Caring for Children with Complex Needs in the Community

Author: Jean Teare
Publisher: John Wiley & Sons
ISBN: 9781444302622
Release Date: 2009-01-22
Genre: Medical

Caring for the Child with Complex Needs in Community Settingsprovides a valuable overview of the key factors relating to caringfor children with complex and continuing care needs. Despite itsfrequent and increasing use, complex care needs is a term withoutan agreed definition. This shortfall of knowledge is addressed inthis book through critical discussion of evidence-based researchand current health, social and education policy. It brings togetherthe latest knowledge into one text providing practitioners with thecrucial information needed when working with this diverse and broadgroup of children. Caring for the Child with Complex Needs in Community Settingsexplores caring for technology-dependent children who requirerespiratory assistance; caring for children who require homeenteral tube feeds; and caring for children with complexdisabilities. It looks at multi-agency care, respite care forfamilies, social service support and educational support ofchildren with complex needs. Practitioners from health, socialservices and education backgrounds have contributed to the chaptersusing case studies, while a parent of a child with complex needshas provided a personal view of caring. This accessible andpractical text provides core knowledge and vital insight requiredfor successful delivery of community care for children with complexand continuing care needs.

Nursing Care of Children and Young People with Chronic Illness

Author: Fay Valentine
Publisher: John Wiley & Sons
ISBN: 9780470691397
Release Date: 2008-04-15
Genre: Medical

Children and young people suffering from long-term conditions require continuing support and nursing care throughout their lives. Nursing Care of Children and Young People with Chronic Illness explores chronic disease management in the context of recent developments, including the National Service Framework for Children. It addresses the aetiology of chronic illness and the impact on the child’s family. It also explores holistic approaches to caring for their social, physical and psychological needs, and highlights the importance of the nurse’s role in promoting children and their parents as ‘expert patients’. Nursing Care of Children and Young People with Chronic Illness is a comprehensive, up-to-date resource for nursing students and practitioners on the context, theory and practice of assessing health needs, and the delivery of holistic care and services within a variety of care settings, to enable them to meet the changing needs of children and young people with chronic illnesses and diseases, and their families. The first nursing-specific text related to the care of children & young people with chronic illness Incorporates case studies & scenarios throughout to enable readers to gain an understanding of the application of concepts & theories in practice Covers care aspects of the child and young person in different settings including tertiary, secondary, primary health care and the home Written in the context of the NSF for Children

Nursing the Highly Dependent Child or Infant

Author: Michaela Dixon
Publisher: John Wiley & Sons
ISBN: 9781444309546
Release Date: 2009-03-16
Genre: Medical

Nursing the Highly Dependent Infant or Child is an accessible and clinical guide to the caring for the acutely ill child. It provides guidance on the specific nursing skills required to care for children and infants who require a ‘step up’ level of care from those on the general paediatric ward or a ‘step down’ level of care on discharge from neonatal or paediatric critical care facilities. The book follows a general systems approach, covering themes such as respiratory care, renal care and cardiac care as well as covering specialities such as neuro-trauma, burns and transportation of the acutely ill infant or child. Other areas explored include pain and sedation, monitoring and meeting the nutritional needs of the highly dependent child. Each chapter provides an overview of relevant anatomy and physiology, guidance on assessment and monitoring, and outlines effective nursing care and management guidance of common conditions encountered in acute children’s care.

Textbook of Community Children s Nursing E Book

Author: Anna Sidey
Publisher: Elsevier Health Sciences
ISBN: 9780702039867
Release Date: 2005-03-02
Genre: Medical

This exciting new edition is again structured into four main sections: Organisational facets; Philosophical issues; Dimensions of practice; and Advancing practice, and has been expanded to include detailed guidance on the commissioning and resourcing of services. It provides essential information for implementing the requirements of the children's National Service Framework that will support the expansion of Community Children's Nursing and enable it to move forward and away from fragmented service delivery. Bringing together the work of some of the most distinguished experts in the field, there is comprehensive coverage of the key aspects of Community Children's Nursing, including multi-disciplinary/interagency planning; provision of nursing services to sick children and their families in a range of community setting; and the needs of both the recipients and providers of care within the trajectory of acute, life-limiting and terminal illness. The first - and only - book on this topic, addressed specifically at the Community Children's Nurse (CCN) An authoritative guide to the principles underpinning the development of the specialty, which puts into context the scope of the CCN's work and clearly describes his/her place in the community team) A balance of the theoretical and practical, presented by the key names in this field) Offers up-to-date "evidence" which supports the development of this rapidly expanding specialty) Foreword by Elizabeth Fradd, Independent Health Service Advisor, UK New chapters have been added on the topics of: Developing a national strategy and corporate identity for Community Children's Nursing Delivering and funding care for children with complex needs Strategic planning and commissioning of services Benchmarking Transitional care The following chapters have been rewritten and expanded: Young carers Complementary therapies Partnerships with the voluntary sector Health promotion Information management The role of the Community Children's Nurse Manager is also explored in depth.

