Clinical Paths in Medical-Surgical Practice is an exciting new publication that incorporates a multidisciplinary clinical pathway approach to patient care. This unique guide provides specific information that enables the user to understand, adapt, and implement clinical pathways for a variety of disorders common to medical-surgical practice. Precise information on implementation, variance management, and future trends in patient care within the managed care environment are featured. Included in the text are pathways in use at various institutions around the country, examples of alternate pathway structures, and advice for adapting these pathways to your own health care site. You will also get the personal perspectives of three physicians on the value of the collaborative clinical pathway approach.
This book is the first to tackle the development of clinical pathways. Its practical approach introduces the concept of pathways and explains their use. The book contains approximately 40 examples of generic clinical pathways for both medical-surgical patients and critical care patients.
This volume, developed by the Observatory together with OECD, provides an overall conceptual framework for understanding and applying strategies aimed at improving quality of care. Crucially, it summarizes available evidence on different quality strategies and provides recommendations for their implementation. This book is intended to help policy-makers to understand concepts of quality and to support them to evaluate single strategies and combinations of strategies.
This exhaustively revised New Edition features tightly focused, state-of-the-art, and highly readable discussions of medical-surgical nursing across the continuum for the full range of disorders seen in adult patients. The text is organized by body systems, and offers both foundational knowledge and precise guidance on the medical treatment and nursing care of specific disorders. Clinical pathways, research abstracts, internet connections, and sociocultural essays are only some of the features that will help equip readers for nursing in the twenty-first century.
The exhaustively revised, full-color second edition of this critically acclaimed text offers tightly focused, highly readable discussions of the full range of disorders seen in adult patients. Body system units begin with a Knowledge Base chapter that covers anatomy and physiology and provides a foundational understanding of the medical, surgical, and nursing interventions common to disorders affecting the system. Then, Nursing Care chapters detail the medical/surgical treatment and nursing care specific to each disorder. Clinical Pathways, Nursing Care Guides, and Highlights on Nutritional and Patient Education provide the skills and knowledge that nurses need today.
As the field of general surgery continues to expand, the diagnostic and therapeutic pathways are becoming more complex. The diagnostic modalities available to the clinician can be both very helpful but also overwhelming considering the findings can often determine the scope of treatment for a patient. This text will take the major pathologies of the systems commonly studied in general surgery and present them in a unique format based upon algorithms. The algorithms will begin with the clinical presentation of the patient, work its way through the various diagnostic modalities available to the surgeon, and finally allow the physician to make a decision regarding treatment options based upon various patterns in the algorithms. This text will become a very useful resources for surgeons as it allows complex clinical pathways to be conveniently organized in logical algorithms. It will become a concise yet comprehensive manual to assist in clinical decision making. All algorithms will be reviewed by experts in their field and include the most up-to-date clinical and evidence-based information. Clinical Algorithms in General Surgery provides a useful resource for surgeons in clinical practice as well as surgical residents, and surgical attendings who are preparing for board examinations. See sample algorithm in Attachments.
Perfect for: • Undergraduate Nursing Students • Postgraduate Specialist Nursing Pathways (Advanced Medical Surgical Nursing) • TAFE Bachelor of Nursing Program Lewis’s Medical–Surgical Nursing: Assessment and Management of Clinical Problems, 4th Edition is the most comprehensive go-to reference for essential information about all aspects of professional nursing care of patients. Using the nursing process as a framework for practice, the fourth edition has been extensively revised to reflect the rapid changing nature of nursing practice and the increasing focus on key nursing care priorities. Building on the strengths of the third Australian and New Zealand edition and incorporating relevant global nursing research and practice from the prominent US title Medical–Surgical Nursing, 9Th Edition, Lewis’s Medical–Surgical Nursing, 4th Edition is an essential resource for students seeking to understand the role of the professional nurse in the contemporary health environment. 49 expert contributors from Australia and New Zealand Current research data and Australian and New Zealand statistics Focus on evidence-based practice Review questions and clinical reasoning exercises Evolve Resources for instructor and student, including quick quiz’s, test banks, review questions, image gallery and videos. • Chapter on current national patient safety and clinical reasoning • Over 80 new and revised case studies • Chapter on rural and remote area nursing • Fully revised chapter on chronic illness and complex care • Chapter on patient safety and clinical reasoning • Greater emphasis on contemporary health issues, such as obesity and emergency and disaster nursing • Australia and New Zealand sociocultural focus
The purpose of this book specifically is to teach surgeons (academic or community), surgical fellows and surgical residents regardless of the surgical specialty, the skills to appraise what they read in the surgical literature. Surgeons need to be able to understand what they read before applying the conclusions of a surgical article to their practice. As most surgeons do not have the extra training in health research methodology, understanding how the research was done, how to interpret the results and finally deciding to apply them to the patient level is indeed a difficult task. Chapters explain the methodological issues pertaining to the various study designs reported in the surgical literature. Most chapters begin with a clinical scenario with uncertain course of action with which most surgeons are struggling. Readers are taught how to search the literature for the best evidence that will answer the surgical problem under discussion. An identified article that seems relevant to the problem you are investigating can be appraised by addressing 3 key questions: 1). Is the study I am reading valid? 2). What are the results of this study? 3). Can I apply these results to my patients? While the primary goal of Evidence-Based Surgery is to teach surgeons how to appraise the surgical literature, an added benefit is that the concepts explained here may help research-minded surgeons produce higher quality research.
