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Children and young people's nursing at a glance
Children and Young People's Nursing at a Glance, is the perfect companion for study and revision for pre-registration children's nursing students from the publishers of the market-leading at a Glance series. Divided into seven sections it explores assessment and screening, working with families, the newborn infant, the developing child, child health policy, nursing the sick child and young person and chronic and life-limiting conditions. This comprehensive book is an invaluable resource for pre-registration nursing students as well as newly qualified nurses wanting to consolidate and expand their knowledge of children and young people's nursing. Breaks down complex aspects of child health care in an accessible and un-intimidating way The perfect revision and consolidation textbook Linked closely with the NMC standards for pre-registration nursing education, and the essential skills clusters framework Highly visual colour presentation, with approximately 130 illustrations Includes boxes, summary boxes, key points and recommendations for practice to improve the learning experience Supported by a companion website featuring over 500 interactive multiple choice questions (www.ataglanceseries.com/nursing/children) Available in a range of digital formats - perfect for 'on the go' study and revision.
eBook
Assessment : a 2-in-1 reference for nurses
This unique 2-in-1 reference presents vital information on history taking, physical examination, and interpretation of findings in two practical, helpful ways on every page. The wide inner column contains detailed narrative text; the narrow outer column contains brief bulleted summaries of the same information. This format enables nurses to quickly scan the bulleted points and jump to more detail as needed without turning the page. In addition to full assessment guidance for every body system, this essential reference covers mental health assessment and nutritional assessment. Two 8-page full-color inserts bring to life assessment techniques and landmarks. Icons highlight specific techniques; lifespan, gender, and racial differences in findings; and abnormal findings.
eBook
Initial management of acute medical patients : a guide for nurses and healthcare practitioners
Initial Management of Acute Medical Patients is a clinically focused, practical and contemporary guide for assessing and managing patients with acute medical conditions. Suitable for all nurses and healthcare practitioners in medical assessment units and medical wards, as well as A&E staff, it uses a structured approach based on common presenting features and focuses on the first 24 hours of the patient's hospital stay. It draws on a wide range of supporting evidence and also provides sources for further reading. Key features: Written predominantly by nurses for nurses, this text is also suitable for a range of healthcare professionals, including paramedics and nurse practitioners, and anybody working in an acute care environment, including primary care assessment units, clinical decision units and intermediate care Designed as a quick reference text for use in clinical practice Extensively referenced throughout, thus increasing its appeal to practitioners at all stages of their careers and to those who are undertaking further study Devotes two entire chapters to assessing and meeting the acute care needs of vulnerable adults (i.e. older adults, those with mental health needs, and those with learning disabilities), and discussing best practice in dealing with sudden death Each chapter offers clear, concise and down-to-earth information based on a common presenting symptom and provides practical advice, supported by best evidence and the most up to date clinical guidelines Fully updated and extensively expanded to include recent guidelines and procedures
eBook
Clinical assessment and monitoring in children
Assessment and monitoring are fundamental aspects of the care of the acutely ill child, especially in high dependency areas and critical care units. Clinical Assessment and Monitoring in Children is a practical, introductory guide which provides detailed information on assessment and monitoring techniques, including physical assessment, physiological monitoring and an appraisal of additional assessment tools to enable practitioners to develop effective skills. The book adopts a physical systems approach, discusses assessment strategies and tools (starting with the least invasive and moving to the more complex) and examines how to analyse and apply the information to provide ongoing care. Each chapter explores physical assessment and examination whilst maintaining the focus on the child and the family. Clinical Assessment and Monitoring in Children assumes no prior knowledge, and provides the knowledge and skills needed to underpin decision-making and provide effective evidence-based care. This is an invaluable resource for all health care practitioners involved in caring for children. Key Features: • Explores assessment and monitoring of children from 0 – 16 years • Draws upon National Service Frameworks and clinical practice guidelines • Adopts a system by system approach • Provides knowledge and skills needed to underpin decision-making and provide effective evidence-based care • Includes hints on trouble-shooting and gaining the child and family’s co-operation • Includes case studies and suggested further reading
eBook
Child and adolescent behavioral health : a resource for advanced practice psychiatric and primary care practitioners in nursing
As an increasing number of children and adolescents with psychiatric symptoms go unrecognized in our current healthcare system, the ability to identify and treat these issues in multiple healthcare settings has become vitally important. With access to primary care providers increasing and a shortage of child psychiatric providers, collaboration between psychiatric, pediatric and family advanced practice nurses is essential to improving care for this vulnerable population. Child and Adolescent Behavioral Health provides a practical reference to aid in this endeavour. Written and reviewed by over 70 nurse experts, it is a must-have reference for all practitioners caring for children and adolescents.
