Presents a view of hospice care through the eyes of a long-term hospice nurse. This title includes stories which are accompanied by discussion of end-of-life issues that arise among the families hospice nurse has served. It is useful for health care and social worker and layperson alike.

Published in 2000. Child abuse is endemic, it comes in many forms and its categories are not closed. This book looks at responses to aspects of child abuse in all five continents. The definitions are different, though not all that different, the legal emphases vary and so do management techniques. This book reveals the importance of culture and structure in the commitment to eradicate the problem.

Increase your opportunity for first-time success on the challenging emergency medicine board exam with this authoritative, highly illustrated review tool! Written and edited by contributors from the UCLA-affiliated residency programs, Emergency Medicine Board Review covers the full range of disorders, procedures, skills, and other core competencies that the emergency medicine physician needs to know. A bulleted, easy-to-read format supported by hundreds of high-quality images and questions make it the most efficient and effective way to study for certification and MOC exams and prepare for clinical practice. Contains approximately 500 board-style, multiple-choice questions with full, discursive answers, and more than 300 clinical photos for effective visual learning. Features up-to-date content in a streamlined, highly focused format with questions directly related to the board exam, both in print and online. Covers all areas of the Emergency Medicine Model for certification and in-service exams, including devices (AICD, LVAD, pacemakers), infectious disease, pediatrics, rashes, toxicology, trauma, and more. Includes key procedures such as airway management; neonatal, pediatric, adult cardiac arrest; vascular access; wound management; ultrasound; and procedural sedation. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Psychological stress is often overlooked by medical doctors as a major factor in physiologically based illness; however, clinical studies show that stress has a vital impact on both the mental and physical well-being of patients. Handbook of Stress Medicine: An Organ System Approach focuses on the relationship between stress and the physiology and pathology of the major organ systems of the body. It suggests that understanding how stress impacts on illnesses can help hold down medical costs through more accurate diagnoses and promote improved preventative care. Section I offers a general background on stress as it relates to medicine and the difficulties in conducting stress-related research. The primary focus of the text, how stress effects specific organ systems, is examined using scientific and clinical data in Section II. The third section addresses the impact of stress on important medical problems of current interest, such as AIDS, cancer, and substance abuse. It also discusses anxiety disorders. The next section covers topics related to stress, such as stress measurement, stress in the workplace, and the psychodynamics of stress. The final section explores the major pharmacological and non-pharmacological approaches to the treatment of stress and anxiety disorders. This book will assist physicians, psychologists, nurses, physical therapists, and other health care professionals recognize possible stress-related problems, educate their patients, and develop therapeutic strategies for reducing stress and stress-related illnesses.

Key features: • Expanded first chapter on levels of echocardiography. • New sections on COVID-19, cardio-oncology, multivalve disease, and specialist valve clinics. • Incorporation of new international guidelines, grading criteria and normal data. • Guide to how cardiac CT and magnetic resonance can compliment echocardiography. • Reformatted text and extra diagrams and tables to improve understanding.

This volume offers a realistic discussion of the complexity of the treatment of traumatic and dissociative experiences in eating disorders. The authors investigate critical issues concerning contraindications and the pitfalls of treatment while reflecting on the longterm outcomes of treatment.

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This book challenges the assumptions of the event-dominated DSM model of posttraumatic stress disorder. Bowmam examines a series of questions directed at the current mental health model, reviewing the empirical literature. She finds that the dose-response assumptions are not supported; the severity of events is not reliable associated with PTSD, but is more reliably associated with important pre-event risk factors. She reviews evidence showing the greater role of individual differences including trait negative affectivity, belief systems, and other risk factors, in comparison with event characteristics, in predicting the disorder. The implications for treatment are significant, as treatment protocols reflect the DSM assertion that event exposure is the cause of the disorder, implying it should be the focus of treatment. Bowman also suggests that an event focus in diagnosis anad treatment risks increases the disorder because it does not provide sufficient attention to important pre-exisiting risk factors.

