Medicines Management for Nurses at a Glance


Author: Simon Young,Ben Pitcher
Publisher: John Wiley & Sons
ISBN: 1118840674
Category: Medical
Page: 120
View: 2121
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Medicines Management for Nurses at a Glance is the perfect companion for study and revision for pre-registration nursing and healthcare students. Combining superb full colour illustrations with accessible and informative text, it provides an easy-to-read and supportive guide to the key pharmacological knowledge nursing students and registered nurses need to know. Divided into three sections, the first introduces key topics within clinical pharmacology and medicines management including, numeracy, pharmacokinetics, routes of administration, and pharmacodynamics. The second and final sections cover the management of medicines for common medical conditions, drug interactions, side effects, and safe and effective prescribing. Written specifically for nurses, it covers the fundamentals of pharmacology as they apply to nursing practice. Breaks down complex concepts in an accessible way, providing helpful overviews of all key pharmacological topics. Includes practical issues relating to practice, and is written to support the Essential Skills Cluster of the NMC, and the content of the BNF. Includes content relevant to each of the four fields of nursing, and covers drugs for specific groups such as children, pregnant and breastfeeding women, and the elderly. A companion website is available at www.ataglanceseries.com/nursing/medicinesmanagement featuring interactive multiple choice questions.

Mental Health Nursing at a Glance


Author: Grahame Smith
Publisher: Wiley-Blackwell
ISBN: 1118465288
Category: Medical
Page: 112
View: 7945
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Everything you need to know about Mental HealthNursing…at a Glance! From the publishers of the market-leading at aGlance series comes the perfect companion for study andrevision for pre-registration mental health nursing students. Thisbrand new nursing title is the perfect accompaniment forpre-registration nursing courses, and is the revision aid that youhave been waiting for! Divided into three sections, this book firstexplores the essential clinical skills needed by nurses, using theNMC Essential Skills Clusters as an organising framework.The second section goes on to look at common disorders andapproaches. The third section then discusses the leadership andorganisational skills required by nurses, again derived from theNMC standards. Key features: Breaks down complex aspects of mental health care in anaccessible and un-intimidating way The perfect revision and consolidation textbook Linked closely with the NMC standards for pre-registrationnursing education, and the essential skills clusters framework Explores a broad range of mental health disorders, from care ofchildren right up to care of older people Looks at mental health nursing in all settings, includingacute, forensic and community Highly visual colour presentation Includes boxes, summary boxes, reflective opportunities andcase studies to improve the learning experience

Pathophysiology for Nurses at a Glance


Author: Muralitharan Nair,Ian Peate
Publisher: John Wiley & Sons
ISBN: 1118746066
Category: HEALTH & FITNESS
Page: 208
View: 4851
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"Exploring a range of key diseases and conditions, each chapter in this book provides an overview of the related anatomy and physiology, signs and symptoms, investigations, management, and treatment."--From back cover.

Nursing Older People at a Glance


Author: Josephine Tetley,Nigel Cox,Kirsten Jack,Gary Witham
Publisher: John Wiley & Sons
ISBN: 1119043867
Category: Medical
Page: 120
View: 3732
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As the environment of care continues to evolve to promote person-centredness, dignity, health, and wellbeing, for nurses working with older people, this can be challenging. Nursing Older People at a Glance is a timely publication which provides an overview of key concepts that nurses need to know in order to care for older people in a wide range of settings. Divided into six sections, it explores a range of themes such as person-centred care, health and wellbeing, health promotion, and the complexity of older people's care, encompassing mental wellbeing, diverse communities and learning disability. With a strong focus on dignity in care throughout, Nursing Older People at a Glance will readily equip undergraduate and post-qualification nurses with the knowledge and skills required to care for older people in a competent and compassionate manner.

