Bøger udgivet af Springer Publishing Company
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1.841,95 kr. Holistically addresses women's health, encompassing the needs of transgender and nonbinary individuals and considering ethnicity, social class, and disability/ableness Delivering incisive and comprehensive information on the healthcare needs of women, transgender, and nonbinary persons, the third edition of this distinguished text incorporates a strong focus on the provision of high value, equitable, and unbiased care. It expands research and clinical frameworks for understanding women's health to encompass transgender and nonbinary persons and places women's health within a holistic perspective considering ethnicity, social class, and disability/ableness. All chapters are significantly updated with new evidence-based research, clinical updates and guidelines, drug information, Covid-related information, racism, and health disparities. This text also covers current and pertinent health topics such as substance use and abuse, mental health, early pregnancy decision-making, and LGBTQ+ care, as well as abundant integrated information on care of transgender and nonbinary individuals, and enhanced information on pregnancy and primary care issues that disproportionately affect females. The book is organized for ease of use and is comprised of three distinct but interrelated sections on theoretical frameworks to guide approach and care, health promotion and prevention, and managing health conditions. Rich instructor resources include mapping content to AACN Essentials, case studies, a test bank, and PowerPoint slides. Purchase includes digital access for use on most mobile devices or computers. New to the Third Edition: Focuses on providing equitable, unbiased care for all women including transgender and nonbinary individuals Updated with new evidence-based research, clinical updates and guidelines, drug information, Covid-related information, and racism and health disparities information Expanded information on care of transgender individuals Enhanced content on pregnancy and related issues Four-color presentation to enhance readability Incorporates content in WHNP and CNM national certification examination blueprints Key Features: Distills cutting-edge information on women's health issues through a sociocultural framework Edited by renowned scholar/educators for AP nursing students Organized to provide easy retrieval of clinical information Addresses genetics, LGBTQ+ health, endocrine-related problems, health considerations for women caregivers, dementia care, and more Includes relevant web resources and apps in each chapter Provides extensive instructor toolkit to foster critical thinking
- Bog
- 1.841,95 kr.
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- A Practice-Oriented Approach
1.354,95 kr. Learn how to take different models of therapy from theory to real world practice Delivering proven therapeutic strategies that can be used immediately by students of marital and family therapy, this text brings 15 modern and postmodern therapy models to life through guiding templates and interviews with master therapists. The text progresses step-by-step through marriage and family essentials, describing in detail the systemic mindset and basic terminology used by the marriage and family therapist. Interviews with such master therapists as Albert Ellis, David V. Keith, and Mariana Martinez--who each provide commentary on a single case study--give readers the opportunity to observe different models in action, clarifying theory and practice simultaneously. Instructive templates for each model illuminate the nuts and bolts of the therapy process and help instructors bring content to life, so students can visualize and practice the process. The updated third edition presents new interviews with master therapists, a new case study that reflects the modern-day client, and a section on social justice in each chapter. Also featured in the third edition are links to valuable new websites, recommended reading for in-depth study of each model, and an updated Instructor Manual, Test Bank, and Instructor Chapter PowerPoints. Audio and Video content are also available for chapters focusing on therapy models to dive deeper into practical application, interviews, and role play. Purchase includes online access via most mobile devices or computers. New to the Third Edition: New chapters on social justice, teletherapy practices, marriage and family therapy in times of crisis including COVID-19, and the advantages of an accredited program New interviews with master therapists who are evolving the systemic mindset, including an updated case study that reflects the contemporary client A section on social justice for each therapy model Audio and video content with interviews, discussions, and role play to enhance learning Key Features: Provides a guiding template for each model from assessment through termination Introduces the theory, history, theoretical assumptions, techniques, and components of each paradigm Delivers numerous interviews, case study commentaries, and analyses by prominent master therapists Provides theory and practice on supervision, research, ethics, and self-care of the therapist
- Bog
- 1.354,95 kr.
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- Practical Radiograph Interpretation
789,95 kr. AJN award winner! This is a concise, easy-to-use reference, enabling health care providers to identify and understand how and when to use the full scope of medical imaging testing modalities-- radiographs, CTs, nuclear imaging, and ultrasound scans and images. The new second edition features a more in-depth discussion of each modality with a focus on the foundational concepts of radiography interpretation of the chest, abdomen, extremities, and spine. It expands coverage of imaging and increases the number of images provided for a total of 400. In addition, the Springer Connect website includes dozens of videos to greatly enhance the learning process. With clear descriptions of each modality--supported by figures, tables, and actual patient films--the text guides readers through the clinical decision-making process. It describes how to choose the best diagnostic test to assess a presenting condition, and examines interpretations of plain radiographs of the chest, abdomen, extremities, and spine. The book fosters an in-depth understanding of the differences between modalities, their attributes, and an appreciation for their parameters with age-appropriate considerations. To assist health care practitioners with the challenges of interpreting plain radiographs, the book simplifies this process with an incremental approach to correct interpretation of what appears on the radiograph and understanding the rationale behind the interpretation. Purchase includes online access via most mobile devices or computers. New to the Second Edition: In-depth discussions of different medical imaging testing modality, with a focus on foundational concepts of radiology interpretation of the chest, abdomen, extremities, and spine Exploration of similarities and differences between modalities Over 400 images Accompanying videos available via Springer Connect Key Features: Addresses the basics of radiology, CT scans, nuclear imaging, MRIs, and ultrasound and their characteristics and differences Provides a step-by-step approach to interpretation of radiographs Guides in the selection of the correct diagnostic test Supports information with figures, tables, images, and films Useful to a wide range of nurse practitioners, physician assistants, and other providers in multiple settings
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- 789,95 kr.
