Author: Sheila Adam,Mandy Odell,Jo Welch
Publisher: John Wiley & Sons
Rapid Assessment of the Acutely Ill Patient sets out theprinciples and practices needed for early recognition andassessment of patients either at risk of or showing signs ofacute deterioration, or those recently relocated from higherlevels of care. The focus is on patient assessment, interpretationand evaluation of data, immediate management of significantproblems, ongoing and further assessments in order to improveclinical outcomes. Rapid Assessment of the Acutely Ill Patient provides aframework for a systematic initial patient assessment and exploresprinciples of effective assessment. Body systems are considered inorder of life-threatening priority following the ABCDE approach,dealing with the assessment and management of airway, breathing,circulation, disability - and everything else; covering topics suchas visual, palpatory and auscultatory assessment, use of additionaldocumented information (charts, notes etc), and interpretingdiagnostic investigations. Methods to ensure effectivecommunication and team-working are also discussed. Key features Part of the Essential Clinical Skills for Nursesseries Aimed at nurses working in wards and specialistdepartments Explores the assessment skills required for a rapid responseto a patient at risk of becoming acutely unwell Enables students and practitioners to develop practical andinterpretative skills Provides a framework for assessment and principles of firstline treatment Includes ‘Look’, ‘Listen’,‘Feel’ and ‘Measure’ icons Sheila Adam is Head of Nursing, Specialist HospitalsBoard, UCL Hospitals NHS Foundation Trust and author of Nursing inCritical Care: Science and Practice (now in its 2nd edition), TheOxford Handbook of Critical Care Nursing and Nutrition in theCritically Ill. John Welch is Nurse Consultant in Critical Care, UniversityCollege London Hospitals NHS Foundation Trust, and former Chair ofthe National Outreach Forum. Mandy Odell is Nurse Consultant in Critical Care, RoyalBerkshire NHS Foundation Trust, Nurse and Allied HealthProfessional representative for the Intensive Care Society andformer Chair of the British Association of Critical CareNurses.
An Essential Guide for Nurses
Author: Fiona Creed,Christine Spiers
Publisher: Oxford University Press
Recent NICE guidance and restructuring of the way acute services are provided mean that nurses outside the traditional critical care environment are increasingly being called upon to recognize, assess, and treat the acutely ill patient. This book will equip nurses in more general wards with the knowledge and skills to care appropriately for the deteriorating patient in the clinical environment. It follows a systems-based approach, with each chapter incorporatinglearning outcomes, anatomy and physiology, pathophysiology, nursing management, and competence-based skills assessment. Case studies facilitate the linking of knowledge to practice. Other issues coveredinclude an exploration of why there is a need to develop acute care, the role of outreach, acute emergency situations, transfer of the acutely ill patient, caring for the post ITU patient, documentation in acute care, and continuing education and acute care delivery. The book is aimed at nurses who work in acute and high-dependency areas, as well as more general nurses who are increasingly dealing with the critically or acutely ill patient.
Recognising and Responding to Medical Emergencies
Author: Ian Peate,Helen Dutton
Delays in recognising deterioration or inappropriate management of people in acute care settings can result in late treatment, avoidable admissions to intensive care units and in some instances unnecessary deaths. As the role of the nurse in healthcare settings continues to change and evolve, today’s student nurses need to be equipped with the fundamental skills to recognise and manage deterioration in the patient in a competent and confident manner, as you learn to become practitioners of the future. Using a body systems approach and emphasising the central role and function of the nurse throughout, this book provides a comprehensive overview of the essential issues in this important subject. Topics covered include: recognition and identification of physiological deterioration in adults; identification of disordered physiology that may lead to a medical emergency linked to deterioration of normal function; relevant anatomy and physiology; pathophysiological changes and actions that need to be taken; immediate recognition and response; investigations, diagnosis and management issues; and teaching and preventative strategies.
Author: Philip Woodrow
This comprehensive and clinically-focused textbook is designed for student and qualified nurses concerned with caring effectively for deteriorating and acutely ill adults outside of specialist intensive care units. Divided into six sections, the book begins with chapters on assessment and the deteriorating patient, including monitoring vital signs and interpreting blood results. This is followed by two sections focusing on breathing and cardiovascular problems respectively. Section 4 explores issues around disability and impairment, including chapters on neurology, pain management, psychological needs and thermoregulation. The penultimate section looks at maintaining the internal environment, with chapters on issues such as nutrition, fluid management and infection control. The text ends with a discussion of legal issues and accountability. Nursing Acutely Ill Adults includes a full range of pedagogical features, including sections: identifying fundamental knowledge; highlighting implications for practice; giving further reading and resources; using case scenarios to help readers relate theory to practice; and providing ‘time out’ exercises. It is the ideal textbook for students taking modules in caring for critically ill adults and qualified nurses working with these patients.