Palliative Care Nursing at a Glance


Author: C. Ingleton,P. J. Larkin
Publisher: John Wiley & Sons
ISBN: 1118759214
Category: Medical
Page: 152
View: 5837
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Palliative Care Nursing at a Glance is the perfect companion for nursing students, health and social care practitioners, and all those involved in palliative care delivery, both in the clinical and home setting. Written by an expert team of academics, nurses, educators and researchers it provides a concise and easy-to-read overview of all the concepts and clinical decision-making skills necessary for the provision of good-quality palliative and end-of-life care. Divided into six sections, the book includes coverage of all key clinical applications, principles of symptom management, palliative care approaches for a range of conditions and patient groups, exploration of the roles of the multi-professional team, as well as ethical challenges. Superbly illustrated, with full colour illustrations throughout Provides information on delivery of care in a range of settings Broad coverage makes it ideal reading for anyone involved in palliative care delivery User-friendly and accessible resource for those working in both specialist and non-specialist adult settings

Critical Care Medicine at a Glance


Author: Richard M. Leach
Publisher: John Wiley & Sons
ISBN: 1118302753
Category: Medical
Page: 192
View: 6292
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Critical Care Medicine at a Glance is an accessibleintroduction and revision text for junior clinicians. Fully revisedand updated to reflect changes to the content and assessmentmethods used by medical schools and postgraduate trainingprogrammes, this at a Glance provides a user-friendlyoverview of critical care medicine to encapsulate all that thestudent needs to know. This new edition of Critical Care Medicine at aGlance: • Is fully revised and updated to increase coverage of arapidly expanding area of medicine • Provides a simple and straightforward, yet rapid,introduction to the care of the acutely ill • Features new 'Pearls of Wisdom', to aid learning andunderstanding • Includes an appendix of top nutrition tips from theRoyal College of Physicians • Provides increased coverage of neurologicalemergencies, acute and abdominal emergencies, arrhythmias, imagingand fluid management Critical Care Medicine at a Glance is ideal for medicalstudents, junior doctors, nurses, and other healthcareprofessionals expected to acquire the skills and knowledge neededto care for acutely ill patients.

Financial Management for Nurse Managers and Executives - E-Book


Author: Cheryl Jones,Steven A. Finkler,Christine T. Kovner
Publisher: Elsevier Health Sciences
ISBN: 1455733423
Category: Medical
Page: 432
View: 6959
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Covering the financial topics all nurse managers need to know and use, this book explains how financial management fits into the healthcare organization. Topics include accounting principles, cost analysis, planning and control management of the organization's financial resources, and the use of management tools. In addition to current issues, this edition also addresses future directions in financial management. Nursing-focused content thoroughly describes health care finance and accounting from the nurse manager’s point of view. Numerous worksheets and tables including healthcare spreadsheets, budgets, and calculations illustrate numerous financial and accounting methods. Chapter opener features include learning objectives and an overview of chapter content to help you organize and summarize your notes. Key concepts definitions found at the end of each chapter help summarize your understanding of chapter content. Suggested Readings found at the end of each chapter give additional reading and research opportunities. NEW! Major revision of chapter 2 (The Health Care Environment), with additions on healthcare reform, initiatives to stop paying for hospital or provider errors, hospice payment, and funding for nursing education; plus updates of health care expenditure and pay for performance; provide a strong start to this new edition. NEW! Major revision of chapter 5 (Quality, Costs, and Financing), with updates to quality-financing, Magnet organizations, and access to care, provides the most up-to-date information possible. NEW! Reorganization and expansion of content in chapter 15 (Performance Budgeting) with updated examples better illustrates how performance budgeting could be used in a pay-for-performance environment. NEW! Major revision of the variance analysis discussion in chapter 16 (Controlling Operating Results) offers a different approach for computation of variances that is easier to understand. NEW! Addition of comparative effectiveness research to chapter 18 (Benchmarking, Productivity, and Cost Benefit and Cost Effectiveness Analysis) covers a recently developed approach informs health-care decisions by providing evidence on the effectiveness of different treatment options. NEW! Addition of nursing intensity weights, another approach for costing nursing services, to chapter 9 (Determining Health Care Costs and Prices), lets you make decisions about what method works best for you.

