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In the United States and throughout the industrialized world, just as the population of older and sicker patients is about to explode, we have a major shortage of nurses. Why are so many RNs dropping out of health care's largest profession? How will the lack of skilled, experienced caregivers affect patients? These are some of the questions addressed by Suzanne Gordon's definitive account of the world's nursing crisis. In Nursing against the Odds, one of North America's leading health care journalists draws on in-depth interviews, research studies, and extensive firsthand reporting to help readers better understand the myriad causes of and possible solutions to the current crisis. Gordon exa...
She Almost Died… In the ordinary life of Julia, a hidden danger looms, threatening to unravel everything she holds dear. Unbeknownst to her, an insidious blood disorder, affecting her brain, poised to strike without warning. Prepare for a heart-stopping journey as "Alive For A Reason" … unfolds, a mesmerizing story that will grip you from the first page. When fate intervenes, a courageous coworker's timely discovery becomes a lifeline, unleashing a race against time to save Julia's life. This compelling memoir is a testament to the resilience of the human spirit, taking you to an unforgettable odyssey of survival, hope, and redemption. As Julia fights for her life, you emotionally cling ...
Designed as a practical, succinct guide, for quick reference by clinicians with everyday questions, this title guides the reader through the range of approaches available for diagnosis, management, or prevention of hemorrhagic and thrombotic diseases or disorders. Provides essential practical management for all those working in the field of hemostasis and thrombosis Includes new chapters on direct oral anticoagulants, acquired inhibitors of coagulation, and expanded discussion of thrombotic microangiopathies Covers in a clear and succinct format, the diagnosis, treatment and prevention of thrombotic and haemostatic disorders Follows templated chapter formats for rapid referral, including key points and summary boxes, and further reading Highlights controversial issues and provides advice for everyday questions encountered in the clinic
This book examines the representation of infertility, assisted reproduction, miscarriage, adoption and surrogacy in a wide range of media, including blogs, vlogs, social media posts and factual programming. In so doing, it illustrates how pregnancy loss, involuntary childlessness and non-traditional mothering are being depicted across the media landscape. Whilst the topic of motherhood has emerged as a significant area of academic debate, narratives of unsuccessful or unconventional mothering have remained largely absent, even at a time when there is a growing conversation about infertility online. Timely, pertinent and original, the book demonstrates the importance of a broader and more informed cultural discussion about fertility and family building.
In this book, leaders in the field explore our current understanding of thrombosis and hemostasis in cancer and address key questions on the subject. Among the topics discussed are the mechanisms that cancers use to activate the coagulation system, and those by means of which an activated coagulation system can lead to more aggressive cancer growth. Clinical chapters examine the role of thrombosis prophylaxis and treatment, central line-associated thrombosis, and cancer-associated hemorrhage. Subsequent chapters deal with the management of chemotherapy-induced thrombocytopenia, anticoagulation in the presence of brain metastases, and other unique challenges in the interaction of thrombosis a...
Thrombotic thrombocytopenic purpura (TTP) is a rare disorder of the blood coagulation system. In most cases, a lack of the ADAMTS13 enzyme leads to an accumulation of ultra-large von Willebrand factor molecules in the plasma which, in turn, initiate the formation of microscopic thromboses in small blood vessels. TTP is a medical emergency. Timely diagnosis and urgent and effective management are vital – mortality in those untreated is in the region of 90%. The understanding of TTP pathogenesis has increased markedly in recent decades. It is now known that TTP is acquired (immunemediated) or congenital, and that the most common type – the acquired form – predominantly affects women in t...
Issues of thrombosis, bleeding, and transfusion are extremely common, and often complex, in critically ill patients. Haematology in Critical Care: A Practical Handbookprovidesa dependable source of expert guidance on how to handle common haematological problems seen in the critical care setting, as well as the acute care of patients with a primary haematological disorder. Full-time clinical haematologists, regularly attending on intensive care, the Editors begin with an approach to abnormal laboratory tests, following with a disease-orientated approach to topics such as coagulation and haematological malignancy. Other key topics include paediatric and neonatal care, transfusion, point of care testing and the emergency presentation of haematological disease. This title brings together two of the most highly scientific specialties in clinical practice, delivering a practical approach to these problems, and guiding the clinician through the diagnosis and management of common scenarios encountered in the ICU.
Meet filmmaker Barney Kettle, who liked to invent stories but found a real one under his nose. Barney Kettle knew he would be a very famous film director one day, he just didn’t know when that day would arrive. He was already an actual director – he’d made four fifteen-minute films – but so far only his schoolmates and the residents of the High Street had viewed them. Global fame was a little way off. It would come, though. Barney was certain about that ... So begins the manuscript written from the hospital bed of an unnamed man. He has written it over many months as he recovers from serious injuries sustained in a city-wide catastrophe. He has written so he can remember the street w...
The fully revised, third edition of this bestselling Handbook describes best practice of critical care in a succinct, concise and clinically-orientated way. Covering the principles of general management, it includes therapeutic and monitoring devices, specific disorders of organ systems, as well as detailed information on drugs and fluids. New material has been added on key areas such as airway maintenance, dressing techniques, infection control, echocardiography, tissue perfusion monitoring, coma and more. With up-to-date references and invaluable clinical advice, there is also plenty of space to add notes or amend sections to suit local protocols. Patient-centred and practical, it will serve the consultant, trainee, nurse or other allied health professionals as both a reference and aide memoir. This is the indispensable Oxford Handbook for all those working within critical care.
Waldenström macroglobulinemia (shortened to WM) is a rare blood cancer. WM usually progresses slowly; some people do not show symptoms for several years after diagnosis. A person who does not have symptoms usually does not need treatment, but active monitoring is essential so that treatment can be started as soon as it is needed. Although there is no cure for WM, different treatment options can keep the disease under control for many years in a lot of people. Eventually, the treatments tend to lose their effect. New therapies are being tested in clinical trials across the world, with promising results. Table of Contents: • What is Waldenström macroglobulinemia? How will WM affect me? Who is in my care team? What tests will I need to have? Common feelings when diagnosed • Helping yourself • Active monitoring • Starting treatment • Types of treatment • What are supportive treatments? How do I know if treatment has worked? Follow-up after treatment • When WM comes back • Research and new treatments • Understanding WM