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1.267,95 kr. Includes 6 months' free ExamPrepConnect digital access with print purchase!Social Work Licensing Masters Exam Guide, Fourth Edition, provides everything you need to successfully pass the ASWB LMSW exam and become fully licensed to practice. This bestselling guide from Dawn Apgar is now updated with more practice questions and features to help you study for and pass the LMSW exam. Chapters fully cover the four exam content areas and all Knowledge, Skills, and Abilities (KSAs), and end-of-section questions test your understanding and retention. The review concludes with 2 full-length practice exams to prepare you for exam day. With more than 500 unique questions, detailed review content, answer rationales, a glossary of key social work terms, and access to ExamPrepConnect, this guide empowers you with the tools and materials to study your way and the confidence to pass the first time, guaranteed (details inside). Join thousands of successful licensed social workers who have passed their exam with this essential resource.Key Features:Includes full review of all KSAs for the LMSW exam.Provides 3x the questions of previous editions-more than 500 in total.Tests your knowledge with 2 full-length timed practice exams.Includes a new glossary of social work terms to solidify your knowledge both in exam preparation and into practice.Expanded and updated descriptions of DSM-TR content.Aligns with the updated ASWB 3-answer question format, so you'll study questions similar to those on the exam.Boosts your confidence with a 100% pass guarantee (details inside).Offers on-the-go digital access with ExamPrepConnect.ExamPrepConnect:Included with your exam guideReview all of the high-quality content from the book.Prepare by taking 2 full-length timed practice exams-one exclusively online.Build custom quizzes or study by exam topic with 170 practice questions.Use flashcards to quiz yourself on hundreds of key terms.Sharpen your test-taking skills with interactive Q&A tools.Play games to make studying fun.Keep on track with your Personalized Study Plan.Take notes, highlight, and bookmark content.Interact with your peers in the community discussion boards.Access everything on any device.See access details inside the book.Note: Social Work Licensing Masters Exam Guide, Fourth Edition, includes the same practice test that can be purchased separately as Social Work Licensing Masters Practice Test, Third Edition.Dawn Apgar, PhD, LSW, ACSW, has helped thousands of social workers across the country pass the ASWB examinations associated with all levels of licensure. In recent years, she has consulted in numerous states to assist with establishing licensure test preparation programs.Dr. Apgar has taught in both undergraduate and graduate social work programs and has extensive direct practice, policy, and management experience in the social work field.
- Bog
- 1.267,95 kr.
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1.267,95 kr. Preceded by Adult-gerontology nurse practitioner certification intensive review / Maria T. Codina Leik. Fourth edition. 2020.
- Bog
- 1.267,95 kr.
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1.274,95 kr. Preceded by Family nurse practitioner certification intensive review / Maria T. Codina Leik. 4th ed. 2021.
- Bog
- 1.274,95 kr.
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767,95 kr. Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller.Includes 6 months' free ExamPrepConnect digital access with print purchase!Electronic Fetal Monitoring (C-EFM®) Certification Review is designed to help you prepare for the NCC C-EFM® certification exam. This comprehensive study aid is organized according to the latest exam blueprint and presents the information in a clear, concise format. Key terms, clinical pearls, case studies, and high-quality fetal heart rate tracings are featured throughout. Each chapter covers everything you need to know to pass the exam and includes end-of-chapter questions to check your knowledge. The review concludes with a full-length practice test to get you ready for exam day. With 250 practice questions, detailed review content and answer rationales, and access to ExamPrepConnect, this study aid empowers you with the tools and materials to study your way and the confidence to pass the first time, guaranteed! Know that you're ready. Know that you'll pass with Springer Publishing Exam Prep.Key FeaturesReflects the latest NCC exam blueprintProvides a comprehensive yet concise review of essential knowledge for the examHighlights key terms, clinical pearls, and case studiesFeatures 35 high-quality fetal heart rate tracingsIncludes end-of-chapter Q&A and a full practice test with detailed rationalesBoosts your confidence with a 100% pass guaranteeOffers on-the-go digital access with ExamPrepConnectExamPrepConnectIncluded with your study guide ↓Review all the high-quality content from the book.Take a full-length timed practice test.Build custom quizzes or study by exam topic.Sharpen your test-taking skills with interactive Q&A tools.Keep on track with your Personalized Study Plan.Take notes, highlight, and bookmark content.Use flashcards to review key terms.Study with your peers in the community discussion boards.Play games to make studying fun.Access everything on any device.See access details inside the book.For 70 years, it has been our greatest privilege to prepare busy nurses like you for professional certification and career success. Congratulations on qualifying to sit for the exam. Now let's get you ready to pass!C-EFM® is a registered service mark of National Certification Corporation (NCC). NCC does not sponsor or endorse this resource, nor does it have a proprietary relationship with Springer Publishing.
- Bog
- 767,95 kr.
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513,95 kr. "Since the emergency medicine specialty's inception in the 1960s, APRNs have worked alongside physician colleagues providing emergency care to patients of all ages and acuities. As emergency care evolved and ED census levels rapidly grew during the 1990s, utilization of APRNs was essential to increasing emergency staffing, efficiency, patient satisfaction, and quality of care. The growing need for APRNs prepared with emergency-specific competencies resulted in the creation of the emergency nurse practitioner (ENP) profession and the establishment of educational and training programs to support the role"--
- Bog
- 513,95 kr.
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908,95 kr. Delivers an EMDR model that can expand access to urgently needed mental health services while maintaining affordabilityThis innovative handbook is the first to present EMDR Group Therapy as a pragmatic approach to trauma care that enables practitioners to scale up mental health services while ensuring cost and time efficiency. It delivers step-by-step guidance-supported by real-life case examples-for practicing this safe, effective, and culturally adaptable modality in a wide range of situations and conditions. EMDR group protocols are applicable to inpatient and outpatient settings, strangers experiencing similar or different events, families, and a wide range of ages. The book explores how and why EMDR group protocols are applicable to disaster response, addictions, schools, medical challenges, grief, families, refugees, victims of sexual violence, emergency responders and more.The text describes the theoretical underpinnings and practical applications of EMDR Group Therapy, comparing nine group protocols through the lens of the eight phases of EMDR therapy and early intervention principles. It emphasizes the concept of task sharing, allowing nonspecialist facilitators to deliver low-intensity EMDR treatment options effectively. To promote in-depth understanding, chapters provide Learning Objectives, Learned Through Experience boxes, Case Examples focusing on a variety of specific groups and problems, Discussion Questions to reinforce knowledge, and unique Pocket Guides refining protocols and derived techniques in a clear snapshot. A full Glossary of terms is also provided at the end of the book. Purchase includes online access via most mobile devices or computers.Key Features:The first book to disseminate the principles and applications of Group EMDR TherapyDelivers the knowledge of 36 contributing EMDR experts and researchers from 11 countriesFollows the eight phases of standard EMDR protocolOffers a window into EMDR practice with a broad variety of specific groups and topicsDetailed cultural competence checklist for practitioners to provide care with respect for diversityIncludes multiple Case Examples, Learning Objectives, Learned Through Experience boxes, figures and charts, and much moreProvides Pocket Guides for a clear, easy-to-follow snapshot of group EMDR protocols
- Bog
- 908,95 kr.
