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Developing Children's Speech, Language and Communication Through Stories and Drama
by Jodi Lea-TrowmanUsing drama activities based on a range of classic and modern stories, this inspiring resource equips SENCOs, primary school teachers and speech and language therapists alike with simple, practical and effective tools to improve children's speech, language and communication. Key features include: a huge range of activities so that the resource can be used in focused support for those with SGBPN or in mixed ability classrooms topical links to the English programmes of study so that activities support core curriculum learning distinct sections for Key Stage 1 and Key Stage 2 make the book relevant from Reception to Year 6. Unlike alternative resources, this book uses drama techniques to address speech, language and communication needs and can be used for both therapy and mainstream primary education.
Developing Clinical Competence: A Workbook for the OTA
by Marie MorrealeA newly updated, user-friendly resource for occupational therapy assistant students and new practitioners, Developing Clinical Competence: A Workbook for the OTA, Second Edition assists readers in developing practical problem-solving and “‘real-life”’ skills essential for fieldwork and clinical practice. Maintaining the easy-to-read workbook format from the First Edition, this book is filled with learning activities, worksheets, and detailed answer explanations, as well as expanded chapter content and revised references.Marie J. Morreale breaks down competencies into step-by-step units to allow for independent study. With multiple choice, matching, true/false, and fill-in-the-blanks questions; case studies; vignettes; and experiential activities, this Second Edition presents helpful tips in their most useful format. Guiding the reader through occupational therapy clinical decision making, professional conduct, and meeting standards of care for various practice areas, each chapter is fully independent and can be read in the order most conducive to the reader’s individual learning needs. This text can help readers measure attainment of knowledge and skills when preparing for fieldwork, the national certification exam, or transitioning to entry-level practice.New for the Second Edition: Fundamental topics including effective communication, assessment of client function, safety, supervision, documentation, group process, and department management Additional questions regarding behavioral health and pediatric practice Expanded content for professionalism, ethics, cultural sensitivity, and interventions to support occupations Topics such as wheeled mobility, hand function development, infection control, feeding/eating, wound care basics, quality improvement, and more Added content regarding the American Occupational Therapy Association documents, evidence-informed practice, advocacy, chronic conditions, and new trends Incorporated concepts and principles from the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition Included with the text are online supplemental materials for faculty use in the classroom. Addressing fundamental areas of occupational therapy practice for a wide variety of conditions, situations, and practice settings, Developing Clinical Competence: A Workbook for the OTA, Second Edition includes helpful hints and practical clinical tips to help the OTA implement appropriate interventions and communicate more effectively.
Developing Clinical Competence: A Workbook for the OTA
by Marie MorrealeA newly updated, user-friendly resource for occupational therapy assistant students and new practitioners, Developing Clinical Competence: A Workbook for the OTA, Second Edition assists readers in developing practical problem-solving and “‘real-life”’ skills essential for fieldwork and clinical practice. Maintaining the easy-to-read workbook format from the First Edition, this book is filled with learning activities, worksheets, and detailed answer explanations, as well as expanded chapter content and revised references.Marie J. Morreale breaks down competencies into step-by-step units to allow for independent study. With multiple choice, matching, true/false, and fill-in-the-blanks questions; case studies; vignettes; and experiential activities, this Second Edition presents helpful tips in their most useful format. Guiding the reader through occupational therapy clinical decision making, professional conduct, and meeting standards of care for various practice areas, each chapter is fully independent and can be read in the order most conducive to the reader’s individual learning needs. This text can help readers measure attainment of knowledge and skills when preparing for fieldwork, the national certification exam, or transitioning to entry-level practice.New for the Second Edition: Fundamental topics including effective communication, assessment of client function, safety, supervision, documentation, group process, and department management Additional questions regarding behavioral health and pediatric practice Expanded content for professionalism, ethics, cultural sensitivity, and interventions to support occupations Topics such as wheeled mobility, hand function development, infection control, feeding/eating, wound care basics, quality improvement, and more Added content regarding the American Occupational Therapy Association documents, evidence-informed practice, advocacy, chronic conditions, and new trends Incorporated concepts and principles from the Occupational Therapy Practice Framework: Domain and Process, Fourth Edition Included with the text are online supplemental materials for faculty use in the classroom. Addressing fundamental areas of occupational therapy practice for a wide variety of conditions, situations, and practice settings, Developing Clinical Competence: A Workbook for the OTA, Second Edition includes helpful hints and practical clinical tips to help the OTA implement appropriate interventions and communicate more effectively.
