Drug therapy management is a key topic for all nurses caring for patients with a rheumatologic condition. With nurses now required to prescribe, administer, monitor and review medication, this volume will help nurses develop their knowledge, skills and self-confidence to provide these services, while also advising on the benefits and risks of medication. This much-awaited second edition has been revised to address the changing face of clinical practice and distinct advances in this field, providing vital information on the latest drug treatments such as biological agents that suppress the disease and initiate remission, it will also advise on the use of selective and non-steroidal inflammatory drugs. Content is organised into comprehensive sections, with succinct chapters that discuss: Rheumatologic conditions Drug therapy The role of the nurse Patient education and adherence to drug therapy. In addition, new material explores biologic therapies; management of non-steroidal drugs; nurse prescribing; management of chronic pain; and case studies to inform clinical decision-making regarding drug therapy.

A new edition of an established research-based text on one of the fastest growing topics in nursing: nurses dealing with this complex subject need to be kept up to date and this book written by a team of expert rheumatology nurses fills that role. The book’s emphasis is on addressing the patients' problems, assessing the effects of the disease both on the body and psychologically and suggesting treatments best suited to the individual patient. It encourages nurses to work in partnership with the patients and their carers, adopting a holistic approach to care. Edited by an acknowledged international expert in the development of the specialty Covers the needs of all nurses involved with rheumatology patients both in hospital and at home Research-based and completely updated to include the latest developments in treatments available

This text presents a totally nursing-focused framework for teaching and learning nursing pharmacology, and "places the patient" at the center of all drug administration decisions and considerations. The book presents core drug knowledge using prototypes of different drug classes and emphasizes core patient variables that influence the patient's response to therapy. This thoroughly updated Third Edition covers newly approved drugs, has separate chapters on drugs affecting fungal and viral infections, and includes more pathophysiology information. FDA Black Box warnings have been added to the discussion of each prototype when applicable, and safety alerts have been added to emphasize prevention of common medication errors. A companion Website offers student and instructor ancillaries including NCLEX®-style questions, pathophysiology animations, medication administration videos, and dosage calculation quizzes.

Individuals with chronic diseases have to cope with various challenges to their physical and psychological well being as part of their daily lives. In the field of chronic disease management nurses have an integral role in supporting the needs of the patient and identifying the optimum in high quality care. Dealing with the increasing needs of the growing chronic disease and elderly populations presents difficult challenges. Resources need to be used effectively. Chronic Disease Nursing offers support to all nurses but particularly primary and secondary care advanced practitioners wishing to develop an effective system of care for those with a long term medical condition. There is guidance on the practical aspects of setting up a telephone helpline service, identifying the ethical and professional aspects of developing a nurse led clinic, selecting appropriate outcome measures for clinic setting, and suitable biologic therapies used in chronic disease areas and working across professional organisations. This book provides a framework for the development of a chronic disease nursing service, using rheumatology as an example.

The field of rheumatology has undergone numerous exciting advances in recent years, especially the development of biological drugs with novel targets, made possible by rapid advances in the basic science of musculoskeletal diseases together with improved imaging techniques. This thoroughly revised fourth edition of the Oxford Textbook of Rheumatology reflects the changing face of the specialty and the many recent advances in the science, treatment, and understanding of rheumatic diseases. The focus of this comprehensive reference work is the presentation and management of rheumatic conditions at all ages. Where relevant, treatment approaches are evidence-based and cross-referenced to national and international guidelines. Each clinical chapter provides up-to-date treatment advice illustrated with clinical vignettes as appropriate, and the authors consistently emphasize the overlap of rheumatology with other disciplines. With full colour illustrations throughout and a complementary online version, the Oxford Textbook of Rheumatology, Fourth Edition is an essential reference for all trainees and specialists in the field.

Revealing Nursing Expertise Through Practitioner Inquiry explores and reveals the often hidden workings of ‘expert practitioners’. It provides valuable insights into developing practice expertise and how expert nursing practice is a key influence on health care practice. The authors present evidence around the interconnected components needed to facilitate, support and enable nurses in their practice settings through a transformational framework used to further develop and refine nursing practice expertise. Part 1 explores the current context of practice expertise and the process of practitioner inquiry. Part 2 examinplores the evidence for practice expertise, using exemplars from the extensive ‘Expertise in Practice Project’. This includes perspectives of practitioners developing their expertise in diverse areas of clinical practice as well as of from those who facilitate practitioners to develop and articulate their practice expertise. Part 3 explores the development of portfolios of evidence that demonstrate expertise, examines models and approaches to facilitation and provides a toolkit of resources. Revealing Nursing Expertise Through Practitioner Inquiry provides important evidence to support the claim that expert nurses change patients’ worlds as well as transforming practice, workplace performance and organisational wide service developments. Provides a framework for exploring and developing nursing expertise Enables nurses to articulate their expertise and examine their own practice Offers practical guidance on facilitating inquiry based practitioners Draws on results of the RCN Expertise in Practice project Written collaboratively by practitioners, practice developers and nurse academics