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- Skills, Procedures, and Management
1.253,95 kr. The only text to focus specifically on advanced health assessment/management of women This authoritative text for busy clinicians, advanced practice students, and faculty delivers essential content focused on improving the quality of healthcare provided to women/persons with a vagina across the lifespan. Brimming with new and updated content, the fifth edition reflects the most current evidence-based clinical practice guidelines available. It includes 14 new chapters written by experts in their field and the addition of disease management content, especially medications. Chapters are enhanced with management/pharmacology summary charts and case studies with discussion questions. The use of two colors improves readability, and amplified Instructor Resources include key statistics/epidemiology, learning objectives, suggested student activities and self-assessment questions, and UAB videos. Using a clear, concise outline format, this user-friendly text delivers quick, comprehensive information regarding the health assessment and management of women/persons with a vagina. It defines the role, skills, and scope of practice of different health providers and illuminates a variety of assessment skills, techniques, and procedures used by advanced practice clinicians in everyday practice. Sample assessment forms are integrated throughout along with numerous educational handouts for patients. Discussion of techniques includes a comprehensive list of requisite equipment and information on patient prep and recommended follow-up. Boxes, tables, and figures throughout reinforce key information. Purchase includes access to eBook for use on most mobile devices or computers. New to the Fifth Edition: Fourteen new chapters Telehealth in women's health Vaginal health and vaginal microscopy Mental health screening Preconception care Complementary and alternative medical therapies Adolescent health Lactation assessment and management Female veterans Male sexual and reproductive health Amenorrhea PMS/PMDD Sexual health and related problems Human trafficking The contraceptive consult Expanded breast health including breastfeeding Transgender care Updates on screening instruments Best-practice apps Case studies Management/treatment summaries Enhanced instructor package including key statistics/epidemiology, learning objectives, student activities, and self-assessment questions Two-color printing to improve readability Key Features: Delivered in outline, bulleted format for speedy reference Reflects the most current evidence-based clinical practice guidelines Offers easy-to-follow, step-by-step coverage of procedures Addresses treatment/management of multiple conditions Includes detailed illustrations
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- 1.253,95 kr.
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1.241,95 kr. Holds a proven track record of success in teaching healthcare business basics to nurses This acclaimed text helps to build the fundamental economic and financial management skills nurses and nurse leaders need to be successful in daily practice and career advancement. The updated fourth edition includes new and revised case studies reflecting current trends and increased coverage of budget strategies, forecasting, and the financial impact of COVID-19. It is rewritten to provide greater clarity for readers unfamiliar with budgets and features a new two-color design to enhance readability. Additionally, the text reflects current AACN Essentials: Core Competencies for Professional Nursing Education and updated sample business plans, grant proposals, and other essential reports along with providing augmented Instructor Resources. The book--written by nurses for nurses--is designed to help readers understand the impact of healthcare economics and finance in their day-to-day clinical and leadership work. While it covers advanced practice topics and responsibilities, the text's readability and foundational content make it useful for nurses at all levels. It also delivers content essential for nurse entrepreneurs and other nurse leaders with its explanations of how national and global economics affect the health care industry, and how health insurance strategies affect consumer access and outcomes. The text provides multiple opportunities for experiential learning, such a writing business plans and grant proposals and engaging in discussions. It delivers cost-benefit and cost-effectiveness analyses, discusses budget preparation, offers strategies for controlling budget costs, and updates relevant health policies and statistics. Abundant Instructor Resources feature chapter-based Excel workbooks and PowerPoints, a test bank, and crossword puzzles with answers. Purchase includes digital access for use on most mobile devices or computers. New to the Fourth Edition: New and revised cases reflect current trends Increased coverage of budget strategies, forecasting, and the financial impact of COVID-19 and legislative changes Streamlined approach simplifies content for readers new to budgets New and updated definitions New and revised/updated chapters Two-color design enhances readability Reflect current AACN Essentials Enhances popular Instructor Resources Updates sample business plans, grant proposals, and other essential reports Key Features: Equally useful for RN-BSN, MSN, and DNP, programs Aligned with AACN and AONL guidelines and certification and competency standards Facilitates experiential learning with end-of-chapter exercises, tips for synthesizing knowledge, worksheets, and case examples Effective in traditional, hybrid, and online learning environments
- Bog
- 1.241,95 kr.
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- Contemporary Issues, Interventions, and Skills
1.354,95 kr. "This textbook purposefully, professionally, and politically correctly covers CACREP standards and COAMFTE key elements and brings awareness to the application of systemic models and techniques in today's world. Current day concerns such as COVID-19, relevant social justice issues, and telebehavioral health are discussed along with ethical implications to help develop appropriate and timely systemic skills. Educators who are seeking a resource that provides an excellent and objective presentation of systemic history, ethics, skills, current issues, and even current topics more specifically related to youth will find this the ideal resource." Tracy Baldo Senstock, PhD Associate Dean, School of Counseling Walden University Delivers the knowledge and skills to help today's diverse clients in an increasingly complex world Sweeping in breadth and depth, this is the most comprehensive guide available to examine contemporary issues and interventions in couple, marriage, and family therapy. Designed for masters and doctoral level students, it helps clinicians to examine their professional identity; family systems and systems theory; current issues facing today's families, couples, and children; and how to apply skills, interventions, and assessments to provide optimal service to clients. The book is distinguished by its focus on the intersection of marriage and family therapy and the counseling professions. Also included is key information about multiculturalism, intersectionality, nontraditional families, and other social justice issues as well as a dedicated chapter centered on working with people of color and underrepresented couples and families. The text also covers issues affecting today's youth and relevant youth-based skills, interventions, and assessments; and contemporary issues related to crisis, disaster, mental health, technology, and telebehavioral health. Voices from the Field sections from diverse practitioners underscore important information. Each chapter provides clear definitions, descriptions, and relevant scholarship along with activities and examples showcasing the use of systemic theory, contextual issues, major interventions, relevant technology, and skills. Instructors will have access to an Instructor's Manual, a Test Bank, and chapter PowerPoints. Purchase includes digital access for use on most mobile devices or computers. Key Features: Delivers an in-depth exploration of family-based issues, theories, and skills related to diversity, multiculturalism, intersectionality, and racism/discrimination Examines professional identity, the connection between contemporary issues and systemic theory, professional organizations, practice-based information, and more Uniquely addresses the integration of foundational counseling skills and systematic interventions Presents Voices from the Field, first-person accounts from diverse clinicians working with people of color, LGBTQIA+ clientele, and other underrepresented populations Each chapter includes student activities and additional resources to facilitate learning The Instructor's Manual provides a detailed matrix indicating how the text maps to CACREP and COAMFTE accreditation standards
- Bog
- 1.354,95 kr.
