St. Joseph Rehabilitation Hospital, Albuquerque, New Mexico. Detailed comprehensive manual for nurses and other rehabilitation professionals to use in the education of rehabilitation patients and their families. Includes handouts and forms. 0
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.
The Roundtable on Health Literacy brings together leaders from academia, industry, government, foundations, and associations and representatives of patient and consumer interests who work to improve health literacy. To achieve its mission, the roundtable discusses challenges facing health literacy practice and research and identifies approaches to promote health literacy through mechanisms and partnerships in both the public and private sectors. To explore the aspects of health literacy that impact the ability of patients to understand and follow discharge instructions and to learn from examples of how discharge instructions can be written to improve patient understanding of-and hence compliance with-discharge instructions, the Roundtable on Health Literacy held a public workshop. The workshop featured presentations and discussions that examined the implications of health literacy for discharge instructions for both ambulatory and inpatient facilities. Facilitating Patient Understanding of Discharge Instructions summarizes the presentations and discussions of the workshop. This report gives an overview of the impact of discharge instructions on outcomes, and discusses the specifics of inpatient discharge summaries and outpatient after-visit summaries. The report also contains case studies illustrating different approaches to improving discharge instructions.
Following on from the very popular first book OCyNurse Facilitated Hospital DischargeOCOOCyIn these challenging economic times, with change and cost saving being predominant features in the NHS, I offer you, the reader, a thought: OC The faster the speed at which you travel, the further ahead you need to lookOCO, to adapt current practice, and align it to future needs, to deliver value for money.OCOLiz LeesTimely Discharge From Hospital is aimed at practitioners working in acute, community, intermediate and ambulatory care settings; all areas of practice are featured. Each section is arranged in themes but written to stand alone, allowing the reader to dip in and out. The book is further enhanced by a comprehensive selection of case studies.Part 1: Fundamental perspectives of practice OCo there are 3 leading chapters which set the scene for the discharge of patients from hospital.Part 2: The UK perspective OCo there are 4 chapters which demonstrate policy, practice and progress regarding discharge planning in England, Ireland, Scotland and Wales. Part 3: Education and training OCo there are 3 chapters which interface theory with practice providing a sense of direction in education to lead and support practitioners wishing to develop mechanisms for training.Part 4: Multi professional considerations of patient discharge in practice OCo there are 7 chapters which explore the contribution of different professionals to timely discharge practice. The Nursing coordination & complex discharge issues, Pharmacy, PALs, Medicine, Occupational Therapy and Bed management are all featured.Part 5: Case examples in practice OCo There are 14 pragmatic cases which illuminate practice points from a clinical perspective."
Known for its reliable, clinically focused content, Swearingen's Manual of Medical-Surgical Nursing provides a quick reference to 125 of the most commonly encountered medical-surgical conditions. Expert authors Fran Monahan, RN, PhD, ANEF, Marianne Neighbors, EdD, RN, and Carol Green, PhD, RN, CNE make it easy to find and use the information you need to know to provide optimal patient care. Unique to this manual, outcome criteria include specific and measurable timeframes to help in establishing realistic treatment goals and evaluating the effectiveness of care. For students, it's an ideal resource for care planning and clinicals; for practitioners, it's a great clinical reference! - More than 125 common medical-surgical conditions are organized by body system for convenient use as a clinical reference. - A quick-reference, easy-to-use format includes these headings for each med-surg disorder: - Overview/Pathophysiology - Assessment - Diagnostic Tests - Collaborative Management - Nursing Diagnoses and Interventions - Patient-Family Teaching and Discharge Planning - Outcome criteria feature specific and measurable timeframes for each outcome. - Patient teaching for each disorder helps you educate patients and their families for self-care and discharge. - Clinical notes and cautions stress key points or alerts related to various disorders and conditions. - An overview of nursing considerations for the hospitalized patient includes concepts relevant to many disorders, such as perioperative care, pain, prolonged bed rest, psychosocial support, and older adult care. - Attractive two-color design highlights key information for fast reference. - A durable, water-resistant cover prolongs the life of the book. - Thorough updates provide you with the latest evidence-based practice content and clinical developments, including the newest Joint Commission standards, latest screening recommendations, revised treatment guidelines, new drugs, and lab tests. - New Burns section covers the care of burns in the medical-surgical setting. - New Immunologic Disorders unit discusses transfusion reactions, hypersensitivity, and AIDS. - New Cancer Care unit updates and expands coverage of lung cancer, nervous system tumors, GI malignancies, neoplastic diseases of the hematopoietic system, head/neck cancers, breast cancer, and GI cancer. - An emphasis on patient safety addresses preventable patient safety issues.
This book will help all health professionals involved in the rehabilitation of older people to provide their patients with the highest possible quality of life and autonomy. Expanded and rewritten by a diverse team of authors, the text is suitable for doctors in all specialties that see older patients, as well as nurses, physiotherapists, occupational therapists, psychologists, dietitians, speech and language therapists/pathologists, physician associates/assistants, healthcare assistants, and many others including patients, family members and students. The book is written in an accessible, no-jargon style and provides a patient-centred perspective on recent advances in the field of rehabilitation – an increasingly important aspect of care for older people. Clear explanations of relevant concepts: ageing, frailty, comprehensive assessment, rehabilitation Broad coverage of all aspects of rehabilitation including different settings Explanations of input from multiple health professionals Problem-based section that highlights solutions to common issues during rehabilitation Specialty-specific areas of rehabilitation such as stroke rehabilitation, cancer rehabilitation, post-operative rehabilitation, trauma, rehabilitation in the community Practical section explaining how to plan discharge safely, run a care planning meeting, organize home supports, continue rehabilitation at home Evidence-based but accessible writing, complemented by practical clinical wisdom Aimed at a broader audience – applicable to all health professionals who see older patients Resources for patients and their caregivers Multiple-choice questions to test knowledge
Normal Accidents analyzes the social side of technological risk. Charles Perrow argues that the conventional engineering approach to ensuring safety--building in more warnings and safeguards--fails because systems complexity makes failures inevitable. He asserts that typical precautions, by adding to complexity, may help create new categories of accidents. (At Chernobyl, tests of a new safety system helped produce the meltdown and subsequent fire.) By recognizing two dimensions of risk--complex versus linear interactions, and tight versus loose coupling--this book provides a powerful framework for analyzing risks and the organizations that insist we run them. The first edition fulfilled one reviewer's prediction that it "may mark the beginning of accident research." In the new afterword to this edition Perrow reviews the extensive work on the major accidents of the last fifteen years, including Bhopal, Chernobyl, and the Challenger disaster. The new postscript probes what the author considers to be the "quintessential 'Normal Accident'" of our time: the Y2K computer problem.
In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.