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Health facilities --- Facilities, Health --- Health care facilities --- Health care institutions --- Health institutions --- Institutions, Health --- Medical care facilities --- Medical care institutions --- Medical facilities --- Medical care --- Public health

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From the moment it was first proposed, the role of the nurse practitioner has been steeped in controversy. In the fields of both nursing and medicine, the idea that a nurse practitioner can, to some degree, serve as a replacement for the physician has sparked heated debates. Perhaps for that reason, despite the progress of the nurse practitioner movement, NPs have been reluctant to speak about themselves and their work, and their own vision of their role has thus remained largely invisible. Current research is dominated by instrumental and economic modes of discourse and tends to focus on the clinical activities associated with the role. Although information about demographics, educational preparation, position titles, reporting relationships, and costs of care contribute to our understanding, what was missing was an exploration of the lived experience of the nurse practitioner, as a means to deepen that understanding as well as our appreciation for their role. The Acute-Care Nurse Practitioner is based on in-depth interviews with twenty-six nurse practitioners working in acute-care settings within tertiary-care institutions all across Canada. Employing a hermeneutic approach, Rashotte explores the perspectives from which NPs view their reality as they undergo a transformational journey of becoming—a journey that is directed both outward, into the world, and inward, into the self. We learn how, in their struggle to engage in a meaningful practice that fulfils their goals as nurses, their purpose was hindered or achieved. In large part, the story unfolds in the voices of the NPs themselves, but their words are complemented by descriptive passages and excerpts of poetry that construct an animated and powerful commentary on their journey. Poised between two worlds, NPs make a significant contribution to the work of their colleagues and to the care of patients and families. The Acute-Care Nurse Practitioner offers an experiential alternative to conventional discourse surrounding this health care provider’s role.

Nurses --- Health Personnel --- Health Care Facilities, Manpower, and Services --- Occupational Groups --- Persons --- Health Care --- Named Groups --- Nurse Practitioners --- Health & Biological Sciences --- Nursing --- Nurse practitioners --- Intensive care nursing --- Attitudes. --- Canada. --- Acute care nursing --- Critical care nursing --- Clinical nurse specialists --- Nurse clinicians --- Critical care medicine --- Physicians' assistants --- Practice --- medical --- role --- nursing --- interview

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Si, en médecine, nos maîtres nous ont appris que l’enfant n’est pas un adulte en miniature, une règle similaire peut s’appliquer à la prescription de traitements multiples à la personne âgée. Pourtant, la polypathologie du quatrième âge place souvent les guidelines en conflit et peut amener le médecin à réduire drastiquement la prise de médications réputées utiles pour éviter un non-sens absolu. Ouvrage collectif, cette troisième monographie de la Chaire de médecine générale de l’UCL suggère quelques indicateurs d’une prescription adéquate chez nos patients âgés, traquant les discordances médicamenteuses tout en s’attardant sur des aspects méconnus ou négligés tels l’enrobage, la facilité de prise, l’irruption des génériques ou la place symbolique du médicament dans la relation médicale. À l’image de ses auteurs, issus de disciplines diverses, le regard porté sur la pharmacie de nos vieux se veut résolument pluriel, incitation à remettre en cause les prescriptions routinières et une vision exagérément pharmacologique de l’arrière-saison de l’existence.

Older people -- Medical care. --- Adult --- Prescriptions --- Therapeutics --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Pharmaceutical Services --- Age Groups --- Health Services --- Persons --- Health Care Facilities, Manpower, and Services --- Named Groups --- Health Care --- Drug Therapy --- Drug Prescriptions --- Aged --- Older people --- Medical care. --- médecine générale --- gériatrie --- prescription médicale --- effet placebo --- personnes âgées --- Enquêtes DGEC : Enquête DGEC - Overconsumptie --- Farmaceutische producten : Farmaceutische specialiteiten --- Enquêtes SECM : Enquête SECM - Surconsommation --- Produits pharmaceutiques : Spécialités pharmaceutiques

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This book recounts some experiences of young Australians with catastrophic brain injuries, their families and the medical system which they encountered. Whilst most of the events described occurred two to three decades ago they raise questions relevant to contemporary medical practice.

Patient Care Management --- Diagnosis --- Health Care Quality, Access, and Evaluation --- Health Personnel --- Psychology, Social --- Persons --- Brain Diseases --- Named Groups --- Health Care Facilities, Manpower, and Services --- Health Care --- Central Nervous System Diseases --- Health Services Administration --- Occupational Groups --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Behavior and Behavior Mechanisms --- Psychiatry and Psychology --- Nervous System Diseases --- Diseases --- Caregivers --- Delivery of Health Care --- Prognosis --- Brain Damage, Chronic --- Prejudice --- Brain --- Brain damage --- Coma --- Wounds and injuries. --- Patients --- Rehabilitation. --- Treatment. --- Freeman, E. A. --- Comatose state --- Freeman, Edward Alan --- Freeman, Ted --- Freeman, Ted, --- Loss of consciousness --- Persistent vegetative state --- Psychology, Pathological --- Wounds and injuries

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In 2010, 15 percent of Americans older than age 70 had dementia. By 2050, the number of new dementia cases among those 65 and older is expected to double. This blueprint outlines policy options to help decisionmakers improve dementia long-term services and supports (LTSS) by promoting earlier detection, improving access to LTSS, promoting person- and caregiver-centered care, supporting caregivers, and reducing dementia LTSS costs.

Aged -- United States. --- Dementia -- Therapy -- United States. --- Long-term care -- United States. --- Quality improvement -- United States. --- Adult --- Patient Care --- Engineering --- Delirium, Dementia, Amnestic, Cognitive Disorders --- North America --- Quality of Health Care --- Brain Diseases --- Mental Disorders --- Health Services Administration --- Americas --- Age Groups --- Health Services --- Central Nervous System Diseases --- Therapeutics --- Technology, Industry, and Agriculture --- Nervous System Diseases --- Analytical, Diagnostic and Therapeutic Techniques and Equipment --- Psychiatry and Psychology --- Geographic Locations --- Technology, Industry, Agriculture --- Persons --- Health Care --- Health Care Facilities, Manpower, and Services --- Named Groups --- Geographicals --- Diseases --- Aged --- Dementia --- Quality Improvement --- Long-Term Care --- United States --- Psychiatry --- Health & Biological Sciences --- Psychiatric Disorders, Individual --- Treatment --- Aphrenia --- Aphronesia --- Athymia --- Dementias --- Brain --- Neurobehavioral disorders --- Psychoses