The book begins by placing clinical guidelines within the context of the broader movement towards evidence based practice; it explores the concept of evidence, and defines clinical guidelines and care protocols. These are then examined in the clinical situation. The book goes on to discuss the relationship between them and the exercise of individual autonomy and expertise, and with individualised care and patient involvement and choice. The influence of cost on decision making is reviewed, and a chapter discusses the political aspects of care guidelines and protocols. Finally the book describes the implementation of guidelines and protocols and the barriers to implementation, and makes suggestions for the future.
This textbook is primarily intended for student nurses, students studying for National Vocational Qualifications (levels II and III Health Care) and those students who are undertaking an Access to Nursing Course. It provides these students with a user-friendly and contemporary understanding of some of the key clinical practice issues that they will experience in clinical areas. The book presents the reader with an institutional perspective as well as a community approach to general aspects of adult nursing care. The text is clearly written with useful illustrations. A well known model of nursing is used in which to frame the information – Roper et al' s Activities of Living Model. The reader will begin to develop his/her practical nursing skills with a sound knowledge base underpinning the delivery of care. There are 14 chapters, a detailed glossary and a comprehensive list of «normal values» is included at the end. The book is designed to be used as a reference book in either the clinical setting, the classroom or at home.
Intermediate care has become a buzzword within health and social care over the last few years. Seen as the panacea for a number of woes, particularly for older people, intermediate care has been held up as a way forward within contemporary health and social care. This text explores in detail what is understood by the concept of intermediate care and, in particular, ways in which the needs of older people can be best met by this new range of services. Initial discussion centres on the concept of intermediate care and the motives for its development. This is followed by a summary of the range of intermediate care services that have been developed, with a discussion of some of the confusion that surrounds the concept. The debate then moves on to centre on older people, discussing first why older people have come to be perceived as one of the main client groups that may benefit from intermediate care, and then how intermediate care could be developed to better serve their needs. An overview of ageing and the uniqueness of older people is then provided, followed by an exploration of some of the challenges faced by older people within society – and how this has extended into the delivery of health and social care.
This text is a primer on the care of the patient with cancer of the gastrointestinal tract, for nurses who may not have experience in this demanding speciality. The book begins with a comprehensive look at the issues and scope of the frequently used term «quality of life». Chapters two and three take an in-depth look at the impact of cancer on the individual and the family. Chapters four to six then introduce the principal aspects of cancer as a disease from both a medical and nursing perspective, beginning with cancers of the aerodigestive tract through to lower gastrointestinal cancers. Chapter seven covers the role of nutrition in the prevention of cancer and the nutritional management of patients with cancer. Chapters eight and nine provide a guide to the management of patients undergoing radiotherapy and chemotherapy in order to familiarize the gastroenterology nurse with what may lie ahead for the patient. The final chapter outlines the principles of symptom management and palliative care for integration into patient care throughout the course of cancer.
This innovative book will provide the nurse, working within a general or specialist surgical unit, with the information required to care for a patient who has undergone surgery resulting in the formation of an ileal anal pouch, Koch pouch, Colo-anal pouch or continent urinary diversions. These techniques have been with us for more than twenty years but have in the main only been performed within specialist centres. More recently however they have become widely used, as more colorectal and urology surgeons acquire the skills to perform the procedure. In response to this, the nurse needs to acquire the skills to care for these patients pre-operatively, post-operatively and through their rehabilitation. Julia Williams has drawn together the work of acknowledged experts in this field, both nursing and medical, to produce a book that will be essential reading for all those who practice in this fast-developing specialty.
This first book to provide a comprehensive overview of the recent progress made in this break-through approach includes expert contributions from a variety of disciplines. Particular focus is placed on high-throughput methods and the analysis of data thus obtained, as well as their use in silico experiments so as to gain an insight into the complex biological processes in neuronal systems. A must-have for everyone working in psychiatric research.
The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.
The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.
The Novartis Foundation Series is a popular collection of the proceedings from Novartis Foundation Symposia, in which groups of leading scientists from a range of topics across biology, chemistry and medicine assembled to present papers and discuss results. The Novartis Foundation, originally known as the Ciba Foundation, is well known to scientists and clinicians around the world.
This title acts as a primer, giving students and newcomers to the field an opportunity to learn about the breadth of the CNS drug discovery. The book outlines the core processes in drug discovery and development for CNS disorders, from evaluating drugs for desirable efficacy, safety and pharmacokinetic features in preclinical (using in vitro and in vivo models) and clinical experimentation to identifying future drug targets. Containing up-to-date experimental evidence and detailing the main impediments in the pipeline of CNS drug discovery and development, this is a key reference for those involved in all stages of CNS drug discovery. Key Features: Discusses in detail the key stages of CNS drug discovery, outlining the particular requirements and obstacles for CNS drugs Addresses safety concerns and future drug targets Provides succinct background information about the major CNS diseases Examples of specific drugs are used throughout to describe the development of a new drug from conception to clinical use and post-market surveillance Primary reasons for drug failure are given for each stage