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Sprache: Englisch
Verlag: Elsevier - Health Sciences Division, United States, Philadelphia, 2017
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Paperback. Zustand: Very Good. Awarded second place in the 2018 AJN Book of the Year Awards in Medical-Surgical Nursing! Healthcare is evolving at an incredible pace and with it, the roles and responsibilities of the medical-surgical nurse. Ensure you are fully equipped to thrive and adapt in this ever-changing nursing environme…nt with Ignatavicius, Workman, and Rebar's Medical-Surgical Nursing: Concepts for Interprofessional Collaborative Care, 9th Edition. This trendsetting text not only covers all essential adult health knowledge, but also reinforces the application, conceptual thinking, and clinical judgment skills that today's nurses need to stay one step ahead in delivering exceptional patient care, no matter the environment. As with previous "Iggy" editions, you'll find a unique collaborative care approach to adult health nursing, a thorough integration of QSEN competencies, extensive NCLEX Exam preparation, and a direct, reader-friendly tone throughout the text. This ninth edition incorporates two emerging and complementary trends - the Core Competencies for Interprofessional Collaborative Practice and a more conceptual approach teaching and learning - areas that will ground you in how to think like a nurse and how to apply the knowledge you gain from the text to clinical practice. There are a lot of med-surg nursing texts out there, but there's only one that combines all the information, concepts, and on-the-job realities in a way that makes perfect sense: "Iggy!" Trendsetting QSEN integration emphasizes patient safety and evidence-based practice with Nursing Safety Priority boxes, including Drug Alerts, Critical Rescues, and Action Alerts. UNIQUE! Emphasis on clinical judgment helps you develop skills in clinical reasoning and clinical decision-making when applying concepts to clinical situations. Strong emphasis on NCLEX Exam preparation includes chapter-opening Learning Outcomes and chapter-ending Get Ready for the NCLEX Examination! sections organized by NCLEX Client Needs Categories, plus NCLEX Examination Challenge questions, with an answer key in the back of the book and on the Evolve companion website. Exceptionally readable content features shorter sentences, straightforward vocabulary, and a direct, reader-friendly writing style. NEW! Enhanced emphasis on conceptual teaching and learning features a strong integration of nursing concepts and exemplars throughout the book via new concept overview chapters, chapter-opening concept lists, and a focus on concept exemplars within disorders chapters. NEW! Integration of interprofessional collaborative practice takes the book's hallmark collaborative management approach to the next level via new collaboration-focused Clinical Judgment Challenges, integration of a new Teamwork & Interprofessional Collaboration concept, and in-depth integration within TEACH lesson plans. NEW! Deeper integration of Tanner's model of clinical nursing judgment utilizes Tanner's terminology within nursing process headings, NCLEX Examination Challenge questions, and Key Points. NEW! Stronger emphasis on health promotion and community-based care includes revised and updated content throughout the text to reflect the reality that most adult health care no longer takes place as long-term stays in high-acuity settings. NEW! More consistent, interprofessional terminology for patient problems promotes interprofessional collaboration through the promotion of a common healthcare language. NEW! Updated content throughout reflects the most recent changes in practice and the latest evidence-based guidelines, particularly national and international treatment guidelines and protocols. NEW! More consistent learning outcomes now incorporate QSEN and nursing concepts in a more consistent and intentional manner from chapter to chapter. The book has been read, but is in excellent condition. Pages are intact and not marred by notes or highlighting. The spine remains undamaged.

Reiterating his reasons for resigning his command, in a 7-page letter, signed by Simons, Charleston, July 15, 1861, three months after the fall of the Charleston Harbor Fort in the opening salvos of the Civil War, to S.C. Governor F.W. Pickens, a manuscript draft copy with extensive corrections, deletions, and additions
Simons, Brigadier Gen. James (1813-1879; prominent Charleston, S.C., lawyer and politician, Speaker of the S.C. House of Representatives, 1850-1861, C.S.A. Brigadier General and commander of a portion of the troops un Gen. Beauregard at the siege of Fort Sumter in April, 1861)
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4to. 7 pages, approximately 1200 words in a completely legible hand, on lined stationery, with the embossed stamp of Evans and Cogswell, Charleston. Docketed on the verso of the final leaf "July 15 1861 / James Simons / to / Governor Pickens / Reply to Letter / of Gov. P / 11 July 1861." Brigadier General James Simons's draft co…py of a letter further explaining his reasons for resigning his command, given in reply to a July 11 letter from Gov. Pickens that apparently had quarreled with earlier correspondence from Simons, responding point by point, to criticisms he feels the Governor has leveled against him over differences of opinion regarding the military defensibility of Charleston Harbor. Most, if not all, of the Pickens-Simons correspondence concerning this matter has been published; the James Simons papers at the University of South Carolina holds correspondence from Pickens, but we have not been able to locate the original manuscripts or other drafts for the Simons portion of this correspondence. Old tideline from dampstaining, with professional conservation work, cleaning the paper, restoring chipped areas along the lower edge through leaf-casting, and completing several letters and marks with matching manuscript on four leaves. Folded for mailing or filing. (61444) (9835). Following the Union Army take over of Fort Sumter by Major Robert Anderson on December 26, 1860, just six days after South Carolina seceded from the Union, Gov. Pickens directed Major General Schinierle to occupy Fort Moultrie, Fort Johnson, and Castle Pinckney, and to establish a battery on Morris Island to prevent, at all costs, the reinforcement of Anderson's men. Simons, as commander of the 4th Brigade