Transparent Trauma

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Publisher :
ISBN 13 : 9780578887715
Total Pages : 112 pages
Book Rating : 4.8/5 (877 download)

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Book Synopsis Transparent Trauma by : Kyla Allmond

Download or read book Transparent Trauma written by Kyla Allmond and published by . This book was released on 2021-05-05 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: It was a sunny day in North Carolina. Mama was away visiting Granny who lived a couple hours away. Granny had had knee replacement surgery a few days before and Mama had gone to take care of her. It was the first time Dad, my sister Kendra, and I had the house to ourselves. I was super excited because Mama's mood was unpredictable and volatile at times, but Dad always knew how to calm her wrath. Dad was my favorite; he was calm and spoke very few words. Most importantly, he always saved me from Mama's temper. He and Mama had adopted Kendra and me, so he had to be a pretty decent person, right?That day, Dad and I were on the couch in the living room watching The Jetsons on TV. I felt completely safe and relaxed. It was something we always did as a family, but this was the first time I got to spend one-on-one time with my Dad. The episode was just starting, and I was humming along to the theme song. Then I felt Dad grab my hand. I didn't think anything of it because he had held my hand plenty of times. It made me feel safe. This time it was a little different, though. He pulled my hand closer to him, and I felt a little weird. I began to feel nervous butterflies in my stomach. He looked at me and softly said, "It's okay," and I believed him.At the tender age of nine, I was introduced to what would become my confusing relationship with men and sex. That incident was not my first encounter with "trauma," and certainly would not be the last. Transparent Trauma was birthed out of my own experiences, with the hope to empower those who have experienced trauma in their lives and restore their faith in humanity. After years of therapy and working on myself, I finally began to start trusting myself. I have come to the place in my healing process where the next step is to help heal others. Take this journey with me-from pain to healing-as I break down the walls of shame and expose the ugly truth behind my scars.

The trauma of transparency: a biblical approach to inter-personal communication

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Author :
Publisher : Multnomah Books
ISBN 13 : 9780930014735
Total Pages : 244 pages
Book Rating : 4.0/5 (147 download)

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Book Synopsis The trauma of transparency: a biblical approach to inter-personal communication by : J. Grant Howard

Download or read book The trauma of transparency: a biblical approach to inter-personal communication written by J. Grant Howard and published by Multnomah Books. This book was released on 1979 with total page 244 pages. Available in PDF, EPUB and Kindle. Book excerpt: A critical concern book.

Psychological War Trauma and Society

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Publisher : Routledge
ISBN 13 : 1317540069
Total Pages : 202 pages
Book Rating : 4.3/5 (175 download)

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Book Synopsis Psychological War Trauma and Society by : Irit Keynan

Download or read book Psychological War Trauma and Society written by Irit Keynan and published by Routledge. This book was released on 2015-04-10 with total page 202 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the psychological trauma affecting soldiers and civilians who have encountered the violence of war or terrorism, arguing that the enigmas surrounding war trauma are rooted in culture, collective memory and social norms. Focusing primarily on a large-scale sociological study in Israel, chapters detail the ideological, political, historical and economic factors that shape the multifaceted connection between individual and collective trauma, probing the exterior layers of Israeli society and exposing the complex relationship between society and emotionally scarred individuals everywhere. Divided into three main parts, particular attention is paid to the treatment of soldiers and civilians, and the tension between the medical and societal approaches to PTSD, shedding light on the intricate relationships between war trauma and society worldwide. Part 1 looks at traumatized soldiers and the changing attitudes towards CSR and PTSD; Part 2 explores civilian trauma and shock, including the first published research on the implications of war trauma in Israeli Arab society; and Part 3 analyses the deficiencies and contradictions in current international definitions and discourses of trauma, and the profound consequences of war trauma in society as a whole. Psychological War Trauma and Society will be of key value for academics and postgraduate students in the fields of psychology, sociology, history, Jewish studies, military studies, social work, terrorism studies and political science, as well as professionals who work with traumatised individuals, either directly or indirectly, including psychologists, psychotherapists and social workers. The Hebrew edition of the book was the winner of the 2012 AIS (Association for Israel Studies) Shapiro Award for Best Book in Israel Studies.

