1.

Record Nr.

UNINA9910826343503321

Autore

Ward Frances <1950->

Titolo

The door of last resort : memoirs of a nurse practitioner / / Frances Ward

Pubbl/distr/stampa

New Brunswick, N.J., : Rutgers University Press, c2013

ISBN

0-8135-6054-3

1-299-19248-3

Edizione

[1st ed.]

Descrizione fisica

1 online resource (224 p.)

Collana

Critical issues in health and medicine

Disciplina

610.73/72069092

B

Soggetti

Nurse practitioners - United States

Lingua di pubblicazione

Inglese

Formato

Materiale a stampa

Livello bibliografico

Monografia

Note generali

Description based upon print version of record.

Nota di bibliografia

Includes bibliographical references and index.

Nota di contenuto

Frontmatter -- Contents -- Preface -- Chapter 1. Bread Is Not Sugar -- Chapter 2. Health Care: Perspectives From The Street Level -- Chapter 3. Nurse, Are You A Doctor? -- Chapter 4. Protection Of The Public Or Creation Of A Guild? -- Chapter 5. Context, Data, And Judgment: When Is Enough, Enough? -- Chapter 6. Barriers, Opportunities, And Militancy -- Epilogue -- Index

Sommario/riassunto

Having spent decades in urban clinical practice while working simultaneously as an academic administrator, teacher, and writer, Frances Ward is especially well equipped to analyze the American health care system. In this memoir, she explores the practice of nurse practitioners through her experiences in Newark and Camden, New Jersey, and in north Philadelphia. Ward views nurse practitioners as important providers of primary health care (including the prevention of and attention to the root causes of ill health) in independent practice and as equal members of professional teams of physicians, registered nurses, and other health care personnel. She describes the education of nurse practitioners, their scope of practice, their abilities to prescribe medications and diagnostic tests, and their overall management of patients' acute and chronic illnesses. Also explored are the battles that nurse practitioners have waged to win the right to practice-battles with physicians, health insurance companies, and even other nurses. The Door of Last Resort, though informed by Ward's experiences, is not a



traditional memoir. Rather, it explores issues in primary health care delivery to poor, urban populations from the perspective of nurse practitioners and is intended to be their voice. In doing so, it investigates the factors affecting health care delivery in the United States that have remained obscure throughout the current national debate