Virtually every wound, whether surgical or traumatic, needs to be closed to promote wound healing and prevent infection. Increasingly sophisticated and effective materials for the crucial surgical treatment of wound closure are being developed continuously. Keep up with the most recent research progress and future trends in this complex and rapidly changing field with Wound Closure Biomaterial and Devices. This state-of-the-art book provides detailed information and critical discussions on:
o Sutures and other wound closure devices, including absorbable sutures and their biodegradation properties
o The chemistry, physics, mechanics, biology, and biomaterials science of suture materials
o Tissue adhesive, ligating clips, and staplers
o The biomechanics and pathology of wound healing
o Future trends and new emerging materials in the treatment of wound closure

The new edition of Major Incident Medical Management and Support is a vital component in the blended learning course from Advanced Life Support Group (ALSG), which aims to provide hospital staff at all levels with essential information on the preparation, management and support elements of dealing with casualties in a major incident. Split into five sections, each focuses on the elements requisite in preparing for, and responding, to a major incident. The first section discusses the epidemiology and incidences of major incidents and the structured approach to the hospital response. The second section contains the preparation required in planning for major incidents, including equipment and training. The third section covers the management of a major incident, concentrating on the clinical, nursing and management hierarchies. The fourth includes the various stages of support in a major incident, including declaring an incident and activating the plan, the reception, triage, definitive care and recovery phases of an incident. The final section focuses on special incidents which require additional consideration, including those involving hazardous chemicals, burns and children. Written in collaboration with the National Emergency Planning, Major Incident Medical Management and Support is an invaluable reference in the emergency department and beyond for staff needing to prepare for the rare, but inevitable, hospital major incidence response.

First responders confronted by forensic cases are forced to consider the competing concerns of administering proper medical treatment while at the same time safeguarding vital evidence. Forensic Science in Healthcare: Caring for Patients, Preserving the Evidence presents precise on-scene protocol designed to ensure that the actions of the response team provide the necessary care and yet maintain the integrity of the evidence for legal purposes. Following an introduction to forensics, the book explains how to recognize and identify patients with forensic issues, offers guidelines on proper documentation, and provides tips on forensic photography and capturing critical images. It reviews basic principles of evidence collection before moving into specific case scenarios, including domestic violence, sexual assault, child and elder abuse, youth violence, and death investigation. The book also examines occupational concerns for forensic personnel as well as legal issues such as testifying in depositions and in court. Enhanced with photographs, illustrations, templates for documentation, and case-specific recommendations, this one-stop reference provides first responders with practical understanding of the steps that should be followed to ensure not only patient protection but evidence preservation.

Emotions, behaviors, thoughts, creations, planning, daily physical activities, and routines are programmed within our brains. To acquire these capacities, the brain takes time to fully develop--a process that may take the first 20 years of life. Disruptions of the brain involving neurons, axons, dendrites, synapses, neurotransmitters or brain infrastructure produce profound changes in development and functions of the one organ that makes us unique. To understand the functions and development of the brain is difficult enough, but to reverse the consequences of trauma and repair the damage is even more challenging. To meet this challenge and increase understanding, a host of disciplines working and communicating together are required.
The International Association for the Study of Traumatic Brain Injury tried to correct this limitation during its meetings of international clinicians, researchers, and scientists from many fields. It was felt that many of the outstanding thoughts and ideas from the participants' most recent meeting and from others working in the field of traumatic brain injury (TBI) should be shared. This book was conceived not as proceedings of the conference, but as a collection of knowledge for those working in the acute and chronic recovery aspects of head injury.
This book reflects the importance of the team approach to patients with TBI. The chapter authors come from a diverse array of disciplines--basic science, neurosurgery, neurology, radiology, psychology, neuropsychology, and legal, consumer, and speech/language science. Their contributions provide the most current research and the latest ways of managing a variety of aspects of TBI.