A Trauma-Informed Approach to Library Services

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Publisher : American Library Association
ISBN 13 : 0838919812
Total Pages : 37 pages
Book Rating : 4.8/5 (389 download)

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Book Synopsis A Trauma-Informed Approach to Library Services by : Rebecca Tolley

Download or read book A Trauma-Informed Approach to Library Services written by Rebecca Tolley and published by American Library Association. This book was released on 2020-07-14 with total page 37 pages. Available in PDF, EPUB and Kindle. Book excerpt: We are only now coming to terms with how common trauma really is; a landmark Kaiser study that surveyed patients receiving physicals found that almost two-thirds had experienced at least one form of abuse, neglect, or other trauma as a child. Though originating in the fields of health and social services, trauma-informed care is a framework that holds great promise for application to library work. Empathetic service, positive patron encounters, and a more trusting workplace are only a few of the benefits that this approach offers. In this important book Tolley, experienced in both academic and public libraries, brings these ideas into the library context. Library administrators, directors, and reference and user services staff will all benefit from learning - the six key principles of trauma-informed care; - characteristics of a trusting and transparent library organization, plus discussion questions to promote a sense of psychological safety among library workers; - how certain language and labels can undermine mutuality, with suggested phrases that will help library staff demonstrate neutrality to patron ideas and views during information requests; - delivery models that empower patrons; - advice on balancing free speech on campus with students’ need for safety; - how appropriate furniture arrangement can help people suffering from PTSD feel safe; - guidance on creating safe zones for LGBTQIA+ children, teens, and adults; and - self-assessment tools to support change toward trauma-responsive library services. Using the trauma-informed approach outlined in this book, libraries can ensure they are empathetic community hubs where everyone feels welcomed, respected, and safe.

The Myth of Normal

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Publisher : Penguin
ISBN 13 : 059308389X
Total Pages : 560 pages
Book Rating : 4.5/5 (93 download)

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Book Synopsis The Myth of Normal by : Gabor Maté, MD

Download or read book The Myth of Normal written by Gabor Maté, MD and published by Penguin. This book was released on 2022-09-13 with total page 560 pages. Available in PDF, EPUB and Kindle. Book excerpt: The instant New York Times bestseller By the acclaimed author of In the Realm of Hungry Ghosts, a groundbreaking investigation into the causes of illness, a bracing critique of how our society breeds disease, and a pathway to health and healing. In this revolutionary book, renowned physician Gabor Maté eloquently dissects how in Western countries that pride themselves on their healthcare systems, chronic illness and general ill health are on the rise. Nearly 70 percent of Americans are on at least one prescription drug; more than half take two. In Canada, every fifth person has high blood pressure. In Europe, hypertension is diagnosed in more than 30 percent of the population. And everywhere, adolescent mental illness is on the rise. So what is really “normal” when it comes to health? Over four decades of clinical experience, Maté has come to recognize the prevailing understanding of “normal” as false, neglecting the roles that trauma and stress, and the pressures of modern-day living, exert on our bodies and our minds at the expense of good health. For all our expertise and technological sophistication, Western medicine often fails to treat the whole person, ignoring how today’s culture stresses the body, burdens the immune system, and undermines emotional balance. Now Maté brings his perspective to the great untangling of common myths about what makes us sick, connects the dots between the maladies of individuals and the declining soundness of society—and offers a compassionate guide for health and healing. Cowritten with his son Daniel, The Myth Of Normal is Maté’s most ambitious and urgent book yet.

