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Praise for previous editions: "The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice." --The Gerontologist "As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice." Score: 97 --Doodys The result of a collaboration between expert practitioners and educators in geriatric nursing, the seventh edition of this acclaimed reference has been updated and revised with new information on chronic conditions and emerging models of care presented in 10 completely new chapters. It provides the most current, evidence-based protocols for improving both quality of care and patient outcomes when caring for older adults in multiple disciplines and settings. As in past editions, the seventh edition is distinguished by its use of a rigorous systematic method (AGREE: Appraisal of Guidelines for Research and Evaluation) to improve the validity of the book's evidence-based content. Chapters provide assessment and management principles, clinical interventions, and information on specialty practice and models of care. Included in most chapters are protocols developed for each clinical condition by experts in that specific area. Evidence is current and derived from all settings of care, including community, primary, acute, and long-term care. Protocols include an overview and evidence-based assessment and intervention strategies. Illustrative case studies with discussion are presented in most chapters, along with chapter objectives and references with evidence ratings. Instructor's resources include an AACN Mapping Grid, Course Cartridge, Transition Guide, PowerPoints, and Test Bank. New to the Seventh Edition: Updated to encompass the latest trends in older adult care, chronic conditions, and emerging models of care New chapters on care and management of diabetes and respiratory care New chapters on issues surrounding nutrition and dementia, and mental illness New chapter on care and comfort at the end of life New chapters on adopting principles of diversity, equity, and inclusion and an age-friendly health system into practice New chapters on models of care in long-term, community-based, and primary care Key Features: Delivers easy-to-follow geriatric protocols for best practices Updates evidence regularly to reflect current practice standards Encompasses a broad scope of content including detailed information rarely covered in professional literature Offers case studies and discussions to illustrate application of protocol to practice Written by renowned leaders in geriatric nursing education and practice Use of AGREE (Appraisal of Guidelines for Research and Evaluation) to improve the validity of evidence throughout the text
This book tells the story of the future that has already started. Climate change issues are events that have already occurred in our past but will have a more profound impact on our future. However, we cannot solely listen to the words of environmentalists. Their radical theories may potentially kill industries and further devastate human life. Proper preparation for a crisis turns it into an opportunity. Homo sapiens have already overcome numerous climate change issues, but modern industries must coexist. We must overcome the factors that hinder this coexistence. This book defines these adversaries and provides concrete solutions to overcome them. It will have a significant impact on the future of India, which is emerging as a manufacturing powerhouse.
Jennifer has to prove that Dr. Fielding funded his biotech firm by dealing in illegally obtained human organs - including her husband's -- for transplant into the bodies of people who could pay almost any price to extend their lives. But that's not the worst of Sherwood Fielding's trangressions against nature, as Jennifer soon finds out. Working on the cutting edge of a lucrative field like genetics is risky - and Jennifer finds herself in a maelstrom of murder, industrial espionage, deceit and personal betrayal. Embroiled in a plot of unimaginable medical perversion, Jennifer must fight for the truth about the science being done at the firm. Especially as it leads her to the truth of how and why her husband died. At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
Tip #1: Don’t get on her bad side. Tip #2: There’s no good side. Her name is Silence. If she was ever known by any other name, she doesn’t remember. She is a killer. If she was ever anything else, she doesn’t remember. She has an owner. If she was ever free...well, that she does remember. She was free and then somebody gave her to a madman to pay a debt that wasn’t hers. She’s his toy, his pet...and his trained killer. She kills at his whim or she dies. She has a target. Her so-called owner...the man who makes her life a living hell. If she could kill anybody in the universe, it would be him. But he holds her life in his hands. And she has a wish—to find a man she barely remembers. A man she knows she once loved. The man who betrayed her and stole away her freedom. With one final target between her and the tantalizing promise of freedom, she moves in for the kill. There’s one problem. There’s something strangely familiar about her mark. Something that echoes in the void where love used to live.
An experimental project affecting the future of the world exists at a secret lab; only a very few within the lab know about it. Fate intervenes when a file spills out, enabling one scientist to see it; suddenly, people all around him start to die. He must uncover what the experimental project Aeon is, & find a way to inform proper authorities. A riveting and intriguing Sci-Fi mystery that will keep you on the edge of your seat until the action-filled conclusion.