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- Comprehensive Review, Plus 350 Questions Based on the Latest Exam Blueprint
997,95 kr. Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. Includes 6 months' free ExamPrepConnect digital access with print purchase! The 2nd edition of Neonatal Nurse Practitioner (NNP-BC(R)) Certification Review is designed to help you prepare for the NCC certification exam. This comprehensive study aid is thoroughly updated to closely mirror the latest exam blueprint. Written by NNP educators and clinicians, the user-friendly, outline format highlights key content for targeted learning. Each chapter encompasses all the essential knowledge required to pass the exam and includes end-of-chapter questions to assess knowledge retention. The review concludes with a full-length practice test to get you ready for exam day. With 350 practice questions, detailed review content and answer rationales, and access to ExamPrepConnect, this study aid empowers you with the tools and materials to study your way and the confidence to pass the first time, guaranteed! Know that you're ready. Know that you'll pass with Springer Publishing Exam Prep. Key Features Reflects the latest NCC exam blueprint Provides a succinctly written comprehensive review of essential knowledge for the exam Highlights invaluable test-taking strategies and study tips Includes new information on maternal history affecting the newborn with intrauterine drug exposure, drugs and breastfeeding, and quality improvement Includes end-of-chapter Q&A and a full practice test with detailed rationales--totaling 350 questions Offers on-the-go digital access with ExamPrepConnect ExamPrepConnect Included with your study guide ↓ Review all the high-quality content from the book Take a full-length timed practice test. Build custom quizzes or study by exam topic. Sharpen your test-taking skills with interactive Q&A tools. Keep on track with your Personalized Study Plan. Take notes, highlight, and bookmark content. Use flashcards to review key terms. Study with your peers in the community discussion boards. Access everything on any device. See access details inside the book. For 70 years, it has been our greatest privilege to prepare busy nurses like you for professional certification and career success. Congratulations on qualifying to sit for the exam. Now let's get you ready to pass! NNP-BC(R) is a registered service mark of the National Certification Corporation (NCC). NCC does not sponsor or endorse this resource, nor does it have a proprietary relationship with Springer Publishing.
- Bog
- 997,95 kr.
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- A Competency-Based Approach
1.071,95 kr. Helps students to integrate social work education with field placement learning experiences in a purposeful, reflective, and unified manner This authoritative text is designed to help BSW and MSW students structure their field placement learning around the nine CSWE profession social work competencies to maximize their field placement learning opportunities. The new second edition is completely updated with the 2022 Educational Policy and Accreditation Standards (EPAS). Learning activities in each chapter provide examples of field placement tasks and projects related to chapter topics and competencies. The second edition also threads new content on anti-racism, diversity, equity, inclusion, and rights-based approaches to social work practice throughout. The chapters in Part I focus on helping students have a successful field placement experience. Each chapter in Part II focuses on a specific professional competency with substantive content on the competency. All chapters have field reflection questions, critical thinking questions, a detailed case summary illustrating one or more competencies with discussion questions, learning activities and electronic competency resource links to websites and videos. Instructors will welcome chapter PowerPoints and an Instructor's Manual with case assignments, grading rubrics, and peer-to-peer small group discussion assignments. Purchase includes digital access for use on most mobile devices or computers. New to the Second Edition: Completely updated with the 2022 EPAS New chapter on understanding the organizational culture of the field placement agency and its relationship to the community--a critical component for having a productive field placement experience New information on developing a performance improvement plan in supervision chapter Recent research on social work policy practice and relevant policy changes impacting social welfare policies, and special policy priorities established by NASW Key Features: Helps students to maximize field placement experience by linking field placement activities to social work competencies Delivers learning activities for each competency to help students structure their field placements Includes downloadable student resources, such as a competency reflection log to facilitate data-driven evaluations Includes electronic resources with QR codes for each chapter Addresses interprofessional writing and collaboration and self-care
- Bog
- 1.071,95 kr.
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- An Introduction to the Science and Practice of Population Health
1.132,95 kr. Now in its second edition, Public Health: An Introduction to the Science and Practice of Population Health is expanded in both scope and depth of content to better aid students who are launching their public health studies and preparing for professions in the field. This edition features a greater emphasis on the social determinants of health, health equity, prevention of disease and disability, and the practice of public health. Public Health explores both historical public health issues and contemporary public health challenges--including environmental justice, food deserts, climate change, and COVID-19--through the social ecological lens and with a life course perspective. In addition to establishing a solid knowledge base on the foundations, functions, and core values of public health, the book presents an engaging survey of the social ecological framework and of the demographic factors affecting health at different life stages. The methods of public health, including analytic approaches, systems thinking, implementation science, community engagement, and advocacy are examined, helping students understand the structural underpinnings of population health. Written by leading public health educators, and containing engaging case studies including unique Case Study Podcasts, illustrations, real-world examples, and discussion questions, every chapter analyzes systemic public health issues and the workforce roles driving and implementing public health initiatives and programs in practice. Key Features: New chapters on The Origins of Public Health and The Practice of Public Health provide increased emphasis on the functions and organization of public health and the roles of the workforce New case studies provide real-world examples of historical and contemporary public health challenges that have affected population health 19 Case Study Podcasts highlight current public health issues and initiatives Covers the latest developments affecting population health including infectious disease, chronic disease, mental health, environmental exposures, gun violence, addiction, health policy and many more Expanded coverage of the social determinants of health and health equity COVID-19 and its effects on the public health field are explored, including health communication, public trust, and health inequities Qualified instructors have access to a full set of instructor resources, including a detailed Instructor Manual, PowerPoints, Test Bank, podcasts, and transition guides through an LMS course cartridge
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- 1.132,95 kr.