Developing Clinical Judgment E-Book: for Professional Nursing and the Next-Generation NCLEX-RN® Examination
by Donna D. IgnataviciusThis one-of-a-kind workbook dedicated to developing clinical judgment skills helps prepare you for the Next-Generation NCLEX® Exam (NGN) through practical thinking exercises in which you will apply the National Council of State Boards of Nursing (NCSBN) Clinical Judgment Model (CJM). A comprehensive collection of carefully developed clinical reasoning exercises range from basic to more complex and address all specialty areas. Answer key with robust rationales to remediate learning follows at the end of the book.Six-part organization guides you through the entire NGN test plan.Answer questions in the book itself or on a companion Evolve website for automated scoring and remediation.
Developing Clinical Judgment for Practical/Vocational Nursing and the Next-Generation NCLEX-PN® Examination - E-Book
by Donna D. IgnataviciusInnovative workbook format helps you prepare for the Next-Generation NCLEX-PN® Exam (NGN-PN) through practical thinking exercises that challenge you to apply the National Council of State Boards of Nursing (NCSBN) Clinical Judgment Measurement Model to common clinical scenarios. A comprehensive collection of carefully developed clinical reasoning exercises range from basic to more complex and address all key content areas. Logical three-part organization: Part 1 is an introduction to clinical judgment with examples of how to approach the thinking exercises in the workbook. Part 2 consists of exercises that focus on applying clinical judgment for clients across the lifespan experiencing commonly occurring physical and mental health problems. Part 3 consists of exercises that focus on applying clinical judgment for older-adult clients, a main focus of care for LPN/LVNs. A robust quizzing engine on the companion Evolve website features all of the book’s questions in an interactive format to provide a realistic simulated test-taking experience and feedback for remediation An extensive answer key with detailed rationales provides essential review and remediation.
Developing Clinical Judgment for Professional Nursing Practice and NGN Readiness - E-Book: Developing Clinical Judgment for Professional Nursing Practice and NGN Readiness - E-Book
by Donna D. IgnataviciusDevelop the clinical judgment skills needed to pass the Next-Generation NCLEX-RN® Exam (NGN) on your first try with this one-of-a-kind workbook! Developing Clinical Judgment for Professional Nursing Practice and NGN Readiness, 2nd Edition provides practical thinking exercises and case studies to help you build clinical judgment skills and make safe clinical decisions. The workbook offers practice with all NGN item types, including the new "bowtie" items. And all core nursing content areas are covered, with chapters organized to guide you through the entire NGN test plan. From renowned nursing educators Donna D. Ignatavicius and Tamil Little, this practical resource ensures that you’re ready for all of the item types you will encounter on the NGN and ready to apply clinical judgment skills in RN practice. Emphasis on clinical judgment skills helps you prepare for the Next-Generation NCLEX-RN® Examination (NGN) through practical thinking exercises in which you apply the cognitive skills delineated in the National Council of State Boards of Nursing (NCSBN) Clinical Judgment Measurement Model (CJMM) to realistic case studies. Comprehensive collection of clinical reasoning exercises allows you to answer questions ranging from basic to more complex, each based on a challenging client situation. Evolve website offers the opportunity to answer questions in an interactive format for a realistic test-taking experience with automated scoring and remediation. Answer key at the end of the book includes detailed rationales and references for each question. Questions organized into six parts address all core clinical areas, guiding you through the entire NGN test plan. NEW! Completely new organization by core content areas divides the book into these parts: medical-surgical, psychiatric-mental health, pediatric, maternal-newborn, and critical care. NEW! Four new chapters and expanded content throughout address all 14 item types for the Next-Generation NCLEX® Exam (NGN) with unfolding case studies and standalone thinking exercises. NEW! Fully updated content also reflects the latest NCLEX-RN® test plan, the most current evidence-based practice, and the latest national and international guidelines. NEW! Item types for the NGN include the new "bowtie" items, preparing you for the types of questions encountered on the NGN. NEW! All-new practice questions provide more robust preparation for the NGN. NEW! Integration of pharmacology exercises is provided in all core chapters, and all pharmacology questions are highlighted with a distinctive icon. NEW! Medical record illustrations show client information for thinking exercises in case studies.
