Free science Kindle books for 16 Aug 18

Fragility Fracture Nursing: Holistic Care and Management of the Orthogeriatric Patient (Perspectives in Nursing Management and Care for Older Adults)

by Karen Hertz

This open access book aims to provide a comprehensive but practical overview of the knowledge required for the assessment and management of the older adult with or at risk of fragility fracture. It considers this from the perspectives of all of the settings in which this group of patients receive nursing care.
Globally, a fragility fracture is estimated to occur every 3 seconds. This amounts to 25 000 fractures per day or 9 million per year. The financial costs are reported to be: 32 billion EUR per year in Europe and 20 billon USD in the United States. As the population of China ages, the cost of hip fracture care there is likely to reach 1.25 billion USD by 2020 and 265 billion by 2050 (International Osteoporosis Foundation 2016). Consequently, the need for nursing for patients with fragility fracture across the world is immense. Fragility fracture is one of the foremost challenges for health care providers, and the impact of each one of those expected 9 million hip fractures is significant pain, disability, reduced quality of life, loss of independence and decreased life expectancy.
There is a need for coordinated, multi-disciplinary models of care for secondary fracture prevention based on the increasing evidence that such models make a difference. There is also a need to promote and facilitate high quality, evidence-based effective care to those who suffer a fragility fracture with a focus on the best outcomes for recovery, rehabilitation and secondary prevention of further fracture. The care community has to understand better the experience of fragility fracture from the perspective of the patient so that direct improvements in care can be based on the perspectives of the users.
This book supports these needs by providing a comprehensive approach to nursing practice in fragility fracture care.



The Justification of the Individual: A Review of Freud, Jung, Abraham, Bergler and Adler Part II

by D. Vecchio

The impartial student of Sigmund Freud does not necessarily have to agree with all his conclusions. In reading Freud, it is his description of our human nature – its passion for knowledge and fulfillment – that attracts our attention. This quest for self-understanding is so time-consuming that it feels like it could take a lifetime to finally be “true to yourself.”

The reverberations from the psychoanalytic revolution have not stopped and have continued to inspire continuous study and the development of new ideas. Famously, Swiss psychoanalyst Dr. C.G. Jung added “archetypes” and the “collective unconsciousness.”

After Freud co-authored with Dr. Josef Breuer Studies on Hysteria (1895), Freud’s subsequent publications and lectures detailed and highlighted his own theories that resulted in the creation of psychoanalysis and the parallel revolutionary discovery of the unconscious.

Freud’s psychoanalysis began with “free association”รข??the quick, decisive response that first comes to mind when questioned. “Free association” allowed patients to forget everything except what had taken up residence in their minds. This exercise required time, patience and trust in the questioner. The traditional analytical process considers gratification of instinctual drives while simultaneously reconciling them with the conflicting claims of the id, ego and superego and societal control.

In the attempt to redefine instinctual activity within the individual’s accessible mindset, the typical self-centeredness of the neurotic – with all its repeating and feedback mechanisms – is broken down into identifiable and manageable parts for both the therapist and patient. “Words” are what we use to satisfy our hierarchy of needs, but we are often defeated by self-judgments and guilt.

Freud’s creation of psychoanalysis offered a pioneering outline of the mind’s psychical apparatus to constructively control and change our thoughts.



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