The detailed, state-of-the-art information in this edition reflects current procedures and promotes the delivery of comprehensive patient care. This text provides nurses with the tools needed to deliver safe, cost-effective, high-quality patient care.More than 400 contemporary and traditional specialty surgical interventions, in addition to numerous minimally invasive surgical procedures, are explained.Approximately 1,000 full-color illustrations and photos build familiarity with surgical anatomy, procedures, methods and equipment.Places a strong emphasis on patient education and discharge planning, as well as patient safety.Best Practice boxes apply evidence-based practice to perioperative nursing.Sample Plans of Care link interventions to clearly identified outcomes.Research Highlight boxes translate research into practice for patient care.Addresses Emergency preparedness and bioterrorism considerations.Ambulatory, pediatric, geriatric, trauma surgeries, as well as complementary and alternative therapies, are given special attention.History boxes summarize significant historical events related to surgery and perioperative nursing.The latest invasive and non-invasive technological advances related to surgical procedures, including areas such as interventional radiology, are featured.Patient and Family Education boxes offer guidelines for pre- and post-procedural care, side effects and complications, discharge/follow-up care, home care, psychosocial care and referrals.Surgical Pharmacology tables summarize the drugs most commonly used for specific surgical procedures, including generic and trade names, purpose/description and pharmacokinetics.Patient Safety boxes highlight recent JCAHO initiatives designed to prioritize patient safety.Recent OSHA guidelines regarding workplace safety are emphasized.

    Perhaps you’re afraid that if you try, you’ll fail. The startling truth is this: Just about anyone can do great things, can live a life that’s remarkable, purposeful, excellent, and yes, even heroic. If you want to be a hero, you can be. How? That’s what this book is all about. Will you choose to do it? Will you decide to journey heroically, instead of spending your life merely marking time? If so, this is the book for you. Welcome to your heroic journey.

    Dr. Timothy Paul Jones gives easy-to-understand answers to popular questions on the Bible's reliability and accuracy.

    

    It is the distillation of what the Pardey's have learned in 150,000 miles of sailing on board their two cutters, Seraffyn and Taleisin, and on scores of other boats they have delivered or raced. Lin and Larry tell how they have sailed in comfort and safety without large cash outlay- on a pay-as-you-earn-as-you-go plan and by simplifying.In its first edition, this invaluable text has seen nine reprints. Now Lin and Larry have updated and revised the information to make it current and a valuable edition to any sailor's library right up to the millennium.

    Toddler - the story of what happens when your little one is transformed from an innocent bundle of joy into a creature that walks, talks... and craps in a plastic bucket in the middle of your living room.Man vs Toddler exposes the lie that, that when it comes to parenting 'it gets easier'. But it is just as honest, foul-mouthed and heart-warming as Matt's first book, and will have you laughing and crying with recognition as he shares his observations and advice on everything from tantrums to the horrors of soft-play.

    These kids often have violent outbursts, steal, engage in outlandish lying, play with feces, and hoard food. They are broken children who too often break even the most loving of caregivers. Many parents of these children feel utterly isolated as family, friends, and professionals minimize their struggles. Reactive Attachment Disorder (RAD) - The Essential Guide for Parents is written by a parent who is in the trenches with you. Keri has lived the journey of raising a son with RAD and has navigated the mental health system for over a decade. This is the resource you’ve been waiting for – you won’t find platitudes or false hopes. What you will find is essential information, practical suggestions, and resource recommendations to provide a way forward. If you desperately need help navigating the difficult RAD journey with your child, this book is for you.

    Texting while driving. Binge-drinking. Bullying. Unprotected sex. There are plenty of reasons for parents to worry about getting a late-night call about their teen. But most of the advice parents and educators hear about teens is outdated and unscientific--and based on the rates of teen pregnancy, accidents, addiction, and more.Acclaimed adolescent psychiatrist Jess P. Shatkin brings more than two decades' worth of research and clinical experience to the subject, along with cutting-edge findings from brain science, evolutionary psychology, game theory, and other disciplines -- plus a widely curious mind and the perspective of a concerned dad.Using science and stories, fresh analogies, clinical anecdotes, and research-based observations, Shatkin explains: Why "scared straight," adult logic, and draconian punishment don't work. Why the teen brain is "born to be wild"--shaped by evolution to explore and take risks.The surprising role of brain development, hormones, peer pressure, screen time, and other key factors.What parents and teachers can do--in everyday interactions, teachable moments, and specially chosen activities and outings--to work with teens' need for risk, rewards and social acceptance, not against it.

    History survey because of the uncommon value it offers instructors and students alike. The authors' own abridgement preserves the analytical power of the parent text, America's History, while offering all the flexibility of a brief book. The latest scholarship, hallmark global perspective, and handy format combine with the best full-color art and map program of any brief text to create a book that students read and enjoy.

