AWHONN High-Risk & Critical Care Obstetrics by Nan H. Troiano RN MSN, Carol J. Harvey RNC C-EFM MS,

By Nan H. Troiano RN MSN, Carol J. Harvey RNC C-EFM MS, Bonnie Flood Chez RNC MSN

Co-published with the organization of Women's overall healthiness, Obstetrics & Neonatal Nurses (AWHONN), this complete e-book on complex obstetrics perform specializes in the care of childbearing ladies with problems while pregnant and the similar specialist issues of perinatal pros taking care of them. This considerably revised variation displays the numerous switch during this area of expertise zone and the necessity to collaborate in perform to maximise sufferer results. All chapters were revised via RN-MD writer teams.

This version contains the AWHONN Perinatal Morbidity Advisory Panel most sensible five concerns: weight problems, thromboembolic sickness, diabetes, perinatal infections, and cardiac sickness. the complete first part offers the realities of cutting-edge perform together with ethics, collaboration, and sufferer protection. Nineteen chapters element the first issues of pregnancy.

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1993). Testimony to the physician practice review commission. Silver Spring, MD: Author. 16. Burchell, R. , Smith, H. , Tuttle, W. , & Thomas, D. A. (1982). indd 14 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. Implications for cost, quality, and productivity. American Journal of Obstetrics and Gynecology, 144, 621–625. Hankins, G. D. , Shaw, S. , Cruess, D. , Lawrence, H. C. 3rd, & Harris, C. D. (1996). Patient satisfaction with collaborative practice. Obstetrics & Gynecology, 88, 1011– 1015.

O’Daniel, M. (2005). Disruptive behavior & clinical outcomes: Perceptions of nurses & physicians. Nursing Management, 36(1), 18–28. 43. American Association of Critical-Care Nurses. (2005). AACN standards for establishing and sustaining healthy work environments. Aliso Viejo, CA: Author. pdf 01/11/11 10:32 AM CHAPTER 3 Ethical Challenges Frank A. Chervenak, Laurence B. 1,3 Some ethical crises that arise in acute clinical situations may be addressed only after they have occurred. In contrast, the concept of preventive ethics has evolved as a valuable clinical resource for anticipatory thought.

Thus, there is no basis for saying that a fetus has a perspective on its interests. There can therefore be no autonomy-based obligations to any fetus. Hence, the language of fetal rights has no meaning and therefore no application to the fetus in obstetric clinical judgment and practice, despite its popularity in public and political discourse in the United States and other countries. Obviously, the physician and nurse have a perspective on the fetus’s healthrelated interests, and the physician can have beneficence-based obligations to the fetus, but only when the fetus is a patient.

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