Wound Care at a Glance


Author: Ian Peate,Wyn Glencross
Publisher: John Wiley & Sons
ISBN: 1118684672
Category: Medical
Page: 128
View: 7013
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Wound Care at a Glance combines superb illustrations with accessible and informative text to make the key concepts of wound care easy to understand. Providing practical guidance for all healthcare professionals who care for people with wounds, or who have an interest in this complex area of healthcare, it succinctly addresses a wide range of issues including relevant anatomy and physiology, psychological issues, physical care considerations, patient safety issues, legal and ethical issues, and various treatment and management options.

Medicines Management

A Nursing Perspective
Author: Sandra Crouch,Michael Crouch,Carol Chapelhow
Publisher: Routledge
ISBN: 131790415X
Category: Medical
Page: 560
View: 2863
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Medicines Management: A Problem-Based Approach uses patient scenarios to explore pharmacology and medicines management. The book provides the pharmacological background, and examines the other factors, which enable nurses to provide care to the patient. It will equip the new nurse with the skills they need to problem-solve, prioritise and make decisions while delivering effective care.

Respiratory Nursing at a Glance


Author: Wendy Preston
Publisher: John Wiley & Sons
ISBN: 1119048303
Category: Medical
Page: 152
View: 4383
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From the publishers of the market leading at a Glance series, and in collaboration with the Association of Respiratory Nurses (ARNS), comes this easy-to-read, highly visual guide bringing together key principles of Respiratory Nursing. Highly visual, each topic is covered in a two-page spread, making it easy to quickly read up on key information and grasp the essentials of respiratory care, as well as a focus on preventative measures to prevent, minimise and control respiratory disease. Covers a wide range of topics, including assessment and diagnosis, respiratory health, medication, communication, models and management of care, acute and chronic care, and common respiratory diseases Takes a unique, holistic approach to care across the life course – from childhood to end of life care. Provides need-to-know information in a highly visual, evidence-based, quick-reference format. Respiratory Nursing at a Glance is ideal for nurses and health care students and practitioners at all levels involved in respiratory care.

Medical-surgical Nursing

Patient-centered Collaborative Care
Author: Donna D. Ignatavicius
Publisher: Elsevier Health Sciences
ISBN: 1455772550
Category: Medical
Page: 1621
View: 1929
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Unit I: Foundations for medical-surgical nursing Unit II: Concepts of emergency care and disaster preparedness Unit III: Management of patients with fluid, electrolyte, and acid-base imbalances Unit IV: Management of perioperative patients Unit V: Problems of protection: management of patients with problems of the immune system Unit VI: Problems of protection: management of patients with problems of the skin, hair, and nails Unit VII: Problems of oxygenation: management of patients with problems of the respiratory tract Unit VIII: Problems of cardiac output and tissue perfusion: management of patients with problems of the cardiovascular system Unit IX: Problems of tissue perfusion: management of patients with problems of the hematologic system Unit X: Problems of mobility, sensory perception, and cognition: management of patients with problems of the nervous system Unit XI: Problems of sensory perception: management of patients with problems of the sensory system Unit XII: Problems of mobility: management of patients with problems of the musculoskeletal system Unit XIII: Problems of digestion, nutrition, and elimination: management of patients with problems of the gastrointestional system Unit XIV: Problems of regulation and metabolism: management of patients with problems of the endocrine system Unit XV: Problems of excretion: management of patients with problems of the renal/urinary system Unit XVI: Problems of reproduction: management of patients with problems of the reproductive system.

