Mastering Icu Nursing A Quick Reference Guide Interview Qa And Terminology

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Mastering ICU Nursing: A Quick Reference Guide, Interview Q&A, and Terminology

Author : Chetan Singh
Publisher : Chetan Singh
ISBN 13 :
Total Pages : 184 pages
Book Rating : 4./5 ( download)

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Book Synopsis Mastering ICU Nursing: A Quick Reference Guide, Interview Q&A, and Terminology by : Chetan Singh

Download or read book Mastering ICU Nursing: A Quick Reference Guide, Interview Q&A, and Terminology written by Chetan Singh and published by Chetan Singh. This book was released on with total page 184 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book titled "Mastering ICU Nursing: A Quick Reference Guide, Interview Q&A, and Terminology" is a complete guide to the field of intensive care nursing. The book covers all aspects of ICU nursing, from the history and definition of the field to the role and responsibilities of an ICU nurse, to the characteristics of critically ill patients. The first section of the ICU Nursing book provides an overview of basic anatomy and physiology concepts, including the pathophysiology of common critical illnesses and assessing and monitoring vital signs. The second section focuses on equipment and technology used in ICU, including mechanical ventilation and hemodynamic monitoring and interpretation. The third section covers pharmacology in ICU, including common medications used, administration and titration of intravenous medications, and adverse effects and interactions of medications. The fourth section focuses on patient assessment and management, including comprehensive patient assessment, management of acute respiratory failure, and management of shock and sepsis. The fifth section covers nursing care in ICU, including infection control, wound care and pressure ulcer prevention, and nutrition and fluid management. The sixth section addresses ethical and legal issues in ICU nursing practice, including ethical dilemmas and decision-making, advance care planning and end-of-life care, and legal issues in ICU nursing practice. The seventh section provides information on continuing education and professional development opportunities, certification and speciality nursing organizations, and leadership and advocacy in ICU nursing. The eighth section includes questions and answers related to ICU nursing, and the ninth section provides interview questions and answers for those interested in pursuing a career in ICU nursing. The tenth section of the book covers ICU nursing terminology, while the final section looks at future directions in ICU nursing, including emerging trends and technologies, evidence-based practice, and quality improvement initiatives. This Nursing book is an essential resource for both novice and experienced ICU nurses who wish to gain an extensive understanding of the field and stay up-to-date with the latest trends and best practices.

Quick Reference to Critical Care

Author : Nancy H. Diepenbrock
Publisher :
ISBN 13 : 9781975170851
Total Pages : 504 pages
Book Rating : 4.1/5 (78 download)

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Book Synopsis Quick Reference to Critical Care by : Nancy H. Diepenbrock

Download or read book Quick Reference to Critical Care written by Nancy H. Diepenbrock and published by . This book was released on 2020-12-31 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Need help to recall information about any ICU procedures, disease processes, formulas, lab values? Need to brush up on your ICU skills? New to ICU, or a veteran? Get immediate on-the-job answers, with the popular and fully updated Quick Reference to Critical Care, 6th Edition. This indispensable pocket guide addresses a broad range of critical care patient topics, divided by body system and organized alphabetically within each chapter for quick access. Disease processes, disorders, medications, and titration, tests, lab results, formulas, ICU equipment and treatment strategies and goals are discussed. Each well-illustrated entry explains the latest evidence-based procedures and stabilization practices in a convenient, quick-read outline, making it the ideal quick reference for following proven protocols. Up-level your critical care expertise and confidence, with: NEW and completely updated content that offers current information on cutting edge critical care topics NEW full-color images throughout NEW extensive abbreviations list that explains unfamiliar abbreviations found in progress notes, surgical reports and other medical documents Ideal on-the-spot quick reference - Read-at-a-glance bulleted outline format that helps you grasp ideas quickly and take immediate action More than 350 illustrations - figures, algorithms, photos, drawings and tables that outline core terms and concepts, with easy-to-retain definitions of key terms Chapters for each body system - expert nursing guidance on evaluating and treating the neurologic, cardiovascular, pulmonary, gastrointestinal and urinary, renal, endocrine, hematologic and immune systems Each chapter offers an alpha-organized list of disorders and injuries pertaining to that topic or body system Vital direction for on-the-unit action - includes sections on labs, imaging and miscellaneous items not covered in other sections Expert direction on areas such as body system structures and functions, anatomy, diagnostic tools, surgical methods, signs and symptoms, treatments, monitoring, drug administration, catheters and electrode procedures, waveforms and more The quick-reference format offers: Extensive cross-referencing - leads to related information Tables and charts - vital info on medication, dosing, conversions, compatibilities, and more "Troubleshooting" feature - practical guidance for solving technical problems or complications "Key Point" feature - offers important points on signs and symptoms of a disorder or condition and what to review before or after testing About the Clinical Editor Nancy H. Diepenbrock, RN, CCRN, has worked in healthcare for more than 30 years. Her book Quick Reference to Critical Care was voted as Lippincott's Book of the year in 2008 by the American Journal of Nursing. Zale Lipshy University Hospital nominated for her "Nursing Excellence" and as one of the "Great 100" nurses in Dallas, Texas.