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1.753,95 kr. Praise for the First Edition: "Because of the way it is organized, this book meets the needs of both novice and experienced advance practice nurses. Each chapter defines the problem, how often it occurs, and what leads to the problem. To aid in assessment, the book includes the physical examination landmarks as well as diagnostic tests that might be needed. A plan of care is offered with several different alternatives for treatment and then notes what type of follow-up is needed. This would be a great resource for anyone working in the field of geriatrics...Score: 92 - 4 Stars! --Doody's Reviews This hands-on text and clinical reference--used by thousands of NP students and practitioners alike--delivers national practice guidelines and professional standards of care to help clinicians deliver optimal primary care to adult and older adult patients. The new third edition, featuring the expert input of two renowned Adult-Gerontology practitioners, updates all chapters, teaching guides, and illustrative charts and provides new charts to enhance readability. Fresh content includes information on Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy; and perimenopause/menopause. The third edition also includes the updated Beers Criteria and covers COVID-19 treatment and vaccines. Ideal for quick reference and as a study guide, the text presents the most up-to-date guidelines in a consistent, easy-to-read, bulleted format. Conveniently organized by body system, it features detailed content on the physical examination and diagnostic testing, information on health promotion, guidelines of care, dietary information, common procedures, national patient resources, and popular Client Teaching Guides--available in print and digital format--that serve as both patient handouts and concise study tools. Clinical points throughout the text highlight critical practice considerations. The book, with its great breadth and depth of information, will be a welcome companion for NP students as they transition to professional practice and beyond. Purchase includes access to eBook for use on most mobile devices or computers. New to the Third Edition: Completely updated content including patient teaching guides and charts New charts added to enhance comprehension Coverage of Sjogren's syndrome; reactive arthritis; elder abuse; LGBTQ health; concussion assessment; joint pain, bursitis, and fractures; peripheral neuropathy, and perimenopause/menopause Latest guidelines on COVID-19 treatment and vaccines Updated Beers Criteria Current CDC recommendations on vaccines and cancer screening Key Features: Offers consistent guidelines for over 275 disorders Presents practice guidelines organized by body system Lists disorders alphabetically for easy access Highlights key considerations for practice Delivers individual care considerations for adult, geriatric, and pregnant patients Provides Client Teaching Guides serving as both take-home teaching supplements for patients and a concise study tool for students
- Bog
- 1.753,95 kr.
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408,95 kr. - Bog
- 408,95 kr.
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970,95 kr. Fundamentals of Epidemiology is a foundational resource that equips students with a strong understanding of both the principles and real-world applications of the science of public health. Its applied approach, demonstrating epidemiological concepts in action in a variety of different settings, uniquely prepares students for the challenges and exciting opportunities of this dynamic field. This engaging textbook cultivates a strong knowledge base through an explanation of the history of epidemiology and its core concepts, while providing a framework for critical thinking about public health topics. Other foundational concepts are then described and explored in the context of the real world, including descriptive epidemiology and surveillance, analytic epidemiology, study designs, effect measure modification, systematic and random error, and data analysis and modeling. Building from chapter to chapter, the textbook reinforces key concepts and their applications to the field while also confronting common mistakes that new learners of epidemiology make head-on. This textbook incorporates thoughtful public health examples, scenarios, and descriptions that foster the investigative mindset and problem-solving approach that is needed in epidemiology. With abundant illustrations, historical vignettes, case examples, and practice problems covering topics such as social determinants of health, infectious disease, applications of epidemiology to policy and more, this inviting textbook prepares students to think like an epidemiologist, equipping them with the fundamentals essential for careers in public health, medicine, nursing, and other health professions. Key Features Provides a more logical sequence for learning epidemiology, with iterative learning strategies aimed at reinforcing key concepts Includes an in-depth focus on surveillance and descriptive epidemiology Discusses causality, counterfactual thinking, and exchangeability at a level appropriate for new learners of epidemiology Provides problem-based learning examples that encompass diverse settings and populations, and links to other health disciplines (health policy, health economics, behavioral sciences, environmental health) Presents visuals in a consistent manner to foster a sound understanding of the core epidemiological principles Purchase includes digital access for use on most mobile devices or computers, and qualified instructors also have access to a full suite of instructor resources
- Bog
- 970,95 kr.
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- Applied Concepts and Practical Analyses
1.021,95 kr. Healthcare Financial Management: Applied Concepts and Practical Analyses is a comprehensive and engaging resource for students in health administration, health management, and related programs. It brings together the problem-solving, critical-thinking, and decision-making skills that students need to thrive in a variety of health administration and management roles. Engaging case studies, practice problems, and data sets all focus on building the core skills and competencies critical to the success of any new health administrator. Real-world examples are explored through a healthcare finance lens, spanning a wide variety of health care organizations including hospitals, physician practices, long-term care, and more. Core conceptual knowledge is covered in detailed chapters, including accounting principles, revenue cycle management, and budgeting and operations management. This conceptual knowledge is then brought to life with an interactive course project, which allows students to take ownership of and apply their newly-acquired skills in the context of a nuanced real-world scenario. Healthcare Financial Management is an engaging and thorough resource that will equip students with both the theoretical and practical skills they need to make a difference in this dynamic and rapidly-growing field. Key Features: Student-focused textbook that builds critical thinking, problem-solving and decision-making skills around financial strategy, financial management, accounting, revenue cycle management, budgeting and operations, and resource management 20+ years of the author's professional industry experience is applied to the textbook theory, preparing students for the complexities of real-world scenarios Microsoft Excel exercises accompany the standard healthcare finance calculations, for hands-on practice and application of concepts Chapter case studies based on timely subject matter are presented at the end of every chapter to reinforce key concepts An interactive course project demonstrates the entire healthcare finance role by bringing together the healthcare finance concepts and calculations in an all-inclusive exercise E-book access - included with every printed copy purchase, accessible on most mobile devices (also available as an E-book only)
- Bog
- 1.021,95 kr.