Developing Clinical Skills In Dysphagia: A Guide For Speech And Language Therapists
by Naomi Cocks Celia HardingDeveloping Clinical Skills in Dysphagia has been created specifically for clinical educators supervising students and newly-qualified therapists on placements that have a focus on dysphagia. It has been designed to be used alongside the accompanying book, The Dysphagia Placement Workbook, in UK and Australian clinical settings. The textbook contains:
Developing Clinicians' Career Pathways in Narrative and Relationship-Centered Care: Footprints of Clinician Pioneers (Radcliffe Ser.)
by John D Engel Lura L Pethtel Joseph Zarconi'Today, there exists a robust body of work connecting narrative theory and practice with medical theory, practice, teaching, and research. Taken together, what is particularly interesting about these works is that they portray narrative healthcare as both a philosophy of care and a set of skills - ' John D Engel, Lura L Pethtel and Joseph Zarconi, in the Preface This inspiring collection of narrative portraits details the career paths of physicians and nurses who figure prominently in the realms of narrative and relationship-centered healthcare. Each narrative describes the healthcare practitioner's early decision process for choosing their career and follows with a trajectory of events and work situations that brought each person to their present position. They offer a unique view from both a personal and a professional perspective. The collection of narrative portraits provides students, residents, and practicing health professionals a window into the possibilities for constructing professional lives that are oriented to service in ways that are fulfilling, energizing, and creative. The editors have made an important contribution to advancing the practice of narrative and relationship-centered medicine. They invite you to listen for the truths of your own story as you hear the voices of colleagues speak from the pages in your hand. Reflecting on the ultimate concerns that move you will enable you to more fully inhabit your own life story and become more authentic and vital as you heal others. Mark L Savickas, in the Foreword
Developing Clinicians' Career Pathways in Narrative and Relationship-Centered Care: Footprints of Clinician Pioneers
by John D Engel Lura L Pethtel Joseph Zarconi'Today, there exists a robust body of work connecting narrative theory and practice with medical theory, practice, teaching, and research. Taken together, what is particularly interesting about these works is that they portray narrative healthcare as both a philosophy of care and a set of skills - ' John D Engel, Lura L Pethtel and Joseph Zarconi, in the Preface This inspiring collection of narrative portraits details the career paths of physicians and nurses who figure prominently in the realms of narrative and relationship-centered healthcare. Each narrative describes the healthcare practitioner's early decision process for choosing their career and follows with a trajectory of events and work situations that brought each person to their present position. They offer a unique view from both a personal and a professional perspective. The collection of narrative portraits provides students, residents, and practicing health professionals a window into the possibilities for constructing professional lives that are oriented to service in ways that are fulfilling, energizing, and creative. The editors have made an important contribution to advancing the practice of narrative and relationship-centered medicine. They invite you to listen for the truths of your own story as you hear the voices of colleagues speak from the pages in your hand. Reflecting on the ultimate concerns that move you will enable you to more fully inhabit your own life story and become more authentic and vital as you heal others. Mark L Savickas, in the Foreword
Developing Communication Skills for Veterinary Practice
by Jane R. Shaw Jason B. CoeDeveloping Communication Skills for Veterinary Practice Developing Communication Skills for Veterinary Practice provides a thorough grounding in practical communication principles for client and team interactions, and helps veterinarians and staff take their communication skills to the next level through self-development and coaching colleagues. The book describes specific evidence-based techniques, gives examples of their use, and demonstrates how to use each skill in the clinical setting, with learning activities to put into practice. It covers every mode of communication, including face-to-face, virtual, telephone, and written communication. Organized by the tasks of the clinical appointment, each chapter showcases specific communication skills. The book introduces a communication toolbox of 20 key communication skills, which can be applied to any area of veterinary practice or veterinary career path. The book: Defines each communication skill, demonstrates techniques, and provides examplesEmphasizes the importance of communicating effectively with clients and colleaguesProvides a process and structure for coaching communication with colleaguesDiscusses client and team interactions using many methods, including in-person meetings, telephone conversations, and emailsOutlines best practices for effectively communicating using technology Developing Communication Skills for Veterinary Practice is an invaluable resource for veterinary professionals at any level seeking to develop their communication skills and improve clinical outcomes.
