The 5th edition has been completely updated and includes a Companion CD-ROM that contains animations, NCLEX(R) examination-style review questions, printable IV therapy and medication safety checklists, drug calculation problems, and convenient electronic calculators.A separate drug calculations section - Medications and Calculations - features 65 pages of math review and step-by-step instructions for dosage calculations using the four primary methods - basic formula, ratio and proportion, dimensional analysis, and fractional equation. Nursing Process sections relate nursing care to drug therapy. Each step of the nursing process includes concise actions for the plan of care in relation to treatment for selected drug prototypes.A chapter on Principles of Drug Administration features comprehensive coverage of the procedures for administering drugs. It addresses all routes of administration and various settings.Unit openers for drug therapy chapters include an illustrated overview of normal anatomy and physiology, giving readers the foundation for understanding how the drug works in that body system.Herbal Alert boxes highlight various herbal products and their interactions with drugs.More than 100 detailed Prototype Drug Charts list the following information: dosage, indication, contraindication, drug-lab-food interactions, pharmacokinetics, pharmacodynamics, therapeutic effects, side effects, and adverse reactions.Highlighted Client Teaching, Cultural Considerations, and Herbal Alerts are included in the Nursing Process sections to emphasize key implications for nurses.Client Teaching in the nursing process sections guide readers through instructions for teaching patients about medication, self-administration, dietary concerns, and side effects.Includes a separate Transcultural and Genetic Considerations chapter.Critical Thinking Case Studies and Study Questions at the end of each chapter present readers with a clinical scenario and several questions that reinforce key concepts and encourage critical thinking.A new chapter on substance abuse addresses this important aspect of the nurse's role in pharmacology. Preventing Medication Errors boxes draw attention to important safety considerations and present guidelines from the Institute for Safe Medication Practice (ISMP).Critical Thinking Case Study boxes provide clinical scenarios and questions to sharpen analytical and critical thinking skills.Now includes step-by-step instructions for dosage calculations using dimensional analysis.Web sites, organizations, and research database information are available at the end of clinical chapters for further review and research.The newest JCAHO guidelines for medication safety are applied throughout the text and the abbreviations appendix has been revised to reflect these updates.Includes a new Herb/Drug Interaction chart, as well as new sugar-free and alcohol-free drug lists.Features updated coverage of pain as the fifth vital sign.Look-alike/sound-alike drugs are highlighted throughout to promote safe drug administration.Includes a list of the 200 most frequently prescribed drugs.Electronic Resources boxes at the beginning of each chapter direct readers to additional learning activities available on the Companion CD and the Evolve website.

    She seeks refuge in her memories of her idyllic stays with her grandparents in the picturesque East Anglian countryside – which provide comforting visions of a simpler life. As she comes to terms with her surroundings and her own adolescence, Ruth finds the motivation to pursue the tantalizing dream which has governed her childhood, and discovers some family secrets along the way. A coming-of-age novel about the unpredictable nature of human behaviour and about taking control of one’s destiny, Silent Music is a timeless portrait of post-war Britain, as well as a lyrical paean to hope and aspiration.

    Now, several years into parenting her twin boys, Dr Flais is sharing her wisdom and experience as a mom and her expertise as a doctor to help other parents prepare for and raise multiples with confidence. With insightful stories from her own experiences coupled with important information only a pediatrician can offer, Raising Twins will help parentsPrepare for the arrival of their twinsSurvive the first few days and weeks with advice on sleep schedules, feeding choices, and finding supportDevelop strategies to help successfully manage (and enjoy!) the first year of their twins’ livesNegotiate the toddler years, including potty training, language development, big-kid beds, budgets, and disciplineUnderstand the world of their twins as they become preschoolers, including socialization inside and outside the family, encouraging individualism, discipline and sleep issues.

    Among filmmakers and film buffs, Cassavetes is revered, almost as a god. A major star of live television and a serious actor, he stumbled into making his first film, Shadows, and created a template for working outside the Hollywood system that would produce some of the most piercing and human films of the last thirty years including A Woman Under the Influence and Husbands. He became the prototypical outsider fighting the system for much of his career. Film critic Marshall Fine had unprecendented access to Cassavetes' wife, Gena Rowlands, and other members of their inner circle, as well as industry insiders who worked with Cassavetes -- some speaking publicly for the first time. Together, they tell his daring, tumultuous, and compelling story.

    “The collection of poems speaks like a journey through each formative moment we’d forgotten we had: the monster under the bed and the intricate rules about how to overcome its powers; the ability to talk to girls or boys we liked; the fear of being bullied; our first experience with real anguish.” – Litlive.ca Please note: This is not a young adult title. Some works include language not suitable for some readers.

    It is during this time that the roots of moral character are established. From the foundation that is formed, healthy or not-so-healthy family relationships will be built. During the preteen years, patterns of conduct are firmly established patterns that will impact your parent-child relationship for decades to come. Rightly meeting the small challenges of the middle years significantly reduces the likelihood of big challenges in the teen years. On Becoming Preteenwise is based on the familiar axiom that an ounce of prevention is worth a pound of cure. It is much easier to avoid making mistakes than it is to correct them after the fact. This is particularly true of parenting. Just ask any mother or father continually challenged by a contentious or rebellious teen. Given a choice to go back and start over...

