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Nursing Issue

New Paradigm

Development of Nursing Unit Management: A Framework

 

By

Moh. Afandi,Ns.,MAN

School of Nursing

Faculty of Medicine and Health Sciences

Muhammadiyah University of Yogyakarta

 

Introduction

Sistem pelayanan kesehatan termasuk didalamnya pelayanan keperawatan merupakan suatu lingkungan yang sangat komplek, diperlukan suatu usaha adanya perubahan yang mendasar terhadap sistem sehingga akan dihasilkannya pelayanan yang berkualitas. Dalam pelayanan dirumah sakit, ruang perawatan (nursing unit) merupakan representative dari sebuah rumah sakit. Karena unit perawatan adalah ujung tombak dalam pelayanan rumah sakit dan disinilah penerapan visi dan misi diimplementasikan.  Unit perawatan akan menjadi efektif dan efisien apabila dikelola dengan baik dan benar.

Pengembangan unit perawatan sangat diperlukan oleh rumah sakit dalam rangka meningkatkan kualitas pelayan rumah sakit. Dalam sistem pengembangan unit perawatan, dimana meletakkan unit perawatan sebagai unit business-based, unit staff development, unit policy implementations and vision and mission evaluation.

Oleh karena itu untuk mendukung sistem pengembangan unit perawatan diperlukan sistem yang kuat dan mendasar. Ada tiga C (Triple C)sebagai pendekatan yang efektif dan efisien dalam mengembangkan unit perawatan yaitu 3 C tersebut adalah Clinical Manager, Clinical Professional Practice Model dan Clinical Career Ladder. Tiga komponen tersebut saling keterkaitan dengan lainnya. Sehingga menjadi satu kesatuan dalam pengembangan unit perawatan di rumah sakit.

Conceptual Framework

Dari Framework tersebut dapat digambarkan bahwa dalam mengembangkan suatu ruang/unit keperawatan (Development of Nursing Unit Management) di rumah sakit diperlukan tiga pilar, yaitu dengan pendekatan Triple C : Clinical Manager, Clinical Professional Practice Model dan Clinical Career Ladder. Dari lingkaran Development of nursing unit management sangat tergantung dari tiga pilar tersebut. Tiga pilar (Triple C) tersebut akan menjadi kekuatan untuk membentuk pengembangan manajemen unit keperawatan apabila masing-masing pilar terlengkapi oleh komponen-komponen didalamnya. Komponen tersebut adalah untuk C pertama yaitu Clinical Manager; dimana seorang nurse unit manager harus memiliki kompetensi sebagai nurse manager, memiliki skills sebagai nurse manajer dan memiliki perfomance sebagai nurse manager. Kemudian untuk C kedua adalah Clinical Professional Practice Models, dimana seorang nurse unit manager dituntut untuk menguasai dan memahami tentang model-model pemberian asuhan keperawatan sehingga diharapkan nurse manager mampu mengaplikasikan model yang tepat diruangan/unit yang menjadi tanggung jawabnya. Dan C yang terakhir adalah Clinical Career Ladder, ini merupakan C yang sangat penting sekali, dimana dengan adanya jenjang karir perawat maka seorang nurse unit manager betul-betul orang yang sesuai dengan kapasitasnya sebagai seorang nurse manager. Sehingga dalam hal ini diperlukan alat ukur untuk mengukur level dari seorang perawat dan memudahkan dalam analisa maupun promosi jabatan.

Setelah Tiga pilar (Triple C) tersebut sangat kuat, akan tetapi tidak akan berhenti sampai disini. Keberhasilan dalam mengembangkan manajemen unit perawatan, tidak semata-mata karena hanya kekuatan dari triple C tersebut. Akan tetapi harus sejalan dan kongruen dengan visi dan missi rumah sakit, adanya kebijakan dari manajemen rumah sakit, adanya dukungan profesional dari manajemen rumah sakit baik materiil maupun immateriil, adanya leadership yang kuat dari pimpinan rumah sakit sehingga mampu mendorong para perawat untuk melakukan pengembangan unit/ruang perawatan, dan yang tidak kalah penting adalah adanya komitmen yang kuat dari para pimpinan baik manajemen rumah sakit maupun dari bidang perawatan. Sehingga diharapkan dengan adanya komitmen yang kuat maka akan tercipta keberlangsungan/kontinuitas dalam pengembangan manajemen unit perawatan.