Developing Communication Skills for Veterinary Practice
by Jane R. Shaw Jason B. CoeDeveloping Communication Skills for Veterinary Practice Developing Communication Skills for Veterinary Practice provides a thorough grounding in practical communication principles for client and team interactions, and helps veterinarians and staff take their communication skills to the next level through self-development and coaching colleagues. The book describes specific evidence-based techniques, gives examples of their use, and demonstrates how to use each skill in the clinical setting, with learning activities to put into practice. It covers every mode of communication, including face-to-face, virtual, telephone, and written communication. Organized by the tasks of the clinical appointment, each chapter showcases specific communication skills. The book introduces a communication toolbox of 20 key communication skills, which can be applied to any area of veterinary practice or veterinary career path. The book: Defines each communication skill, demonstrates techniques, and provides examplesEmphasizes the importance of communicating effectively with clients and colleaguesProvides a process and structure for coaching communication with colleaguesDiscusses client and team interactions using many methods, including in-person meetings, telephone conversations, and emailsOutlines best practices for effectively communicating using technology Developing Communication Skills for Veterinary Practice is an invaluable resource for veterinary professionals at any level seeking to develop their communication skills and improve clinical outcomes.
Developing Community Nursing Practice (UK Higher Education OUP Humanities & Social Sciences Health & Social Welfare)
by Sue Spencer John Unsworth W. BurkeDeveloping Community Nursing Practice is the first book to identify and debate the key issues around community nurses taking responsibility for developing the ways in which they deliver care. Modern health care expects the individual practitioner to develop patient-focused, accessible and evidence-based community services. Despite the fact that the introduction and management of change is now a feature of professional education, community nurses often feel ill-prepared for introducing change in the real world, perceiving a gap between theory and practice. Developing Community Nursing Practice aims to close that gap.This book interweaves thinking about change and innovation with wide-ranging case study experience of contemporary community nursing. It addresses often neglected issues in practice development such as evaluation and sustainability. It gives guidance on how to identify what aspects of practice need to be developed; on how to convince others of the need to change; on how to work across organizational boundaries; and on the likely hazards and how to tackle them.This is a key resource for all student and practising community nurses (across all specialisms), providing information on how to initiate and implement change and on how ultimately to succeed in developing their own practice.
Developing Drug Products in an Aging Society: From Concept to Prescribing (AAPS Advances in the Pharmaceutical Sciences Series #24)
by Sven StegemannThis book aims to address the major aspects of future drug product development and therapy for older adults, giving practical guidance for the rational product and clinical development and prescribing of drug products to this ever growing segment of the population. With authors coming from key “aging” markets such as Europe, the USA, China and Japan, the book will provide valuable information for students, scientists, regulators, practitioners, and other healthcare professionals from academia, industry and regulatory bodies.
