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Books > Medicine > Other branches of medicine > Anaesthetics
Linking existing knowledge to new knowledge by presenting it in the form of a case or a problem is a popular and effective educational approach resulting in better retention of the knowledge and improved ability to apply that knowledge to solve real problems. This problem-based learning (PBL) method was introduced into medical education at McMaster University in Ontario, Canada, in 1969. Since then it has been widely incorporated into secondary, undergraduate, and graduate education in a variety of disciplines worldwide. This new volume for the Anesthesiology Problem-Based Learning series reviews topics in general anesthesiology utilizing the PBL approach. Each chapter deals with conditions and problems in anesthesia practice presented as a case stem with questions to encourage critical thinking, followed by an evidence-based discussion and multiple-choice questions for self-assessment. Current in its knowledge of organ systems and management, the text keeps pace with new technology, new drugs, and new surgical techniques coupled with current guidelines for anesthetic management. Cases highlight the practical issues that arise in the operating room and offers solutions for them. The book can be used to review an upcoming clinical case or as a PBL tool. The 'Stem Case' and 'Key Questions and Discussion' sections can serve as the basis for interactive learning experiences for study groups or as a broad yet in-depth clinical review of the specialty for the individual learner. Self-assessment questions can be used as a measure of knowledge acquisition or simply as a question bank to prepare for examinations.
Taking Back Your Health and Happiness helps those who suffer from chronic pain discover the source of their pain to achieve self-healing and happiness within. As a nurse for over ten years, an energy healer, and spiritual intuitive healer, Marie Anne June L. Tagorda has seen the effects illness has on people and their loved ones. She herself has had her share of chronic pain and invisible illness. In Taking Back My Health and Happiness, she shares her process for achieving self-healing and happiness. Within Taking Back My Health and Happiness, those who suffer from chronic pain learn: The source and meaning of their chronic pain and illness How to deal with their condition in order to live happy and be free to enjoy life How to effectively communicate with loved ones to include them in their care and not be burdened by it The obstacles blocking their healing (and how to overcome them) Tips for healing their body while healing their relationships One's illness does not define them, and they can begin the process to becoming happy, healthy, and free to enjoy life today with Taking Back Your Health and Happiness.
Pain is a common symptom, yet it is frequently underevaluated and undertreated. It is difficult to define, describe-and sometimes to prove. It's pain, and suspicions of exaggerations often add further insult to a patients' injuries. Biobehavioral Approaches to Pain translates this highly subjective experience-and its physical, psychological, social, and cultural dimensions-into practical insights key to transforming the field of pain management. This pathbreaking volume synthesizes a rich knowledge base from across disciplines, including neurobiologic, genetic, biobehavioral, clinical, narrative, substance abuse, health services,ethical and policy perspectives, for a deeper understanding of the impact of pain on individual lives and the larger society. Its international panel of contributors highlights special issues and review best practice guidelines, from placebo effects to cancer, Whiplash Associated Disorders to pain imaging to complementary medicine, phantom limb pain to gene therapies to AIDS. Among the topics covered: The distinction between acute and chronic pain: is it clinically useful? Improving clinical assessment of patients with pain. Age and sex differences in pain. The what, how and why of the placebo and nocebo effect Psychosocial and partner-assisted biopsychosocial interventions for disease-related pain Substance abuse issues in pain treatment. The personal, social and economic costs of chronic pain. Biobehavioral Approaches to Pain offers clinical and health professionals, psychologists, as well as specialists in pain management or palliative care, new directions in their ongoing dialogue with patients. Given the prevalence of pain in the general population, it should also interest researchers and students in the field of public health.
In retrospect, the dosage of IV sedatives used in the early days of endoscopy both in the USA and Great Britain was frequently too high. Today, we are much more careful in the way we sedate patients, being acutely aware of the fact that if the patient becomes unresponsive and verbal contact is lost then, by definition, a general anaesthetic has just been administered with all the clinical and legal implications that this holds. This expertly written book examines all aspects of conscious sedation and will be an essential reference for nurses and other health professionals involved in the clinical care of patients undergoing diagnostic or therapeutic procedures that require conscious sedation. Each chapter covers a particular area of the practice of conscious sedation and the authors come from a wide spectrum of clinical specialities.