Dapat disimpulkan bahwa pengembangan manajemen unit perawatan (Development of nursing unit management) sangat tergantung dari triple C (Clinical Manager, Clinical Professional Practice Model and Clinical Career Ladder), dan triple C sangat tergantung dengan Manajemen Rumah sakit dan begitu sebaliknya. Sehingga semua harus berjalan seiring dan berirama (Congruent).

Nursing Leadership

Harriet R. Feldman, Marilyn Jaffe-Ruiz, Margaret L. McClure, Martha J. Greenberg, Thomas D. Smith, M. Janice Nelson, Angela Barron McBride, G. Rumay Alexander, “Nursing Leadership: A Concise Encyclopedia”
Springer Publishing Company | 2008-02-25 | ISBN: 0826102581 | 608 pages | PDF | 1,2 MB

“We are delighted to introduce this book to a new generation of readers. The challenges in nursing, as well as in health care, have never been greater. The need for resources such as this text is profound.”
–from the foreword by Joanne Disch, PhD, RN, FAAN, Professor and Lillehei Chair in Nursing Leadership and Director, Katharine J. Densford International Center for Nursing Leadership, School of Nursing, University of Minnesota, and Kathleen Dracup, DNSc, FNP, RN, FAAN, Dean and Chair of Nursing Education, School of Nursing, University of California, San Francisco

The Concise Encyclopedia of Nursing Leadership is a manageable, one-volume reference that describes and defines the field of nursing leadership. The Encyclopedia will provide students, faculty, nurse managers, executives, and others with a comprehensive resource for information about the range of knowledge and roles encompassed by the term “nursing leadership.” It details the contributions of key nursing leaders, the knowledge base and traits of leadership, skills and models on which leadership is based, the regulatory environment of health care, the range of practice settings and roles, and the design of quality outcomes.

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Medical-Surgical Nursing

Mary Digiulio, James Keogh, “Medical-Surgical Nursing Demystified”
McGraw-Hill Professional | 2008 | ISBN: 0071494502 | 604 pages | PDF | 2,3 MB

The painless way to master medical-surgical nursing

Need to learn the complexities of medical-surgical nursing but find yourself looking for some anesthesia after perusing thick textbooks? HereAnd#39;s your remedy! This easy-to-follow guide delivers the material with surgical precision.

Medical-Surgical Nursing Demystified features a full chapter for each system–cardiovascular, respiratory, immune, hematologic, nervous, musculoskeletal, gastrointestinal, endocrine, genitourinary, and integumentary. YouAnd#39;ll find a description of how the system functions, signs and symptoms of diseases and conditions, diagnostic tests, and treatment options. Perioperative preparation and pain management are also covered. Filled with key terms to help you to remember important concepts, and complete with end-of-chapter NCLEX-style quizzes to test your knowledge, this book will teach you the fundamentals of medical-surgical nursing in no time at all.

This fast and easy guide offers:
Learning objectives at the beginning of each chapter
An NCLEX-style quiz at the end of each chapter to reinforce learning and pinpoint weaknesses
Coverage of diagnostic tests and treatment options
A final exam at the end of the book
A time-saving approach to performing better on an exam or at work

Simple enough for a beginner, but challenging enough for an advanced student, Medical-Surgical Nursing Demystified is your shortcut to mastering this essential nursing topic.