Trauma-Informed Principles in Group Therapy, Psychodrama, and Organizations

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Publisher : Taylor & Francis
ISBN 13 : 1000859991
Total Pages : 311 pages
Book Rating : 4.0/5 (8 download)

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Book Synopsis Trauma-Informed Principles in Group Therapy, Psychodrama, and Organizations by : Scott Giacomucci

Download or read book Trauma-Informed Principles in Group Therapy, Psychodrama, and Organizations written by Scott Giacomucci and published by Taylor & Francis. This book was released on 2023-04-25 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book presents trauma-informed principles for ethical, safe, and effective group work, psychodrama, and leadership. Content will include practical guidelines, detailed instructions, and diverse examples for facilitating both trauma-informed and trauma-focused groups in treatment, community, and organizational leadership. Chapters focus on various topics including safety, empowerment, social justice, vicarious trauma, and leadership. Organizational leadership is approached through the lens of SAMHSA’s guidance and the framework of group work leadership. The book includes significant focus on sociometry and psychodrama as strengths-based and experiential group approaches. Psychodrama’s philosophies, theories, and interventions will be articulated through a trauma-informed lens offering psychodramatists, group workers, and organizational leaders new conceptual frameworks and action-based processes. Chapters contain a blend of theory, research, practical guidance, and examples from the author’s experience. This book will appeal to group workers, therapists, psychodramatists, creative arts therapists, organizational leaders, trainers, facilitators, supervisors, community organizers, and graduate students. This book offers group facilitators the insight and tools to lead engaging and meaningful groups. The potential for retraumatizing participants is addressed while promoting trauma-informed practice as an ethical imperative.

Emergency and Trauma Care for Nurses and Paramedics

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Publisher : Elsevier Health Sciences
ISBN 13 : 0729579824
Total Pages : 1519 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis Emergency and Trauma Care for Nurses and Paramedics by : Kate Curtis

Download or read book Emergency and Trauma Care for Nurses and Paramedics written by Kate Curtis and published by Elsevier Health Sciences. This book was released on 2011-08-15 with total page 1519 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency and Trauma Care is written for Australian emergency care providers including paramedics, emergency nurses, pre-hospital care providers, nurse practitioners, general practice nurses and allied health practitioners including occupational therapists and physiotherapists who are caring for trauma patients. This book follows the patient journey from pre-hospital to definitive care. Using a body systems approach, each chapter provides comprehensive coverage of all aspects of adult and paediatric emergencies. Implications for clinical practice is supported by chapters of professional practice, clinical skills, research, evidence-based practice, and legal, ethical and cultural issues. Clinical assessment, physiology, management and rationale for intervention of common and not so common emergency presentations are provided, with each chapter providing clear and relevant examples for both Paramedics and Nurses. Emergency and Trauma Care brings together a team of highly respected clinical practitioners and academics to deliver the most up-to-date text dealing with the practical procedures and evidence experienced by emergency and trauma care providers every day. Chapter 2 Pre-hospital care overview in Australia and NZ Chapter 10 Scene assessment, management and rescue Chapter 11 Pre-Hospital Clinical Reasoning, Triage and Communication Pre-hospital and emergency nursing considerations included in all relevant chapters Chapter 5 Cultural Considerations in Emergency Care addresses cultural diversity, beliefs and values and focuses on Aboriginal and Torres Strait Islander health and Maori health Chapter 19 Resuscitation includes advanced life support, airway management and incorporates the 2010 Australian Resuscitation Council guidelines Chapter 37 People with disabilities provides assessment, examination and communication strategies for working with clients with intellectual and physical disabilities Section 5 focuses on examination and communication strategies for working with unique population groups, including the elderly, disabled, obstetric and paediatric patients Section 6 details major trauma assessment and management, blast injury, and trauma to specific body regions Essentials outline the main points addressed in each chapter Practice tips assist with communication skills, procedures and assessment Case studies supported by questions throughout Summaries and Key points, review questions, web links and references provide for consolidation and further research. Evolve resources include Power point slides, 30 additional Case studies, image bank, web links Three paramedic specific chapters (including scene assessment and management)