Medical-Surgical Nursing - E-Book

Patient-Centered Collaborative Care
Author: Donna D. Ignatavicius,M. Linda Workman
Publisher: Elsevier Health Sciences
ISBN: 0323392695
Category: Medical
Page: 1744
View: 6288
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Using a unique collaborative care approach to adult health nursing, Medical-Surgical Nursing: Patient-Centered Collaborative Care, 8th Edition covers the essential knowledge you need to succeed at the RN level of practice. Easy-to-read content includes evidence-based treatment guidelines, an enhanced focus on QSEN competencies, and an emphasis on developing clinical judgment skills. This edition continues the book’s trendsetting tradition with increased LGBTQ content and a new Care of Transgender Patients chapter. Written by nursing education experts Donna Ignatavicius and M. Linda Workman, this bestselling text also features NCLEX® Exam-style challenge questions to prepare you for success on the NCLEX Exam. Cutting-edge coverage of the latest trends in nursing practice and nursing education prepares you not just for today’s nursing practice but also for tomorrow’s. UNIQUE! Collaborative care approach organizes all medical, surgical, nursing, and other interventions within the framework of the nursing process, mirroring the nurse’s role in the coordination/management of care in the real world of medical-surgical nursing. UNIQUE! A focus on nursing concepts relates concepts learned in Nursing Fundamentals with the disorders you will study in Medical-Surgical Nursing. Easy to read, direct-address writing style makes this one of the most readable medical-surgical nursing textbooks available. UNIQUE! A focus on QSEN emphasizes patient safety and evidence-based practice with Nursing Safety Priority boxes including Drug Alerts, Critical Rescues, and Action Alerts. UNIQUE! Emphasis on clinical judgment teaches you to develop skills in clinical reasoning and clinical decision-making when applying concepts to clinical situations, with Clinical Judgment Challenge questions throughout the chapters. An emphasis on prioritization stresses the most important patient problems and nursing interventions, with patient problems presented in a single prioritized list of nursing diagnoses and collaborative problems. UNIQUE! NCLEX preparation tools include chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections organized by NCLEX® Client Needs Categories, plus NCLEX Examination Challenge questions, with an answer key in the back of the book and on the Evolve companion website. Practical learning aids include NCLEX Examination Challenges, Clinical Judgment Challenges, Best Practice for Patient Safety & Quality Care charts, common examples of drug therapy, concept maps, laboratory profiles, and more. A clear alignment with the language of clinical practice reflects the real world of nursing practice with NANDA diagnostic labels where they make sense, and non-NANDA diagnostic labels when these are more common descriptions of patient problems. Student Resources on an Evolve companion website help you prepare for class, clinicals, or lab with video and audio clips, animations, case studies, a concept map creator, NCLEX exam-style review questions, and more. UNIQUE! Concentration on essential knowledge for the RN level of medical-surgical nursing practice focuses your attention on need-to-know content to pass the NCLEX Examination and practice safety as a beginning nurse.

Health Care Professionalism at a Glance


Author: Jill Thistlethwaite,Judy McKimm
Publisher: John Wiley & Sons
ISBN: 111875638X
Category: Medical
Page: 104
View: 3271
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Health Care Professionalism at a Glance offers accessible coverage of an increasingly important aspect of medical and health professional education. This concise text includes how to identify and develop professional behaviours, how they are assessed, and how to challenge unprofessional behaviours. Health Care Professionalism at a Glance: • Provides a user-friendly and thought provoking overview of health care professionalism • Introduces the main topics, key definitions and explores aspects relevant to learners and novice professionals • Considers fundamental features of professionalism that students are expected to acquire as well as how they are taught, learned and assessed • Includes summary boxes that highlight important points, reflection points, clinical cases and suggested further reading • Includes references relevant to different countries’ accrediting bodies This important new book will assist students in understanding the nature of professionalism, its assessment, and the implications for professional practice.

Acute and Critical Care Nursing at a Glance


Author: Helen Dutton,Jacqui Finch
Publisher: John Wiley & Sons
ISBN: 1118815173
Category: Medical
Page: 168
View: 1470
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37 Acute circulatory failure 5: heart failure -- 38 Principles of cardiac surgery -- 39 Physiology of the gastrointestinal system -- 40 Acute medical and surgical gastrointestinal problems -- 41 Physiology of the renal system -- 42 Acute kidney injury -- 43 Burns: immediate care -- 44 Major trauma -- 45 Resuscitation -- Part 5 Disability: patients with neurological impairment -- 46 Physiology of the brain -- 47 Neurological assessment -- 48 Neurological impairment -- 49 Drug overdose and poisoning -- 50 Acute endocrine problems -- Part 6 Exposure -- 51 Skin integrity -- 52 Nutritional assessment and support -- Part 7 Decision making in acute and critical care -- 53 Summary of decision making -- 54 Professional, legal and ethical considerations -- 55 Mental health concerns -- 56 Last days of life -- Appendix -- References and further reading -- Glossary -- Index -- EULA