Quick Reference to Critical Care

Author : Nancy H. Diepenbrock
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 9780781718622
Total Pages : 0 pages
Book Rating : 4.7/5 (186 download)

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Book Synopsis Quick Reference to Critical Care by : Nancy H. Diepenbrock

Download or read book Quick Reference to Critical Care written by Nancy H. Diepenbrock and published by Lippincott Williams & Wilkins. This book was released on 1999 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Urgent questions...fast answers! This important guide offers a quick response to the urgent questions critical care nurses ask themselves everyday. What began as the author's little black book for personal use in her own intensive care career has evolved into an essential guide for all critical care professionals. Well-organized and current, the book serves as a down-to-earth basic reference for important facts and quick solutions. Information is presented in categories -- by organ system -- and arranged alphabetically for easy access. A comprehensive table of contents demonstrates the thorough coverage of every significant aspect of critical care. Blank space -- provided for the user's own commentary -- allows the reader to customize the book for personal use

Fast Facts for the Critical Care Nurse

Author : Michele Angell Landrum, ADN, RN, CCRN
Publisher : Springer Publishing Company
ISBN 13 : 0826107281
Total Pages : 271 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Fast Facts for the Critical Care Nurse by : Michele Angell Landrum, ADN, RN, CCRN

Download or read book Fast Facts for the Critical Care Nurse written by Michele Angell Landrum, ADN, RN, CCRN and published by Springer Publishing Company. This book was released on 2011-07-27 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

ICU Protocols

Author : Rajesh Chawla
Publisher : Springer Science & Business Media
ISBN 13 : 8132205359
Total Pages : 838 pages
Book Rating : 4.1/5 (322 download)

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Book Synopsis ICU Protocols by : Rajesh Chawla

Download or read book ICU Protocols written by Rajesh Chawla and published by Springer Science & Business Media. This book was released on 2012-10-10 with total page 838 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book describes step-wise management of clinical emergencies seen every day in Intensive care units (ICUs. As a practical guide, clinicians can refer to it on a day-to-day basis during their work hours, or while in transit to update their knowledge. Targeted readers are intensivists, critical care specialists, and residents involved in the care of patients admitted in ICUs. This handbook covers an array of specialities such as cardiology, pulmonology, gastroenterology, neurology, nephrology, traumatology, and toxicology. This monograph provides point-of-care treatment guidance and will serve as a ready-reckoner for physicians to quickly learn the management steps in a methodical manner.

Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine

Author : Laura Huppert
Publisher : McGraw Hill Professional
ISBN 13 : 1260470083
Total Pages : 465 pages
Book Rating : 4.2/5 (64 download)

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Book Synopsis Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine by : Laura Huppert

Download or read book Huppert's Notes: Pathophysiology and Clinical Pearls for Internal Medicine written by Laura Huppert and published by McGraw Hill Professional. This book was released on 2021-05-31 with total page 465 pages. Available in PDF, EPUB and Kindle. Book excerpt: Bridge the gap between pathophysiology and clinical medicine in a succinct outline of core internal medicine topics! Originally created and road-tested by a resident and then updated by a team of resident authors, Huppert’s Notes succinctly organizes the foundational science covered early in medical school and the clinical approaches encountered in clerkships and beyond. This marriage of pathophysiology and clinical medicine provides a framework for how to approach internal medicine concepts mechanistically, rather than through memorization. You’ll find concise descriptions of common medical conditions with diagnostic and management pearls, as well as high-yield diagrams and tables to emphasize key concepts. Covering all internal medicine subspecialties, each Huppert’s Notes chapter is organized in an intuitive and consistent outline format for rapid access: Anatomy & Physiology Diagnostics Approaches & Chief Complaints Diseases & Pathophysiology Key Medications & Interventions Key Clinical Trials & Publications Space for your personal notes

Maternal-Newborn Nursing

Author : Robert Durham
Publisher : F.A. Davis
ISBN 13 : 0803640528
Total Pages : 603 pages
Book Rating : 4.8/5 (36 download)

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Book Synopsis Maternal-Newborn Nursing by : Robert Durham

Download or read book Maternal-Newborn Nursing written by Robert Durham and published by F.A. Davis. This book was released on 2013-10-15 with total page 603 pages. Available in PDF, EPUB and Kindle. Book excerpt: A better way to learn maternal and newborn nursing! This unique presentation provides tightly focused maternal-newborn coverage in a highly structured text

Emergency Nursing Made Incredibly Easy!

Author : Lippincott Williams & Wilkins
Publisher : Lippincott Williams & Wilkins
ISBN 13 : 1469891549
Total Pages : 784 pages
Book Rating : 4.4/5 (698 download)

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Book Synopsis Emergency Nursing Made Incredibly Easy! by : Lippincott Williams & Wilkins

Download or read book Emergency Nursing Made Incredibly Easy! written by Lippincott Williams & Wilkins and published by Lippincott Williams & Wilkins. This book was released on 2014-11-11 with total page 784 pages. Available in PDF, EPUB and Kindle. Book excerpt: Completely revised and updated to reflect the latest guidelines and innovation, Emergency Nursing Made Incredibly Easy!, Second Edition, offers essential information on emergency, trauma, and critical care. Presented in the easy-to-learn and enjoyable Incredibly Easy! format, it covers emergency care basics, including patient assessment and triage, trauma, disease crises, and patient and family communication. It also addresses legal issues such as handling evidence and documentation, and holistic issues such as pain and end-of-life care. Chapters detail emergency nursing by body system and cover shock, multi-system traumas, environmental emergencies, disaster preparedness, communicable diseases, and obstetric and pediatric emergencies. The presentation features light-hearted cartoons and humor, "Memory Joggers" and other icons, and end-of-chapter review questions.

Patient Safety and Quality

Author : Ronda Hughes
Publisher : Department of Health and Human Services
ISBN 13 :
Total Pages : 592 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis Patient Safety and Quality by : Ronda Hughes

Download or read book Patient Safety and Quality written by Ronda Hughes and published by Department of Health and Human Services. This book was released on 2008 with total page 592 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

Nursing Case Studies

Author : Jon Haws
Publisher : Createspace Independent Publishing Platform
ISBN 13 : 9781512170269
Total Pages : 0 pages
Book Rating : 4.1/5 (72 download)

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Book Synopsis Nursing Case Studies by : Jon Haws