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1.135,95 kr. Enjoy access to the companion podcast series Conversations About Health Care Delivery in the United States! Newly revised and significantly updated, Jonas and Kovner's Health Care Delivery in the United States, 13th Edition continues to be a highly acclaimed and trusted resource covering all aspects of health care in the United States. This comprehensive textbook contains information on a wide array of topics, including the organization of care, population health, the fundamental challenges of health disparities, health care financing and economics, and health information technology's role in improving care and protecting privacy. New chapters on public health preparedness and its role in mitigating effects on health and the health system, and the medical and social challenges of caring for older adults provide insight into important, ongoing challenges and what those challenges reflect about our system of care. With an increased emphasis on health disparities, population health, and health equity, this textbook includes a timely focus on how social and behavioral determinants influence health outcomes. Students will gain a deeper understanding of public health systems and their societal role and of the economic perspectives that drive health care managers and the system. Thorough coverage of the rapid changes that are reshaping our system, in addition to an evaluation of our nation's achievement of health care value, will equip students with the critical knowledge they need to enter this dynamic and complex field. The book also includes cutting-edge, evidence-based information on preventive medicine, innovative approaches to control health care costs, initiatives to achieve high quality and value-based care, and much more from prominent scholars, practitioners, and educators within health care management, public health, population health, health policy, medical care, and nursing. Key Features: New chapters on Public Health Preparedness and Caring for Older Adults Expanded coverage on health disparities and health equity, public health systems and their societal role, and the economic perspectives driving health care managers and the system Careers in Focus sections provide perspectives from a range of career paths in the health sector and how they contribute to the health care workforce Case Exercises and Discussion Questions have been expanded for all chapters Digital access to the entire text, including four supplementary eChapters that provide an engaging visual overview of trends in health care and detail the Affordable Care Ave--including its history and implementation, updates to the law, and changes as a result of the COVID-19 pandemic Purchase includes digital access for use on most mobile devices or computers, and qualified instructors also have access to a full suite of instructor resources
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- 1.135,95 kr.
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- Framework and Tools for Success
1.168,95 kr. Awarded second place in the 2023 AJN Book of the Year Awards in History and Public Policy. Significantly revised and updated from the first edition, Health Policy and Analysis: Framework and Tools for Success, Second Edition retains the systematic practicality of the original text while providing enhanced background, real-world applications, and analysis that will help students develop nuanced and comprehensive health policy analysis papers or projects. The book guides students through a step-by-step framework for formulating and analyzing health policy options, blending theory and political considerations to reflect policymaking and the health policy analysis process in practice at the local, state, and federal levels. New chapters provide relevant and concise background information on the American political structure, process, and political culture. Discussion Questions, Key Terms, and Breakout Boxes featuring in-depth recent and historical real-world examples help students transfer their knowledge effectively into practice. Health Policy and Analysis is an essential resource for graduate and undergraduate students of public health, health administration, nursing, medicine, data science, environmental health, and other related interdisciplinary professions in developing a systematic and comprehensive approach to understanding and addressing the complex health policy issues facing us today. Key Features: Provides foundational background material for students regarding the American political system, with key characteristics of the formal and informal environment for policy making. Integrates a recap of methodological considerations that need to be considered when formulating or analyzing health policy. Delivers an evidence-based step-by-step framework for developing a health policy proposal. Offers alternative specific formats and advice in framing issues, working with stakeholders, considering policy options and drafting policy proposals. Aligns with principles of Health Impact Assessment (HIA). Includes a detailed Instructor's Manual, PPTs, and other tools for the classroom
- Bog
- 1.168,95 kr.
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1.562,95 kr. Praise for the first edition from Doody's Medical Reviews- Score: 93 "This well-developed book provides acute care guidelines for the geriatric population in an easy-to-follow format that uses structural elements such as numbering and multilevel lists for each system. It is an excellent reference for advanced practice prepared clinicians to help identify, diagnose, and develop a treatment plan for acute health issues in older adults and geriatric patients." -Tho Nguyen, DNP, MSN, RN Newly updated, this evidence-based resource--the first of its kind--provides NPs, PAs, and other advance practice providers with the essential clinical knowledge they need to effectively practice adult-gerontology acute care. The second edition covers 10 new conditions and delivers numerous clinical updates on drugs, pain management, sedation, nutritional management, and clinical and screening guidelines. Along with relevant information on Covid-19, it examines more acid-base and neurological disorders and explains the use of Point of Care Ultrasound (POCUS). New unfolding case scenarios include questions to reinforce knowledge, and step-by-step procedural videos provide clear, detailed guidance. The addition of a section on Billing provides clinicians with a working understanding of this process. In quick reference format, this system-based text describes more than 100 common conditions health providers are likely to see in their acute care practice. With contributions from NPs, PAs, and physicians, it provides expert insight into each condition, enabling readers to categorize symptoms, be alert to the distinguishing features of disease symptoms and clusters, and locate associated diagnoses. This handy text also includes perioperative considerations, discharge guidelines, treatment and disease management algorithms, and procedural guidelines. Numerous clinical updates and clinical scenarios incorporated throughout the text validate knowledge and competency. Purchase includes digital access for use on most mobile devices or computers. New to the Second Edition: Provides updated information on drugs, pain management, moderate sedation, nutritional management, and clinical and screening guidelines Addresses new conditions Offers current information on Covid-19 Includes additional acid-base and neurological disorders Covers Point of Care Ultrasound (POCUS) Provides brief, unfolding case scenarios with questions to reinforce knowledge Addresses the basics of Billing Delivers NEW, step-by-step procedural videos demonstrating arterial line placement, digital nerve blocks, and lumbar puncture Key Features: Presents key points for more than 100 acute care conditions in quick-reference format Includes considerations for preoperative, intraoperative, and postoperative evaluation and management Offers discharge guidelines for inpatient conditions Disseminates over 20 procedural guidelines such as central and arterial line insertion, bronchoscopy, ECMO, endotracheal intubation, and more
- Bog
- 1.562,95 kr.
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- Promises and Practices
1.023,95 kr. The third edition of Introduction to Public Health has been extensively revised and updated to reflect the impact of the COVID-19 pandemic and the need to recalibrate how public health is organized, financed, and planned in the 21st century. Written by experienced public health practitioners and academics, this foundational resource presents a thorough overview of the U.S. public health system from its origins to current state and future directions and examines the new outlook for students seeking careers in this dynamic and exciting field. The textbook offers a sweeping examination of topics such as infectious disease control, injury prevention and noninfectious diseases, system performance and improvement, and public health leadership and communication. Emphasis is placed on efficiency, effectiveness, and equity for public health leaders to garner public support for evidence-based programs and develop a stronger, well-financed public health infrastructure to achieve population health improvements. An engaging narrative that is richly illustrated, Introduction to Public Health will challenge and inspire the next generation of public health leaders and practitioners to tackle the complex issues facing us today. Purchase includes online access via most mobile devices or computers. Key Features Provides a comprehensive, succinct, and accessible review of the public health system Ties public health origins to the challenges facing the field in the 21st century Identifies the strengths and weaknesses of the public health system as revealed over the course of the pandemic, with suggestions for future growth and improvement Presents "Did You Know?" boxes, "Key Ideas," review questions, and links to outside resources that clarify key concepts and offer opportunities for generative learning activities Discusses the recently revised 10 Essential Public Health Services and relevant Council on Education for Public Health (CEPH) competencies Grants qualified instructors access to a full suite of instructor resources, including a detailed Instructor Manual with learning activities and case studies, PowerPoints, and a Test Bank through an LMS common cartridge
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- 1.023,95 kr.