    Another bolts across a busy parking lot, turns and smiles at his mom. An eighteen-year-old student bursts into tears when asked to change activities at school. Sound familiar? These and other common behavior issues in children with Down syndrome can quickly become engrained and may even persist into adulthood. No parent wants that to happen, and thankfully, help is available! Dr. David Stein, a psychologist and Co-Director of the Down Syndrome Program at Boston Children's Hospital, shares his approach to behavior management in this new book for parents. Supporting Positive Behavior in Children and Teens with Down Syndrome examines how the brain of a person with Down syndrome works, how those differences impact behavior, and why bad behavior should not be viewed as a willful act. Governed by this new awareness, parents are in a better position to change and manage their child's behavior using these guiding principles: [[Be proactive, not reactive [[Be consistent [[Use visual schedules & Social Stories to direct behavior [[Develop a token reward chart [[Keep gut reactions in check [[Teach siblings to ignore bad behavior [[Learn effective disciplinary techniques [[Know when professional help is needed Some of these parenting concepts are intuitive, others are not, but when they are followed consistently, children and teens with Down syndrome do their best behaviorally and the parent-child relationship remains as positive and loving as it should be.

    He left the violence behind for a life of science, raising a family far from the bloodshed of the Corporation. With his wife, Sarah, and son, Michael, he studied the alien Tyr for years, hidden among their complex societies. Their mission should have ended with the arrival of a replacement team. Instead, the Clays’ corporate overlords choose a death sentence: an invasion fleet to conquer the Tyr.This first contact will destroy the Tyr, and only Daniel Clay and his family can help fight back against the drug-fueled conscripts and military might of the invaders. The Clays must help the Tyr from the shadows or be killed by the Tyr who fear them...or by the Corporation they’ve betrayed.But the Clays aren’t the only hidden power.If you like Avatar or V, you’ll love The Tyr Trilogy, a series that combines the wonder, excitement, and drama of top-notch sci-fi.

    

    Although compensated by the bank for it, she knows one thing! No woman can cash a check in 1874, nor handle her own financial affairs. She needs to find a solution, fast! When she heads to find her last living male relative, she will discover a terrible truth. He was killed just a short time ago. With her options being thinned out, how is she going to overcome her complicated situation? Alejandro O’Connor, or Alex, as everyone calls him, a former veteran soldier, is now the Town Marshal of Mahoka Hills. Leading a solitary life, he finds no place for a woman in it, until Rose arrives in town. When he realizes the reason why she came, he understands he has a guilty secret that could destroy her. Will he choose honesty over his growing feelings, risking to miss his only chance to love?Their attraction is undeniable, but unfortunate events conspire to keep each one of them on their solitary path. Will this continual push-pull battle between the two of them come to an end? Will they finally stop running away from their true feelings and make way for their love to blossom?"A Love Kept Apart By Lies" is a historical western romance novel of approximately 80,000 words. No cheating, no cliffhangers, and a guaranteed happily ever after.

    As a woman pregnant with more than one baby, you're feeling all these things . . . only more so! In When You're Expecting Twins, Triplets, or Quads, Dr. Barbara Luke, an acknowledged expert on the prenatal care of multiples, outlines a practical, nutrition-based program to keep you and your babies healthy, and she offers a comprehensive tour of what you can expect during your unique pregnancy and childbirth experience. Women who follow this program have significantly fewer complications during pregnancy—and their babies are born weighing 20 to 35 percent more than the average twin, triplet, or quad. Included is crucial information on:· Finding a qualified maternal/fetal medicine specialist · Dietary guidelines for maximizing birthweight · Safe limits on exercise, physical activity, and work · Taking a leave from your job and negotiating the best deal · Reducing your risk for pregnancy complications · Recognizing the signs of preterm labor and what to do about them · What to expect during and after delivery · Feeding and caring for your newborns . . . and yourself · Getting back into shape after delivery

    Stuck in a rut, baseball was dying. Then Steinbrenner bought the Yankees, a second-division club with wife-swapping pitchers, leaving the House That Ruth Built not with a slam but a simper. He vowed not to interfere—before soon changing his mind. Across town, Tom Seaver led the Mets’ stellar pitching line-up, and iconic outfielder Willie Mays was preparing to say goodbye. For months, the Mets, under Yogi Berra, couldn’t get it right. Meanwhile, the A’s were breaking a ban on facial hair while maverick owner Charlie Finley was fighting to keep them underpaid. But beneath the muttonchops and mayhem, lay another world. Elvis commanded a larger audience than the Apollo landings. A Dodge Dart cost $2,800, gas was a quarter per gallon. A fiscal crisis loomed; Vietnam had ended, the vice president resigned, and Watergate had taken over. It was one of the most exciting years in the game’s history, the first with the designated hitter and the last before arbitration and free agency. The two World Series opponents went head-to-head above the baby steps of a dynasty that soon dwarfed both league champions. It was a turbulent time for the country and the game, neither of which would ever be the same again.