Developing Excellent Care for People Living with Dementia in Care Homes (University of Bradford Dementia Good Practice Guides)
by Caroline BakerThe award-winning PEARL programme has been proven to dramatically increase the wellbeing of people with dementia living in care homes. This concise and accessible guide describes the key criteria of the programme, and explains how dementia care practitioners and managers can implement them in their own care homes to achieve excellence.
Developing Expertise in Critical Care Nursing
by Julie ScholesDeveloping Expertise in Critical Care Nursing examines the development of professional expertise in critical care nursing, based on extensive research in clinical practice. It offers a repertoire of learning and assessment methods that enable practitioners to grow their own expertise and foster developments in others. Developing Expertise in Critical Care Nursing will be of interest to practitioners who aspire to advanced level practice in critical care and to all who facilitate this process. It debates the characteristics of expert practice and practice development and examines the acquisition of core skills, and career development in critical care using a role transition model.
The Developing Genome: An Introduction to Behavioral Epigenetics
by David S. MooreWhy do we grow up to look, act, and feel as we do? Through most of the twentieth century, scientists and laypeople answered this question by referring to two factors alone: our experiences and our genes. But recent discoveries about how genes work have revealed a new way to understand the developmental origins of our characteristics. These discoveries have emerged from the new science of behavioral epigenetics--and just as the whole world has now heard of DNA, "epigenetics" will be a household word in the near future. Behavioral epigenetics is important because it explains how our experiences get under our skin and influence the activity of our genes. Because of breakthroughs in this field, we now know that the genes we're born with don't determine if we'll end up easily stressed, likely to fall ill with cancer, or possessed of a powerful intellect. Instead, what matters is what our genes do. And because research in behavioral epigenetics has shown that our experiences influence how our genes function, this work has changed how scientists think about nature, nurture, and human development. Diets, environmental toxins, parenting styles, and other environmental factors all influence genetic activity through epigenetic mechanisms; this discovery has the potential to alter how doctors treat diseases, and to change how mental health professionals treat conditions from schizophrenia to post-traumatic stress disorder. These advances could also force a reworking of the theory of evolution that dominated twentieth-century biology, and even change how we think about human nature itself. In spite of the importance of this research, behavioral epigenetics is still relatively unknown to non-biologists. The Developing Genome is an introduction to this exciting new discipline; it will allow readers without a background in biology to learn about this work and its revolutionary implications.
The Developing Genome: An Introduction to Behavioral Epigenetics
by David S. MooreWhy do we grow up to look, act, and feel as we do? Through most of the twentieth century, scientists and laypeople answered this question by referring to two factors alone: our experiences and our genes. But recent discoveries about how genes work have revealed a new way to understand the developmental origins of our characteristics. These discoveries have emerged from the new science of behavioral epigenetics--and just as the whole world has now heard of DNA, "epigenetics" will be a household word in the near future. Behavioral epigenetics is important because it explains how our experiences get under our skin and influence the activity of our genes. Because of breakthroughs in this field, we now know that the genes we're born with don't determine if we'll end up easily stressed, likely to fall ill with cancer, or possessed of a powerful intellect. Instead, what matters is what our genes do. And because research in behavioral epigenetics has shown that our experiences influence how our genes function, this work has changed how scientists think about nature, nurture, and human development. Diets, environmental toxins, parenting styles, and other environmental factors all influence genetic activity through epigenetic mechanisms; this discovery has the potential to alter how doctors treat diseases, and to change how mental health professionals treat conditions from schizophrenia to post-traumatic stress disorder. These advances could also force a reworking of the theory of evolution that dominated twentieth-century biology, and even change how we think about human nature itself. In spite of the importance of this research, behavioral epigenetics is still relatively unknown to non-biologists. The Developing Genome is an introduction to this exciting new discipline; it will allow readers without a background in biology to learn about this work and its revolutionary implications.