Practices in Children s Nursing E Book

Author: Ethel Trigg
Publisher: Elsevier Health Sciences
ISBN: 9780702044458
Release Date: 2010-06-17
Genre: Medical

The skills required by children’s nurses are many and varied, and are undertaken in a variety of settings. This book provides a clinical manual of common practices. Each practice is research-based and presented in a common format which covers: Objectives, Rationale, Factors to note, Guidelines, Positioning, Equipment, Method, Special observations and possible complications, and References and further reading. The guidelines have been written specifically for children’s nursing by contributors from well-known children’s units. They are not simply adaptations from adult practices and therefore recognise the unique differences between adult and children’s nursing. The introductory section covers common concepts and infection control. There are also appendices on the use of play as a distraction, and on complementary therapies. The common format of each practice makes the book easy to use and refer to in a clinical setting. Each practice is based on the latest research to ensure it is evidence-based and up to date Introductory chapters cover issues common to all practices to make the book easier to use. The appendix on play reinforces its common usage as a distraction technique A chapter on complementary therapies explains these as they are becoming more widespread All practices have been reviewed by regional centres to avoid parochialism Content reorganised to reflect the Essential Skills Clusters from the NMC New chapter on communicating with children All chapters updated to reflect the current evidence base

Placement Learning in Community Nursing E book

Author: Jane Harris
Publisher: Elsevier Health Sciences
ISBN: 9780702051739
Release Date: 2013-03-21
Genre: Medical

Worried about your placement? Will you fit in? Will you have the right skills? What do you need to learn for practice assessments? This book will help you with all these concerns. It will tell you what to expect from the placement, what you can learn, how to link theory and practice, and how to make the most of your learning opportunities. A logical, step-by-step approach to preparing for a medical placement Helps make the most of learning opportunities Narratives from other students describe what the placement will really be like Honest discussion of the challenges of a placement in the community to help avoid problems Advice on possible approaches to situations that may arise on a community placement Series features: A unique guide to getting the most from clinical placements What to expect before a placement What you can expect to learn on placement How to consolidate your experience and learning Clear links and examples with NMC proficiencies Guidance on what to use as evidence for portfolios Short case studies to link theory with practice Key points reminder boxes Worried about your next placement? Will you ‘fit in’? Will you have the right skills? What do you need to learn to meet practice assessments? This series will help you with all these concerns. It will tell you what to expect from each placement, what you can learn, how to link theory and practice, and how to make the most of your learning opportunities. This is the only series specifically for student nurses undertaking specific practice placements, and will give you all the information you need in a user-friendly format. Each book in the series covers a specific area of practice for a typical placement on a pre-registration nursing course. Titles in this series: Surgical nursing Medical nursing Cancer and palliative care nursing Mental health nursing Community care nursing Older people nursing Each book also covers: A unique guide to getting the most from clinical placements What to expect before a placement What you can expect to learn on placement How to consolidate your experience and learning Clear links and examples with NMC proficiencies Guidance on what to use as evidence for portfolios Short case studies to link theory with practice Key points reminder boxes

Child Youth and Family Health Strengthening Communities

Author: Margaret Barnes
Publisher: Elsevier Health Sciences
ISBN: 9780729581554
Release Date: 2013-08-16
Genre: Medical