The relationship between autism and PTSD has historically been neglected in research and understanding but impacts the lives of many. Autistic people are intrinsically vulnerable to traumatic social situations and relationships, which can later manifest as PTSD. Navigating situations where one feels entirely at odds can lead seemingly commonplace events to be processed as traumatic experiences. In this unique collaboration, Lisa Morgan and Mary Donahue explore PTSD in autistic adults as patient and practitioner. Lisa shares her personal experiences as an autistic adult, reflecting on emotionally traumatic events and their effect on her daily life. Mary examines the challenges surrounding diagnosis, reworking and developing communication and clarifying the symptoms of PTSD within the autistic population. Combining lived experience with professional expertise, this clear and accessible guide will provide a better understanding of autism and PTSD, providing support and direction to autistic adults processing trauma and those involved in their care.

Emotions, behaviors, thoughts, creations, planning, daily physical activities, and routines are programmed within our brains. To acquire these capacities, the brain takes time to fully develop--a process that may take the first 20 years of life. Disruptions of the brain involving neurons, axons, dendrites, synapses, neurotransmitters or brain infrastructure produce profound changes in development and functions of the one organ that makes us unique. To understand the functions and development of the brain is difficult enough, but to reverse the consequences of trauma and repair the damage is even more challenging. To meet this challenge and increase understanding, a host of disciplines working and communicating together are required.
The International Association for the Study of Traumatic Brain Injury tried to correct this limitation during its meetings of international clinicians, researchers, and scientists from many fields. It was felt that many of the outstanding thoughts and ideas from the participants' most recent meeting and from others working in the field of traumatic brain injury (TBI) should be shared. This book was conceived not as proceedings of the conference, but as a collection of knowledge for those working in the acute and chronic recovery aspects of head injury.
This book reflects the importance of the team approach to patients with TBI. The chapter authors come from a diverse array of disciplines--basic science, neurosurgery, neurology, radiology, psychology, neuropsychology, and legal, consumer, and speech/language science. Their contributions provide the most current research and the latest ways of managing a variety of aspects of TBI.

This new addition to the popular 100 cases series explores common clinical scenarios that will be encountered by the medical student and junior doctor during practical training in the emergency department, in the community and in intensive and critical care settings, and which are likely to feature in qualifying examinations. The book covers a broad range of presentations, organized by sub-specialty area for ease of reference. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur when practising emergency and critical care medicine at all levels.

Re-Circuiting Trauma Pathways in Adults, Parents, and Children presents the evidence-informed and substantiated Intergenerational Trauma Treatment Model (ITTM), with an emphasis on up-to-date trauma theory, the development of specialized clinical skills, and the replicability of methods. Grounded in original research, experiential practice, and mathematical principles of logic, the ITTM targets and treats both the child's and the caregiver's complex trauma, providing the content and the process for supplying an effective, and brief, caregiver-first treatment option. It delivers an innovative, multigenerational approach to complex trauma treatment that strengthens the caregiver-child relationship by motivating and teaching caregivers to help their children cope with the effects of trauma.

This book provides guidelines, procedures, and techniques for emergency support personnel involved with handling radiation accident patients. Prepared by a former emergency medical responder, this book amplifies the level of radiological response training provided to emergency medical technicians and emergency room physicians and nurses. Supporting graphics, references, and a glossary help readers understand the critical aspects of emergency trauma treatment.