eBook
Trauma care : initial assessment and management in the emergency department
The often complex problems of the trauma patient present many challenges to front line emergency staff. Multiple injuries involving many systems of the body require careful and timely prioritisation and intervention in the emergency department. Trauma Care provides emergency nurses with a practical guide to the systematic assessment and management of trauma patients, equipping them with the clinical knowledge and practical skills necessary to initially assess and care for the trauma patient in the emergency department trauma environment. Trauma Care explores the concept of trauma assessment, focusing on patient priorities and interprofessional trauma team working. Individual chapters look at the essential assessment and management issues for each system of the body and specific age related complications. Emphasis is placed on key patient priorities, with acknowledgement to the common pitfalls in initial trauma care. This text will be essential for all emergency nurses, and those working in the emergency department.
eBook
Nurses’ worry or concern and early recognition of deteriorating patients on general wards in acute care hospitals: a systematic review
Introduction
Nurses often recognize deterioration in patients through intuition rather than through routine measurement of vital signs. Adding the ‘worry or concern’ sign to the Rapid Response System provides opportunities for nurses to act upon their intuitive feelings. Identifying what triggers nurses to be worried or concerned might help to put intuition into words, and potentially empower nurses to act upon their intuitive feelings and obtain medical assistance in an early stage of deterioration. The aim of this systematic review is to identify the signs and symptoms that trigger nurses’ worry or concern about a patient’s condition.
Methods
We searched the databases PubMed, CINAHL, Psychinfo and Cochrane Library (Clinical Trials) using synonyms related to the three concepts: ‘nurses’, ‘worry/concern’ and ‘deterioration’. We included studies concerning adult patients on general wards in acute care hospitals. The search was performed from the start of the databases until 14 February 2014.
Results
The search resulted in 4,006 records, and 18 studies (five quantitative, nine qualitative and four mixed-methods designs) were included in the review. A total of 37 signs and symptoms reflecting the nature of the criterion worry or concern emerged from the data and were summarized in 10 general indicators. The results showed that worry or concern can be present with or without change in vital signs.
Conclusions
The signs and symptoms we found in the literature reflect the nature of nurses’ worry or concern, and nurses may incorporate these signs in their assessment of the patient and their decision to call for assistance. The fact that it is present before changes in vital signs suggests potential for improving care in an early stage of deterioration.
Journal Article
Predictors of adverse outcomes using a multidimensional nursing assessment in an Italian community hospital
There is growing evidence about the role of nurses in patient outcomes in several healthcare settings. However, there is still a lack of evidence about the transitional care setting. We aimed to assess the association between patient characteristics identified in a multidimensional nursing assessment and outcomes of mortality and acute hospitalization during community hospital stay.
A retrospective observational study was performed on patients consecutively admitted to a community hospital (CH) in Loreto (Ancona, Italy) between January 1st, 2018 and May 31st, 2019. The nursing assessment included sociodemographic characteristics, functional status, risk of falls (Conley Score) and pressure damage (Norton scale), nursing diagnoses, presence of pressure sores, feeding tubes, urinary catheters or vascular access devices and comorbidities. Two logistic regression models were developed to assess the association between patient characteristics identified in a multidimensional nursing assessment and outcomes of mortality and acute hospitalization during CH stay.
We analyzed data from 298 patients. The mean age was 83 ± 9.9 years; 60.4% (n = 180) were female. The overall mean length of stay was 42.8 ± 36 days (32 ± 32 days for patients who died and 33.9 ± 35 days for patients who had an acute hospitalization, respectively). An acute hospitalization was reported for 13.4% (n = 40) of patients and 21.8% (n = 65) died. An increased risk of death was related to female sex (OR 2.25, 95% CI 1.10-4.62), higher Conley Score (OR 1.19; 95% CI 1.03-1.37) and having a vascular access device (OR 3.64, 95% CI 1.82-7.27). A higher Norton score was associated with a decreased risk of death (OR 0.71, 95% CI 0.62-0.81). The risk for acute hospitalization was correlated with younger age (OR 0.94, 95% CI 0.91-0.97), having a vascular access device (OR 2.33, 95% CI 1.02-5.36), impaired walking (OR 2.50, 95% CI 1.03-6.06) and it is inversely correlated with a higher Conley score (OR 0.84, 95% CI 0.77-0.98).
Using a multidimensional nursing assessment enables identification of risk of nearness of end of life and acute hospitalization to target care and treatment. The present study adds further knowledge on this topic and confirms the importance of nursing assessment to evaluate the risk of patients' adverse outcome development.
Journal Article