of the Charleston Militia, was second in command of the defenses for the harbor, occupying the critical spot at Morris Island at the harbor's entrance. He expressed his concerns over the defense of the harbor in a six-page report to the Governor on January 1, 1861: "I cannot sacrifice to matter of Etiquette questions and issues of such momentous importance as now surround us . The line of operations embraces four points 1) Fort Moultrie 2) Castle Pinckney 3) Fort Johnson 4) Morris Island. By the map which accompanies this paper, it will appear that your lines of communication with these points . are directly within the range and effective power of Fort Sumter - the Citadel of the Harbour controlling every point. At the first return of fire from Fort Sumter, your lines of communication are utterly cut off." He goes on to report: "Fort Moultrie - This position is wholly untenable - Lt. Col. De Saussure . gave you prompt notice of this fact on the morning after his occupation." To this Gov. Pickens responded with great offense, insinuating that Simons was counseling abandonment of the harbor defenses. Simons' first letter of resignation came almost immediately, on January 8, but he was prevailed upon by the Secretary of War to withdraw it. The 4th Brigade, under Simons command led the first attack on Fort Sumter on April 12, 1861. The controversy between Simons and the Governor continued to simmer until a few months after Anderson and his Union forces had surrendered Fort Sumter. By July, in spite of Simons' successes defending the Charleston harbor, he again offered his resignation. Gov. Pickens apparently wrote to refute Simons arguments. Simon replies in this lengthy manuscript letter: "I had hoped I would not have been obliged to extend this correspondence but I am sure your sense of justice will indulge me a letter further. I have assigned among other reasons for resigning, that you have not shown that recognition which appeared to be due to me as a general officer. I detailed several instances, but confined myself to the facts, neither canvassing nor questioning your intuition or motive. You reply, that you do not think my reasons for resigning are sufficient, yet you adopt a line of argument to arrive at this conclusion, which not only admits the facts I have stated but is founded . on a settled intention not to consult me, and why? Because on two occasions having been called into council & my opinion specially asked, I ventured to differ from you & express opinions not in conformity with yours. In other words my rank position & counsel as a public officer were to be overlooked, because I did not yield acquiescence to that which did not accord with my honest convictions . I must ask your indulgence a little longer. You say, that about the 29 December I made "a regular Military Protest" against everything you had done, or prepared to do, & demanded a council of War. That on the 3 day of January last you endorsed on the back of my demand for a council of War, that you could agree to no council of War that would drive you to any such conclusions. Permit me in justice to myself, to show you the mistaken impressions under which you seem to labour. The date of my Report was 1 Jany & not 29 December. This date is important as you will see. I respectfully ask leave to correct your misapprehension also as to its being a 'regular Military Protest.' It appears to me that you are mistaken. The paper I sent to you was a Report on the defense of the Harbour of Charleston. I sent it to you because on 31 Dec. 1860 you directed Major Genl. Schinierle in you own words as follows -'You are now ordered to see and attend particularly to the objects & the commands I have detailed to you above, & further purpose you are directed to call into requisition and council the valuable aid and co-operation of Brigadier General Simons.' Thus called and in pursuance of my responsibility and duty as Brigadier General I made a Report of my examination of the Harbour & my opinion thereon. That it was a Report & not a Protest, I cite your excellency as both witness & judge. On the 2 Jany. You say in a letter to me, 'Your Extraordinary report I received last night & have only to say that I do not pretend that the orders & disposition of the f.

On recommendation of Dr. Richard Fenner, "a man of great respectability," seeking a position of surgeon in the navy or army for Lenco Miller, the son of Dr. Thomas Mitchell, "a worthy man & his death much lamented," in an autograph letter from Washington, February 7, 1813, to the Secretary of the Navy, William Jones
MACON, Nathaniel (1851-1837; U.S. House of Representatives from N.C., 1791-1815, House Speaker, 1801-1807, U.S. Senator, 1815-1828, President Pro Tempore, 1826-1827)
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4to. Two-pages, approximately 200 words; accompanied by a cover address sheet, with a 3-line postscript, initialed by Macon. Both sheets with splitting to a central vertical crease.
Weitere BilderSENDING A MESSAGE CONCERNING THE APPOINTMENT OF THE COMMITTEE TO EXPLORE EXEMPTING MILITIA MEMBERS FROM SERVICE DURING THE SUMMER, in a clerical manuscript note, signed December 19, 1796, as Speaker of the S.C. House of Representatives, [possibly one of a number sent to members of the Senate]
BARNWELL, Robert (1761-1814; U.S. House of Representative, 1791-1793, S.C. House of Representatives, 17897-1801, Speaker, 1794-1797)
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4to. One page, in full: "In the House of Representatives December 19, 1796. / Honorable Gentlemen / This House have appointed General Pickens, Colo. Mayer, Colo. Tarleton Brown, Mr. Ramsay, Mr. Lee, a Commte to meet your Commte in free conference on the subject of amendments, to be made to the Bill entd 'An Act' to vest the powe…r in the Commanding officers of Regiments to exempt the Militia under their command from turning out in the months of July, August & September &c. / By order of the House / [signed] Robt Barnwell speaker." Barnwell served in the Revolution, rising to the rank of Lt. Colonel, and spent the following decades in a series of local and state political offices and one term in the U.S. House of Representative. Docketed verso of an integral leaf in an unknown hand "Message from the House of Rep appointing a committee of conference on the Bill vesting the power in the Commanding Officers of Regts. To exempt the militia from turning out in July, Aug. & Sept. 1p December 1796." Old fold lines, but very good.