This book covers a wide range of diagnostic and short-stay therapeutic provision in settings such as Minor Injuries, Day Surgery, Outpatients, Endoscopy, Oncology Ambulatory clinics and Day Hospitals. It focuses on specific nursing issues and the role of the nurse within each of these areas of practice. It supports the broad knowledge base required of nurses working in these arenas, and the ability to communicate effectively within the multi-disciplinary team, with scenarios throughout.

Lioba Howatson-Jones is a Fellow of the Higher Education Academy and Senior Lecturer in Adult Nursing and Applied Clinical studies at Canterbury Christ Church University. Prior to joining Canterbury Christ Church she was a Practice Development Nurse and Radiology Nurse in East Kent Hospitals NHS Trust.

Peter Ellis is a Senior Lecturer in Adult Nursing and Applied Clinical studies at Canterbury Christ Church University.?Prior to joining Christ Church Peter was a Senior Nurse for Renal Outpatients and Research Projects Manager at King's College Hospital London, and has tutored the renal course at Kingston University and King's College London.

Contributors
Preface
Introduction
The policy context
Aims and objectives of the book
Structure of the book
Acknowledgement
References
Communication and advocacy
Introduction
Definition
Developing a therapeutic relationship
Developing interpersonal skills
Listening
Summarising
Reflecting back
Questioning techniques
Open questions
Closed questions
Probing questions
Multiple questions
Leading questions
Rhetorical questions
Non-verbal aspects
Patient advocacy
Patient empowerment
Informed consent
Summary
Glossary of terms
Websites
References
The development of outpatient and day services in primary care
Introduction
Definition
Reducing the demand for hospital-based services
Collaboration
Treating patients in their own homes
Future directions
Summary
Glossary of terms
Websites
References
Further Reading
Outpatient nursing
Introduction
Definition
Functions of outpatient services
Nature of new activity
Consultation
Access to diagnostics and investigations
Screening for day or elective admission
Teaching and learning
Nature of follow-up
Health education versus Health promotion
Communication
The nurse's role
Safety issues
Chaperoning
Role development
Patient choice
Referral and discharge
Summary
Acknowledgement
Glossary of terms
Websites
References
Minor injury and minor illness management
Introduction
The clinical setting
Minor injury units
Walk-in centres
Accident and emergency departments
General practice surgeries and health centres
Urgent treatment centres
Minor injury and minor illness
Roles and responsibilities
The nurse practitioner
Nursing responsibilities
Clinical procedures
Infection control and manual handling
Patient attendance
Attribution theory
The patient journey
Clinical examination
Minor injury
Minor illness
Investigations and review of investigations
Treatments
Health education and health promotion
Managing discharge
Referral and transfer
Documentation
Clinical notes
Communication with the patient
Summary
Glossary of terms
Websites
References
Preoperative assessment in day surgery
Introduction
Definition
The aims of preoperative assessment
The importance of effective pre-operative assessment
When and where pre-assessment takes place
Who should undertake the pre-assessment role and what skills are needed?
Meeting the criteria necessary for surgery within a day surgery unit
Patients needing additional investigation/referral
Body mass index
Hypertension
Diabetes
Asthma
Respiratory conditions
Cardiac conditions
Ordering further investigations
Giving information to patients
Reasons for reassessment
Auditing the service
Summary
Acknowledgement
Glossary of terms
Websites
References
Further Reading
Radiology nursing
Introduction
Definition
Issues relating to radiology as a specialty
The science of imaging modalities
Enhancing imaging
Contraindications
Reactions
Health and safety
Radiation protection
Manual handling
Infection control
Consent
Nurses??? role
Assessment
Pre-procedure
Care planning
Managing pressure sore risk
Procedural roles
Communication and advocacy
Health education and health promotion
Developments in the nursing role
Management of equipment
Diagnostic procedures
Patient preparation
Mammography
Interventional procedures
Summary
Acknowledgement
Glossary of terms
Websites
References
Endoscopy nursing
Introduction
Definition
The science of endoscopic visualisation instrumentation
Health and safety
Nursing role
Documentation
Preparing for endoscopic procedures
Patient preparation
Aftercare
Developing role
The nurse sedationist
The nurse endoscopist
Future developments
Summary
Acknowledgement
Glossary of terms
Websites
References
Perioperative care in day surgery
Introduction
Definition of day surgery
Admission and preparation of the patient for surgery
Fasting
Preoperative shaving
Allergies/prostheses
Informed consent
Induction of anaesthesia
General anaesthesia
Regional anaesthesia
Nerve blocks
Spinal anaesthesia
Epidural anaesthesia
Bier's block (intravenous regional anaesthesia)
Local anaesthesia
Conscious sedation
Intra-operative care of the patient
Recovery and post-anaesthetic considerations
Discharge from the day surgery unit
Summary
Glossary of terms
References
Renal nursing
Introduction
Definition
Functions of the kidney
The causes of chronic kidney disease
The signs and symptoms of chronic kidney disease
Renal investigations and tests
Urinalysis
Albumin (protein)-to-creatinine ratio
Blood tests for autoantibodies
Kidney ureter and bladder ultrasound
Doppler ultrasound
Computerised tomography
Magnetic resonance imaging
Radionucleotide imaging
Renal angiography
Renal biopsy
Areas of care
Nephrology outpatients
Low-clearance or the pre-dialysis clinic
Renal anaemia clinic
Peritoneal dialysis clinic
The haemodialysis unit
Transplant clinic
Summary
Glossary of terms
Websites
References
Further Reading
Ambulatory cancer care
Introduction
Definition
Ambulatory cancer care
The role of the nurse within the ACC setting
Cancer treatments
Chemotherapy
Radiotherapy
Biotherapy
Summary
Glossary of terms
Websites
References
Day hospital nursing
Introduction
Definition
Context of care
Implementation of nursing and team roles
Role of the nurse
Communication
Health promotion
Developments
Adult day centres
Summary
Acknowledgement
Glossary of terms
Websites
References
Conclusion
The context of the book
Critical practice
Morally active practice
Reflexive practice
Final conclusions
References
Index
Table of Contents provided by Publisher. All Rights Reserved.

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Outpatient, Day Surgery and Ambulatory Care

9780470512838

0470512830

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