Developing Healthcare Skills through Simulation
by Matthew Aldridge Stephen Wanless'This book provides an essential resource for educators of clinical skills who want to utilise simulation based education to provide optimal learning opportunities for their students.' Andrew Bland, University of Huddersfield 'In this book, a team of experienced authors have put together a much needed text that takes an evidence-based, practical approach to skills development.' Lauren Mawson, University of Cumbria 'A really exciting new text.' Sarah Burden, Leeds Metropolitan University Practice educators and mentors are now expected to have the skills and techniques needed to implement a 'learning skills through simulation' programme into established curricula, yet using simulation to teach - while of huge importance - requires careful and time-consuming planning. This valuable resource takes away some of that burden by providing clear, ready-made activities and guidance from leading practitioners in a range of fields, which healthcare and practice educators and mentors can use to enhance their teaching of all the essential and commonly-taught clinical and management skills and knowledge. Dedicated chapters, which all follow a defined step-by-step format, provide simulation scenarios, alongside facilitator guidance, which will help develop confidence in the teaching of key skills such as: - Drug administration - Conflict management - Infection control - Breaking bad news - Catheter and bowel care These scenarios and accompanying guidance can be used as a framework for teaching, promoting a greater understanding of the skill being taught, and providing a risk-free opportunity for the student to practice their clinical and managerial skills and judgement.
Developing Healthcare Skills through Simulation (PDF)
by Matthew Aldridge Stephen Wanless'This book provides an essential resource for educators of clinical skills who want to utilise simulation based education to provide optimal learning opportunities for their students.' Andrew Bland, University of Huddersfield 'In this book, a team of experienced authors have put together a much needed text that takes an evidence-based, practical approach to skills development.' Lauren Mawson, University of Cumbria 'A really exciting new text.' Sarah Burden, Leeds Metropolitan University Practice educators and mentors are now expected to have the skills and techniques needed to implement a 'learning skills through simulation' programme into established curricula, yet using simulation to teach - while of huge importance - requires careful and time-consuming planning. This valuable resource takes away some of that burden by providing clear, ready-made activities and guidance from leading practitioners in a range of fields, which healthcare and practice educators and mentors can use to enhance their teaching of all the essential and commonly-taught clinical and management skills and knowledge. Dedicated chapters, which all follow a defined step-by-step format, provide simulation scenarios, alongside facilitator guidance, which will help develop confidence in the teaching of key skills such as: - Drug administration - Conflict management - Infection control - Breaking bad news - Catheter and bowel care These scenarios and accompanying guidance can be used as a framework for teaching, promoting a greater understanding of the skill being taught, and providing a risk-free opportunity for the student to practice their clinical and managerial skills and judgement.
Developing Healthy Stepfamilies: Twenty Families Tell Their Stories
by Patricia Kelley Terry S TrepperView the inner workings of healthy stepfamilies through the stories of twenty families as they discuss how their households operate. This enlightening book takes a deeper look at what adults and children in stepfamilies say about such issues as discipline, money, family roles and relationships with ex-spouses, and the development of new traditions and rituals. Incorporating actual words of family members, Developing Healthy Stepfamilies shows many ways in which stepfamilies function well through adapting new and different “rules” to fit their circumstances. The book concentrates on positive rather than negative aspects of stepfamily life to help dim the image of stepfamilies as problematic and also to instill hope in would-be stepfamilies by normalizing their differences from biologically based families. Written with the intention of disseminating information and increasing understanding about stepfamily functioning, this book is useful for stepfamilies, their friends and relatives, and professionals such as teachers, clergy, physicians, and counselors. Developing Healthy Stepfamilies draws a colorful picture of the creativity and flexibility such families have brought to their lives and relationships. Emphasizing what works in stepfamilies instead of what does not, the book illustrates the process of integrating a stepfamily, the value of humor and patience, and the richness that can unfold for all members of the family. The author, a family therapist and educator, has drawn together information direct from stepfamily members themselves, providing readers with first-hand knowledge of the daily workings of this fast growing family form. A showcase of stepfamilies that are functioning well, Developing Healthy Stepfamilies helps show would-be stepfamilies that “it can be done.” This is not a book of instructions; it illuminates the many ways in which stepfamilies can and do function. Some of the topics covered in the book include: definitions of a stepfamily a historical review demographics suggestions for new stepfamilies from established ones genograms of the families participating in the study As a group, stepfamilies are different from biologically based families in form and function. These differences are important for the families, and for those working with them, to recognize and accept as normal. Although intended to be an informative text for professionals and students in fields such as counseling and social work, this book also serves as a source of hope and encouragement for stepfamilies and prospective stepfamilies themselves.
