comprehensive heart failure review which is essential in caring for this challenging population given the dynamic health and critical care environments.
Pathophysiology and Care Protocols for Nursing Management, An Issue of Nursing Clinics
Inbunden, Engelska, 2015
811 kr
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Nursing is an evolving profession that requires continued knowledge updates in formulating a foundation for practice. In order to promote patient safety and satisfaction, it is imperative that nurses monitor publications and increase their knowledge base. Each patient is different; each care management situation requires an individualized plan of care. These require the nurse to develop a personal framework for practice that continually develops from this information. This mandates an evolving knowledge base which this edition will supply for nurses who work to deliver care that is research based and protocol driven. This issue of Nursing Clinics will be both timely and relevant as it will combine two clearly important topics for nurses in care management, pathophysiological updates as well as research based protocols that are important to continuity of validated evidence based care delivery. This will give nurses across organizations the opportunity to see care from a perspective of patient wholeness and not truncate care in order to address total components. With care reimbursement dependent on outcomes, it is important for the nurse to see care as a continuum and not finite. This issue will give nurses this perspective.
Neuromonitoring and Assessment, An Issue of Critical Care Nursing Clinics of North America
Inbunden, Engelska, 2016
573 kr
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Neuromonitoring is a broad term that essentially accounts for the essence of neuroscience nursing. Nurses working with critically ill, neurologically impaired patients should have a foundation in not only in invasive neuromonitoring, but the more subtle aspects of care. Nurses must understand that they are the most important tool in monitoring patients and interpreting the data. This issue of Critical Care Nursing Clinics will bring together the critical aspects of neuromonitoring in the intensive care units that can be used as a resource for nurses. Some articles included are devoted to Temperature Targeted Management; Refractory Intracranial Pressure Management; Blood pressure monitoring controversies; Invasive Neuromonitoring; Neuroradiology Review; Nursing Monitoring of Critically Ill Neurological Patients; Case Studies in EEG monitoring; and Neuromonitoring in the Operating Room.
573 kr
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Pharmacologic options have exploded in recent years, forcing updates and creation of guidelines for their use in a near-simultaneous manner. While some nurses may encounter these new medications at the bedside, drugs with little or no indications in specific arenas may remain unknown to the nurse practicing in a specialized area. This issue of Nursing Clinics of North America offers a broad review of current pharmacologic therapy. Bedside applications (e.g., electronic apps) offering real-time information and updates for clinicians will be highlighted throughout the issue.
Sedation and Sleep in Critical Care: An Update, An Issue of Critical Care Nursing Clinics
Inbunden, Engelska, 2016
573 kr
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Sedation is a necessary component of care for critically ill and injured individuals. Sedatives assist in coping with mechanical ventilation and other invasive devices, and help patients tolerate procedures and noxious stimuli in the intensive care unit. Sedatives are also useful in the control of agitation and delirium. In addition to fundamental humane reasons, calming patients with sedatives provides physiologic benefits, such as reducing oxygen consumption expended during restlessness, and prevents dislodgement of life-preserving tubes and catheters. When administering sedatives to manage critically ill patients, clinicians must be cognizant of the many complex issues surrounding their use. This issue, edited by Consulting Editor, Dr. Jan Foster, provides current updates in this area, including new guidelines and a focus on delirium.
Psychiatric Mental Health Nursing, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2016
573 kr
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Nurses are challenged to understand the scientific bases of psychiatric disorders and treatment implications that modify behavior and improve functional status and quality of life for clients and their significant others. This challenge extends to integration of scientific knowledge into the biological, functional, and psychosocial distress experienced by persons with mental disorders. The primary strength of this issue is its broad focus and synthesis of scientific knowledge into psychiatric mental health practice. The initial section centers on technological advances and the art of psychiatric mental health nursing and legal considerations when caring for persons with mental disorders. The following section provides discussions of various psychiatric disorders, including anxiety and mood disorders, acute psychosis, attention deficit disorders, substance-related disorders, eating disorders, and borderline personality disorder. The remaining section focuses on special populations and treatment concerning children and adolescents and families in crisis, geriatric emergencies, adverse drug reactions, and suicide. Each article integrates innovative treatment modalities, including pharmacotherapy and psychotherapeutic interventions such as psychoeducation, family involvement, and psychosocial rehabilitation. This issue will provide timely updates in these areas and be a go-to source for mental health and psychiatric nurses.