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Intensive Care Nursing

Intensive Care Nursing: A framework for practice
Routledge | 2000 | ISBN: 0415184568 | Pages: 592 | PDF | 2.91 MB

This completely updated and revised new edition of a popular textbook is specially written for qualified nurses working in intensive care nursing units. Fully comprehensive and developed to be as user-friendly as possible it contains four new chapters and valuable updated and new clinical scenarios to aid learning.

The book is structured in user-friendly sections, with each chapter containing “fundamental knowledge” needed to understand the chapter, a chapter introduction, “implications for practice,” a chapter summary, completely up-to-date further reading, “time out” sections for consideration and revision and a clinical scenario written by Jane Roe with questions included.

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Registered Nurse Magazine

Registered Nurse July-August 2007
PDF | 1.4 MB

Registered Nurse Magazine provides news of organizational activities and reports on developments of concern to all registered nurses across the nation. It also carries general coverage and commentary on matters of nursing practice, community and public health, and healthcare policy. It is publishedmonthly except for combined issues in January and February, and July and August.

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Respiratory Nursing

Michele Geiger-Bronsky, Donna Wilson, “Respiratory Nursing: A Core Curriculum”
Springer Publishing Company | 2008-06-16 | ISBN: 0826144446 | 680 pages | PDF | 1,9 MB

By the 1990s, it became clear to many in the nursing community that certification for respiratory nursing practice was desirable, even necessary, but that this could not take place without a carefully designed CORE Curriculum. This book, nearly a decade in the making, sets out such a curriculum. Put together by an expert team of respiratory nurse practitioners, the book includes 42 chapters, each blindly peer reviewed by at least 3 people for clinical content and timeliness. The book will therefore be essential for all nurses seeking the expertise needed to care for persons with respiratory disease or compromised function. Respiratory Nursing should be read by all respiratory and intensive care specialists, related health care professionals, and teachers and students in graduate and undergraduate nursing programs.

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An Issue of Critical Care Clinics

Sleep in the ICU, An Issue of Critical Care Clinics (The Clinics: Surgery)
Publisher: Saunders | ISBN: 1416062815 | edition 2008 | PDF | 240 pages | 4,2 mb

New studies in Critical Care are finding that lack of sleep in the ICU can slow recovery. Disrupted sleep can cause problems with the immune system, resistance to infection, and wound healing. This timely new issue of Critical Care Clinics Guest Edited by Nancy Collop explores the affects of the ICU of normal sleep patterns. Topics such as Adverse Effects of Sleep Deprivation, Common Sleep Disorders in ICU Patients, and the Sleep Friendly ICU make this an up-to-date reference for all Emergency and Critical Care clinicians.

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Cervical Cancer: A Guide for Nurses

Ruth Dunleavey “Cervical Cancer: A Guide for Nurses”
Wiley | 2009-02-03 | ISBN: 0470061014 | 248 pages | PDF | 1,8 MB

This is a comprehensive guide to cervical cancer for nurses. It is a practically-based text for clinical nurses who wish to consolidate and update their knowledge of cervical cancer. It is concise, containing comprehensive information for general practice together with useful references to facilitate more in-depth study. Thus it provides an invaluable resource for both the registered nurse with a general interest in cervical cancer and for the nurse specialist working in primary health, gynaecology, oncology and palliative care.

As well as containing the essential chapters about the pathophysiology and treatment of cervical abnormalities and cervical cancer, the book also addresses specific nursing issues such as sexuality, fertility, and symptom control. Moreover it examines the bigger, global picture of the disease. Full appreciation of global impact of cervical cancer on women involves an appreciation of the social, political and public health aspects of the disease – not only in the developed world but also in developing countries.

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Cancer in Children

Faith Gibson, Louise Soanes “Cancer in Children and Young People”
Wiley | 2008-06-23 | ISBN: 0470058676 | 432 pages | PDF | 2,6 MB

Much has changed since the first book Paediatric Oncology: Acute Nursing Care (1999), therefore, this new edition encompasses these changes in relation to the practice itself and the evidence that underpins it. Emphasis is placed on ensuring terminology is accurate, in keeping with the language of the current day.

