If There Is An Unstageable Book in PDF, ePub and Kindle version is available to download in english. Read online anytime anywhere directly from your device. Click on the download button below to get a free pdf file of If There Is An Unstageable book. This book definitely worth reading, it is an incredibly well-written.
Author : Ronda Hughes Publisher : Department of Health and Human Services Page : 592 pages File Size : 16,66 MB Release : 2008 Category : Medical ISBN :
"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/
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.
Hospital acquired pressure ulcers affect millions of patients in the U.S. annually. The incidence of hospital acquired pressure ulcers internationally is hard to gauge as there is no internationally accepted tracking process, nor does a pressure ulcer registry exist at this time. Pressure ulcers are associated with patient pain and suffering, decreased quality of life, increased morbidity and mortality, increased length of stay, and increased cost of care. Full thickness pressure ulcers (Stage III, IV, and unstageable) are considered events that should never happen in hospital settings by the National Quality Forum and are included in a list of serious occurrences alongside events such as wrong site surgery, patient death due to medication errors, and sexual abuse or assault of a patient. Given that there is consensus that not all hospital acquired pressure ulcers are avoidable and some life-saving interventions increase the risk of pressure ulcer development, it may be argued that it is inappropriate to include pressure ulcers in this grouping. The designation of pressure ulcers as never events has spurred policy which prevents funding for care of these events by insurers and requires public reporting. Significant time and dollars are spent by facilities in the care of these ulcers, associated intensive review proceedings, and reporting of these ulcers. Unstageable pressure ulcers, ulcers in which the wound base is obscured by slough or eschar, are defined as full thickness wounds and, as such, are included in the never events list. However, there is currently no literature to support this definition. Clinicians have difficulty in correctly identifying unstageable pressure ulcers and there are no existing histopathologic exams, lab studies, or other means to confirm unstageable pressure ulcers. Therefore, clinicians are forced to rely on their clinical expertise for diagnosis. Clinical observations on the healing trajectory of unstageable pressure ulcers shared in this dissertation indicate that these ulcers do not always heal consistently with full thickness wounds. The two studies described in this dissertation attempt to address the healing trajectories of unstageable hospital acquired pressure ulcers. The purpose of these studies is to answer the question of whether unstageable pressure ulcers are appropriately defined as full thickness wounds, or if there are cases in which these ulcers are partial thickness, indicating less severity of tissue damage. Studies on unstageable pressure ulcers help increase understanding of these wounds and have the potential to improve patient care, outcomes, and current policy measures.
From the gouging out of eyes in Shakespeare's King Lear or Sarah Kane's Cleansed, to the adaptation of Philip Pullman's His Dark Materials trilogy, theatre has long been intrigued by the staging of challenging plays and impossible texts, images or ideas. Performing the Unstageable: Success, Imagination, Failure examines this phenomenon of what the theatre cannot do or has not been able to do at various points in its history. The book explores four principal areas to which unstageability most frequently pertains: stage directions, adaptations, violence and ghosts. Karen Quigley incorporates a wide range of case studies of both historical and contemporary theatrical productions including the Wooster Group's exploration of Hamlet via the structural frame of John Gielgud's 1964 filmed production, Elevator Repair Service's eight-hour staging of Fitzgerald's The Great Gatsby and a selection of impossible stage directions drawn from works by such playwrights as Eugene O'Neill, Philip Glass, Caryl Churchill, Sarah Kane and Alistair McDowall. Placing theatre history and performance analysis in such a context, Performing the Unstageable values what is not possible, and investigates the tricky underside of theatre's most fundamental function to bring things to the place of showing: the stage.
Inpatient Dermatology is a concise and portable resource that synthesizes the most essential material to help physicians with recognition, differential diagnosis, work-up, and treatment of dermatologic issues in the hospitalized patient. Complete with hundreds of clinical and pathologic images, this volume is both an inpatient dermatology atlas and a practical guide to day-one, initial work-up, and management plan for common and rare skin diseases that occur in the inpatient setting. Each chapter is a bulleted, easy-to-read reference that focuses on one specific inpatient dermatologic condition, with carefully curated clinical photographs and corresponding histopathologic images to aid readers in developing clinical-pathologic correlation for the dermatologic diseases encountered in the hospital. Before each subsection the editors share diagnostic pearls, explaining their approach to these challenging conditions. This book is structured to be useful to physicians, residents, and medical students. It spans dermatology, emergency medicine, internal medicine, infectious disease, and rheumatology. Inpatient Dermatology is the go-to guide for hospital-based skin diseases, making even the most complex inpatient dermatologic issues approachable and understandable for any clinician.
This Clinical Practice Guideline presents recommendations and summarizes the supporting evidence for pressure ulcer prevention and treatment. The first edition was developed as a four year collaboration between the National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP). In this second edition of the guideline, the Pan Pacific Pressure Injury Alliance (PPPIA) has joined the NPUAP and EPUAP. This edition of the guideline has been developed over a two year period to provide an updated review of the research literature, extend the scope of the guideline and produce recommendations that reflect the most recent evidence. It provides a detailed analysis and discussion of available research, critical evaluation of the assumptions and knowledge in the field, recommendations for clinical practice, a description of the methodology used to develop the guideline and acknowledgements of the 113 experts formally involved in the development process.
Now in paperback, the second edition of the Oxford Textbook of Critical Care is a comprehensive multi-disciplinary text covering all aspects of adult intensive care management. Uniquely this text takes a problem-orientated approach providing a key resource for daily clinical issues in the intensive care unit. The text is organized into short topics allowing readers to rapidly access authoritative information on specific clinical problems. Each topic refers to basic physiological principles and provides up-to-date treatment advice supported by references to the most vital literature. Where international differences exist in clinical practice, authors cover alternative views. Key messages summarise each topic in order to aid quick review and decision making. Edited and written by an international group of recognized experts from many disciplines, the second edition of the Oxford Textbook of Critical Careprovides an up-to-date reference that is relevant for intensive care units and emergency departments globally. This volume is the definitive text for all health care providers, including physicians, nurses, respiratory therapists, and other allied health professionals who take care of critically ill patients.
Designed for health care professionals in multiple disciplines and clinical settings, this comprehensive, evidence-based wound care text provides basic and advanced information on wound healing and therapies and emphasizes clinical decision-making. The text integrates the latest scientific findings with principles of good wound care and provides a complete set of current, evidence-based practices. This edition features a new chapter on wound pain management and a chapter showing how to use negative pressure therapy on many types of hard-to-heal wounds. Technological advances covered include ultrasound for wound debridement, laser treatments, and a single-patient-use disposable device for delivering pulsed radio frequency.