“This book is an excellent tool to guide APRNs and their collaborators in healthcare education into conversations about ethical action within the complex challenges of their work.” –Daniel McGinty, EdD Dundon-Berchtold Institute for Moral Formation & Applied Ethics University of Portland “What a wonderful way to see advanced practice nursing as neither black nor white but instead as a myriad of colors in which to hone principled and just care as our Code of Nursing intends.” –Laurel Hallock-Koppelman, DNP, APRN, FNP-C Assistant Professor, School of Medicine Oregon Health and Science University “Infused with wisdom and clarity, this textbook is a must-read for APRNs of all practice environments and levels of experience. As a clinical ethicist, I was deeply impressed by how much I learned within the pages of this book.” –Kayla Tabari-House, MBE, RN, HEC-C Clinical Ethicist, Providence St. Joseph Health Healthcare delivery can present ethical conflicts and dilemmas for advanced practice registered nurses (APRNs)—nurses who already have a myriad of responsibilities in caring for patients. Ethical Case Studies for Advanced Practice Nurses improves APRNs’ agility to resolve ethical quandaries encountered in primary care, hospital-based, higher education, and administration beyond community settings. Through case studies examining various types of ethical conflicts, the authors empower APRNs and students with the critical knowledge and skills they need to handle even the most complex dilemmas in their practice. By applying a set of criteria and framework, this book guides APRNs to use critical thinking to make ethically sound decisions. TABLE OF CONTENTS Case Study #1: Defensive Medicine Case Study #2: STI Confidentiality Case Study #3: Substance Use in Pregnancy Case Study #4: HPV Vaccine Refusal Case Study #5: Abortion Case Study #6: Prostate Cancer Screening with Prostate-Specific Antigen Case Study #7: Administration of Long-Acting Injectable Antipsychotics Case Study #8: Depression Screening in Adolescents Case Study #9: Treatment of Resistant Anxiety Case Study #10: COVID-19 Vaccine in Adolescence Case Study #11: Medical Emancipation Versus Confidentiality in Transgender and Gender-Nonconforming People Case Study #12: Childhood Obesity Case Study #13: Dementia and Stopping Driving Case Study #14: When to Transition to Palliative Care Case Study #15: Prescription Refill Dilemma for Patient and Spouse in Financial Straits Case Study #16: CRNA Labor and Delivery Epidural Pain Management With a Language Barrier Case Study #17: Violence, Suicide, and Family Dynamics With Medical Complexity Case Study #18: Psychiatric Acute Concerns and Fall Risks Case Study #19: Telehealth Case Study #20: Guiding a School of Nursing Through COVID-19 Focusing on Clinical Placements Case Study #21: Emergency Department Closure Decision-Making: Health System and Community Impact Case Study #22: Ethical Dilemmas in School of Nursing Leadership Pre-COVID-19
Many Americans believe that the United States is in decline. They see a country that has become unrecognizable: where individuals are reduced to their race, ethnicity, or sexual identity; where children are indoctrinated into radical ideologies; where anti-semitism has become widespread. This book explains how all of these ills are rooted in Marxism. To be sure, it is not Soviet Marxism, but a Marxism that was shaped by European intellectuals, adapted and refined by America’s student radicals of the 1960s, and diffused throughout the culture as those student radicals became professors, community organizers, and leaders. The end goal of these NextGen Marxists is expropriation, redistribution, central planning, and collectivism. They are working toward nothing less than the cultural transformation of the United States—and they have partially succeeded. But NextGen Marxism: What It Is and How to Combat It is infused with optimism. It reveals the dark inner workings of the radical left’s destructive agenda in the United States in order to teach Americans how to fight back. The authors share their conviction that the best days for the United States are still ahead of us if every day Americans can work together to restore sanity and make America the great beacon of freedom once again.