The book is divided into six sections: Chemotherapy, Haematopoetic Stem Cell Transplantation, General Surgery, Radiotherapy, Late Effects of cancer therapies, and Palliative Care. There is a brief commentary at the end of each section/chapter by a ‘novice’ author but experienced practitioner, highlighting to the reader what is already known and what the section/chapter adds to their current knowledge and practice.

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Encyclopedia of Nursing Research

Encyclopedia of Nursing Research
Springer Publishing Company | 2005-11-05 | ISBN: 0826198120 | 795 pages | PDF | 3,1 MB

Case Western Reserve Univ., Cleveland, OH. Text includes 320 articles by 200 expert contributors on topics such as nursing services, education, care, specialties, organizations and publications, cancer survivorship, middle range theories, taxonomy, HIV risk behavior, depression in cardiac disease, and more.

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Registered Nurse magazine

Registered Nurse magazine
January/February 2008 | English | 28 pages | PDF | 3.2 MB

Registered Nurse magazine not only covers the activities of the California Nurses Association and National Nurses Organizing Committee, but also strives to produce hard-hitting news features and thoughtful analyses about nursing and the real ills plaguing the U.S. healthcare system.

You’ll find true stories from the front lines of care given by the nation’s 2.5 million registered nurses, as well as articles about nursing practice, public health, healthcare policy, and the healthcare industry. Through our reporting, we hope to inspire a movement toward a humane and just healthcare system for all. The magazine is published 10 times per year by CNA/NNOC, with combined issues in summer and winter.

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Registered Nurse Magazine

Registered Nurse Magazine, April 2008
English | 24 pages | PDF | 4.3 MB

Registered Nurse magazine not only covers the activities of the California Nurses Association and National Nurses Organizing Committee, but also strives to produce hard-hitting news features and thoughtful analyses about nursing and the real ills plaguing the U.S. healthcare system.

You’ll find true stories from the front lines of care given by the nation’s 2.5 million registered nurses, as well as articles about nursing practice, public health, healthcare policy, and the healthcare industry. Through our reporting, we hope to inspire a movement toward a humane and just healthcare system for all. The magazine is published 10 times per year by CNA/NNOC, with combined issues in summer and winter.

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NCLEX-RN Notes

Barbara A. Vitale “NCLEX-RN Notes: Core Review & Exam Prep”
F. A. Davis Company | 2007-04-08 | ISBN: 0803615701 | 272 pages | PDF | 1,4 MB

A Davis’s Notes book. Prepare for the NCLEX wherever you are-at home, the library, on the bus or in line at the movie theater. The publishers of RNotesr and Davis’s NCLEX-RNr Success and the co-author of Test Success and Fundamentals Success present the most portable reference ever for preparing for your licensure exam. The pocket-sized NCLEX-RNr Notes weighs little but it’s no lightweight. It contains studying and test-taking tips, strategies, techniques, and nursing content in quick snippets to allow you to maximize your time to review. In addition to the tips and review within its pages, there’s a NCLEX-RNr Notes mini CD-ROM enclosed with the book providing 1,000 multiple-choice and alternate format questions and answers with rationales for test review, with a focus on common test-taking errors with strategic tips on how to avoid them.

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Sleep Disorders and Sleep Deprivation

Sleep Disorders and Sleep Deprivation: An Unmet Public Health Problem
National Academies Press | 2006 | ISBN: 0309101115 | Pages: 424 | PDF | 1.65 MB

