Fragile Blood
Fragile Blood

Author: Agnes Fischer

Publisher: Author House

Published: 2011-02-24

Total Pages: 345

ISBN-13: 1456774093

DOWNLOAD EBOOK

Others thought she had everything a woman could want, an adoring husband, two wonderful children and a life many would be envious of, other than Agnes. This is a novel, based on a true story, about an American nurse who leaves her native Oregon and starts up a new life in Freiburg with her German husband. Early on in her marriage she realizes that her relationship with the young physicist-teacher is deteriorating. She doesn't love him anymore, yet is reluctant to admit it. What is she to do? The dilemma is a common one. The emancipated, loving and direct manner in which she finally approaches separation and continues on with her life is all but common. Her pursuit? She wants to find her soul mate, and what a surprise it is when she does. Her life is turned upside down, and in more ways than one. This is a book for any responsible bumbler or stumbler, male or female, who is equipped with a loving heart and an open soul and, who has decided to live life according to intuition, even though it can be scary sometimes.

Fragility Fracture Nursing
Fragility Fracture Nursing

Author: Karen Hertz

Publisher: Springer

Published: 2018-06-15

Total Pages: 169

ISBN-13: 3319766813

DOWNLOAD EBOOK

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

Blood Donor Counselling
Blood Donor Counselling

Author: World Health Organization

Publisher:

Published: 2016-06-24

Total Pages: 114

ISBN-13: 9789241548557

DOWNLOAD EBOOK

Individuals who donate their blood provide a unique and precious gift in an act of human solidarity. In order to donate blood, prospective donors should be in good health and free from any infections that can be transmitted through transfusion. Most blood donors perceive themselves to be healthy, but some are unsuitable to donate blood due to the potential risk of compromising or worsening their own health or the risk of transmission of infections to patients. Blood transfusion services (BTS) have a duty of care towards blood donors as well as to the recipients of transfusion. This duty of care extends to prospective donors who are deferred from donation--whether on a temporary or permanent basis--as well as those who donate blood and are subsequently found to have unusual or abnormal test results. BTS have a responsibility to confirm test results and provide information, counseling and support to enable these individuals to understand and respond to unexpected information about their health or risk status. Counseling is part of the spectrum of care that a BTS should be able to provide to blood donors--including referral to medical practitioners or specialist clinical services. Pre-donation counseling was recognized as one element of the strategy to reduce and, if possible, prevent the donation of blood by individuals who might be at risk for HIV and other TTI including hepatitis B and C viruses as well as to inform the donor of the donation process and testing of blood for HIV. Post-donation counseling was acknowledged to be a necessary element of donor management as an adjunct to informing donors of unusual or abnormal test results. Blood donor counseling by trained specialist staff is now considered to be a key component of the blood system in most countries with a well-developed blood transfusion service. It may be required at a number of stages in the blood donation process or following blood screening and should be available at any point at which the BTS has an interface with donors. In many countries, however, blood donor counseling is not yet available in a structured way. Blood Donor Counselling: Implementation Guidelines has therefore been developed to provide guidance to blood transfusion services that have not yet established donor counseling programs.

Fragile Beginnings
Fragile Beginnings

Author: Adam Wolfberg, MD

Publisher: Beacon Press

Published: 2012-02-07

Total Pages: 193

ISBN-13: 0807095516

DOWNLOAD EBOOK

This is a gripping medical narrative that brings readers into the complex world of newborn intensive care, where brilliant but imperfect doctors do all they can to coax life into their tiny, injured patients. Dr. Adam Wolfberg--journalist, physician specializing in high-risk pregnancies, and father to a child born weighing under two pounds--describes his daughter Larissa's precipitous birth at six months, which left her tenuously hanging on to life in an incubator. Ultrasound had diagnosed a devastating hemorrhage in her brain that doctors reasoned would give her only a 50 percent chance of having a normal IQ. With the knowledge that their daughter could be severely impaired for life, Adam and his wife, Kelly, consider whether to take Larissa off life-support. As they make decisions about live-saving care in the first hours of a premature infant's life, doctors and parents must grapple with profound ethical and scientific questions: Who should be saved? How aggressively should doctors try to salvage the life of a premature baby, who may be severely neurologically and physically impaired? What will that child's quality of life be like after millions of dollars are spent saving him or her? Wolfberg explores the fits and starts of physicians, government policy makers, and lawyers who have struggled over the years to figure out the best way to make these wrenching decisions. Through Larissa's early hospital course and the struggle to decide what is best for her, Wolfberg examines the limitations of newborn intensive-care medicine, neuroplasticity, and decision making at the beginning of life. Featuring high-profile scientific topics and explanatory medical reporting, this is the first book to explore the profound emotional and ethical issues raised by advancing technology that allows us to save the lives of increasingly undeveloped preemies.

