Advanced Practice Nursing Ethics in Chronic Disease Self-Management

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Springer Publishing Company, Sep 21, 2012 - Medical - 224 pages
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Named a 2013 Doody's Core Title!

The trend toward patient self-management (PSM) of chronic disease is accelerating at a rapid pace along with the evolution of home-based or mobile technologies to support this care. Yet the development of self-management practice standards and advanced practice nursing support has been haphazard. This book fills a glaring void by addressing, against a backdrop of current best practices in PSM, such questions as: What are appropriate standards of safety in PSM? How can we be assured those standards are met? How does one reach a good prognosis about whether or not patients will be able to practice PSM? What level of effectiveness and efficiency should PSM reach to be considered a good policy option?

Grounded in a clear ethical practice framework for PSM regimens, the text discusses PSM of the major chronic diseases along with best practice intervention strategies. The text maps out the implementation of the PSM framework for both patient and institution, supported by numerous case examples. Also addressed are PSM challenges to Advanced Practice Nursing, three ethically valid assessment tools, and relevant health policy concerns. Offering study questions and answers, the text is designed for course adoption and as a resource at MSN, DNP, and PhD levels

Key Features:

  • Presents clear ethical practice framework for PSM regimens
  • Explores PSM in the major chronic diseases along with case studies
  • Discusses PSM challenges to Advanced Practice Nursing
  • Provides three ethically valid assessment tools
  • Useful for course adoption and a resource at MSN, DNP, and PhD levels


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A Suggested Ethical Framework for Patient SelfManagement of Chronic Disease
State of the Science and Best SelfManagement Practices by Disease
Best Practices in Patient SelfManagement Preparation and Support
Changing the Patients Self
Morally Valid Measurement Model for Patient SelfManagement Decisions
Technologies in Patient SelfManagement
Paradigmatic Examples of Patient SelfManagement Ethics
Implementing an Ethically Appropriate Model for Patient SelfManagement
Measurement Instruments
Additional Study Questions and Answers
What Can We Do?
Important Ethics Definitions

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About the author (2012)

Barbara Klug Redman, PhD, MBE, BSN, has been Dean and Professor, Wayne State University, College of Nursing since 1998. Her honors include Fellow in Medical Ethics, Harvard Medical School (1994-5), and Visiting Fellow Kennedy Institute of Ethics, Georgetown University (1993-4). She was Executive Director, American Association of Colleges of Nursing (AACN) from 1983-1989 and Executive Director, American Nurses Association/American Nurses Foundation from 1989-1994. She held the M. Adelaide Nutting Chair in Clinical Nursing, Johns Hopkins University from 1993-1995. Dr. Redman has received 17 funded research grants, published numerous articles in peer-reviewed journals, and has authored seven books, including "Practice of Patient Education: A Case Study Approach "(2006), "Advances in Patient Education" (2004), " Patient Self-Management of Chronic Disease: The Health Care Providers Challenges" (2003), and "Measurement Tools in Patient Education, 2nd edition" (2002). She was also Series Editor for eleven books in specialized areas of patient education (1981-1984), and she has served on the editorial boards of "Journal of Nursing Education, Journal of Professional Nursing," and "The Diabetes Educator, " and has reviewed for other major nursing journals. Dr. Redman consults nationally and presents internationally.

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