Into The Crucible

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Publisher : Edwin Downward
ISBN 13 : 0994816936
Total Pages : 310 pages
Book Rating : 4.9/5 (948 download)

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Book Synopsis Into The Crucible by : Edwin Downward

Download or read book Into The Crucible written by Edwin Downward and published by Edwin Downward. This book was released on with total page 310 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ensign Nivpul Exavent has succeeded in bringing his grandfather's ship home after a spacial anomaly stranded him far beyond the edge of charted space. With the outsider woman who stole his heart on his arm, and a representative of a prince of the realm watching his every move, any semblance of the sheltered life from which he'd been ripped so long ago proved out of reach. As circumstances spiral out of hand, Niv's grandfather convinces him to take June off station and to hide at a safe location until they received an all clear. It never comes, replaced by a plea to use what they knew about the uncharted space from which they'd returned to disrupt the outside support backing a powerful Duke with sights on the Imperial throne. Where his last journey through that region of space required the kind of subterfuge and misdirection June excelled at, this trip would force Niv to face his fear of stepping out of the shadows to make people who didn't know him or his people listen.

The Cambridge Handbook of Social Problems: Volume 2

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Publisher : Cambridge University Press
ISBN 13 : 1108623344
Total Pages : 1002 pages
Book Rating : 4.1/5 (86 download)

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Book Synopsis The Cambridge Handbook of Social Problems: Volume 2 by : A. Javier Treviño

Download or read book The Cambridge Handbook of Social Problems: Volume 2 written by A. Javier Treviño and published by Cambridge University Press. This book was released on 2018-03-22 with total page 1002 pages. Available in PDF, EPUB and Kindle. Book excerpt: The introduction of the Affordable Care Act in the United States, the increasing use of prescription drugs, and the alleged abuse of racial profiling by police are just some of the factors contributing to twenty-first-century social problems. The Cambridge Handbook of Social Problems offers a wide-ranging roster of the social problems currently pressing for attention and amelioration. Unlike other works in this area, it also gives great consideration to theoretical and methodological discussions. This Handbook will benefit both undergraduate and graduate students eager to understand the sociology of social problems. It is suitable for classes in social problems, current events, and social theory. Featuring the most current research, the Handbook provides an especially useful resource for sociologists and graduate students conducting research.

Acute Trauma Care in Developing Countries

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Publisher : CRC Press
ISBN 13 : 1000640086
Total Pages : 205 pages
Book Rating : 4.0/5 (6 download)

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Book Synopsis Acute Trauma Care in Developing Countries by : Kajal Jain

Download or read book Acute Trauma Care in Developing Countries written by Kajal Jain and published by CRC Press. This book was released on 2022-09-02 with total page 205 pages. Available in PDF, EPUB and Kindle. Book excerpt: This evidence-based manual highlights the early management of acutely injured trauma victims arriving in emergency triage areas. It caters to the needs of developing nations in pre-hospital as well as in-hospital emergency trauma care and provides clear practical guidelines for the management of victims of major trauma. The book covers basic principles for managing a crashing trauma patient, followed by effective treatment by different sub-specialty. Input from experienced anaesthesiologists, intensivists, orthopaedics, vascular surgeons, plastic surgeons, and radiologists, make this book a gold standard for good practice for professionals. Key Features: Covers all aspects of acute trauma, including orthopaedics, vascular surgery, plastic surgery, neurosurgery, burns and radiology Elaborates on damage control resuscitation and management of initial and life-threatening injuries, useful for professionals dealing with trauma patients in the emergency area Guides in initial fluid therapy and pain control along with initial patient resuscitation

Helping Skills for Counselors and Health Professionals

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Publisher : Taylor & Francis
ISBN 13 : 1000916170
Total Pages : 221 pages
Book Rating : 4.0/5 (9 download)

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Book Synopsis Helping Skills for Counselors and Health Professionals by : Stephanie S. J. Drcar