Developing Healthy Stepfamilies: Twenty Families Tell Their Stories
by Patricia Kelley Terry S TrepperView the inner workings of healthy stepfamilies through the stories of twenty families as they discuss how their households operate. This enlightening book takes a deeper look at what adults and children in stepfamilies say about such issues as discipline, money, family roles and relationships with ex-spouses, and the development of new traditions and rituals. Incorporating actual words of family members, Developing Healthy Stepfamilies shows many ways in which stepfamilies function well through adapting new and different “rules” to fit their circumstances. The book concentrates on positive rather than negative aspects of stepfamily life to help dim the image of stepfamilies as problematic and also to instill hope in would-be stepfamilies by normalizing their differences from biologically based families. Written with the intention of disseminating information and increasing understanding about stepfamily functioning, this book is useful for stepfamilies, their friends and relatives, and professionals such as teachers, clergy, physicians, and counselors. Developing Healthy Stepfamilies draws a colorful picture of the creativity and flexibility such families have brought to their lives and relationships. Emphasizing what works in stepfamilies instead of what does not, the book illustrates the process of integrating a stepfamily, the value of humor and patience, and the richness that can unfold for all members of the family. The author, a family therapist and educator, has drawn together information direct from stepfamily members themselves, providing readers with first-hand knowledge of the daily workings of this fast growing family form. A showcase of stepfamilies that are functioning well, Developing Healthy Stepfamilies helps show would-be stepfamilies that “it can be done.” This is not a book of instructions; it illuminates the many ways in which stepfamilies can and do function. Some of the topics covered in the book include: definitions of a stepfamily a historical review demographics suggestions for new stepfamilies from established ones genograms of the families participating in the study As a group, stepfamilies are different from biologically based families in form and function. These differences are important for the families, and for those working with them, to recognize and accept as normal. Although intended to be an informative text for professionals and students in fields such as counseling and social work, this book also serves as a source of hope and encouragement for stepfamilies and prospective stepfamilies themselves.
The Developing Heart: Clinical Implications of its Molecular Biology and Physiology
by Marianne J. LegatoHeart disease, despite recent improvements, continues to be the single most im portant cause of death and disability in the United States. It is estimated that the direct cost of medical care for cardiovascular disease is $6 billion dollars per year. Data compiled by the National Center for Health Statistics reveal a dramatic de cline in deaths from cardiovascular disease in the United States (greater than 20% since 1968). This phenomenon has been the subject of in-depth study. It is clear that the decline is real and not a statistical artifact. The decrease in mortality has been noted in all sections of the country, though the onset and rate of decline varies in different regions of the country. Both primary prevention, through changes in risk factors, and basic and applied research leading to earlier recognition and im proved treatment have contributed to the decline. They do not fully explain the decline. Further research is needed to clarify this issue. Clinical cardiologists have been exposed to a veritable explosion of new knowl edge of mechanisms of cardiovascular disease, development of new improved non-invasive diagnostic techniques, and the pharmacodynamics of agents affect ing the cardiovascular system. This new knowledge results from contributions made by individuals from diverse disciplines including cellular and molecular bi ologists, geneticists, hematologists, cardiologists, and cardiovascular surgeons.