    Travel back to the wacky Fifties in this comic compilation of the best of MAD's early years! From the Cold War and Richard Nixon (the first time around) to Howdy Doody and Mickey Mouse, this one's got it all...and then some!

    You won't have to wait for a helper or pass up a job that seems too difficult to do alone. And if youre a homeowner working on your own house, you will be amazed at what you can accomplish.Written by a builder with 30 years' experience, Working Alone is packed with more than 50 innovative tips and techniques. You'll learn how to handle nearly every aspect of home construction alone, from foundation layout to raising walls to building decks.This book, the only one of its kind, offers a myriad of unique solo solutions. A perfect example is the problem of bringing a large sheet of plywood up a ladder. Even with a helper, this is a difficult and dangerous task. But if a large C-clamp is fastened to one end of the plywood, it's easy to pull the sheet up the ladder from behind. Clever techniques like this will have you solving common problems safely and efficiently.

    The building is little more than a pile of rubble on a bald piece of land, but inside, children learn much more than just reading and writing from Mama Grace. They learn about love in a land where it is in short supply.It is here, in the outskirts of Nairobi, where Lana feels most at home -- as far away as she can get from her Utah Mormon roots. It is also here where her heart is captured by Jomo -- a seven-year-old street urchin who will lead her on a journey into the very heart of a land called both dark and dawn.In her stunning new novel, Toni Sorenson Brown weaves a deeply moving and authentic tale of heartbreak and healing, of romance and return. It will move you to know that one solitary soul, tattered and discarded, is still worth saving, and that the road to redemption winds even through a forgotten village in the darkest part of the darkest place on earth.

    Full color.

    But you don't know the truth. A religious zealot put a $250,000 bounty on my head, urging that I be tortured before I'm killed. I was condemned by the President of the United States, the majority leaders of the House and Senate, the governor of Florida, the Pope, Jesse Jackson, and the right-wing media. My two babies were threatened with death to teach me a lesson. On the night my wife died, snipers had to be posted on the roof of the hospice because of death threats." Michael Schiavo's memoir may not change your mind about the Terri Schiavo issue, but it will help you realize at what stakes it was waged.

    As a comprehensive and powerful application of the biblical call to mission, Winning on Purpose sets forth the Accountable Leadership strategy. This model of leadership brings together standards for mission, boundaries, and accountability, and then shows how these standards come to life through the performance of four key players: the board, the pastor, the staff, and the congregation. To read a sample from the book click here

    From professional women who hit the maternal wall, to childcare workers who can't afford quality care for their own children, this book captures what it means to be a mother in America today. This groundbreaking book also celebrates the successes of companies that have discovered the value of good family policies, families who are making it work, model childcare programs, and legislation that supports families.

    He worshipped Mark Spitz, swam his heart out, and just missed qualifying for the Olympic trials in swimming as a college senior. Although he didn't qualify for the 1976, 1980, 1984, 1988, 1992, 1996, 2000, or 2004 Olympics, he never stopped believing he could make it. And despite past failures and the passage of time, Carter began his quest once more at the age of forty-two. Maybe he's crazy. But then again, maybe he's onto something. He entered the Masters Championships. He swam three to four miles each day, six days a week. He pumped iron, trained with former Olympians, and consulted with swimming gurus and medical researchers who taught him that the body doesn't have to age. He swam with sharks (inadvertently) in the Virgin Islands, suffered hypothermia in a relay around Manhattan, and put on fifteen pounds of muscle. Amazingly, he discovered that his heartbeat could keep pace with the best of the younger swimmers'. And each day he felt stronger, swam faster, and became more convinced that he wasn't crazy. This outrageous, courageous chronicle is much more than Carter's race with time to make it to the Olympics. It's the exhilarating story of a man who rebels against middle age the only way he can—by chasing a dream. His article in Outside magazine, on which this book is based, was the winner of a Lowell Thomas award from the Society of American Travel Writers Foundation.

    In the aftermath of Hurricane Hazel, a young cop, Ray Townes, emerges as a hero. There are numerous accounts of his bravery, of the way he battled all night to save those who were trapped in houses swept away by the raging Humber River. His story is featured prominently in the newspapers, thrusting him into the spotlight as a local celebrity. His wife performs her own small miracles that night. Mary is a nurse at St. Joseph’s Hospital and she treats many of the survivors. The emergency room is overrun; the hallways are slick with river mud: of course, her feats go almost unnoticed. But among the victims she treats there is a woman, disoriented and near death, who reveals mad-seeming details of her ordeal — details that lead Mary to doubt her husband’s heroism. The officer and the nurse (with a new house, new friends, and plans for a family) try to normalize their life together in a shell-shocked city, but Mary also searches for the truth about her husband. Is he simply the tired hero who stares out at her from the cover of the Globe and Mail, or is it a much darker figure who sits across the table from her at breakfast? Definitive answers are elusive . . . Fifty years later, when a reporter comes knocking, wanting to revisit that violent night, the missing details finally surface — and threaten to destroy them.