A fresh new e-book edition, focusing on the importance of collaboration between healthcare professionals and the community. The second e-book edition of Child, Youth and Family Health builds its focus on the importance of a collaborative partnership between healthcare professionals and members of the community. This approach is vital in supporting, maintaining and strengthening individual and community health across a range of contexts and life stages. Child, Youth and Family Health 2e e-book begins by discussing issues and challenges in child, youth and family health, before addressing contexts for nursing and midwifery, all of which helps readers apply theory to practice. This community healthcare textbook offers additional insight into the importance of the healthcare professional’s role when working with children, young people and their families, and looks at practical approaches such as program development, supporting family transitions and mental health promotion. There are three new chapters: ‘Communication with children, young people and families – a family strengths-based approach’, ‘Acute illness: Care for the child and their family’ and 'Health promotion through early childhood' along with a range of clinical scenarios, research highlights, practice highlights and critical questions and reflections. Written by authors who are nurses, midwives, early childhood educators and academics, along with a respected team of contributors and editors, Child, Youth and Family Health 2e provides an engaging perspective on the fundamental challenges and issues affecting the health and wellness of infants, children, young people and their families in Australia and New Zealand. Clinical Scenarios integrated throughout to provide context for practice. Research highlights provide examples of the most recent research and evidence based practice. Practice highlights feature up-to-date examples of best practice, policies and procedures in Australia and New Zealand. Key Points summarise the main issues in each chapter. Critical questions and reflection feature at the end of each chapter as a tool for tutorials. Useful Resources provide weblinks for up-to-date data, statistics, organisations and programs. Extensive references provide for further reading and research. Chapter 5 ‘Communication with children, young people and families’ completely revised with a ‘family strengths’ approach. New Chapter 8 'Health promotion through early childhood'. New Chapter 9 ‘Acute illness: Care for the child and their family’. Completely revised and updated with current statistics and data. Inclusion of contemporary public health policy. Inclusion of contemporary legislative and regulatory frameworks for health professionals.

Care Planning in Children and Young People s Nursing

Author: Doris Corkin
Publisher: John Wiley & Sons
ISBN: 9781444346046
Release Date: 2011-08-24
Genre: Medical

Care Planning in Children and Young People's Nursing addresses a selection of the most common concerns that arise when planning care for infants, children and young people within the hospital and community setting. Clear and detailed, this text reflects both the uniqueness and diversity of contemporary children's nursing and utilizes images and case studies to provide a holistic insight into the practice of care planning through the reporting of best available evidence and current research, policy and education. Divided into sections for ease of reference, Care Planning in Children and Young People’s Nursing explores both the theory and practice of care planning. Chapters on the principles of care planning include issues such as managing risk, safeguarding children, ethical and legal implications, integrated care pathways, interprofessional assessment, and invaluable parent perspectives. Additional chapters on the application of planning care examine the practical aspects of a wide range of specific conditions including cystic fibrosis, obesity, cardiac/renal failure and HIV/AIDS. Each chapter is interactive, with questions, learning activities and points for discussion creating an engaging and enquiry-based learning approach. Care Planning in Children and Young People’s Nursing is a definitive resource, reflecting innovative practice which is suitable for undergraduate and postgraduate nurse education.

Child and Adolescent Mental Health Interdisciplinary Systems of Care

Author: Margaret Bourdeaux Arbuckle
Publisher: Jones & Bartlett Learning
ISBN: 0763729086
Release Date: 2005
Genre: Medical

This text discusses how to provide mental health care to children with varying emotional problems. Child and Adolescent Mental Health covers themes such as creating genuine partnerships among family members, professionals, and among disciplines, developing culturally sensitive community resources, building on the strengths of the community, the consumer, the student, and the professional to best meet the complex needs of families.

Caring for Children With Neurodevelopmental Disabilities and Their Families

Author: Claudia Maria Vargas
Publisher: Routledge
ISBN: 9781135626594
Release Date: 2004-09-10
Genre: Education

Children with neurodevelopmental disabilities such as mental retardation or autism present multiple challenges to their families, health care providers, and teachers. Professionals consulted by desperate parents often see the problems from their own angle only and diagnosis and intervention efforts wind up fragmented and ineffective. This book presents a model multidisciplinary approach to care--family-centered and collaborative--that has proven effective in practice. A pillar of the approach is recognition of the importance of performing culturally competent assessment and adjusting service delivery so that is responsive to cultural differences. Detailed case stories illuminate the ways in which the approach can help children with different backgrounds and different disabilities. Most chapters include study questions, lists of resources, and glossaries to facilitate easy comprehension by professionals with different backgrounds--in special education, communication sciences, and disorders, clinical and counseling psychology, neuropsychology and psychiatry, social work, pediatrics--and program administrators as well as students, trainees and educated parents. Caring for Children With Neurodevelopmental Disabilities and Their Families constitutes a crucial new resource for all those professionally and personally concerned with these children.