Download or read book Nursing Case Studies written by Jon Haws and published by Createspace Independent Publishing Platform. This book was released on 2015-05-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Med-Surg Success in the Palm of Your Hand Master the art of critical thinking and clinical reasoning with this book designed to help you develop and utilize the nursing process and prioritization in real to life case studies surrounding the most commonly seen and tested patient diagnosis. After Reading This Book You Will Improve your clinical reasoning skills Develop confidence in answering difficult Med-Surg questions Become familiar with the most common patient disorders Learn how to answer hard NCLEX(R) style questions Improve prioritization skills Master the nursing process in clinical settings Case Study Layout Client case presentation Questions regarding client background Case progression Additional critical thinking questions Rational Each case study includes 8-15 questions that require you to think beyond the most simple rational. Case studies also include highly detailed and in depth rationales (over 500 words) to insure that you are learning as much as possible about the disease process. Disease Processes Covered in this Book Congestive Heart Failure Ischemic Stroke Pneumothorax Hypertensive Crisis End Stage Renal Disease Cirrhosis Acute MI (STEMI) Hypothyroidism End Stage Renal Disease COPD Seizure Disorder Sepsis CABG Pancreatitis Respiratory Acidosis The selection process for the 15 diseases covered in this book included drawing on my experience as a CCRN in a large metropolitan ICU, speaking with other nurses in various specialties, referring to a mountain of NCLEX(R) prep books, reviewing CCRN study materials, speaking with physicians, and reviewing NIH (National Institute of Health) data regarding the most commonly presenting conditions in hospitals. Scroll up to buy!

Vessel Health and Preservation: The Right Approach for Vascular Access

Author : Nancy L. Moureau
Publisher : Springer
ISBN 13 : 3030031497
Total Pages : 303 pages
Book Rating : 4.0/5 (3 download)

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Book Synopsis Vessel Health and Preservation: The Right Approach for Vascular Access by : Nancy L. Moureau

Download or read book Vessel Health and Preservation: The Right Approach for Vascular Access written by Nancy L. Moureau and published by Springer. This book was released on 2019-06-10 with total page 303 pages. Available in PDF, EPUB and Kindle. Book excerpt: This Open access book offers updated and revised information on vessel health and preservation (VHP), a model concept first published in poster form in 2008 and in JVA in 2012, which has received a great deal of attention, especially in the US, UK and Australia. The book presents a model and a new way of thinking applied to vascular access and administration of intravenous treatment, and shows how establishing and maintaining a route of access to the bloodstream is essential for patients in acute care today. Until now, little thought has been given to an intentional process to guide selection, insertion and management of vascular access devices (VADs) and by default actions are based on crisis management when a quickly selected VAD fails. The book details how VHP establishes a framework or pathway model for each step of the patient experience, intentionally guiding, improving and eliminating risk when possible. The evidence points to the fact that reducing fragmentation, establishing a pathway, and teaching the process to all stakeholders reduces complications with intravenous therapy, improves efficiency and diminishes cost. As such this book appeals to bedside nurses, physicians and other health professionals.

Principles and Practice of Hospital Medicine

Author : Sylvia C. McKean
Publisher : McGraw Hill Professional
ISBN 13 : 0071603891
Total Pages : 2352 pages
Book Rating : 4.0/5 (716 download)

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Book Synopsis Principles and Practice of Hospital Medicine by : Sylvia C. McKean

Download or read book Principles and Practice of Hospital Medicine written by Sylvia C. McKean and published by McGraw Hill Professional. This book was released on 2012-04-19 with total page 2352 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive guide to the knowledge and skills necessary to practice Hospital Medicine Presented in full color and enhanced by more than 700 illustrations, this authoritative text provides a background in all the important clinical, organizational, and administrative areas now required for the practice of hospital medicine. The goal of the book is provide trainees, junior and senior clinicians, and other professionals with a comprehensive resource that they can use to improve care processes and performance in the hospitals that serve their communities. Each chapter opens with boxed Key Clinical Questions that are addressed in the text and hundreds of tables encapsulate important information. Case studies demonstrate how to apply the concepts covered in the text directly to the hospitalized patient. Principles and Practice of Hospital Medicine is divided into six parts: Systems of Care: Introduces key issues in Hospital Medicine, patient safety, quality improvement, leadership and practice management, professionalism and medical ethics, medical legal issues and risk management, teaching and development. Medical Consultation and Co-Management: Reviews core tenets of medical consultation, preoperative assessment and management of post-operative medical problems. Clinical Problem-Solving in Hospital Medicine: Introduces principles of evidence-based medicine, quality of evidence, interpretation of diagnostic tests, systemic reviews and meta-analysis, and knowledge translations to clinical practice. Approach to the Patient at the Bedside: Details the diagnosis, testing, and initial management of common complaints that may either precipitate admission or arise during hospitalization. Hospitalist Skills: Covers the interpretation of common "low tech" tests that are routinely accessible on admission, how to optimize the use of radiology services, and the standardization of the execution of procedures routinely performed by some hospitalists. Clinical Conditions: Reflects the expanding scope of Hospital Medicine by including sections of Emergency Medicine, Critical Care, Geriatrics, Neurology, Palliative Care, Pregnancy, Psychiatry and Addiction, and Wartime Medicine.