This book presents concise, comprehensive summaries of topics necessary to understand rheumatoid arthritis (RA) management, aligned with patient needs, as a reference suitable for practitioners and students of all levels. Special attention is paid to the innovative RhMAT (Rheumatoid Arthritis Medication Assessment Tool), in addition to descriptions of the pharmacological management of RA, pharmacoeconomic and pharmacovigilance considerations, the benefits of seamless care, and case presentations.Rheumatoid arthritis is one of the most common forms of inflammatory arthritis in the world, with a prevalence of 0.5 to 1%. While no cure has yet been established, modern biotechnology has enabled highly effective management, if treatment begins early. However, cost and side effects, such as immune suppression, continue to present barriers, and monitoring of patients is pivotal to safe and effective disease management. Both hospital and community pharmacists are involved in RA patient management, and have responsibilities to this patient population. Identifying pharmaceutical care issues and ensuring that the patients are managed in accordance to best evidence-based medicine are paramount. Best care is delivered when pharmacists effectively communicate with each other, the prescribers and the multidisciplinary team members involved in the care of the patient. This book aims to tackle the various aspects of the management of RA patients across all the settings.

Filled with practical advice from experienced nurses and up-to-date clinical information, this new edition of the Oxford Handbook of Musculoskeletal Nursing is the invaluable guide for all nurses and allied health professionals working with patients who have rheumatological and musculoskeletal conditions. Written to ensure that a nurse in any care environment will have the core information they require at their fingertips, this Handbook is split into three sections: musculoskeletal conditions and their management; clinical issues; and nursing care issues including treatment, nursing management, and tools. Management approaches have been fully updated since the first edition, and the changing healthcare environment and available treatments have been considered, alongside the move towards patient self-management and self-care. This Handbook also addresses the increasing demand for guidance in relation to musculoskeletal conditions, as the growing elderly and chronic disease populations needs for healthcare continue. Featuring brand new chapters on the patient's perspective, nurse-led clinics, and public health awareness, the Oxford Handbook of Musculoskeletal Nursing second edition is a practical and comprehensive guide to help the reader reach the best possible results for their patients.

ABC of Rheumatology continues to be a practical and informative guide to the assessment, treatment and management of common rheumatic and musculoskeletal conditions within primary care. Fully updated to reflect developments in this fast growing field, the fifth edition covers overviews of all key areas of rheumatology, and includes new chapters on radiology and immunology, as well as expanded coverage on metabolic bone disease, chronic widespread pain, and complex regional pain syndrome. Featuring highly illustrated chapters, boxed summaries and links to further resources, ABC of Rheumatology is an accessible reference for all primary care health professional, general practitioners, family physicians, junior doctors, medical students and nurses.

Gone are the days when the physician could act as God, the orthopaedic surgeon as the Lord God and the nurses as minister ing angels. The concept of a team approach with each discipline supplying special yet overlapping skills is accepted in principle, although not always in practice. Physiotherapists and occupational therapists resist integration of their training among the hierarchy; however, on the ground, these remedial therapists often do each other's jobs with remarkable amity. Elsewhere I have discussed whether we need multipurpose professionals or multiprofessional persons (Wright 1982). At Leeds the close collaboration that exists between rheumatol ogists and non-medically qualified professionals has resulted in a productive Bioengineering Group for the Study of Human Joints, a Clinical Pharmacology Unit of international renown and a Rehabilitation Unit that consistently produces bricks without straw. One aspect of this combined approach to patient care has been the development of the discipline of clinical nurse metrology (Bird et al. 1980). Skilled nursing sisters have worked in this capacity for a decade in Leeds. Their contribution has not only enhanced the reliability of the results of clinical trials in which they have been engaged, but it has been highly s;ost effective and greatly appreciated by patients. It has also measurably improved our patient education programme. Moreover, the posts have provided considerable job satisfaction. This book arises from the expertise gained during these pioneer years.