Cardiac Arrhythmias, An Issue of Critical Care Nursing Clinics of North America
Inbunden, Engelska, 2016
573 kr
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A cardiac dysrhythmia is a disturbance in the cardiac rhythm which can be normal (e.g., sinus arrhythmia) or instantly lethal (e.g., sustained ventricular tachycardia). This issue of Critical Care Nursing Clinics of North America will provide state of the art diagnostic and treatment information for cardiac dysrhythmias as well as addressing how to achieve the most accurate diagnostic approach to interpreting an electrocardiogram, which is omnipresent in critical care and of critical importance in diagnosing arrhythmias. Articles in this issue are devoted to: The Normal Cardiac Conduction System; The Normal Electrocardiogram: Resting 12-lead and Continuous Cardiac Rhythm Strips; Premature Beats; Paroxysmal Supraventricular Tachycardia, Including the Special Type Called Wolff-Parkinson-White; Atrial Fibrillation, The Most Common Type of Supraventricular Arrhythmia; Ventricular Tachycardia and Its Disorganized Counterpart, Ventricular Fibrillation; Brady-Dysrhythmias, When Heart Rate Slows Myocardial Ischemia & Infarction and their Relationship to Dysrhythmias; Pharmacologically Induced Dysrhythmias; and Implantable Cardiac Devices and their Role in Dysrhythmias Management.
Palliative and End-of-Life Care, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2016
573 kr
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The Guest Editors have secured top experts in the area of palliative care to write current and clinically relevant articles. Articles in this issue are devoted to: Caring for LGBT Populations; Integrating Palliative Care into Primary Care; Pain Management in the Cognitively Impaired; Pain Management in the Client with Substance Use Disorder; Rituals at End of Life; Death Bed Phenomena; Family Care During End of Life; Palliative Wound Care; Pet-Assisted Therapy in Palliative Care; Palliative Sedation: State of the Science. Readers will come away with the updated information they need to provide state-of-the-art palliative care to their patients.
Infection in the Intensive Care Unit, An Issue of Critical Care Nursing Clinics of North America
Inbunden, Engelska, 2017
573 kr
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Critical care units are high-risk areas which contribute to increased health care costs and increased patient morbidity and mortality. Patients in critical care units are commonly confronted with existing and the potential to develop infections. Critical care practitioners play a crucial role as initial providers to critically ill patients with infections through the delivery of timely and appropriate therapies aimed to prevent and treat patient infections. The responsibility of critical care practitioners include prudent delivery of care to treat current infections as well as ensuring the delivery of care does not increase the development of new infections. Aggressive infection control measures are needed to reduce infections in critical care settings. Dissemination of scholarly work on the topic of infection in critically ill patients can play a role in improving patient outcomes. The information provided on infections in this issue of Critical Care Nursing Clinics promotes the dissemination of current literature on a series of timely and relevant infection topics in critical care environments.
Implications of Disaster Preparedness for Nursing, An Issue of Nursing Clinics of North America
Inbunden, Engelska, 2017
573 kr
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According to the Center for Research and Epidemiology of Disasters, the frequency and severity of disasters has increased over 300% in the last decade. Healthcare systems and individual healthcare practitioners, including nurses, are now fulfilling multiple roles in disaster preparedness in the whole of community: planning, preparedness, risk identification, mitigation, response and recovery. Nurses are considered first responders for biological events or when the disaster occurs where they are working. Nurses act as first receivers when accepting patients/victims for care whose injuries result from non-biological events occurring outside the nurse's workplace. The vast majority of practicing nurses received no disaster preparedness education in their basic nursing education program. Nurses graduating in the 21st century are exposed to some of the concepts of disaster nursing but have little experience unless there is a disaster or emergency where they work or go to school. Readers will be updated on this topic because articles in this edition demonstrate a vast array of implications for nurses in disaster preparedness around the world: chemical, biological, radiological/nuclear, explosives (CBRNE); natural disasters; new models of training and educating nurses for disasters, military nurse response, mental health issues as well as non-government organizations.
Mechanical Ventilation in the Critically Ill Patient: International Nursing Perspectives, An Issue of Critical Care Nursing Clinics of North America
Inbunden, Engelska, 2017
573 kr
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Dr. Goldsworthy has created a state-of-the-art issue that emphasizes the nurse's role in mechanical ventilation. Pertinent clinical topics include the following: basics of mechanical ventilation for nurses; current modes for mechanical ventilation; best practices for managing pain, sedation, and delirium in the mechanically ventilated patient; mobilization of and optimal oxygenation for the mechanicaly ventilated patient; managing complications; and effective weaning strategies. Authors also address mechanical ventilation in both children and neonates. The current content in this issue will leave nurses with the clinical information they need to effectively manage mechanically ventilated patients.
573 kr
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Dr. Squiers has assembled the leading nurses in the country on the management of fluids and electrolytes to write state-of-the-art reviews on this important topic. Readers will come away with current knowledge and management strategies to improve patient outcomes in the following areas: Colloids vs crystalloids in trauma resuscitation; Colloids vs crystalloids in post cardiopulmonary bypass patients; Potassium and magnesium serum levels in Aifb prophalxysis; Review of outcomes in hypernatremia in ICP management; Does evidence drive fluid volume restriction in chronic HF; Assessment of volume status in patients with mechanical cardiac support devices; Assessment of volume status utilizing ultrasounds examination; Managing electrolyte disturbances in tumor lysis syndrome; Post-cystectomy electrolyte issues with neobladder hypophosphatemia effects on weaning mechanical ventilation; and Does fluid resuscitation affect long-term cognitive function in sepsis?