Primary Care of the Child With a Chronic Condition E Book

Author: Patricia Jackson Allen
Publisher: Elsevier Health Sciences
ISBN: 9780323080880
Release Date: 2009-06-25
Genre: Medical

Written by nurse practitioners for nurse practitioners, this one-of-a-kind resource provides the expert guidance you need to provide comprehensive primary care to children with special needs and their families. It addresses specific conditions that require alterations in standard primary care and offers practical advice on managing the major issues common to children with chronic conditions. A consistent format makes it easy to locate essential information on each condition. Plus, valuable resources help you manage the issues and gaps in health care coverage that may hinder quality care. This is the only book authored by Nurse Practitioners that focuses on managing the primary health care needs of children with chronic conditions. More than 60 expert contributors provide the most current information available on specific conditions. Comprehensive summary boxes at the end of all chronic conditions chapters provide at-a-glance access to key information. Resource lists at the end of each chronic condition chapter direct you to helpful websites, national organizations, and additional sources of information that you can share with parents and families. Updated references ensure you have access to the most current, evidence-based coverage of the latest research findings and management protocols. Four new chapters — Celiac Disease, Eating Disorders, Muscular Dystrophy, and Obesity — keep you up to date with the latest developments in treating these conditions. Autism content is updated with the latest research on autism spectrum disorders, including current methods of evaluation, identification, and management. Coverage of systems of care features new information on how to help families obtain high-quality and cost-effective coordinated services within our complex health care system. Easy-to-find boxes in the chronic conditions chapters summarize important information on treatment, associated problems, clinical manifestations, and differential diagnosis.

