Providing Support at Home for Children and Young People who have Complex Health Needs discusses elements of providing support in the home, which influence the quality of provision. This includes: the rationale for providing support at home, the child being central to the provision of support, taking into account the needs of the whole family, working closely with parents, working in the family home, choices and rights, supporting adolescents, team working, ethical issues, political and organisational issues. Case studies are used to illustrate the points raised.
Pregnancy is a time when women need to be prepared mentally and physically to meet the challenges of childbirth and the transitions to parenthood. However, this needs to be within the realms of safe practice. The study on which this book is based is derived from the author's work as a midwife with a special interest in exercise. The main aims of the study were to investigate the effects of undertaking a regular exercise programme during and following pregnancy on psychological well-being, pregnancy and birth outcomes. Data were collected at three time points during and following pregnancy using a variety of outcome measures and were analysed using appropriate statistical testing. Conclusions were drawn indicating that women who participated in regular physical activity tended to have protection against reduction of psychological well-being as measured by a variety of psychological constructs.
Written by nurses for nurses, Asthma Care in the Community emphasizes the «back to basics» approach, which is often forgotten in a high technology healthcare system. The book covers epidemiology, including prevalence, morbidity, and mortality; the economic and social burden of asthma; the pathology and pathophysiology of asthma; managing patients with asthma, both pharmacologically and non-pharmacologically; managing uncomplicated asthma, right through to the more complex issues surrounding acute episodes and «difficult to manage» situations.
This is a comprehensive book with theoretical and practical input for health care researchers exploring the humanistic and individual aspects of health and illness. It covers the main qualitative research methods and provides clear, concise and well-evidenced clinical information for researchers from all disciplines.
This book provides physiotherapists and exercise professionals with a comprehensive resource on the exercise components and skills of constructing and teaching CR exercise. It addresses the scope of knowledge and skills required by exercise specialists developing, delivering and teaching exercise based CR programmes. It has an evidence-based framework, and provides practical advice and suggestions based on the clinical experience of the contributing authors. Among the topics covered are assessment, exercise monitoring, the use of music, safety, teaching skills and maintaining physical activity. Thus the book provides a comprehensive and practical text that can be used to plan, develop and deliver all phases of exercise based CR. «…provides a virtual pharmacopoeia of exercise guidelines for patients with cardiovascular disease, with specific reference to exercise prescription, risk stratification, exercise physiology, monitoring techniques, and leadership and organizational skills. The authors represent a prestigious group of scientists, clinicians, researchers, and teachers, who are authorities in their respective fields. Clearly, the contributors have painstakingly worked to summarize, in a clear and concise manner, the latest research findings in each area, highlighting patient care and related applications. A „must-read“ for clinicians in the field of cardiac rehabilitation. I highly recommend this extraordinary text !» —Barry A. Franklin, PhD, Director, Cardiac Rehabilitation and Exercise Laboratories, William Beaumont Hospital, Royal Oak, Michigan USA; Professor of Physiology, Wayne State University, School of Medicine, Detroit, Michigan
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 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 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