Della had walked onto the porch to water some plants. Nellie was in the kitchen finishing supper for the boarders. Della looked up and saw a buggy heading her way. She laughed that Jim had forgotten his usual supper from Nellie. She started down the steps, going toward the buggy, as Jim was turning the buggy to head out. Della came up to Jim and asked him what he had forgotten. When Della looked up and saw him, her face went ashen, and she turned to run, but it was too late! Della felt her body being pulled into the buggy, and it started to move. She tried to scream, but hands were covering her mouth. She fainted.
Della had walked onto the porch to water some plants. Nellie was in the kitchen finishing supper for the boarders. Della looked up and saw a buggy heading her way. She laughed that Jim had forgotten his usual supper from Nellie. She started down the steps, going toward the buggy, as Jim was turning the buggy to head out. Della came up to Jim and asked him what he had forgotten. When Della looked up and saw him, her face went ashen, and she turned to run, but it was too late! Della felt her body being pulled into the buggy, and it started to move. She tried to scream, but hands were covering her mouth. She fainted.
She awakes as every morning, with the same feeling of being in a place where she didn’t want to be. She sees the many faces going through her mind. Della shakes her head, holding back tears. Her heart is aching for something more. What did her mother always say? Oh yes, “Follow your heart, Della, follow your heart.” Della rises and goes to the window. Della turns. Feeling of loneliness washes over her. Her day has already started, whether she wants it or not. The face she sees in the mirror doesn’t look back at all. Her mind is far away, a place in a valley, a small house by a stream. She feels happy as she goes to the door of the house but steps back in haste. A shadow fills the doorway, a man, tall and dark. Her heart is racing.
Ackley’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 11th Edition helps practicing nurses and nursing students select appropriate nursing diagnoses and write care plans with ease and confidence. This convenient handbook shows you how to correlate nursing diagnoses with known information about clients on the basis of assessment findings, established medical or psychiatric diagnoses, and the current treatment plan. Extensively revised and updated with the new 2015-2017 NANDA-I approved nursing diagnoses, it integrates the NIC and NOC taxonomies, evidence-based nursing interventions, and adult, pediatric, geriatric, multicultural, home care, and client/family teaching and discharge planning considerations to guide you in creating unique, individualized care plans. Comprehensive, up-to-date information on all the 2015-2017 NANDA-I nursing diagnoses so you stay in the know. UNIQUE! Provides care plans for every NANDA-I approved nursing diagnosis plus two unique care plans for Hearing Loss and Vision Loss. Includes pediatric, geriatric, multicultural, client/family teaching and discharge planning, home care, and safety interventions as necessary for plans of care. Presents examples of and suggested NIC interventions and NOC outcomes in each care plan. UNIQUE! Care Plan Constructor on the companion Evolve website offers hands-on practice creating customized plans of care. 150 NCLEX exam-style review questions are available on Evolve. Promotes evidence-based interventions and rationales by including recent or classic research that supports the use of each intervention. Classic evidence-based references promote evidence-based interventions and rationales. Clear, concise interventions are usually only a sentence or two long and use no more than two references. Safety content emphasizes what must be considered to provide safe patient care. Step-by-step instructions show you how to use the Guide to Nursing Diagnoses and Guide to Planning Care sections to create a unique, individualized plan of care. List of Nursing Diagnosis Index in back inside cover of book for quick reference. Three-column index is easy to use. Easy-to-follow sections I and II guide you through the nursing process and selecting appropriate nursing diagnoses. Alphabetical thumb tabs allow quick access to specific symptoms and nursing diagnoses.
