Description : The team of nurses that Tilda Shalof found herself working with in the intensive care unit (ICU) of a big-city hospital was known as “Laura’s Line.” They were a bit wild: smart, funny, disrespectful of authority, but also caring and incredibly committed to their jobs. Laura set the tone with her quick remarks. Frances, from Newfoundland, was famous for her improvised recipes. Justine, the union rep, wore t-shirts emblazoned with defiant slogans, like “Nurses Care But It’s Not in the Budget.” Shalof was the one who had been to university. The others accused her of being “sooo sensitive.” They depended upon one another. Working in the ICU was both emotionally grueling and physically exhausting. Many patients, quite simply, were dying, and the staff strove mightily to prolong their lives. With their skill, dedication, and the resources of modern science, they sometimes were almost too successful. Doctors and nurses alike wondered if what they did for terminally-ill patients was not, in some cases, too extreme. A number of patients were admitted when it was too late even for heroic measures. A boy struck down by a cerebral aneurysm in the middle of a little-league hockey game. A woman rescued – too late – from a burning house. It all took its toll on the staff. And yet, on good days, they thrived on what they did. Shalof describes a colleague who is managing a “crashing” patient: “I looked at her. Nicky was flushed with excitement. She was doing five different things at the same time, planning ahead for another five. She was totally focused, in her element, in control, completely at home with the chaos. There was a huge smile on her face. Nurses like to fix things. If they can.” Shalof, a veteran ICU nurse, reveals what it is really like to work behind the closed hospital curtains. The drama, the sardonic humour, the grinding workload, the cheerful camaraderie, the big issues and the small, all are brought vividly to life in this remarkable book. From the Hardcover edition.
Description : Beschrijving van achttien episoden uit één dag in het leven van een joodse advertentiecolporteur in Dublin in het jaar 1904, analoog aan de "Odyssee" van Homerus.
Description : With accompanying software! Clinicians manage a lot of data - on assorted bits of paper and in their heads. This book is about better ways to manage and understand large amounts of clinical data. Following on from his ground breaking book, Evaluating the Processes of Neonatal Intensive Care, Joseph Schulman has produced this eminently readable guide to patient data analysis. He demystifies the technical methodology to make this crucial aspect of good clinical practice understandable and usable for all health care workers. Computer technology has been relatively slow to transform the daily work of health care, the way it has transformed other professions that work with large amounts of data. Each day, we do our work as we did it the day before, even though current technology offers much better ways. Here are much better ways to document and learn from the daily work of clinical care. Here are the principles of data management and analysis and detailed examples of how to implement them using computer technology. To show you that the knowledge is scalable and useful, and to get you off to a running start, the book includes a complete point of care database software application tailored to the neonatal intensive care unit (NICU). With examples from the NICU and the pediatric ward, this book is aimed specifically at the neonatal and pediatric teams. The accompanying software can be downloaded on to your system or PDA, so that continual record assessment becomes second nature – a skill that will immeasurably improve practice and outcomes for all your patients.
Description : "This book presents a comprehensive resource elucidating the adoption and usage of health informatics"--Provided by publisher.
Description : How does the contemporary restructuring of health care affect nursing practice? Increasingly since the 1970s, and more intensively under recent reforms, Canadian health care is the focus of information-supported, professionally based management. In Managing to Nurse, Janet M. Rankin and Marie L. Campbell probe the operation of this new form of hospital and its effect management on nurses and nursing. Written from the nurse's perspective, this institutional ethnography discovers a major transformation in the nature of nursing and associated patient care: the work is now organized according to an accounting logic that embeds a cost-orientation into care-related activities. Rankin and Campbell illustrate how nurses adapt to this new reality just as they, themselves, perpetuate it - how they learn to recognize their adaptations as professionally correct and as an adequate basis for nursing judgement. Although Managing to Nurse may contradict contemporary beliefs about health care reform, the insiders' account that it provides is undeniable evidence that nurses' caring work is being undermined and patient care is being eroded, sometimes dangerously, by current health care agendas.
Description : While Le Corbusier's urban projects are generally considered confrontational in their relationship to the traditional urban fabric, his proposal for the Venice hospital project remained an exercise in preserving the medieval fabric of the city of Venice through a systemic replication of its urban tissue. This book offers a detailed study of Le Corbusier's Venice hospital project as a plausible built entity. In addition, it analyses it in the light of its supposed affinity with the medieval urban configuration of the city of Venice. No formal attempt to date has been made to critically analyse the hospital project's design considerations in comparison to the medieval urban configuration of the city of Venice. Using a range of methodologies including those from architectural theory and history, using archival resources, on-site analysis, and interviews with important resource persons, this book is an interpretation of the conceptual basis for Le Corbusier understanding of the structural formulation of the city of Venice as mentioned in The Radiant City (1935). In doing so, it deciphers the diagrammatic analysis of the city structure found in this work into a set of coherent design modules that were applied in the hospital project and that could become a point of further investigation. Architects and other architecturally interested laypeople with an interest in Venice will find the book a valuable addition to their knowledge. For architectural historians the book makes an important link between modernism and the historically grown Venice.
Description : Though scoffed at by Harold the dog, Chester the cat tries to warn his human family that their foundling baby bunny must be a vampire.