Neonatology at a Glance


Author: Tom Lissauer,Avroy A. Fanaroff,Lawrence Miall,Jonathan Fanaroff
Publisher: John Wiley & Sons
ISBN: 111876742X
Category: Medical
Page: 224
View: 5788
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Neonatology at a Glance provides a concise, illustratedoverview of neonatal medicine. Written by leading internationalexperts, it provides essential information on perinatal medicine,delivery, the normal newborn infant and neonatal problemsencountered in neonatal intensive care units and theirmanagement. Each topic is supported by excellent illustrations, diagrams, and,for the first time, video clips to show neonatal resuscitation andstabilizing the sick newborn, normal examination, the baby withhypoxic-ischemic encephalopathy, recognition of seizures andpractical procedures. Neonatology at a Glance: • Provides up to date coverage of the importantconditions you will encounter • Covers challenging topics including pain, ethicalissues, quality improvement, evidence based medicine and palliativecare • Features new sections on fetal medicine, respiratorysupport, therapeutic hypothermia, amplified EEG and perinatalneuroimaging • Integrates invaluable details about practicalprocedures including neonatal resuscitation and transport • Supplemented by video materials and artwork which canbe viewed via the companion website atwww.ataglanceseries.com/neonatology Neonatology at a Glance is the perfect guide for all healthprofessionals looking after newborn infants, including pediatrictrainees, medical students, neonatal nurse practitioners andneonatal nurses, therapists and midwives. For neonatologists,pediatricians and nurse tutors it is a valuable resource to assistwith teaching.

Anaesthesia at a Glance


Author: Julian Stone,William Fawcett
Publisher: John Wiley & Sons
ISBN: 1118765338
Category: Medical
Page: 88
View: 8526
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Anaesthesia at a Glance is a brand new title thatprovides a concise and visually-orientated summary of acomprehensive lecture course in anaesthesia. Ideal for clinicalundergraduate medical students and Foundation Programme doctorsundertaking anaesthesia attachments, it gives a systematic, broadview of anaesthesia in various specialties, taking the readerthrough preparation, management and the pharmacology behindanaesthetic medicine. Anaesthesia at a Glance is supported by a companionwebsite at www.ataglanceseries.com/anaesthesia containinginteractive multiple-choice questions and answers together with aselection of interactive cases – perfect for study andrevision. Whether you want to refresh your knowledge or need a thoroughoverview of the specialty, Anaesthesia at a Glance presentsall the vital clinical information you need.

Children and Young People's Nursing at a Glance


Author: Alan Glasper,Jane Coad,Jim Richardson
Publisher: Wiley-Blackwell
ISBN: 1118516281
Category: Medical
Page: 304
View: 9584
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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

Public Health Nursing - E-Book

Population-Centered Health Care in the Community
Author: Marcia Stanhope,Jeanette Lancaster
Publisher: Elsevier Health Sciences
ISBN: 0323294103
Category: Medical
Page: 1128
View: 8516
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Now in its 8th edition, the "gold standard" in community health nursing provides comprehensive and up-to-date content to keep you at the forefront of the ever-changing community health climate and prepare you for an effective nursing career. In addition to a solid foundation in concepts and interventions for individuals, families, and communities, you will find real-life applications of the public nurse's role, Healthy People 2020 initiatives, new chapters on forensics and genomics, plus timely coverage of disaster management and important client populations such as pregnant teens, the homeless, immigrants, and more. Evidence-Based Practice boxes illustrate how the latest research findings apply to public/community health nursing. Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health. Separate unit on the public/community health nurse's role describes the different roles and functions of the public/community health nurse within the community. Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention. What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content. The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice. Practice Application provides case studies with critical thinking questions. Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations. Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines. Linking Content to Practice boxes provide real-life applications for chapter content. NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade. NEW! The Nurse in Forensics chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.