Author: Michael Macintosh,Tracey Moore
Publisher: CRC Press
As more critically ill patients are cared for on acute general wards rather than in ICUs, many nurses are having to cope with the particular problems of very sick patients without the specialist knowledge of an ICU trained nurse. This book considers the key issues surrounding the critical patient's care in the acute general hospital. The anatomy and physiology of each body system is explored, looking at the major associated conditions and illnesses and how the patient is assessed and monitored.
A Guide for Nurses and Healthcare Practitioners
Author: Ian Wood,Michelle Garner
Publisher: John Wiley & Sons
Rev. ed. of: Medical assessment units / edited by Ian Wood and Michelle Rhodes. London: Whurr, 2003.
Author: David Clarke,Alison Ketchell
Publisher: Macmillan International Higher Education
Nurses in all areas of clinical practice must be able to recognise, assess and manage changes to a patient's condition. Recent years have seen a number of investigations reporting serious concerns about the standard of care being received in hospital settings and, as a consequence, the knowledge and skills of nurses in acute patient care has come under ever-increasing scrutiny. With a strong focus on pathophysiology, this comprehensive new edition of Nursing the Acutely Ill Adult retains the case study approach that made the first edition so popular with students and educators alike. Offering further reading resources and definitions of key terms to aid learning, and including two brand-new chapters, this second edition will develop nurses' key skills in: • Identifying and explaining the pathophysiology of sepsis, as well as the importance of monitoring for indicators of patient deterioration in sepsis • Recognising and managing hypovolaemic shock • Assessment and management of cardiovascular, neurological and traumatic injury • Understanding priorities in initial stroke assessment and management, including nursing care following administration of a thrombolytic drug • Possible interventions for problems related to diabetes, chronic respiratory disease and renal disease Written by contributors from a range of clinical and academic backgrounds, this second edition of Nursing the Acutely Ill Adult is essential reading for all students within the adult branch of nursing.
Transforming the Work Environment of Nurses
Author: Committee on the Work Environment for Nurses and Patient Safety,Board on Health Care Services,Institute of Medicine
Publisher: National Academies Press
Building on the revolutionary Institute of Medicine reports To Err is Human and Crossing the Quality Chasm, Keeping Patients Safe lays out guidelines for improving patient safety by changing nurses' working conditions and demands. Licensed nurses and unlicensed nursing assistants are critical participants in our national effort to protect patients from health care errors. The nature of the activities nurses typically perform - monitoring patients, educating home caretakers, performing treatments, and rescuing patients who are in crisis - provides an indispensable resource in detecting and remedying error-producing defects in the U.S. health care system. During the past two decades, substantial changes have been made in the organization and delivery of health care - and consequently in the job description and work environment of nurses. As patients are increasingly cared for as outpatients, nurses in hospitals and nursing homes deal with greater severity of illness. Problems in management practices, employee deployment, work and workspace design, and the basic safety culture of health care organizations place patients at further risk. This newest edition in the groundbreaking Institute of Medicine Quality Chasm series discusses the key aspects of the work environment for nurses and reviews the potential improvements in working conditions that are likely to have an impact on patient safety.