The Developing Heart: A ‘History’ of Pediatric Cardiology (Developments in Cardiovascular Medicine #163)
by Edward B. Clark Catherine A. NeillPediatric cardiology is celebrating in the 1990s the 50th anniversary of the beginnings of the age of therapy. This informal `history' describes how the discipline grew from the era of pathologic anatomy to the dawn of therapy, the beginnings of closed heart surgery between 1939 and 1945. That dawn ushered in a remarkable half century of change and growth, leading from clinicophysiologic correlations through the start of open heart surgery in the 1950s. The text celebrates some of the achievements of this vivid and heroic age, and describes how, in the mid 1970s, new surgical and medical approaches, including prostaglandins and Doppler echocardiography, led to successful cardiac treatment in infancy, the `infant era'. Interventional cardiology and the study of childhood arrhythmias began. Now, in the 1990s, a new era emphasising molecular biology and cardiac development is growing from the tools and concepts of the past. The four eras have focused on pathologic anatomy, clinicophysiologic correlations and surgery, heart problems in infancy, and now the developing heart. In each era there have been advances in the four domains of pediatric cardiology, the heart before birth, the normal heart, heart disease and defects, and preventive cardiology. Growth in knowledge has been both episodic and dramatic, yet not a picture of unalloyed achievement. The later chapters discuss some of the problems beginning to be recognised in the new and current `developmental era'. The pioneers of pediatric cardiology, both men and women, are more than eponyms, for each used in new and original ways the tools and concepts available in their era. The interaction of tools and concepts is a theme in this book. Just as the tool of the stethoscope was vital in delineating the clinical profile of ventricular septal defect and patent ductus, the fluoroscope played a role in developing the concept of the Blalock Taussig shunt. Pioneers also include patients and their families, and the book includes some discussion of what little is known of childhood and of the child with heart disease in the four different eras. This is a brief overview of the growth of knowledge of children's hearts from before William Harvey until our own time, and includes references to histories of cardiac surgery and to collections of classic cardiac papers. By its emphasis on the child as the central historic figure, and on the interaction of tools and concepts in the growth of knowledge, the text provides a celebratory approach to the 50th anniversary of modern pediatric cardiology.
Developing Holistic Care for Long-term Conditions
by Carl Margereson Steve TrenowethDeveloping Holistic Care for Long-term Conditions focuses on how to help people with long-term health conditions cope more effectively. It brings together physical and mental health, offering a holistic approach for students and practitioners in a variety of care settings. Comprising four sections, this text introduces the policy and background to caring for people with chronic illness as well as the psychosocial impact of long-term conditions. Essential skills for practice are explored including holistic assessment, symptom control and the promotion of effective partnership between client and carer in supporting coping, recovery and end of life care. There is an emphasis on maximising individual health potential and resilience with the role of nutrition, exercise, complementary therapy and spirituality considered. The focus is on client centred care which addresses the whole person, mind and body. The extensive final section presents examples of key health issues where UK national guidelines have been published including: Long-term neurological conditions Diabetes Mental health Cancer Coronary heart disease Older people This evidence-based book takes note of the relevant National Service Frameworks and offers an informative and pragmatic guide for all those learning about caring for the chronically ill, as well as providing a useful reference work for qualified nurses and allied health professionals.
Developing Holistic Care for Long-term Conditions
by Steve Trenoweth Carl MargeresonDeveloping Holistic Care for Long-term Conditions focuses on how to help people with long-term health conditions cope more effectively. It brings together physical and mental health, offering a holistic approach for students and practitioners in a variety of care settings. Comprising four sections, this text introduces the policy and background to caring for people with chronic illness as well as the psychosocial impact of long-term conditions. Essential skills for practice are explored including holistic assessment, symptom control and the promotion of effective partnership between client and carer in supporting coping, recovery and end of life care. There is an emphasis on maximising individual health potential and resilience with the role of nutrition, exercise, complementary therapy and spirituality considered. The focus is on client centred care which addresses the whole person, mind and body. The extensive final section presents examples of key health issues where UK national guidelines have been published including: Long-term neurological conditions Diabetes Mental health Cancer Coronary heart disease Older people This evidence-based book takes note of the relevant National Service Frameworks and offers an informative and pragmatic guide for all those learning about caring for the chronically ill, as well as providing a useful reference work for qualified nurses and allied health professionals.