Fast Facts for the Cath Lab Nurse

Author : Brenda McCulloch, MSN, RN
Publisher : Springer Publishing Company
ISBN 13 : 0826134769
Total Pages : 199 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Fast Facts for the Cath Lab Nurse by : Brenda McCulloch, MSN, RN

Download or read book Fast Facts for the Cath Lab Nurse written by Brenda McCulloch, MSN, RN and published by Springer Publishing Company. This book was released on 2018-12-14 with total page 199 pages. Available in PDF, EPUB and Kindle. Book excerpt: This quick-access resource delivers a practical orientation for the cath lab. For nurses with a background in cardiac care or intensive care, the cath lab is replete with new challenges and learning opportunities. It is an increasingly complex environment with increasingly challenging procedures. Most effectively run by an interdisciplinary team, all healthcare providers in the cath lab uphold different roles to contribute to patient care and achieve successful procedural outcomes. Fast Facts for the Cath Lab Nurse clearly presents the role of the nurse in the cath lab and how to assist with basic and advanced cath lab procedures. Written in a simple, easy-to-read format with streamlined, bulleted information, this orientation guide breaks down procedures and provides essential information for each step. Chapters cover interpreting pressure waveforms, understanding various calculations, identifying angiographic images, and more competently providing care to patients in the peri-procedural period. Key Features Provides tables, examples of common hemodynamic calculations, images of pressure waveforms and angiogram Begins each chapter with key learning objectives Provides a quick anatomy review Assists with Registered Cardiovascular invasive Specialist (RCIS) certification

The New Nurse Educator

Author : Deborah Dolan Hunt
Publisher : Springer Publishing Company
ISBN 13 : 0826106412
Total Pages : 297 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis The New Nurse Educator by : Deborah Dolan Hunt

Download or read book The New Nurse Educator written by Deborah Dolan Hunt and published by Springer Publishing Company. This book was released on 2013 with total page 297 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart

Nursing Diagnoses 2015-17

Author : NANDA International
Publisher : John Wiley & Sons
ISBN 13 : 1118914929
Total Pages : 521 pages
Book Rating : 4.1/5 (189 download)

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Book Synopsis Nursing Diagnoses 2015-17 by : NANDA International