Download or read book Helping Skills for Counselors and Health Professionals written by Stephanie S. J. Drcar and published by Taylor & Francis. This book was released on 2023-07-19 with total page 221 pages. Available in PDF, EPUB and Kindle. Book excerpt: Helping Skills for Counselors and Health Professionals provides a model of foundational helping skills that is grounded in a multicultural framework. Chapters explicitly examine implicit bias and the role of culture and systems of oppression and marginalization within the lives of both individuals and communities. The text also uses ecological systems theory to assist readers in conceptualizing the ways in which culture influences communication styles, perceptions of professional helpers, and individual needs. Readers will be introduced to concepts that increase awareness of micro and macro-level influences on helping skills, communication, and the patient’s life. Within the book’s multicultural framework, readers will also find tools for increasing self-awareness for improving the communication skills and cultural humility.

Treating Complex Traumatic Stress Disorders (Adults)

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Publisher : Guilford Publications
ISBN 13 : 1462513395
Total Pages : 514 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Treating Complex Traumatic Stress Disorders (Adults) by : Christine A. Courtois

Download or read book Treating Complex Traumatic Stress Disorders (Adults) written by Christine A. Courtois and published by Guilford Publications. This book was released on 2013-09-27 with total page 514 pages. Available in PDF, EPUB and Kindle. Book excerpt: Chronic childhood trauma, such as prolonged abuse or family violence, can severely disrupt a person's development, basic sense of self, and later relationships. Adults with this type of history often come to therapy with complex symptoms that go beyond existing criteria for posttraumatic stress disorder (PTSD). This important book brings together prominent authorities to present the latest thinking on complex traumatic stress disorders and provide practical guidelines for conceptualization and treatment. Evidence-based assessment procedures are detailed, and innovative individual, couple, family, and group therapies are described and illustrated with case vignettes and session transcripts.

Colour Oxford Thesaurus

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Publisher : Oxford University Press, USA
ISBN 13 : 0199607923
Total Pages : 657 pages
Book Rating : 4.1/5 (996 download)

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Book Synopsis Colour Oxford Thesaurus by : Oxford Languages

Download or read book Colour Oxford Thesaurus written by Oxford Languages and published by Oxford University Press, USA. This book was released on 2011-05-05 with total page 657 pages. Available in PDF, EPUB and Kindle. Book excerpt: An easy-to-use dictionary and thesaurus in one volume containing over 140,000 synonyms and antonyms.

Medical-Surgical Nursing

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Publisher : Elsevier Health Sciences
ISBN 13 : 0323086780
Total Pages : 2035 pages
Book Rating : 4.3/5 (23 download)

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Book Synopsis Medical-Surgical Nursing by : Sharon L. Lewis, RN, PhD, FAAN

Download or read book Medical-Surgical Nursing written by Sharon L. Lewis, RN, PhD, FAAN and published by Elsevier Health Sciences. This book was released on 2013-12-02 with total page 2035 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past three decades, more and more nursing educators have turned to Lewis: Medical-Surgical Nursing for its accurate and up-to-date coverage of the latest trends, hot topics, and clinical developments in the field of medical-surgical nursing - and the new ninth edition is no exception! Written by a dedicated team of expert authors led by Sharon Lewis, Medical-Surgical Nursing, 9th Edition offers the same easy-to-read style that students have come to love, along with the timely and thoroughly accurate content that educators have come to trust. Completely revised and updated content explores patient care in various clinical settings and focuses on key topics such as prioritization, critical thinking, patient safety, and NCLEX® exam preparation. Best of all - a complete collection of interactive student resources creates a more engaging learning environment to prepare you for clinical practice. Highly readable format gives you a strong foundation in medical-surgical nursing. Content written and reviewed by leading experts in the field ensures that the information is comprehensive, current, and clinically accurate. Bridge to NCLEX Examination review questions at the end of each chapter reinforce key content while helping you prepare for the NCLEX examination with both standard and alternate item format questions. UNIQUE! "Levels of Care" approach explains how nursing care varies for different levels of health and illness. More than 50 comprehensive nursing care plans in the book and online incorporate NIC, NOC, and current NANDA diagnoses, defining characteristics, expected outcomes, specific nursing interventions with rationales, evaluation criteria, and collaborative problems. Over 800 full-color illustrations and photographs clearly demonstrate disease processes and related anatomy and physiology. NEW! Unfolding case studies included throughout each assessment chapter help you apply important concepts and procedures to real-life patient care. NEW! Managing Multiple Patients case studies at the end of each section give you practice applying your knowledge of various disorders and help you prioritize and delegate patient care. NEW! Informatics boxes discuss how technology is used by nurses and patients in health care settings. NEW! Expanded coverage of evidence-based practice helps you understand how to apply the latest research to real-life patient care. NEW! Expanded Safety Alerts throughout the book cover surveillance for high-risk situations. NEW! Separate chapter on genetics expands on this key topic that impacts nearly every condition with a focus on the practical application to nursing care of patients. NEW! Expanded coverage of delegation includes additional Delegation Decisions boxes covering issues such as hypertension and postoperative patient care. NEW! Genetic Risk Alerts and Genetic Link headings highlight specific genetic issues related to body system assessments and disorders. NEW! Revised art program enhances the book's visual appeal and lends a more contemporary look throughout.