Pharmacology for the Primary Care Provider - E-Book


Author: Marilyn Winterton Edmunds,Maren Stewart Mayhew
Publisher: Elsevier Health Sciences
ISBN: 0323087914
Category: Medical
Page: 880
View: 6566
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Written by and for nurse practitioners, and also suitable for physician’s assistants, Pharmacology for the Primary Care Provider, 4th Edition focuses on what you need to know to safely and effectively prescribe drugs for primary care. An emphasis on patient teaching helps you gain patient adherence to prescribed drug regimens, and guidelines for health promotion help in maintaining and improving your patients’ health. Now in full color, this edition expands the book's emphasis on the QSEN priorities of safety and evidence-based practice, and adds coverage of new drugs, new drug classes, and new therapeutic drug uses. Written by leading nurse practitioner authorities Marilyn Winterton Edmunds and Maren Stewart Mayhew, Pharmacology for the Primary Care Provider teaches principles of pharmacotherapeutics using today’s most commonly used drugs. A Key Drugs focus highlights the most commonly used and most representative drugs of each major drug class — with particular emphasis on the top 100 most commonly prescribed drugs. Emphasis on patient teaching helps you communicate with patients and family caregivers to promote adherence to the drug regimen. Emphasis on health promotion describes how to help patients stay well and improve their health, including coverage of immunizations and biologicals, vitamins, weight management, and smoking cessation. Evidence-Based Decision-Making and Treatment Guidelines chapter (11) provides practical guidelines for using the best current research evidence to make decisions about the care of individual patients. Extensive coverage of drug therapy for special populations such as geriatric and pediatric patients includes considerations related to age, pregnancy, race, and other factors. UNIQUE! Coverage of prescriptive practice includes topics such as prescriptive authority, role implementation, and the role of nurses (NPs, CNMs, CRNAs, and CNSs) and physician assistants in writing prescriptions. NEW! Full-color design and illustrations highlight the most important content. DRUG UPDATES reflect the latest FDA-approved drugs, drug classes, and therapeutic uses. Expanded emphasis on the QSEN priorities of safety and evidence-based practice helps you eliminate drug prescribing errors with color-highlighted Safety Alerts! and NEW Clinical Practice Alerts! NEW section on male hormone replacement therapies adds coverage of men to that for women. Updated evidence-based prescribing information reflects the latest national clinical practice guidelines and evidence-based treatment guidelines, including the latest clinical treatment guidelines for diabetes. NEW! Complementary and Alternative Products tables highlight interactions with drugs, and are emphasized with a distinctive icon. Updated Drug Overview tables are enhanced with color as well as Top 100 icons that highlight the most commonly prescribed drugs.

Geriatric Medicine at a Glance


Author: Adrian Blundell,Adam Gordon
Publisher: John Wiley & Sons
ISBN: 1118597648
Category: Medical
Page: 96
View: 7270
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Geriatric Medicine at a Glance logically presents the core principles of geriatric medicine, including mechanisms of ageing, changes in physiology commonly seen in older adults, and the clinical management and treatment of the key medical presentations affecting older patients. It provides a thorough overview of the essential required core knowledge, mapped to the British Geriatrics Society undergraduate curriculum on ageing. Geriatric Medicine at a Glance: - Is fully aligned with the newly developed British Geriatric Society curriculum on ageing for undergraduate medical students - Explains the relevant concepts associated with ageing in addition to the common medical presentations seen in older adults - Includes the perspective of nurses and other allied health professionals - Features 'best of five' MCQ self-assessment questions Geriatric Medicine at a Glance will help address the uncertainty often experienced by medical students and junior doctors when dealing with older patients.