Pediatric Nursing

Author: Jane Ball
ISBN: 0130994057
Release Date: 2003
Genre: Medical

Pediatric nursing, like all of health care, is changing rapidly. Student nurses must learn what helps them to provide safe and effective care today while integrating new knowledge and skills needed for nursing practice in the future. Faculty have the responsibility of teaching students to provide pediatric nursing care today, while equipping them to meet tomorrow's unknown health care challenges. The goal of the third edition of this textbook is to provide core pediatric nursing knowledge that prepares students for practice, and to offer the tools of critical thinking needed to apply this learning to future challenges. Students must learn to question, to evaluate the research and experiences of others, to apply information in many settings, and to constantly adapt while providing high-quality nursing care. This textbook reflects a multitude of approaches to learning that can be helpful to all students. We acknowledge that many students learn pediatric nursing in a very short time period. Therefore, the approaches in this textbook are designed to help all students assess the child's needs and to make decisions based on the standards of pediatric nursing practice. Realities of Pediatric Nursing The first edition of this textbook focused on the nursing care of children and their families in acute care environments. In the second edition, the focus was broadened to reflect the dramatic shift of pediatric health care out of the hospital and into ambulatory, home, and community settings. Many procedures are performed in short-stay units, and long-term care is often provided at home for children with complex health conditions. In the third edition, the trend for provision of care in a wide variety of settings is a continuing focus. Families are often the providers of care and case managers for children with complex health care challenges. Technological advances are resulting in earlier diagnoses and new therapies, and this content is integrated throughout the textbook. Pediatric-nursing care is provided within the context of a rapidly changing society. An examination of the major morbidities and mortalities of childhood guided the addition of new material and topics throughout the text. A new chapter on childhood nutrition addresses the influences of nutrition and associated conditions on long-term health of the individual. Another new chapter focuses on the common societal and environmental influences on health care that all nurses must understand when designing interventions to promote health. A continuing emphasis on the influence of injury is integrated throughout the book, with descriptions about the necessity of prevention and the impact of injury on mortality, hospitalization, disability, and health care needs. Many graduating nurses practice in acute care facilities, and this textbook continues to emphasize the information necessary to prepare students for working in those settings. In addition, the information provided in this textbook will enable graduates to assume positions in ambulatory care facilities, home health nursing, schools, and a variety of other settings. Effective communication methods, principles of working with families, and knowledge of pathophysiologic, psychologic, and environmental factors found in this book can all be applied to a wide variety of settings. Another major change in our society involves access to information and reliance on the Internet. In this edition, MediaLink icons send the student online to obtain the very latest information available on many topics. Nurses must learn to obtain information and then to analyze and judge the quality of information they find. Nurses must also assist children and family members to use the Internet wisely to help them in making health care decision Integration of websites throughout the book and exercises to examine and evaluate various sites assist the students applying this technology. Organization and Integrated Themes This book is organized by body system, as it is an easy approach for students to use when peeking information, studying, and preparing to care for children and families. This organizational framework also eliminates redundancy, which occurs when a developmental approach is used, thereby contributing to the concise approach in this textbook. Several topics essential to comprehensive nursing care of children do not directly relate to body systems. Separate chapters with these important concepts provide foundational information for nursing care. These include growth and development, physical assessment, nutrition, societal and environmental influences on health, and mental health. Other chapters address care of the child in the hospital and in community settings, pain management, and needs of child and family during life-threatening conditions. Throughout the textbook, we integrate information that is pertinent to care for children related to age, culture, and family. The nursing process is used as the framework for nursing care.Nursing Managementis the major heading, with subheadings ofNursing Assessment and Diagnosis, Planning and Implementation,andEvaluation.When it is appropriate to focus on care in a specific setting, Care in the Community, Hospital-based Care, and Discharge Planning and Home Care Teaching are separated into sections. We feature nursing care plans throughout the text to help students approach care from the nursing process perspective. These nursing care plans include Nursing Intervention Classifications (NIC) and Nursing Outcome Classifications (NOC). Several major concepts are integrated throughout the textbook to encourage the student to think creatively and critically about nursing care. These major themes are interwoven through narrative, margin boxes, art figures and captions, CD-ROM offerings, and Companion Website activities. This layout results in a comprehensive and unique presentation that engages students and makes them active participants in the learning process. The major concepts integrated throughout the learning materials are as follows: Nursing careis the critical and central core of this textbook. Nursing assessment and management are emphasized in all sections of the book, with nurses shown providing care in a variety of settings. Critical thinking and problem-solving principlesare integrated in the organization, pedagogy, writing style, CD exercises, and art captions. Students practice critical thinking in their everyday lives, but need help to apply these concepts to the practice of nursing. This book and the accompanying learning materials help students understand how their normal curiosity and problem-solving ability can be applied to pediatric nursing. Students learn what questions to ask, how to ask them, where to find answers, and how to provide information to others. Communicationis one of the most important skills that students need to learn. Effective communication with children is challenging because they communicate differently according to their developmental levels. Family members have communication needs in addition to those of their children. This book integrates communication skills by applied examples that help the student to communicate effectively with children and their families. Teachingabout health care is an integral part of the pediatric nurse's responsibilities. Since hospitalizations are short and families increasingly care for children at home, information about health care needs and procedures have become even more important. Developing cultural competenceis critical for all nurses in the increasingly diverse community of today's world. Students have all met people from different ethnic and cultural groups but they need help to understand, respect, and integrate differing beliefs, practices, and health care needs when providing care. Growth-and development considerations and physical assessmentare central to the effective practice of pediatric nursing. A separate chapter is devoted to each area, Chapters 2 and 4 respectively. In addition, both topics are integrated where appropriate in narrative, figures, captions, and on the CD. Legal and ethical considerationsare provided throughout the text to sensitize students to thinking about the implications of nursing care. They are encouraged to learn the legal ramifications of actions, the ethical decision-making process in difficult situations, and their own personal and professional responsibilities. Home care considerations and community rare considerationsare an increasing part of nursing responsibilities. To assist students in transferring knowledge to caring for children in community settings, both narrative and boxes address this information in nursing management sections of chapters. In addition, an entire chapter is devoted to nursing care in the community and directly addressing the nurse's roles in these settings. Features Each chapter has undergone significant revision to update clinical information and resources. Content has been shifted and added to reflect current pediatric issues and care. New chapters include nutrition, and environmental and societal influences on health. There is an increased emphasis on home and community care, and families are integrated when possible. Each chapter begins with achapter opening scenarioand photo illustrating a child with specific nursing care needs. This is accompanied by a list ofkey terms.A new feature,MediaLink,identifies specific content, animations, activities, and resources available to students on the accompanying student CD-ROM and Companion Website. Each chapter ends with a chapter review that consists of a summary ofchapter highlights,a list ofreferences,and a new section entitledExplore MediaLink.This last section encourages students to use the additional chapter-specific NCLEX review, exercises, and resources available on the accompanying free student CD-ROM and the Companion Website We have integrated features into the body systems chapters to enhance student learning. Based on feedback from prior users of the textbook, newPathophysiology Illustratedboxes visually explain the pathophysiology of certain conditions in a format that the student can understand and apply.As They Growboxes illustrate the anatomic and physiologic differences between children and adults. This enhances students' knowledge in association with a specific topic and helps them to apply theoretical information in practical situations. TheClinical Manifestationfeature presents the etiology, clinical presentation, and clinical therapy for selected conditions.Medications Used to Treatboxes feature drug information for specific conditions when appropriate. Numerous margin boxes relate directly to nursing care. These includeClinical Tips, Safety Precautions,andNursing Alerts.To reflect the growing cultural diversity of the United States and Canada,Cultureboxes are also integrated throughout the narrative, offering diverse perspectives and highlighting cultural variations in health care when appropriate. An added feature in this edition is the inclusion of boxes oncomplementary and alternative practices,which may be connected with cultural groups or other belief and practices, thus influencing health care practices.Law and Ethics, Community Care, Research,andHome Careboxes highlight the issues challenging nurses today, whileGrowth and Developmentboxes help to highlight nursing care at various stages of development. Since nurses are frequent teachers of children and families, we are introducing theFamilies Want to Knowfeature, which offers information about the specific teaching that nurses will need to provide. This feature provides teaching that can benefit families as they care for children.