Clinical practice related to sleep problems and sleep disorders has been expanding rapidly in the last few years, but scientific research is not keeping pace. Sleep apnea, insomnia, and restless legs syndrome are three examples of very common disorders for which we have little biological information. This new book cuts across a variety of medical disciplines such as neurology, pulmonology, pediatrics, internal medicine, psychiatry, psychology, otolaryngology, and nursing, as well as other medical practices with an interest in the management of sleep pathology. This area of research is not limited to very young and old patients – sleep disorders reach across all ages and ethnicities. “Sleep Disorders and Sleep Deprivation” presents a structured analysis that explores the following: improving awareness among the general public and health care professionals; increasing investment in interdisciplinary somnology and sleep medicine research training and mentoring activities; and validating and developing new and existing technologies for diagnosis and treatment. This book will be of interest to those looking to learn more about the enormous public health burden of sleep disorders and sleep deprivation and the strikingly limited capacity of the health care enterprise to identify and treat the majority of individuals suffering from sleep problems.
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Journal of Health Organization and Management

Journal of Health Organization and Management (Volume 22 Number 1 2008)
Publisher Nuffild Institute | ISBN:1845444426 | edition 2005| PDF | 97 pages | 0.9 mb

Incentives in health systems: developing theory, investigating practice

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Medical Aspects of Disability

Herbert H. Zaretsky, Edwin F. Richter III, Myron G. Eisenberg, “Medical Aspects of Disability: A Handbook for the Rehabilitation Professional, 3 Ed”
Springer Publishing Company | 2005-06-21 | ISBN: 0826179738 | 944 pages | PDF | 2,5 MB

Medical Aspects of Disability is a true interdisciplinary textbook, representing collaboration between experts from many professions and specialties. An overview of themes and principles of rehabilitation is provided. Numerous disabling conditions and disorders are covered not only from clinical but also functional, psychological, and vocational perspectives. Special topic chapters address important new trends and processes within the field of rehabilitation and health care at large. The book is designed as a resource for rehabilitation professionals across many disciplines. Each chapter provides concise but significant coverage of topics, and extensive references to facilitate further exploration. The book can be used as a textbook and as a reference tool for the practitioner.
With the field’s increasing move toward evidence-based practice, a need for information in the areas of accreditation and outcome measurement has arisen. In response, the editors have added an essential special topics chapter detailing the importance of the accreditation process as a fundamental component of the quality assurance and improvement process.
This is an excellent resource as both a textbook and reference guide, to inform and assist graduate and undergraduate students (physical therapy, occupational therapy, speech therapy, social work, psychology, nursing, vocational counseling, therapeutic recreation, hospital administration), as well as practitioners, about the most current information on the etiology, and clinical symptoms of a wide variety of medical and disabling conditions.

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Renal Nursing: A Practical Approach

Bobbee Terrill, “Renal Nursing: A Practical Approach”
Ausmed Publications | 0957798881 | 2002-03 | PDF | 376 p | 1.2 MB

This book is designed for all renal nurses and for general nurses who care for patients with impaired renal function. Renal disease is on the increase in western society and as a result there is a growing need for well educated renal nurses. This practical book will assist in the development of high quality renal nurses and nurse practitioners. This book offers a practical approach to guide nurses in the art and science of renal care. It is holistic as well as technical, therapeutic and compassionate in its approach. Acute and chronic renal failure, renal osteodystrophy and other selected diseases are comprehensively discussed. The nurse’s role with regard to specific treatments such as peritoneal dialysis, haemodialysis, plasma exchange and haemoperfusion as well as organ transplantation procedures are discussed in detail. There is also a section that relates specifically to paediatric care. The final section of the book is devoted to the use of complementary therapies and alternative medicine in renal disease.
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Basics of Blood Management

Aryeh, MD Shander, Petra Seeber “Basics of Blood Management”
Wiley-Blackwell | 2007-10-12 | ISBN: 1405151315 | 400 pages | PDF | 2,5 MB

This unique and practical book introduces the reader to the concept of blood management and explains how to improve patient outcomes by avoiding undue blood loss, enhancing the patient’s own blood, effective management of anemia and coagulopathy. Basics of Blood Management is the first book dedicated to blood management, a multidisciplinary and multimodality concept that focuses on patient outcome.