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- Planning, Implementation, and Evaluation in Public Health
1.373,95 kr. "The authors bring together a strong mix of theory, concepts, methods, practice, and research that come to life through multiple examples, experiences, and questions for reflections that any reader - whether seasoned or a newcomer into the public health communication field - should find extremely helpful and engaging. This book constitutes a significant contribution to the continuous fermentation and growth of the public health communication field."--Rafael Obregon, Country Representative, UNICEF Paraguay Health Communication Fundamentals: Planning, Implementation, and Evaluation in Public Health is a comprehensive, practice-based textbook designed to equip students with the tools needed to excel in the public health communication workforce. Using a mix of domestic and global examples, the book guides readers through the entire health communication process-- from planning and implementation to research, monitoring, and evaluation. Interdisciplinary perspectives and contemporary public health topics are explored throughout the book via real-world examples, case studies, and spotlights on professionals and organizations currently working to bring about positive individual and social change. Contemporary public health topics include communication for pandemics, social justice, anti-racism, chronic disease prevention, environmental health and justice, and mental health, to name just a few. Each chapter features a podcast interview with a professional currently working in a health communication related field, to show health communication skills in action and illustrate the wide variety of careers available in this dynamic and growing sector. Health Communication Fundamentals is an essential resource for students in a variety of health professional and communication-based programs, and will help prepare them to make unique and valuable contributions to jobs in health departments, non-profit organizations, advocacy groups, private organizations, government, academia, the media, and more. Key Features: Focuses on evidence-based and theory-driven health communication practice Covers the entire communication campaign process - planning, implementation and evaluation of health communication initiatives that want to achieve social and behavior change Includes interdisciplinary perspectives and contemporary topics with a focus on health equity, social justice, and human rights Illustrates concepts using US and global examples, outcomes, and applications of health communication campaigns that span core public health topic areas Provides insight into career opportunities in health communication Audio podcasts highlight insights from leaders and experts with diverse careers in health communication Purchase includes digital access for use on most mobile devices or computers Qualified instructors have access to chapter PowerPoints, an Instructor's Manual, Sample Syllabus, and Test Bank
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- 1.373,95 kr.
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1.246,95 kr. Praise for the first edition: "DNP students may struggle with data management, since their projects are not research but quality improvement, and this book covers the subject well. I recommend it for DNP students for use during their capstone projects." Score: 98, 5 Stars -- Doody's Medical Reviews This unique text and reference--the only book to address the full spectrum of clinical data management for the DNP student--instills a fundamental understanding of how clinical data is gathered, used, and analyzed, and how to incorporate this data into a quality DNP project. The new third edition is updated to reflect changes in national health policy such as quality measurements, bundled payments for specialty care, and Advances to the Affordable Care Act (ACA) and evolving programs through the Centers for Medicare and Medicaid Services (CMS). The third edition reflects the revision of 2021 AACN Essentials and provides data sets and other examples in Excel and SPSS format, along with several new chapters. This resource takes the DNP student step-by-step through the complete process of data management, from planning through presentation, clinical applications of data management that are discipline-specific, and customization of statistical techniques to address clinical data management goals. Chapters are brimming with descriptions, resources, and exemplars that are helpful to both faculty and students. Topics spotlight requisite competencies for DNP clinicians and leaders such as phases of clinical data management, statistics and analytics, assessment of clinical and economic outcomes, value-based care, quality improvement, benchmarking, and data visualization. A progressive case study highlights multiple techniques and methods throughout the text. Purchase includes online access via most mobile devices or computers. New to the Third Edition: New Chapter: Using EMR Data for the DNP Project New chapter solidifies link between EBP and Analytics for the DNP project New chapter highlights use of workflow mapping to transition between current and future state, while simultaneously visualizing process measures needed to ensure success of the DNP project Includes more examples to provide practical application exercises for students Key Features: Disseminates robust strategies for using available data from everyday practice to support trustworthy evaluation of outcomes Uses multiple tools to meet data management objectives [SPSS, Excel(R), Tableau] Presents case studies to illustrate multiple techniques and methods throughout chapters Includes specific examples of the application and utility of these techniques using software that is familiar to graduate nursing students Offers real world examples of completed DNP projects Provides Instructor's Manual, PowerPoint slides, data sets in SPSS and Excel, and forms for completion of data management and evaluation plan
- Bog
- 1.246,95 kr.
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791,95 kr. Supports clinicians in providing the best possible care to patients with serious illness The first comprehensive clinical guide for practicing palliative care and hospice clinicians, this evidence-based reference is designed to promote best practices in the delivery of safe, compassionate patient care. With a dual focus on evaluation and intervention, the book covers all aspects of providing palliative and hospice care for vulnerable and diverse populations. It provides an overview of common disease manifestations, typical trajectories of illness, symptom management, and recommendations for nursing care. Written in easy-to-access outline format, the resource is organized by body system and includes common diagnoses encountered in palliative and hospice care. Individual diagnoses include a definition, incidence, etiology, pathophysiology, predisposing factors, subjective and objective data, diagnostic tests, differential diagnoses, complications, disease-modifying treatments, palliative interventions/symptom management, prognosis, and nursing interventions. The text provides referral guidelines for serious illness as well as general and disease-specific hospice care admission guidelines. Also included are comprehensive tables of diagnostic testing, disease-specific palliative and symptom management interventions, prognostic and screening tools, patient teaching and clinician resources, and guides to pain management and wound care. Purchase includes digital access for use on most mobile devices or computers. Key Features: Delivers current guidelines for management of symptoms associated with serious illness Provides an in-depth review of common conditions seen in palliative and hospice care Organized by body system for quick information retrieval Delivers in-depth, evidence-based, and consistently organized disease-specific guidelines Presents hospice and palliative care management guidelines Contains reproducible patient/family education handouts Reviews procedures commonly used in hospice and palliative practice
- Bog
- 791,95 kr.