Portable and easy-to-use, Mosby’s Guide to Nursing Diagnosis, 6th Edition is ideal for use in clinicals, in class, and at the bedside! This pocket-sized reference book is a condensed version Ackley’s Nursing Diagnosis Handbook, 12th Edition that helps you diagnose and formulate care plans with confidence and ease. Using a quick-access format, it includes the 2018-20 NANDA-I approved nursing diagnoses based on more than 1,300 specific symptoms and a step-by-step guide to creating care plans, featuring desired outcomes, interventions, and patient teaching. Plus, alphabetic thumb tabs allow for quick and easy access to specific symptoms and nursing diagnoses. UNIQUE! Includes care plans for every NANDA-I approved nursing diagnosis, including pediatric, geriatric, multicultural, home care, safety, and client/family teaching and discharge planning interventions. Alphabetical thumb tabs provides your students with quick access to specific symptoms and nursing diagnoses. Pocketsize portability makes this book easy to carry and use in clinicals, in class, or at the bedside. Nursing Diagnoses Index on the inside front and back cover. NEW! UNIQUE! 2018-2020 NANDA-I approved nursing diagnoses complete with 16 new diagnoses.
Offering unparalleled coverage of infectious diseases in children and adolescents, Feigin & Cherry’s Textbook of Pediatric Infectious Diseases 8th Edition, continues to provide the information you need on epidemiology, public health, preventive medicine, clinical manifestations, diagnosis, treatment, and much more. This extensively revised edition by Drs. James Cherry, Gail J. Demmler-Harrison, Sheldon L. Kaplan, William J. Steinbach, and Peter J. Hotez, offers a brand-new full-color design, new color images, new guidelines, and new content, reflecting today’s more aggressive infectious and resistant strains as well as emerging and re-emerging diseases Discusses infectious diseases according to organ system, as well as individually by microorganisms, placing emphasis on the clinical manifestations that may be related to the organism causing the disease. Provides detailed information regarding the best means to establish a diagnosis, explicit recommendations for therapy, and the most appropriate uses of diagnostic imaging. Features expanded information on infections in the compromised host; immunomodulating agents and their potential use in the treatment of infectious diseases; and Ebola virus. Contains hundreds of new color images throughout, as well as new guidelines, new resistance epidemiology, and new Global Health Milestones. Includes new chapters on Zika virus and Guillain-Barré syndrome. Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices.
This book takes an in-depth look at the theory and methods inherent in the tracing of riverine sediments. Examined tracers include multi-elemental concentration data, fallout radionuclides (e.g., 210Pb, 137Cs, 7Be), radiogenic isotopes (particularly those of Pb, Sr, and Nd), and novel (“non-traditional”) stable isotopes (e.g., Cd, Cu, Hg, and Zn), the latter of which owe their application to recent advances in analytical chemistry. The intended goal is not to replace more ‘traditional’ analyses of the riverine sediment system, but to show how tracer/fingerprinting studies can be used to gain insights into system functions that would not otherwise be possible. The text, then, provides researchers and catchment managers with a summary of the strengths and limitations of the examined techniques in terms of their temporal and spatial resolution, data requirements, and the uncertainties in the generated results. The use of environmental tracers has increased significantly during the past decade because it has become clear that documentation of sediment and sediment-associated contaminant provenance and dispersal is essential to mitigate their potentially harmful effects on aquatic ecosystems. Moreover, the use of monitoring programs to determine the source of sediments to a water body has proven to be a costly, labor intensive, long-term process with a spatial resolution that is limited by the number of monitoring sites that can be effectively maintained. Alternative approaches, including the identification and analysis of eroded upland areas and the use of distributed modeling routines also have proven problematic. The application of tracers within riverine environments has evolved such that they focus on sediments from two general sources: upland areas and specific, localized, anthropogenic point sources. Of particular importance to the former is the development of geochemical fingerprinting methods that quantify sediment provenance (and to a much lesser degree, sediment-associated contaminants) at the catchment scale. These methods have largely developed independently of the use of tracers to document the source and dispersal pathways of contaminated particles from point-sources of anthropogenic pollution at the reach- to river corridor-scale. Future studies are likely to begin merging the strengths of both approaches while relying on multiple tracer types to address management and regulatory issues, particularly within the context of the rapidly developing field of environmental forensics.
Presents a guide to college scholarships, with over 3,000 listings for funding opportunities in the sciences, social sciences, and humanities, including eligibility information, advice on application procedure, and tips for avoiding scams.
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