Family Centred Care

Since childbirth became a medicalized - and usually hospitalized - event a century ago, women's and families' psychosocial needs have been relegated to a somewhat peripheral role within the clinically focussed hierarchy of medical care. This text reinstates psychosocial issues as a primary focus of care, together with clinical excellence. Family-centred care is a familiar phrase in today's maternity services, with professional guidelines and hospital policies including the term in their care protocols; however, few definitions, and no specific standards, for family-centred care exist. While all caregivers and care services are likely to define their care as sensitive to women's needs, and family-centred, the actual implementation of a family-centred approach - despite it being a current fashion in care - is still inadequate. This book clearly defines family-centred perinatal care, and outlines how truly family-centred care can, and should, be implemented, and how, and where, this has been done.

"I cannot remember when I last read a nursing text and felt the same sense of relief: at last we have a resource which brings together the mass of concepts, theories and practice issues which are so fundamental to children's nursing. What is unique about this book is that it really does take the step of putting theories into practice. This book would make an excellent introduction for those wanting to increase their level of expertise in working with children and families at any stage in their careers." - extract from The Foreword by Anne Casey - Editor of Paediatric Nursing. Family centred care is the cornerstone of Children's Nursing practice and this engaging and comprehensive text introduces both the theoretical and practical components of this important concept. The authors analyse current issues surrounding family centred care and provide readers with a unique Continuum for Practice that will enable them to implement the concept both in the community and in hospital based settings. The text is clearly structured into the following three parts: Part One provides a definition of family centred care and a Practice Continuum. Part Two is an analysis of current perspectives, issues and challenges impinging on family centred care. Part Three addresses the skills required to actually practice family centred care so that it can become a reality for children, families and nurses. The underlying principles of family centred care are presented as frameworks grounded in the realities of day-to-day practice. In this way the reader is equipped with a toolkit that they can use to develop their expertise, at their own pace in their individual care environment. Family Centred Care will be essential reading for all student and qualified nurses working with children and their families in a variety of health care settings.

The definitive book on family centred care for health professionals, this popular text has been thoroughly revised in line with contemporary health policy. Including greater emphasis on child-centred care, interprofessional working and care in community settings; it is a valuable resource for all those working with children and families.

Published in 1997, this study focused on building and empirically validating a model of family centred group care. This is an alternative to the traditional model of group child care that is primarily child centred and which reflects the notion of group care as a substitute for parental care. The model represents a step forward in the conceptualization of group care practice as both child centred and family affirming. The Family Centred Group Care instrument used in the study is unique in that this is the first to measure a model of group care empirically. The book will be of interest to child welfare practitioners, social workers, child care workers and other human service personnel as well as managers of agencies that provide group care services for children and at-risk youth. Researchers and policy makers will also find this book useful as the study advances the application of empirical methodology to human service programs.

For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care. Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy. There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users. This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.

A high-yield board review and quick reference for Rehabilitation Medicine Rehabilitation Medicine Rapid Review is written primarily for Physical Medicine and Rehabilitation residents preparing for their board exams, and is also an excellent reference for practicing physicians who need a primer on this rapidly growing specialty. With content organized around the American board of Physical Medicine and Rehabilitation core curriculum, this powerful review is enhanced by more than 500 review questions and answers, and concise, bulleted, high-yield text. Readers will find quick answers to common and infrequent issues encountered in rehabilitation medicine