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1.199,95 kr. Offers useful strategies for creating rapport between the linear-focused DSM-5-TR and the circular causality approach of systems-oriented clinicians With a focus on clinical applications, this unique text for students of diagnosis, family systems, counseling, and other mental health disciplines demonstrates how to use the DSM-5-TR to aid assessment, diagnosis, treatment planning, and intervention from a relational perspective. With detailed descriptions, the second edition is updated to foster greater understanding of interpersonal problems associated with onset, progression, and expression of psychiatric systems while incorporating the specific parameters of parent, child, sibling, extended family, and significant other issues in overall clinical formulation. The new edition delves more deeply into relational and cultural features, family systems assessment, family systems interventions, and ethical and legal implications when working with identified DSM-5-TR disorders. New case conceptualizations address the "new normal" of working in a telehealth environment along with the impact of COVID-19 and racial and social injustice. Every chapter encompasses the latest DSM updates and current literature, and new chapter Test Banks and PowerPoints enhance the instructor resources. With each chapter focusing on a specific diagnosis or category of diagnoses, the book analyzes all DSM-5-TR domains, discusses the impact of diagnoses on the entire family, and introduces various assessments and interventions. Purchase includes digital access for use on most mobile devices or computers. New to the Second Edition: Presents relational and cultural features in each chapter Updates case conceptualizations to address emerging trends in telehealth, COVID-19, and social injustice Embodies the latest DSM updates, current literature, and updated research New and updated chapter Test Banks and PowerPoints included in the instructor materials Key Features: Guides the reader in understanding how to best integrate DSM-5-TR diagnoses from a systems perspective Applies systemic considerations to every identified disorder category in the DSM-5-TR Considers ethical and legal implications for each diagnosis Summary, case conceptualization, and discussion questions included in each chapter focusing on a disorder category Includes family systems contexts, assessments, interventions, and cultural considerations
- Bog
- 1.199,95 kr.
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820,95 kr. Developed by the Case Management Society of America (CMSA), this manual provides case managers with the essential tools necessary to successfully support quality patient care within today's complex healthcare system. This updated and revised second edition addresses the role of the case manager and unpacks how to assess and treat patients with complex issues; including those who are challenged with medical and behavioural conditions and poor access to care services, as well as chronic illnesses and disabilities, and require multidisciplinary care to regain health and function. With a wealth of information on regulatory requirements, new models of care, integration of services, and new performance measures, chapters outline the steps needed to begin, implement, and use the interventions of the Integrated Case Management approach.Written by case managers for case managers, this practical manual presents the CMSA--tested approach toward systematically integrating physical and mental health case management principles and assessment tools. As the healthcare field continues to increase in complexity and given the constantly changing regulatory environment, healthcare workers must know how to integrate those new regulations, describe alternative payment options, and implement requirements for greater patient and family assessment, care planning, and care coordination in their practice.New to This Edition: Increased coverage and focus on Social Determinants of Health New chapters on support specialty populations including veterans, trauma survivors, maternal child health, children with special healthcare needs Simplified terminology and presentation of CMSA Assessment Grid and processKey Features Aligned with the Model Care Act, the CMSA Standards of Practice, and the CMSA Core Curriculum for Case Management Assists case managers enhance their ability to work with complex patients and learn how to apply new evidence-based assessments, as it fosters safe and high-quality care Teaches case managers to evaluate patients for medical and mental health barriers in order to coordinate appropriate integrated interventions and treatment planning Integrates biological, psychological, social and health system assessment Supports care of adult, elderly, and pediatric patient populations with complex issues
- Bog
- 820,95 kr.
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772,95 kr. Concise and accessible, Handbook of Spasticity is the essential reference for residents and practicing physicians in the fields of PM&R and neurology. It allows readers to learn the fundamentals of spasticity management while also adding important spasticity concepts to their day-to-day practice. This high-yield resource provides current evidence-based treatment paradigms and discusses advances in the field to address assessment, treatment options, and disease management in adult and pediatric patients.Written by experts from institutions around the world, this valuable handbook fuses the fundamentals of spasticity with a case-based approach to enhance learning for those early into their career as well as practicing physiatrists, neurologists, nurses, physician assistants, and therapists who care for patients with spasticity. Assessment and evaluation measures are detailed, focusing on measurements and scales, gait assessment, and techniques for setting appropriate goals. A wide variety of treatment options available for spasticity patients are explored, including physical therapy, pharmacologic and non-pharmacologic treatments, emerging technologies, toxins, surgical options, and more. Complete with accompanying online videos, ultrasound and anatomical figures, and toxin dosing tables, Handbook of Spasticity is the premier one-stop-shop resource on how to improve spasticity management.Key Features:Succinctly covers key spasticity definitions, assessment scales, treatment options, and disease management for a wide range of conditionsProvides the latest guidelines¿and evidence-based practices in the fieldFeatures contributions from leading clinicians and educators in physiatry and neurologyCase-based chapters and accompanying online video content showcase patient assessment in real-world settingsIncludes images for ultrasound guidance and anatomical correlates and tables with dosing guidance for toxinsPurchase includes online access via most mobile devices or computers
- Bog
- 772,95 kr.
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977,95 kr. "The 3rd edition of Certified Healthcare Simulation Educator (CHSEª) Review is designed to help you prepare for the Society for Simulation in Healthcare (SSIH) certification exam. This comprehensive resource has been updated to closely reflect the latest exam blueprint and encompass current practices. Written by simulation and education experts, this book is organized in a user-friendly format and information is concise and easy-to-read. Chapters include teaching tips that explore key topics and evidence-based simulation practice boxes that include state-of-the-art evidence. Case studies are incorporated throughout to provide real-world application and promote critical thinking skills. Each chapter covers everything you need to know to pass the exam and includes end-of-chapter questions to check your knowledge. The review concludes with a full-length practice test to get you ready for exam day. With more than 350 practice questions, detailed review content and answer rationales, and a convenient print + digital package, this study aid empowers you with the tools and materials to study your way and the confidence to pass the first time, guaranteed! Know that you're ready. Know that you'll pass with Springer Publishing Exam Prep."--back cover
- Bog
- 977,95 kr.