A Clear and Present Danger

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Author :
Publisher : Chiron Publications
ISBN 13 : 1630514160
Total Pages : 483 pages
Book Rating : 4.6/5 (35 download)

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Book Synopsis A Clear and Present Danger by : Jean Shinoda Bolen

Download or read book A Clear and Present Danger written by Jean Shinoda Bolen and published by Chiron Publications. This book was released on 2017-02-02 with total page 483 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Trauma, Memory, and Narrative in the Contemporary South African Novel

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Author :
Publisher : Brill
ISBN 13 : 940120845X
Total Pages : 419 pages
Book Rating : 4.4/5 (12 download)

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Book Synopsis Trauma, Memory, and Narrative in the Contemporary South African Novel by :

Download or read book Trauma, Memory, and Narrative in the Contemporary South African Novel written by and published by Brill. This book was released on 2012-01-01 with total page 419 pages. Available in PDF, EPUB and Kindle. Book excerpt: The contributions to this volume probe the complex relationship of trauma, memory, and narrative. By looking at the South African situation through the lens of trauma, they make clear how the psychic deformations and injuries left behind by racism and colonialism cannot be mended by material reparation or by simply reversing economic and political power-structures. Western trauma theories – as developed by scholars such as Caruth, van der Kolk, Herman and others – are insufficient for analysing the more complex situation in a postcolony such as South Africa. This is because Western trauma concepts focus on the individual traumatized by a single identifiable event that causes PTSD (Post Traumatic Stress Disorder). What we need is an understanding of trauma that sees it not only as a result of an identifiable event but also as the consequence of an historical condition – in the case of South Africa, that of colonialism, and, more specifically, of apartheid. For most black and coloured South Africans, the structural violence of apartheid’s laws were the existential condition under which they had to exist. The living conditions in the townships, pass laws, relocation, and racial segregation affected great parts of the South African population and were responsible for the collective traumatization of several generations. This trauma, however, is not an unclaimed (and unclaimable) experience. Postcolonial thinkers who have been reflecting on the experience of violence and trauma in a colonial context, writing from within a Fanonian tradition, have, on the contrary, believed in the importance of reclaiming the past and of transcending mechanisms of victimization and resentment, so typical of traumatized consciousnesses. Narration and the novel have a decisive role to play here.

Lewis's Medical-Surgical Nursing

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0729583937
Total Pages : 1901 pages
Book Rating : 4.7/5 (295 download)

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Book Synopsis Lewis's Medical-Surgical Nursing by : Diane Brown

Download or read book Lewis's Medical-Surgical Nursing written by Diane Brown and published by Elsevier Health Sciences. This book was released on 2017-03-25 with total page 1901 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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