Home Health Care for Children Who are Technology Dependent

Author: Juanita W. Fleming, RN, PhD, FAAN
Publisher: Springer Publishing Company
ISBN: 0826120652
Release Date: 2003-10-30
Genre: Medical

As technology grows more sophisticated, more and more children will receive therapies such as apnea monitoring, dialysis, and prolonged IV therapy at home on an ongoing basis. This book provides an overview of the research evidence available on home health care of children who are technology dependent and their families. A major study of 800 children that the author conducted is highlighted. The book also describes practical strategies to assist these children with complex needs. Family stress, case management, respite care, and financial concerns are addressed.

Managing the Critically Ill Child

Author: Richard Skone
Publisher: Cambridge University Press
ISBN: 9781107328839
Release Date: 2013-03-07
Genre: Medical

The management of critically ill or injured children has become increasingly specialised; nevertheless, the first point of contact for many sick children remains their nearest hospital. Here, the initial management will usually involve emergency department doctors, anaesthetists and paediatricians. Managing the Critically Ill Child is written by anaesthetists and emergency department physicians who currently have a significant paediatric practice. It provides a straightforward guide for non-paediatricians encountering acutely unwell or injured children. This book helps readers apply their knowledge from adult practice to children, and avoid pitfalls where the approaches in paediatrics differ. Written in a practical, concise format, Managing the Critically Ill Child guides physicians beyond the initial emergency algorithms and is essential reading for physicians and trainees in emergency medicine, anaesthesia and intensive care who may be asked to look after a child.

A Textbook of Children s and Young People s Nursing E Book

Author: Dr Jim Richardson
Publisher: Elsevier Health Sciences
ISBN: 9780702044403
Release Date: 2010-05-19
Genre: Medical

nurse for life – electronic access only Get to all of the high-quality content from Elsevier faster than ever! Your favourite textbooks are now available as e-books through nurse for life, allowing you to: Electronically search the book Create and share notes and highlights Save time with automatic referencing Load it up and change the way you learn! What do I get? You will be emailed a PIN code that will give you perpetual access to the electronic version of the book through nurse for life. Book description This title is directed primarily towards health care professionals outside of the United States. Covering the full age and specialty spectrum this text brings together for the first time, individual chapters from among the most respected children's nurses. This textbook is rooted in child-centred health care within a family context and draws upon best contemporary practice throughout the UK and further afield. This innovative text harnesses new design parameters in enquiry-based/problem-based learning, providing up-to-date information on a wide range of topics. In an exciting addition each chapter offers readers additional material on an Evolve website. Full Microsoft PowerPoint presentations augment the written chapters and provide extra information that includes case studies, moving image, photographs and text. Each chapter offers readers additional material on an Evolve website. Full Microsoft PowerPoint presentations augment the written chapters and provide extra information that includes case studies, moving image, photographs and text. Aims, objectives, learning outcomes, a summary box in each chapter and key points assist learning and understanding Professional conversation boxes enliven the text on the page and make it more interesting to dip into Suggestions for seminar discussion topics to help teachers Case studies help to relate theory to practice Prompts to promote reflective practice Activity boxes/suggested visits Evidence based practice boxes which highlight key research studies, annotated bibliographies including details of web-sites and full contemporary references to the evidence base Resource lists including recommended web-site addresses