An invaluable text for dysphagia courses in speech-language pathology programs, Dysphagia Assessment and Treatment Planning: A Team Approach, Fifth Edition integrates the fundamentals of aerodigestive tract anatomy and physiology with objective assessment techniques and multidisciplinary treatment approaches. Contributors from speech-language pathology, otolaryngology, and gastroenterology present a variety of perspectives across domains of the professionals who serve patients with swallowing disorders. The in-depth, evidence-based assessment techniques and treatment models represent the most current dysphagia research and best practices. The book’s organization reflects the progression of most graduate-level dysphagia courses, with assessment techniques presented in the first half and special populations discussed in the latter half. The fifth edition has been thoroughly updated, with expanded references, perspectives on recently published literature reviews, and additional figures and tables. The authors have also added new pedagogical features and content revisions: * Treatment approaches have been updated to include new material on neuroplasticity, chin tuck against resistance (CTAR), and prophylactic strategies. * A new chapter on telehealth and dysphagia is available on the companion website and in the ebook version. * The chapter on endoscopy has been enhanced and expanded. * The chapters on fluoroscopy have been streamlined and condensed. * A new chapter focuses on the impact of dysphagia on the airway and how artificial airways may affect swallowing function. * The most recent nutrition guidelines have been updated, with a special focus on integration of texture modifications and dietary preferences with optimal nutrition. * The pediatrics chapter now provides a detailed discussion of thickeners and adequate nutrition. * End-of-chapter reflection questions have been updated. * Effective and well-documented examples of specific treatments have been included as supplementary boxes. * Additional videos with case studies are available. Also available is a separate companion workbook for students, Dysphagia Assessment and Treatment Planning Workbook, Fifth Edition. The workbook includes practical exercises aligned with each chapter of the textbook. The activities and questions are designed to clarify and expand on information presented in the text and should be of interest not only to students but also to practicing clinicians seeking fresh approaches. The workbook has been thoroughly updated to reflect the new organization and content of the textbook. Disclaimer: Please note that ancillary content such as bonus chapter material may not be included as published in the original print version of this book.
Human mental capacities and processes are the raw materials with which psychotherapists work. Thus what cognitive scientists have discovered in recent decades is potentially tremendous value for psychotherapeutic practice. But the new knowledge is not readily accessible to therapists, who find both language and methodology off-putting. The Mind in Therapy bridges the gap. It offers a comprehensive overview of the relevant range of cognitive activities, ranging from complex mental operations such as problem solving, decision making, reasoning, and metacognition to basic functions such as attention, memory, and emotion. The authors integrate key new findings about the interaction between cognition and emotion, inhibition, and counterfactual thinking--processes that loom large in practice. Each chapter reviews an area of cognitive research, clearly explains the findings, and highlights their implications and applications in diverse models of therapy--cognitive, behavioral, psychodynamic, humanistic, and family. Each includes case vignettes that illustrate the ways in which the concepts are important and useful in practice. All therapists rely on the human mind to effect the change they seek. The clearer understanding of human cognitive capacities, idiosyncrasies, and limitations--their own as well as clients'--that they will gain from this book will enhance the effectiveness of both beginning and experienced practitioners, whatever their orientation.
Sudden flashes of inspiration have triggered many discoveries and inventions throughout history. Are such aha! moments merely random, or is there a way to train the brain to harness these seemingly unpredictable creative insights? This fascinating overview of the latest neuroscience findings on spontaneous thought processes, or "snaps," describes how everyone—not just geniuses—can learn to improve the likelihood of their own "eureka" moments by adopting certain rewarding attitudes and habits. As the author explains, snaps are much more than new ideas. Snaps are insights plus momentum—they instantly compel or snap us toward action. They often occur after ordinary problem solving hits an impasse. We may feel stuck, but while we’re in a quandary, the brain is rebooting. Then, when we least expect it, the solution pops into our heads. She describes the results of numerous scientific experiments studying this phenomenon. She also recounts intriguing stories of people in diverse disciplines who have had a snap experience. Both the research and the stories illustrate that it’s possible to enhance our facility for snap moments by training ourselves to scan, sift, and solve. In the emerging economy, businesses and individuals need new strategies, and it’s clear that just thinking harder no longer works. People who can snap are often a step ahead: they have a vigilance advantage from exercising brain cells that build mental agility. While snapping is rewarding, fun, and good for improving our mental skills, it’s also much more: people who snap life-changing ideas that affect many others will redirect our future. Written in an accessible, jargon-free narrative that weaves together the latest research with illuminating stories of innovative people, this book teaches us how to cultivate our own inner epiphanies to gain an edge in our imaginations, our careers, our goals—indeed, in every aspect of our lives.
Diabetes: The Ultimate Teen Guide is a practical guide for teens with diabetes that is written in everyday teen language. This book talks about issues specific to teens ages 16 to 19, and it includes multiple no-nonsense tips that demonstrate how life can be lived to the full even with diabetes.
A Group of Their Own is the fascinating story of the first generations of women who went to college to learn to be writers and then launched their careers writing poetry and prose. This unprecedented group included Elizabeth Bishop, Ruby Black, Pearl Buck, Emma Bugbee, Willa Cather, Zona Gale, Mildred Gilman, Zora Neale Hurston, Mary McCarthy, Marianne Moore, Eudora Welty, and Margaret Walker. This group was all about firsts. These women were among the first to attend college where they took a new array of writing classes in which students worked together in a workshop environment and extended this model of collaboration to campus clubs and publications. When they left college, they continued their new working methods by initiating and joining in a variety of activities such as mentorships, clubs, community theaters, and summer writing workshops. This expanded experience enabled them to move outside the restricted definitions of women's career paths and writing projects, ultimately changing the definition of American writer and American writing.