Internationally-recognized pain expert Don Goldenberg helps readers better understand the intricacies of chronic pain through the lens of personal stories, including his own. One out of three Americans lives with chronic pain. Pain is the number one reason we seek medical care and accounts for 40% of doctor visits. Chronic pain is the most common cause of work loss world-wide. The yearly cost of chronic pain in the United States is between $560-$630 billion, higher than that of heart disease, diabetes and cancer combined. Despite this, physicians and the public are woefully ill-informed about chronic pain. The litany of self-help books available to the public are largely misleading, quick-fix, junk-science. Although there is a major push to better inform primary health-care providers on chronic pain, they have been provided no authoritative treatment of the subject. The Pain Epidemic provides the latest medical information and pathways to better understanding and treatment of chronic pain. Dr. Don Goldenberg, an internationally known expert on pain, here discusses such hot topics as the opioid epidemic, mind/body interactions in chronic pain, and gender bias, as well as the role of cannabis and new potential pain treatment. Interested readers will come away with not only a better understanding of the pain epidemic but of pain itself.
Whether someone was injured at work, struck in a motor vehicle accident, or threw their back out while at home, once pain strikes, people need to get back to feeling their best-and back to work-as quickly as possible. Pain after an injury can be limiting and make a person feel helpless, uncertain, and fearful about the future. It is difficult to achieve one's dreams when pain is preventing doing anything but moving from the bed to the couch. The quickest way to get over the pain to achieve those dreams is to get back to feeling great and back to work. In Move Freely, Helen M. Blake, MD helps readers rise above the pain of an injury by sharing her process for physical renewal. Dr. Blake's process is the guide to anti-inflammatory nutrition, mindfulness and yoga practices, aerobic conditioning, and vitamin supplements. Move Freely teaches readers how to rise above the pain that continues for months or years, nourish one's well-being, work toward professional goals and aspirations, and so much more. It enlists the most comprehensive set of tools and practices to get readers back to work and ready to pursue their passions-beyond the limits of chronic pain.
This book identifies the key scientific articles in the field of Intensive Care and explains why these papers are important in contemporary clinical management. Identifying those influential contributors who have shaped the practice of modern Intensive care practice, the book includes commentaries on 50 seminal papers in a wide range of areas. enal This an invaluable reference for trainees, fellows, and surgeons studying for exams, as well as for seasoned surgeons and physicians who want to stay current in their field.
Written specifically for APRNs and PAs, this evidence-based text delivers practical guidance on how to assess, treat, and manage patients with pain in the primary care and family practice setting. Written by pain management experts well versed in both pharmacologic and non-pharmacologic therapies, the text encompasses the entire scope of pain management. Following an overview of the sources and physiology of pain, Pain Management in Primary Care delineates a multidimensional assessment approach and guides readers in developing a patient care plan. With an emphasis on strategies for safe prescribing, an extensive portion of the book addresses regulatory considerations, special populations, and thorough coverage of how to safely prescribe opioids. This includes risk screening, proper management, and identification and treatment of withdrawal. Woven throughout is a focus on the importance of interprofessional communication and collaboration in effective pain management. The text also provides concise, easy-to-reference information about medications, supplements, and non-opioid therapeutics. Abundant case scenarios and clinical pearls help readers apply knowledge to their own practice. Key Features: Covers the entire scope of pain management with evidence-based guidance on assessment, treatment, and pain management Emphasizes strategies for safely prescribing medications Includes detailed information on non-opioid and over-the counter-medications, opioids, and interventional pain management options Provides risk-screening tools and tips for proper selection, titration, and tapering of medications Describes how to identify and treat opioid withdrawal Illustrates application of knowledge to practice with case scenarios and clinical pearls Purchase includes access to the eBook for use on most mobile devices or computers
Pain seems like a fairly straightforward experience - you get hurt and it, well, hurts. But how would you describe it? By the number of broken bones or stitches? By the cause - the crowning baby, the sharp knife, the straying lover? What does a 7 on a pain scale of 1 to 10 really mean? Pain is complicated. But most of the time, the way we treat pain is superficial - we seek out states of perfect painlessness by avoiding it at all costs, or suppressing it, usually with drugs. This has left us hurting all the more. Through in-depth interviews, investigation into the history of pain and original research, Ouch! paints a new picture of pain as a complex and multi-layered phenomenon. Authors Margee Kerr and Linda McRobbie Rodriguez tell the stories of sufferers and survivors, courageous kids and their brave parents, athletes and artists, people who find healing and pleasure in pain, and scientists pushing the boundaries of pain research, to challenge the notion that all pain is bad and harmful. They reveal why who defines pain matters and how history, science, and culture shape how we experience pain. Ouch! dismantles prevailing assumptions about pain and that not all pain is bad, not all pain should be avoided, and, in the right context, pain can even feel good. To build a healthier relationship with pain, we must understand how it works, how it is expressed and how we communicate and think about it. Once we understand how pain is made, we can remake it.