Author: Philip Jevon
Treating the Critically Ill Patient is a practical guide to recognising and treating acutely ill patients at risk of further deterioration. It includes early warning scoring systems to identify patients at risk on the ward, identifies the key priorities for care, and equips students and newly qualified staff with the clinical skills necessary to prevent further deterioration and to provide prompt and effective care. Each chapter follows a standard layout, and includes bullet points and illustrations making this book an accessible and practical guide to critical care. Treating the Critically Ill Patient provides an essential companion to Monitoring the Critically Ill Patient. * Evidence-based guide to care of the critically ill patient * Includes step-by-step clinical guidelines and real-life scenarios * Identifies the key priorities for care
Chief Complaints with High Risk Presentations
Author: Lynn Sayre Visser, MSN, BS, RN, CEN, CPEN, CLNC,Anna Sivo Montejano, DNP, MSNEd, RN, CEN
Publisher: Springer Publishing Company
From the award-winning authors of Fast Facts for the Triage Nurse! The vital information you need to quickly identify acutely ill or injured patients. Rapid Access Guide for Triage and Emergency Nurses: Chief Complaints With High-Risk Presentations is the first pocket-sized clinical manual focusing on patient-driven chief complaints. Designed to assist in rapidly recognizing potential life-threatening or life-altering conditions, this guide can be used in a variety of healthcare settings. Content covers each body system and its most common chief complaints along with first-line questions, assessments, and interventions to prompt the user. Red flag findings, easily identified by the flag icon, denote critical signs and symptoms, while a light bulb icon helps the user locate key tips. The guide includes evidence-based practice guidelines, reference tables, and checklists for at-a-glance retrieval of information. Most chapters contain space for taking notes, inscribing important phone numbers, or pasting facility specific policies and procedures. Key Features: Common chief complaints with essential tips Unique patient presentations Triage processes, clinical red flags, screening tools Pediatric and older adult considerations Disaster response Active shooter or violent situation action steps
Leading Change, Advancing Health
Author: Institute of Medicine,Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine
Publisher: National Academies Press
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles -- including limits on nurses' scope of practice -- should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Karen Page
Publisher: McGraw-Hill Education (UK)
"The complexity of caring for patients who become acutely ill or have deteriorated can be a daunting challenge for nurses. Part of a case book series, this accessible book contains 17 in-depth case studies relating to care of the acutely ill adult. The cases combine pathophysiology, pharmacology and nursing care in realistic clinical settings, providing an engaging resource for nursing students taking acute care modules. This handy book: Follows a step-by-step question and answer format; Facilitates the application of theory to practice through the use of clinical case studies; Considers the most common acute illness scenarios that are frequently encountered by practitioners; Integrates knowledge of pathological processes, applied pharmacology and related nursing implications to acute illness. Nursing the Acutely Ill Adult: Case Book offers a unique way of relating theory to practice, making it key reading for undergraduate nursing students. It will also be beneficial to students in areas such as intensive care as well as nurse educators looking for a way to bridge the gap between the classroom and clinical practice."--Publisher's description.
Author: Lee Cutler,Wayne Robson
Publisher: John Wiley & Sons
Following the publication of the department of health document - Comprehensive Critical Care (2000), the majority of hospitals in England have set up Critical Care Outreach Teams. The Government provided a significant sum of money for hospitals to set up outreach services. There are now calls for an evaluation of their impact. The book is set out in five key sections. Each section features chapters that address the conceptual and real life issues. In each section there is a chapter, set out as a case study example, demonstrating how innovative practices and service developments are going on around critical care outreach. The book will draw upon the knowledge, experience and clinical expertise of senior critical care nurses and doctors from a critical care network. The book will have a definite practical application and will provide tips to enhance practice. * Chapters contain useful 'how to' guides, prompts for critical thinking and case studies. * Very little has previously been published on this topic
Author: Ruslan Zinchenko
Publisher: Anshan Pub
Medical and Surgical Emergencies is based around the ABCDE (Airway, Breathing, Circulation, Disability, Everything Else) approach to the acutely unwell patient, and is designed specifically for medical students and junior doctors. This approach is frequently taught in medical schools and is used in healthcare systems worldwide. The book is scenario-based where readers can work through each case and learn how to manage the acutely unwell patient. Following each case there are a set of questions in a viva format. It is divided into chapters based on different medical and surgical specialties. Each chapter contains several scenarios on common emergencies in those specialties. The style is interactive and encourages usage among small groups in preparation for examinations. The user-friendly layout makes it easy and enjoyable to work through. This book is ideal for students and junior doctors revising for clinical exams, allowing them to learn new things about certain emergencies and to consolidate their knowledge.
Author: Alan Charters,Paula Bennett
Publisher: Oxford University Press
Emergency nursing requires rapid assessment and decision-making. Often nurses are required to make sense of considerable amounts of information and act on it. The Oxford Handbook of Emergency Nursing provides an essential resource when time is short and the need for practical clinical guidance is paramount. This second edition has been fully updated to reflect new guidelines and approaches which have impacted emergency nursing in recent years. This handbook provides clear, focussed information that will aid all areas of patient assessment and management in emergency care. The concise format will enable the reader to quickly locate the information needed and provides alerts regarding critical 'must-dos' for ill adults and children. The skills section provides a quick summary of the many clinical skills needed in emergency care, ideal as an introduction for the uninitiated and as a refresher for skills performed infrequently. Additionally, this second edition has been expanded to cover nursing in major trauma and emergencies in the elderly. This handbook will empower nurses to deliver excellence in emergency care. Written by practising nurses and subject experts, the Oxford Handbook of Emergency Nursing is a unique and invaluable companion for qualified and student nurses, and to all health care professionals working in the emergency care setting.