An innovative examination of the shift by American political parties toward issue-based differentiation Recent Democratic and Republican party platforms display clear differences on such issues as abortion, LGBTQ+ rights, gun control, and the environment. These distinctions reflect a programmatic party system—that is, one in which policy positions serve as a key basis of electoral competition. Yet party politics were not always so issue-oriented; the rise of policy positions as the dominant marker of party appeal occurred largely over the last fifty years. In Divergent Democracy, Katherine Krimmel examines this transformation of the American party system, using innovative machine learning techniques to develop and present the first measure of party differentiation on issues since Democrats and Republicans began competing with each other in 1856. Why did the shift to issue-based party competition take more than a century to materialize? Krimmel offers a groundbreaking theory, focusing on what aids and constrains parties’ abilities to do the difficult, conflict-ridden work of developing issue positions. She argues that clientelistic subnational party organizations, promising material support or jobs in return for votes, long impeded programmatic partisanship while the growth of national party organizations facilitated it. Moreover, institutions and agents of racial oppression extended the life of nonprogrammatic practices, as they attempted to shield discriminatory laws and institutions from interparty competition. Following the civil rights revolution of the 1960s, space opened for programmatic competition to grow. Using both quantitative and qualitative tools, Krimmel offers a vital view of the foundations of today’s issue-based party competition and its alternatives.
SHORTLISTED for the Society of Architectural Historians of Great Britain's Hitchcock Medallion. A ground-breaking interdisciplinary approach to the medieval manor pre- and post-Conquest.
Over 250 color photos as well as a gallery of historical black and white photos photos depict the past and present of the staffordshire Terriers. This book will prove invaluable to active members of the breed fancies and pet owners alike, as it offers information concerning history, breed conformation, management, and health care.
Katherine Schultz examines the complex role student silence can play in teaching and learning. Urging teachers to listen to student silence in new ways, this book offers real-life examples and proven strategies for "rethinking classroom participation" to include all students--those eager to raise their hands to speak and those who may pause or answer in different ways. --from publisher description.
**Selected for Doody's Core Titles® 2024 in Dentistry** Comprehensive, cutting-edge content addresses contemporary orthodontic practice! Orthodontics: Current Principles and Techniques, 7th Edition provides an evidence-based approach to orthodontic diagnosis, treatment planning, and clinical techniques, including esthetics, genetics, temporary anchorage devices, aligners, technology-assisted biomechanics, and much more. New to this edition are seven chapters, covering topics like AI, maxillary expansion in adults, Class II correctors, and autotransplantation. Newly authored chapters on orthognathic surgery and the craniofacial team, the periodontal-orthodontic interface, interdisciplinary treatment, and accelerated tooth movement, among others, address current perspectives. The 7th edition comes with access to an enhanced eBook version, which includes videos and additional visuals to show concepts difficult to explain with words alone. Readers can also find additional, online-only chapters and a fully searchable version of the text. Respected editors Lee Graber, Katherine Vig, and Greg Huang are joined by new editor Pádhraig Fleming, along with expert contributors from around the world. This text provides the most current and comprehensive collection of orthodontic knowledge, making it the go-to book for orthodontic residents and practitioners! - Comprehensive coverage provides a one-stop resource for the field of orthodontics, including foundational theory and the latest on the materials and techniques used in today's practice. - Experienced, renowned editors lead a team of expert, international contributors to provide the most authoritative clinical practice and supporting science from the best and brightest in the industry. - More than 3,400 images include a mixture of radiographs, full-color clinical photos, and anatomic or schematic line drawings, showing examples of treatment, techniques, and outcomes. - Detailed, illustrated case studies show the decision-making process, highlighting the consequences of various treatment techniques over time. - Extensive references make it easy to look up the latest in orthodontic research and evidence-based information, and all references also appear online. - Enhanced ebook, included with every print purchase, features a fully searchable version of the text and bonus online-only chapters, instructional videos, and more. - NEW! Seven chapters cover topics such as AI, maxillary expansion in adults, Class II correctors, and autotransplantation. Newly authored chapters on aligners, orthognathic surgery, the periodontal-orthodontic interface, interdisciplinary and computer-assisted treatment, temporary anchorage devices, and accelerated tooth movement, among others, address current perspectives. - UPDATED! Relevant literature and evidence-based practices are featured throughout the text. - NEW! Additional photos and illustrations visually reinforce key concepts and procedures.
Tired of gimmicky diets that don't work? Upton and Brooking, founders of the website Appetite for Health, show you how to exchange most common "fat habits" with "slim solutions" that work!
Presents itineraries for fifteen walking tours in Manhattan, with descriptions of the attractions located along each route; information about the history, architecture, and culture of the city; maps; and photographs.
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