This book aims to provide condensed and crystallised knowledge, providing the rationale for investigations and interventions. Emergency medicine is a specialty where time and knowledge are critical factors in deciding appropriate management which could otherwise result in loss of life or limb. The challenge often is to have lucid management plans, whilst standing at the bedside of the patient. In order to address this challenge, a manuscript is needed which aims to enhance the clinical skills of the emergency physician. The objective of this book is to compile a road map for practitioners of emergency medicine, which would guide them through algorithm-based pathways. This format is distinctive by nature for its concise presentation, which facilitates easy reading and early application. Written by global experts, this book aims to be a truly international representation of emergency physicians who have come together to deliver contemporary concepts in emergency patient care.
Each edition of Medical-Surgical Nursing has not only covered new developments in nursing, it has actively anticipated trends and advances. The 7th edition keeps readers on the cutting edge with the very latest information on nursing practice. It presents more detailed coverage of basic anatomy and physiology, pathophysiology, medical management, and nursing care than any other book available. Its focus on clinical outcome management emphasizes patient outcomes and makes the material understandable. A completely new design integrates information in the book with web enhancements on the accompanying Evolve website, such as online exercises, care plans, client education guides, and clinical pathways, as well as more on chapter topics such as diversity, ethics, religious beliefs affecting health care, and more. Evidence Based Practice in Action boxes in certain management chapters present a synopsis of the research with 4-5 supporting article summaries, to help readers understand the clinical significance of a problem. This feature has been revised for this edition. Concept Maps link pathophysiological processes, clinical manifestations, and medical and nursing interventions. A concept map creator on Evolve further enhances learning (Online). Complementary & Alternative Therapy boxes throughout the text highlight nontraditional therapies used by clients and healthcare providers to treat various conditions. This feature has been completely rewritten for this edition. Case studies present complex client scenarios with in-depth clinical problems, most with multiple clinical problems. An introduction in the text ties each case to chapter content, and specific details about the case are presented on Evolve, followed by discussions, multiple-choice questions, and a nursing care plan (Online). Thinking Critically Questions conclude each nursing care chapter and pose short, typical client scenarios followed by questions about what actions to take. Discussions of all the questions on Evolve provide insight into the reasoning behind appropriate actions (Online). Diversity in Health Care boxes feature discussions of health and illness related to particular populations. Client Education Guides provide examples worded in client-centered language demonstrate how to teach clients to collaborate in their own care. Care plans are a tabular presentation of nursing care, using the nursing process format, highlighting both nursing diagnoses and collaborative problems, expected outcomes, interventions with rationale, and evaluation. Ethical Issues in Nursing discussions present an ethical dilemma in the form of a question, followed by an in-depth discussion (Online). Case Management boxes are all written by a practicing case manager, presenting key coordination and anticipatory issues to link nursing care with patient-focused case management (Online). Bridge to Home Health Care feature describes specific applications and strategies for med-surg care in the home, while broadening applications of content beyond hospital to the home setting where many nurses now practice. Management and Delegation boxes present the primary concerns associated with delegating care activities to assistive personnel. Three new topics include Overview of Health Care Delivery, Clients Having Surgery, and Management of Clients with Vascular Disorders. NOC boxes appear in chapters containing nursing diagnoses content. Appropriate suggested NOC outcome labels are presented at the beginning of chapters containing nursing diagnoses content to introduce readers to NOC language, the standardized nursing vocabulary for measuring patient outcomes. Bridge to Critical Care feature highlights major critical care concerns, and includes new bridges for defibrillation and transplant. Critical Monitoring boxes alert the reader to clinical manifestations that must be reported to the physician immediately. Anatomy & Physiology Review sections serve as introductions to each body system unit with a brief review of the relevant anatomy and physiology of the body system. Physical Assessment Findings in the Health Adult remind students of the relevant normal findings for each body system and demonstrate how to chart those findings with clinical precision. Excerpts from actual pathways used in hospitals are accompanied by a guide that shows what should occur at specific points in the pathway, as well as how to stay on track when caring for the client (Online). Appendices on Evolve include: Religious Beliefs and Practices Affecting Health Care, A Health History Format that Integrates the Assessment of Functional Health Patterns, and Laboratory Values of Clinical Importance in Medical-Surgical Nursing (Online). Special features, interactive exercises, weblinks, and bonus material on the Evolve website expand readers'' learning and expose them to additional content and study tools online, beyond the comprehensive textbook material.(Online) Evidence-based content and references throughout the text are noted in the margin with a special icon. Integrating Pharmacology boxes address the purpose of each medication, how the medication reverses or corrects the pathophysiology or reduces side effects, and how the combinations of medications are synergistic. Genetic Links boxes present the description, genetics, diagnosis/testing, and management of specific diseases and "link" it to its corresponding genetics. Terrorism Alert boxes highlight the symptoms and diseases associated with bioterrorism. A list of special features on the Evolve site is provided on every chapter opener, as a quick, user-friendly summary that prompts readers to use the Evolve site as a complement to the text content. The most up-to-date content is presented in four new chapters: Genetics; Complementary & Alternative Therapy; Critical Care; and Rehabilitation. Anatomy & Physiological Review: Physiological Genomics unit opener for chapters on genetics, perspectives in oncology, cancer, wounds, and infectious disorders orients readers to important anatomy and physiology concepts. Anatomy & Physiological Review: Arousal, Pain and Conscious Awareness unit opener for chapters on pain, palliative care, sleep, psychosocial, and substance abuse orients readers to information that will be relevant to chapters in that unit. Spanish translations of all Client Education Guides are provided on Evolve (Online).
