LEADER 03686nam 2200625Ia 450 001 9910826343503321 005 20240313151859.0 010 $a0-8135-6054-3 010 $a1-299-19248-3 024 7 $a10.36019/9780813560540 035 $a(CKB)2550000001003092 035 $a(EBL)1130167 035 $a(OCoLC)829460257 035 $a(SSID)ssj0000833075 035 $a(PQKBManifestationID)11512041 035 $a(PQKBTitleCode)TC0000833075 035 $a(PQKBWorkID)10899721 035 $a(PQKB)11416711 035 $a(MiAaPQ)EBC1130167 035 $a(MdBmJHUP)muse25510 035 $a(DE-B1597)526277 035 $a(DE-B1597)9780813560540 035 $a(Au-PeEL)EBL1130167 035 $a(CaPaEBR)ebr10661177 035 $a(CaONFJC)MIL450498 035 $a(EXLCZ)992550000001003092 100 $a20120608d2013 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 14$aThe door of last resort $ememoirs of a nurse practitioner /$fFrances Ward 205 $a1st ed. 210 $aNew Brunswick, N.J. $cRutgers University Press$dc2013 215 $a1 online resource (224 p.) 225 1 $aCritical issues in health and medicine 300 $aDescription based upon print version of record. 311 $a0-8135-6053-5 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tPreface -- $tChapter 1. Bread Is Not Sugar -- $tChapter 2. Health Care: Perspectives From The Street Level -- $tChapter 3. Nurse, Are You A Doctor? -- $tChapter 4. Protection Of The Public Or Creation Of A Guild? -- $tChapter 5. Context, Data, And Judgment: When Is Enough, Enough? -- $tChapter 6. Barriers, Opportunities, And Militancy -- $tEpilogue -- $tIndex 330 $aHaving spent decades in urban clinical practice while working simultaneously as an academic administrator, teacher, and writer, Frances Ward is especially well equipped to analyze the American health care system. In this memoir, she explores the practice of nurse practitioners through her experiences in Newark and Camden, New Jersey, and in north Philadelphia. Ward views nurse practitioners as important providers of primary health care (including the prevention of and attention to the root causes of ill health) in independent practice and as equal members of professional teams of physicians, registered nurses, and other health care personnel. She describes the education of nurse practitioners, their scope of practice, their abilities to prescribe medications and diagnostic tests, and their overall management of patients' acute and chronic illnesses. Also explored are the battles that nurse practitioners have waged to win the right to practice-battles with physicians, health insurance companies, and even other nurses. The Door of Last Resort, though informed by Ward's experiences, is not a traditional memoir. Rather, it explores issues in primary health care delivery to poor, urban populations from the perspective of nurse practitioners and is intended to be their voice. In doing so, it investigates the factors affecting health care delivery in the United States that have remained obscure throughout the current national debate 410 0$aCritical issues in health and medicine. 606 $aNurse practitioners$zUnited States$vBiogrsphy 615 0$aNurse practitioners 676 $a610.73/72069092 676 $aB 700 $aWard$b Frances$f1950-$01604969 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910826343503321 996 $aThe door of last resort$93929973 997 $aUNINA