Author: Emma Menzies-Gow,Christine Spiers
Publisher: John Wiley & Sons
Rapid Cardiac Care is an indispensable resource for all frontline staff working with acutely ill patients. Offering easy access to the knowledge base needed to provide rapid, safe and effective cardiac care, it is ideal for newly qualified healthcare professionals including, nurses, paramedics, cardiac technicians, junior medics, and physiotherapists. Key features include: Essential information to support the assessment of the cardiac patient including focused history taking and physical assessment, rhythm interpretation and 12-lead ECG assessment Practical guidance on how to care for patients with cardiac emergencies, including acute coronary syndromes, arrhythmias, heart failure and cardiac arrest A quick reference A-Z section that explores a wide range of conditions affecting the heart, each with a comprehensive overview of patient presentation and strategies to guide patient assessment and management Diagrams and images are provided to facilitate learning
Author: Sheila K. Adam,Sue Osborne
Publisher: Oxford University Press, USA
Fast access to concise, targeted information on all essential aspects of critical care nursing Written by experienced specialist nurses and packed full of up-to-the minute guidance and information Patient-centred, evidence-based, and in line with the latest guidelines An indispensable companion for practising and senior student nurses in a variety of care-settings Features strong emphasis on communication, team working and collaboration Includes newer aspects of critical care such as critical care outreach, major incident, and flu pandemic planningThe Oxford Handbook of Critical Care Nursing has been written as a handy reference guide for nurses who are new to the critical care area, as well as a reminder for those with more experience. Each section provides an overview of individual problems, and the related physiology and level of knowledge required to deal with them. The book sets the context for nursing within a continuum of critical care starting from early recognition of acute deterioration and the need for critical care outreach, through to patient outcomes and their follow-up, and evaluation of care post-discharge. Nursing specific skills are highlighted with a holistic approach to patients and their families. Reflecting best practice, this book provides the essence of what is important to the delivery of highly skilled and caring critical care nursing, in an easy to access and readable format. Providing the nurse at the bedside with the answers to many day-to-day problems experienced when caring for critically ill patients, this is also a guide to some of the less commonly encountered issues, such as planning for major incidents and epidemics. Readership: Aimed at general intensive care nursing course students, nurses working in general intensive and high-dependency units, more experienced critical care nurses, and allied health professionals.
Author: Fiona Creed,Jessica Hargreaves
Publisher: Oxford University Press
The second edition of the Oxford Handbook of Critical Care Nursing has been fully revised to reflect a more systematic approach to care delivery and to follow the patient pathway. Focused on the practical issues of nursing care and nursing procedures, this handbook has been written by nurses, for nurses. Reflecting current best practice, the Oxford Handbook of Critical Care Nursing is an easily accessible and evidence-based guide for all levels of nursing staff working in critical care environments. It provides the nurse at the bedside with the answers to day-to-day problems experienced when caring for critically ill patients, and is also a guide to some of the less commonly encountered issues. The new edition of this handbook will continue to help support novice and experienced staff in critical care environments. Now including more detail on the psychological issues facing critically ill patients, and more information on the intricacies of receiving a critically ill patient and transferring from a critical care environment, this handbook is a concise, practical, and comprehensive resource.
Author: Julie Briggs
Publisher: Lippincott Williams & Wilkins
Performing telephone triage requires the ability to make quick and effective decisions based on limited information. This rapid-access resource delivers more than 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care immediately, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. Simple, direct, and useful, this is the most comprehensive and user-friendly telephone triage book available.
Author: Fang Gao Smith
Publisher: Cambridge University Press
The critical care unit manages patients with a vast range of disease and injuries affecting every organ system. The unit can initially be a daunting environment, with complex monitoring equipment producing large volumes of clinical data. Core Topics in Critical Care Medicine is a practical, comprehensive, introductory-level text for any clinician in their first few months in the critical care unit. It guides clinicians in both the initial assessment and the clinical management of all CCU patients, demystifying the critical care unit and providing key knowledge in a concise and accessible manner. The full spectrum of disorders likely to be encountered in critical care are discussed, with additional chapters on transfer and admission, imaging in the CCU, structure and organisation of the unit, and ethical and legal issues. Written by Critical Care experts, Core Topics in Critical Care Medicine provides comprehensive, concise and easily accessible information for all trainees.