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Advanced Primary Care Nurses

Rebecca Neno, Debby Price, “The Handbook for Advanced Primary Care Nurses”
Open University Press | 2008-10-01 | ISBN: 0335223532 | 224 pages | PDF | 1,6 MB

“This handbook provides comprehensive information relevant to community and district nurses and new community matrons. It incorpoprates discussions on legal and ethical issues, case management, interprofessional working, commissioning and leadership. This book is an excellent resource for nurses who want to broaden knowledge of their role and who may be undertaking community matron university modules.”

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Managing Pain

Michaelene P. Jansen APRN BC PhD RN C, “Managing Pain in the Older Adult”
Springer Publishing Company | 2008-03-20 | ISBN: 0826115675 | 230 pages | PDF | 1,1 MB

Pain, and particularly chronic pain, is one of the most common problems among the elderly, who represent 13% of the U.S. population and the largest group of individuals seeking health care. Controlling pain in this population is more challenging for health care providers because the elderly often have multiple health problems and take many medications in addition to the physiologic changes of aging.

Pharmaceutical agents are not generally tested in this population, leaving health care providers to “start low and go slow,” in order to avoid adverse reactions when prescribing new medications, particularly pain medications.

From her experience in critical care and neuroscience nursing and work as a GNP, Dr. Jansen will focus on the assessment, diagnosis, and treatment of acute and chronic pain among older adults with interventional, noninterventional, pharmacotherapeutic, and nonpharmacotherapeutic methods.

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Evidence-Based Geriatric Nursing

Evidence-Based Geriatric Nursing Protocols for Best Practice: Third Edition (Springer Series on Geriatric Nursing)
Springer Publishing Company | ISBN: 0826111033 | 2007-11-16 | PDF | 736 pages | 2 Mb

This is the third edition of the book formerly entitled Geriatric Nursing Protocols for Best Practice. The original project grew from the efforts of these authors and editors, national leaders in geriatric nursing, and the John A. Hartford Foundation Institute for Geriatric Nursing, to improve the quality, outcomes, and cost-effectiveness of health care for the elderly in hospitals, long-term care facilities, and the community. These efforts include influencing both the skills of individual nurses and the quality of the systems in which they are educated and work. This focus on improving geriatric care is driven by the growth in the over-65 population and its impact on the health care system.

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Health Care Politics, Policy, and Services

Gunnar Almgren, “Health Care Politics, Policy, and Services: A Social Justice Analysis”
Springer Publishing Company | 2006 | ISBN: 0826102360 | 368 pages | PDF | 1,1 MB

Winner of an AJN Book of the Year Award! ” Who has a right to health care? ” What is the government’s role? ” How are corporations, insurance companies, and health care providers affecting the quality of health care? ” Can we reform the U.S. health care system?
In this innovative text, Gunnar Almgren provides all the tools necessary to understand and critique a health care policy in dire need of change. With its comprehensive coverage of U.S. health care, this unique text is accessible to all those in public health, nursing, social work, public policy, or public administration. No other book addresses the underlying issues of the U.S. health care system alongside a variety of social justice models that we can use to evaluate, and perhaps eventually, change it.

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Women’s Health Care

Catherine Ingram Fogel ” Women’s Health Care in Advanced Practice Nursing, 1st Edition “
Springer Publishing Company | Pages: 736 | 2008-06-23 | ISBN: 0826102352 | PDF | 4MB

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Psychosocial Nursing

Linda M. Gorman, Donna F. Sultan – Psychosocial Nursing for General Patient Care
F. A. Davis Company | 2007 | ISBN: 0803617844 | Pages: 539 | PDF | 5.38 MB

Univ. of California, Los Angeles. Outline of psychosocial information for nurses and nursing students. Discusses interventions for dealing with psychosocial responses to the stresses of illness, how to respond to patients from different cultures, how to recognize which interventions are effective in end-of-life situations, and more.