Download or read book Nursing Diagnoses 2015-17 written by NANDA International and published by John Wiley & Sons. This book was released on 2014-08-01 with total page 521 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nursing Diagnoses: Definitions and Classification is the definitive guide to nursing diagnoses, as reviewed and approved by NANDA-I. The 2015–2017 edition of the classic and internationally recognised text has been rigorously updated and revised, and now provides more linguistically congruent diagnoses as a result of the Diagnostic Development Committee’s attentiveness to understanding the translation of the diagnostic label, definition, defining characteristics, related factors, and risk factors. Each of the 235 diagnoses presented are supported by definitions as well as defining characteristics and related factors, or risk factors. Each new and revised diagnosis is based on the latest global evidence, and approved by expert nurse diagnosticians, researchers, and educators. New to this edition: 26 brand new nursing diagnoses and 13 revised diagnoses Updates, changes, and revision to the vast majority of the nursing diagnosis definitions, in particular the Health Promotion and Risk Diagnoses A standardization of diagnostic indicator terms (defining characteristics, related factors, and risk factors) to further aid clarity for readers and clinicians All introductory chapters are written at an undergraduate nursing level, and provide critical information needed for nurses to understand assessment, its link to diagnosis, and the purpose and use of taxonomic structure for the nurse at the bedside A new chapter, focusing on Frequently Asked Questions, representing the most common questions received through the NANDA-I website, and at global conferences Five nursing diagnoses have been re-slotted within the NANDA-I taxonomy, following a review of the current taxonomic structure Coding of all diagnostic indicator terms is now available for those using electronic versions of the terminology Companion website featuring references from the book, video presentations, teaching tips, and links to taxonomy history and diagnosis submission/review process description www.wiley.com/go/nursingdiagnoses

Transitions Theory

Author : Afaf I. Meleis, PhD, DrPS (hon), FAAN
Publisher : Springer Publishing Company
ISBN 13 : 0826105351
Total Pages : 664 pages
Book Rating : 4.8/5 (261 download)

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Book Synopsis Transitions Theory by : Afaf I. Meleis, PhD, DrPS (hon), FAAN

Download or read book Transitions Theory written by Afaf I. Meleis, PhD, DrPS (hon), FAAN and published by Springer Publishing Company. This book was released on 2010-02-17 with total page 664 pages. Available in PDF, EPUB and Kindle. Book excerpt: "It is very exciting to see all of these studies compiled in one book. It can be read sequentially or just for certain transitions. It also can be used as a template for compilation of other concepts central to nursing and can serve as a resource for further studies in transitions. It is an excellent addition to the nursing literature." Score: 95, 4 Stars. --Doody's "Understanding and recognizing transitions are at the heart of health care reform and this current edition, with its numerous clinical examples and descriptions of nursing interventions, provides important lessons that can and should be incorporated into health policy. It is a brilliant book and an important contribution to nursing theory." Kathleen Dracup, RN, DNSc Dean and Professor, School of Nursing University of California San Francisco Afaf Meleis, the dean of the University of Pennsylvania School of Nursing, presents for the first time in a single volume her original "transitions theory" that integrates middle-range theory to assist nurses in facilitating positive transitions for patients, families, and communities. Nurses are consistently relied on to coach and support patients going through major life transitions, such as illness, recovery, pregnancy, old age, and many more. A collection of over 50 articles published from 1975 through 2007 and five newly commissioned articles, Transitions Theory covers developmental, situational, health and illness, organizational, and therapeutic transitions. Each section includes an introduction written by Dr. Meleis in which she offers her historical and practical perspective on transitions. Many of the articles consider the transitional experiences of ethnically diverse patients, women, the elderly, and other minority populations. Key Topics Discussed: Situational transitions, including discharge and relocation transitions (hospital to home, stroke recovery) and immigration transitions (psychological adaptation and impact of migration on family health) Educational transitions, including professional transitions (from RN to BSN and student to professional) Health and illness transitions, including self-care post heart failure, living with chronic illness, living with early dementia, and accepting palliative care Organization transitions, including role transitions from acute care to collaborative practice, and hospital to community practice Nursing therapeutics models of transition, including role supplementation models and debriefing models

Nurse as Educator

Author : Susan Bacorn Bastable
Publisher : Jones & Bartlett Learning
ISBN 13 : 0763746436
Total Pages : 689 pages
Book Rating : 4.7/5 (637 download)

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Book Synopsis Nurse as Educator by : Susan Bacorn Bastable

Download or read book Nurse as Educator written by Susan Bacorn Bastable and published by Jones & Bartlett Learning. This book was released on 2008 with total page 689 pages. Available in PDF, EPUB and Kindle. Book excerpt: Designed to teach nurses about the development, motivational, and sociocultural differences that affect teaching and learning, this text combines theoretical and pragmatic content in a balanced, complete style. --from publisher description.