A very realistic geopolitical thriller, with all the elements of hybrid warfare, that begins with a murder. In Beijing, the delayed 22nd Communist Party Congress offers an opportunity to the PLA. The elite power brokers and party elders are unable to agree the new leadership line-up. The political stand-off starts fueling international tension surrounding Taiwan and the Diaoyu Islands. The PLA, taking advantage of the situation, seeks to bring matters to a head and resolve the Taiwan, South China Sea and Diaoyu island disputes by force. Or is it that simple? The ambition and designs of China create opportunities for others. In Mexico City, a multi-billionaire uses the conflict to further his ambitions for Mexico. In a diplomatic initiative with echoes of the 1917 Zimmermann Telegram, China makes a move to ensure Mexican and wider Latin American support for China. The implications dawn on a shocked America. As China unleashes its accumulated reserves of financial, economic and diplomatic power, will the debt-burdened and divided United States be able to respond? Will China’s massive gold and foreign exchange reserves and its dominance in global trade and world GDP help it prevail? The US finds itself isolated in confronting China. The Pentagon's attempts to gain the upper hand display a hopeless misunderstanding of the nature of the challenge. As World War Three threatens, is conflict with China inevitable? The First Battle of the Philippine Sea was a decisive naval battle of World War II, which eliminated the Imperial Japanese Navy and decided the war. Will the Second Battle of the Philippine Sea be the decisive naval battle of World War III? In the tradition of all great naval battles both sides will try to inflict a strategic disaster on the other, while avoiding such a fate themselves. Will victory favor the aggressive leadership and battle plan of the Americans or the conservative battle plan of the Chinese? As the crisis deepens and war looms, both sides field their latest technological secrets, in an unseen war in space and the cyber-sphere, as each seeks the virtual high ground in this prescient technothriller. Will we witness a reordering of the international hierarchy - the yielding of global hegemony - as an old empire attempts to replace the new and reclaim its rightful position? Is this fictional account of a clash between the United States and China - that has the unsettling qualities of a techno thriller deploying real and recognizable technical, financial, and military developments discernible today - what we can expect in 2032?
The Armageddon Protocol With the end of the Cold War, the 21st Century ushered in a new enemy, one that was dedicated to the destruction of the United States of America and most of the Western world. They were eager to use violence on a massive and vicious scale to accomplish it. These were the members of Islamofascism. The country was to face an enemy that had no homeland and espoused an interpretation of their religion that was extremely violent. The Armageddon Protocol was created to counteract this new threat. Signed by the President in 2002, the Protocol was to be triggered by an attack on America or Israel with a weapon of mass destruction by an Islamic source. It would result with the destruction by thermonuclear weapons on all the holy sites of Islam, with particular interest in Mecca and Madina, as well as any other target of opportunity especially the Iranian nuclear capacity. This would make the holy sites radioactive for a thousand years. The Protocol was the 21st Century's version of the Cold War's Mutual Assured Destruction, the MAD concept. Also in 2002 the elements of the Protocol were provided to all of the terrorist camps and nations throughout the world so that they would not be ignorant of it. There had been no such attacks on America since the establishment of the Protocol. With the election of a new left-leaning President in 2008, who was determined to negotiate with the terrorists at any cost, the Iranian government translated his attitude as weakness. Iran then became determined to use the "Seven Sisters of the Prophet," seven suitcase-sized nuclear weapons originally produced by Russia and sold to Iran. The Iranians intended to infiltrate them into both the United States and Israel. Should even one of these weapon be detonated, it would trigger execution of the Protocol. Its very existence still had not yet made known to the new President. This could result in causing large-scale devastation in the Middle East and perhaps a worldwide conflagration, but could also possibly be an eventual universal blessing. Lieutenant General Henry H. Henderson, who had been appointed by the previous president as Director of the National Security Agency becomes aware of the "Seven Sisters" plot and carefully tries to unlock and defeat it. He is accompanied in this endeavor by Jack and Rose Deiter, his twin sons Butch and Harry and Harry's fiancée Charlie Waggner who travel worldwide in search of the "Sisters."
Sharon regains her memory and exercises her power and intellect. The mission is about to commence, although perhaps minor in a logical formulation, it is important to those who are involved.
Horne tells her remarkable story, exploring her work as a Harlem Renaissance playwright, biographer, composer, teacher, novelist, Left political activist, advisor and inspiration."--BOOK JACKET.
As a dark army of asteroid rock-ships hurtle towards Earth, a hijacked Aero-cop car crashes in Madagascar, and a Tyrannosaurus Rex claws its way free from the wreckage. Tyrann has come to Earth in a desperate attempt to find his son Tarrock, who is searching for the Grandidierite that will take him home. Will Tyrann reach Tarrock in time before his arch-enemy the evil Terra strikes? Rex is also under attack. Lord Gorgo has allied with the demonic Mantoids to conquer Earth, and they have recognized the danger Rex presents to their plans. Attacked from within, Rex will need all the support of his friends if he is to withstand the assaults of dark matter on his computer brain. But Rion is hiding a secret that will challenge everything Rex believes is true. Will Rion’s shocking confession aid or destroy the young hero’s fragile psyche?