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Cardiothoracic Surgical Nursing

Cardiothoracic Surgical Nursing: Current Trends in Adult Care: Carl Margerson, Jillian Riley
Wiley-Blackwell | ISBN: 0632059044 | October 17, 2003 | PDF (OCR) | 248 pages | 1136 KB
Thames Valley Univ., UK. Written from the nursing perspective, text offers practical advice and information on all aspects of cardiothoracic surgical nursing with particular focus on the continuing developments and challenges. Discusses Discusses the development of the speciality, pre-operative preparation, and post-operative Softcover DNLM: Perioperative Nursing–trends.

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Diabetes in Old Age

Alan J. Sinclair, “Diabetes in Old Age ”
Wiley; 3 ed | 2009 | ISBN: 0470065621 | 504 pages | PDF | 3,6 MB

With over 10% of the elderly suffering from diabetes, this new edition provides up-to-date and comprehensive information about the key aspects of managing older people with diabetes, predominantly Type 2 diabetes
An overview of the field of diabetes in the elderly, covering standard problems such as diagnosis and topics specific to the elderly such as falls, dementia and nursing home care
Features new material on diabetes-related cognitive dysfunction, diabetes-related disability, the association between diabetes and depressive illness, diabetes education and nutritional impairment in the elderly
Provides guidance, best practice points and key learning outcomes in each area covered, and identifies the published evidence base for each major conclusion.

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Health Promotion in Practice

Health Promotion in Practice
Publisher: Jossey-Bass | ISBN: 0787979619 | edition 2006 | PDF | 624 pages | 2,6 mb

Health Promotion in Practice is a practice-driven text that translates theories of health promotion into a step-by-step clinical approach for engaging with clients. The book covers the theoretical frameworks of health promotion, clinical approaches to the eleven healthy behaviors—eating well, physical activity, sexual health, oral health, smoking cessation, substance safety, injury prevention, violence prevention, disaster preparedness, organizational wellness, and enhancing development—as well as critical factors shaping the present and the future of the field. Written by the leading practitioners and researchers in the field of health promotion, Health Promotion in Practice is a key text and reference for students, faculty, researchers, and practitioners.

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Pregnancy and Postpartum

Mood and Anxiety Disorders During Pregnancy and Postpartum (Review of Psychiatry) by Lee S. Cohen, Ruta Nonacs
Publisher: American Psychiatric Publishing, Inc. 2005-05 | 164 Pages | ISBN: 1585622257 | PDF | 1.2 MB

Mood and Anxiety Disorders During Pregnancy and Postpartum earns its important place in the literature by detailing our current understanding of the course, diagnosis, and treatment of psychiatric illness during pregnancy and postpartum, including breast-feeding—a top priority today because we now know that active maternal psychiatric illness during pregnancy and postpartum can exert long-term negative effects on child development and cause significant morbidity for the mother.

In just five concise richly informative chapters, the nine distinguished contributors to Mood and Anxiety Disorders During Pregnancy and Postpartum dispel prevailing beliefs and offer invaluable guidance in treating women during pregnancy and postpartum:
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Nursing Home Practice for Psychiatrists

Manual of Nursing Home Practice for Psychiatrists By James A. Greene
Publisher: American Psychiatric Publishing, Inc 2009 | 128 Pages | ISBN 0890422834 |PDF | 1.89 MB

The shifting demographic toward a “graying” population—coupled with today’s reality of managed care—makes the need for high-quality, cost-effective psychiatric services within the nursing care setting more urgent than ever. As we increase the number of our years, it is also imperative that we enhance the quality of those years.

The product of the American Psychiatric Association’s (APA’s) Council on Aging and its Committee on Long-Term Care and of the Elderly, the Manual of Nursing Home Practice for Psychiatrists stands out because it focuses on the “how”—not the “why”—of nursing home care. Of exceptional importance is its detailed discussion of the Minimum Data Set (MDS), a structured assessment required by both Medicare and Medicaid for all residents of skilled nursing facilities.

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