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Nursing Care at the End of Life: What Every Clinician Should Knowshould be an essential component of basic educational preparation for the professional registered nurse student. Recent studies show that only one in four nurses feel confident in caring for dying patients and their families and less than 2% of overall content in nursing textbooks is related to end-of-life care, despite the tremendous growth in palliative and end-of-life care programs across the country. The purpose of this textbook is to provide an indepth look at death and dying in this country, including the vital role of the nurse in assisting patients and families along the journey towards the end of life. There is an emphasis throughout the book on the simple, yet understated value of effective interpersonal communication between the patient and clinician. The text provides a basic foundation of understanding death and dying, including a brief historical examination of some main conceptual models associated with how patients cope with impending loss. An overview of illness trajectories and models of care, such as hospice and palliative care are discussed. Lastly, the latest evidence-based approaches for pain and symptom management, ethical concerns, cultural considerations, care at the time of death, and grief/bereavement are examined. The goal of this text is to foster the necessary skills for nurses to provide compassionate care to individuals who are nearing the end of life and their families. Every chapter contains a What You Should Know section which highlights and reinforces foundational concepts.
The Heart of Mid-Lothian is precisely focused on the trials for murder of John Porteous and of Effie Deans in 1736 and 1737. Yet it is a chronicle - Scott's only chronicle - which spans the eighty years of the life of David Deans, whose death takes place in 1751. It is the most complex of all Scott's narratives. It is also the most challenging in that it raises in an acute fashion the problem of a judicial system that does not produce justice. Scott places this fundamental issue in its immediate political context, in history as represented by the life of Deans, and alongside the justice of Providence as perceived by his daughter Jeanie, the greatest of Scott's heroines. This edition of The Heart of Mid-Lothian provides a new text established in accordance with the tried policies and practices of the Edinburgh Edition of the Waverley Novels, and in its annotation treats comprehensively the novel's historical, legal, religious and cultural sources.
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