Open Heart
Open Heart

Author: Stephen Westaby

Publisher: Basic Books

Published: 2017-06-20

Total Pages: 271

ISBN-13: 0465094848

DOWNLOAD EBOOK

In gripping prose, one of the world's leading cardiac surgeons lays bare both the wonder and the horror of a life spent a heartbeat away from death When Stephen Westaby witnessed a patient die on the table during open-heart surgery for the first time, he was struck by the quiet, determined way the surgeons walked away. As he soon understood, this detachment is a crucial survival strategy in a profession where death is only a heartbeat away. In Open Heart, Westaby reflects on over 11,000 surgeries, showing us why the procedures have never become routine and will never be. With astonishing compassion, he recounts harrowing and sometimes hopeful stories from his operating room: we meet a pulseless man who lives with an electric heart pump, an expecting mother who refuses surgery unless the doctors let her pregnancy reach full term, and a baby who gets a heart transplant-only to die once it's in place. For readers of Atul Gawande's Being Mortal and of Henry Marsh's Do No Harm, Open Heart offers a soul-baring account of a life spent in constant confrontation with death.

White Fragility
White Fragility

Author: Dr. Robin DiAngelo

Publisher: Beacon Press

Published: 2018-06-26

Total Pages: 194

ISBN-13: 0807047422

DOWNLOAD EBOOK

The New York Times best-selling book exploring the counterproductive reactions white people have when their assumptions about race are challenged, and how these reactions maintain racial inequality. In this “vital, necessary, and beautiful book” (Michael Eric Dyson), antiracist educator Robin DiAngelo deftly illuminates the phenomenon of white fragility and “allows us to understand racism as a practice not restricted to ‘bad people’ (Claudia Rankine). Referring to the defensive moves that white people make when challenged racially, white fragility is characterized by emotions such as anger, fear, and guilt, and by behaviors including argumentation and silence. These behaviors, in turn, function to reinstate white racial equilibrium and prevent any meaningful cross-racial dialogue. In this in-depth exploration, DiAngelo examines how white fragility develops, how it protects racial inequality, and what we can do to engage more constructively.

Fierce Medicines, Fragile Socialities
Fierce Medicines, Fragile Socialities

Author: Dominik Mattes

Publisher: Berghahn Books

Published: 2019-08-01

Total Pages: 436

ISBN-13: 1789203228

DOWNLOAD EBOOK

Set in Tanga, a city on the Tanzanian Swahili coast, Dominik Mattes examines the implementation of antiretroviral HIV-treatment (ART) in the area, exploring the manifold infrastructural and social fragilities of treatment provision in public HIV clinics as well as patients’ multi-layered struggles of coming to terms with ART in their everyday lives. Based on extensive ethnographic fieldwork, the book shows that, notwithstanding the massive rollout of ART, providing treatment and living a life with HIV in settings like Tanga continue to entail social, economic, and moral challenges and long-term uncertainties, which contradict the global rhetoric of the “normalization of HIV”.

Blood Rites
Blood Rites

Author: Barbara Ehrenreich

Publisher: Twelve

Published: 2020-01-07

Total Pages: 293

ISBN-13: 1455543713

DOWNLOAD EBOOK

A New York Times Notable BookAn ALA Notable Book "Original and illuminating." --The Washington Post What draws our species to war? What makes us see violence as a kind of sacred duty, or a ritual that boys must undergo to "become" men? Newly reissued in paperback, Blood Rites takes readers on an original journey from the elaborate human sacrifices of the ancient world to the carnage and holocaust of twentieth-century "total war." Ehrenreich sifts deftly through the fragile records of prehistory and discovers the wellspring of war in an unexpected place -- not in a "killer instinct" unique to the males of our species, but in the blood rites early humans performed to reenact their terrifying experiences of predation by stronger carnivores. Brilliant in conception and rich in scope, Blood Rites is a monumental work that continues to transform our understanding of the greatest single threat to human life.

Fragile
Fragile

Author: Lisa Unger

Publisher: Crown

Published: 2010-08-03

Total Pages: 338

ISBN-13: 0307592340

DOWNLOAD EBOOK

A thrilling novel from New York Times bestselling author Lisa Unger about the hunt for a missing girl and one community’s intricate yet fragile bonds. “[A] nail-biting nuanced whodunit.”—People Everybody knows everybody in The Hollows, a quaint, charming town outside of New York City. It’s a place where neighbors keep an eye on one another’s kids, where people say hello in the grocery store, and where high school cliques and antics are never quite forgotten. As a child, Maggie found living under the microscope of small-town life stifling. But as a wife and mother, she has happily returned to The Hollows’s insular embrace. As a psychologist, her knowledge of family histories provides powerful insights into her patients’ lives. So when the girlfriend of her teenage son, Rick, disappears, Maggie’s intuitive gift proves useful to the case—and also dangerous. Eerie parallels soon emerge between Charlene’s disappearance and the abduction of another local girl that shook the community years ago when Maggie was a teenager. The investigation has her husband, Jones, the lead detective on the case, acting strangely. Rick, already a brooding teenager, becomes even more withdrawn. In a town where the past is always present, nobody is above suspicion, not even a son in the eyes of his father. As she tries to reassure him that Rick embodies his father in all of the important ways, Maggie realizes this might be exactly what Jones fears most. Determined to uncover the truth, Maggie pursues her own leads into Charlene’s disappearance and exposes a long-buried town secret—one that could destroy everything she holds dear.