Outpatient, Day Surgery and Ambulatory Care

Outpatient, Day Surgery and Ambulatory Care is an accessible, comprehensive text exploring a wide range of diagnostic and short–stay therapeutic provision including Minor Injuries, Day Surgery, Outpatients, Radiology, Endoscopy, Renal dialysis, Oncology Ambulatory clinics, Day Hospitals and the links with primary care. It focuses on specific nursing issues and the developing role of the nurse within each of these areas of practice.
This evidence–based book supports the broad knowledge base required of nurses working in these arenas, and the ability to communicate effectively within the multi–disciplinary team. It brings together the relationships between areas through scenarios to give a more integrated view of short term care settings, and to reflect the patient journey.  It will be an invaluable guide for student nurses as well as the newly qualified practitioner working in these areas.  Other professionals who work in these areas will also find it useful as a reference.

Spis treści:
Contributors.
Preface.
1 Introduction (Lioba Howatson–Jones and Peter Ellis).
The policy context.
Aims and objectives of the book.
Structure of the book.
Acknowledgement.
References.
2 Communication and advocacy (Des Nolan and Peter Ellis).
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.
3 The development of outpatient and day services in primary care (Sarah Pye and Judith Parsons).
Introduction.
Definition.
Reducing the d emand for hospital–based services.
Collaboration.
Treating patients in their own homes.
Future directions.
Summary.
Glossary of terms.
Websites.
References.
Further reading.
4 Outpatient nursing (Lioba Howatson–Jones).
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.
5 Minor injury and minor illness management (Roger Goldsmith and Karen Lumsden).
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.
6 Preoperative assessment in day surgery (Beverley McNeil).
Introduction.
Definition.
The aims of preoperative assessment.
The importance of effective pre–operative assessment.
When and where pre–assessment takes place.
Who should un dertake 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.
7 Radiology nursing (Lioba Howatson–Jones)
Introduction.
Definition.
Part 1: 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.
Part 2. Diagnostic procedures.
Patient preparation.
Mammography.
Interventional procedures.
Summary.
Acknowledgement.
Glossary of terms.
Websites.
References.
8 Endoscopy nursing (Lioba Howatson–Jones).
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.
9 Perioperative care in day surgery (Beverley McNeil).
Introduction.
Definition of day surgery.
Admission and preparation of the p atient 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.
10 Renal nursing (Peter Ellis).
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.
11 Ambulatory cancer care (Paula Kuzbit).
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.
12 Day hospital nursing (Colin Wheeldon).
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 .
Referen