Lightning Injuries: Electrical, Medical, and Legal Aspects presents a thorough examination of injuries inflicted by lightning strikes. The expertise of acknowledged world authorities from three continents have been brought together to create this truly remarkable volume. Lightning Injuries: Electrical, Medical, and Legal Aspects begins with a short historical review featuring a discussion of the physics of lightning phenomena and the aspects of electrical circuit theory. This review provides the background for following chapters, which address topics such as the epidemiology of lightning injury, the pathogenesis of the features of lightning injury, the clinical aspects of managing patients with lightning injury, and lightning injury mediated by communications systems (including telephones). The book also describes the problem of finding protection against lightning strikes and the issues that arise in legal liability as a result of lightning strikes. The book is written for a diverse audience and includes material that makes it appropriate for all professionals in medical, legal, and technical fields. Never before has such a comprehensive collation of related facets of lightning injury been published within a single volume.

This unique book presents an approach to viewing trauma. It examines the cellular consequences of trauma at a molecular level and provides new insights into the treatment of traumatic injury, based on cellular responses. The current of trauma research is reviewed, previously unpublished information on the topic is presented, and research directions are included.

This timely and exciting new book brings together for the first time the readily available choices of dietary supplements and their relationship to injury rehabilitation. Nutrition Applied to Injury Rehabilitation and Sports Medicine supports the rational use of specific nutrients for specific healing conditions. Guidelines for nutritional programs applied to specific conditions are provided for practical application.

Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author's first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.

Rewriting the American Soul focuses on the political implications of psychoanalytic and neurocognitive approaches to trauma in literature, their impact on cultural representations of collective trauma in the United States, and their subversive appropriation in pre- and post-9/11 fiction. Anna Thiemann connects cutting edge trauma theory with the historical context from which it emerged and shows that contemporary novels encourage us to reflect critically on the cultural meanings and political uses of trauma. In doing so, it contributes to a new generation of trauma scholarship that challenges the dominant paradigm in literary and cultural studies. Moreover, the book intervenes in current debates about the relationship between literature and neuroscience insisting that the so-called neuronovel scrutinizes scientific developments and their political ramifications rather than adopting and translating them into aesthetic practices.

This book focuses on the operational and clinical strategies needed to improve care of Emergency Psychiatric patients. Boarding of psychiatric patients in ED's is recognized as a national crisis. The American College of Emergency Physicians identified strategies to decrease boarding of psychiatric patients as one of their top strategic goals. Currently, there are books on clinical care of psychiatric patients, but this is the first book that looks at both the clinical and operational aspects of caring for these patients in ED setting. This book discusses Lean methodology, the impact of long stay patients using queuing methodology, clinical guidelines and active treatment of psychiatric patients in the ED.

First Published in 2001. Routledge is an imprint of Taylor and Francis, an informa company.

Following in the footsteps of the successful first edition, The Group Therapist's Notebook, Second Edition offers an all new collection of innovative ideas and proven interventions that will enhance any group therapy practice. Seasoned and up-and-coming experts provide field-tested activities, easy to reproduce handouts, and practical homework assignments for a variety of problems and population types. Each chapter is solidly grounded with a theoretical foundation and includes materials to gather for implementing the intervention, detailed instructions for use, suggestions for follow-up in successive meetings, contraindications for use, and resources for the client and therapist. With an added emphasis on instruction, real-world examples, and extension activities, this new resource will be a valuable asset for both beginning and established mental health practitioners, including counselor educators, social workers, marriage and family therapists, guidance counselors, prevention educators, peer support specialists, and other group facilitators.

Following in the footsteps of the successful first edition, The Group Therapist's Notebook, Second Edition offers an all new collection of innovative ideas and proven interventions that will enhance any group therapy practice. Seasoned and up-and-coming experts provide field-tested activities, easy to reproduce handouts, and practical homework assignments for a variety of problems and population types. Each chapter is solidly grounded with a theoretical foundation and includes materials to gather for implementing the intervention, detailed instructions for use, suggestions for follow-up in successive meetings, contraindications for use, and resources for the client and therapist. With an added emphasis on instruction, real-world examples, and extension activities, this new resource will be a valuable asset for both beginning and established mental health practitioners, including counselor educators, social workers, marriage and family therapists, guidance counselors, prevention educators, peer support specialists, and other group facilitators.