This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the common man. It is the result of 25 years of research into a new and simple exercise to prevent rotator cuff tears and impingement syndrome in the shoulder, as well as treating these conditions and frozen shoulder. Testimonials and research CT scan images are included as well as images of the exercises performed by models and patients.
Chronic pain has a multitude of causes, many of which are not well
understood or effectively treated by medical therapies. Individuals
with chronic pain often report that pain interferes with their
ability to engage in occupational, social, or recreational
activities. Sufferers' inability to engage in these everyday
activities may contribute to increased isolation, negative mood and
physical deconditioning, which in turn can contribute to their
experience of pain.
The first clinical manual of evidence-based CBT skills for managing psychological issues associated with chronic pain, drawn from current approaches such as DBT, ACT, and motivational interviewing. * The first skills training manual in the field of chronic pain and mental health disorders to provide an integrated session-by-session outline that is customizable for clinicians * Adaptive and evidence-based - integrates skill sets from DBT, ACT, Behavioral Activation, and Motivational Interviewing to address the unique needs of individual chronic pain sufferers * Clinicians can import the approach into their work, selecting the most appropriate skills and sessions, or create an entire therapeutic program with the manual as its foundation * Includes invaluable measurement and tracking tools for clinicians required to report outcomes
An easy-to-understand guide to psychopharmacology for non-medical helping professionals Basic Psychopharmacology for Mental Health Professionals provides up-to-date information on the latest medications in easy-to-understand language. This practical and engaging text includes numerous case studies that illustrate the skills needed for successful practice in the field. The 3rd Edition is updated to the DSM-5, and it includes updated information and research on the newest medications. Additional clinical case examples have also been added throughout the text.
Hip and Knee Pain Disorders has been written to provide a state-of-the-art, evidence-informed and clinically-informed overview of the examination and conservative management of hip/knee pain conditions. Under the current predominantly evidence-based practice paradigm, clinician expertise, patient preference, and best available research determine examination, and prognostic and clinical management decisions. However, this paradigm has been understood by many to place greater value and emphasis on the research component, thereby devaluing the other two. Evidence-informed practice is a term that has been suggested to honor the original intent of evidence-based practice, while also acknowledging the value of clinician experience and expertise. In essence, evidence-informed practice combines clinical reasoning, based on current best evidence, with authority-based knowledge and a pathophysiological rationale derived from extrapolation of basic science knowledge. Unlike other published textbooks that overemphasize the research component in decision-making, this book aims to address the clinical reality of having to make decisions on the management of a patient with hip/knee pain, in the absence of a comprehensive scientific rationale, using other sources of knowledge. It offers an evidence-informed textbook that values equally research evidence, clinician expertise and patient preference. The book is edited by three recognised world leaders in clinical research into manual therapy and chronic pain. Their research activities are concentrated on the evidence-based management of musculoskeletal pain conditions using conservative interventions. For this book they have combined their knowledge and clinical expertise with that of 38 additional contributors, all specialists in the field The contributors include a mix of clinicians and clinician-researchers. Hip and Knee Pain Disorders is unique in bringing together manual therapies and exercise programs in a multimodal approach to the management of these pain conditions from both a clinical, but also evidence-based, perspective. It acknowledges the expanding direct access role of the physical therapy profession. The book provides an important reference source for clinicians of all professions interested in conservative management of the hip and knee regions. It will also be useful as a textbook for students at both entry and post-graduate level.
Obstetric anaesthesia is a specialized practice and covers the entire range of pain relief throughout normal labor as well as general anaesthesia for special procedures such as caesarian section. While there is a specialist group based at main teaching centers who practice obsteric anaesthesia exclusively, the majority of anaesthetists are based at smaller hospitals where there is no such specialist. Consequently, it is essential that all anaesthetists are familiar with the anaesthetic requirements of normal labor, and of all but the most extreme cases of abnormal labor. While this book is written for the specialist in obstetric anaesthesia, it is also ideal for trainee anaesthetists. It provides enough information for the final FRCA examination, but also contains sufficient detail on the various clinical problems that may present at any stage in their future career. The underlying principle is that the anaesthetist must understand the physiology of labor in normal and abnormal situations as well as the interventions of his obstetric colleagues in order to practice safely and effectively. The book will replace J. Selwyn Crawford's text, which presented a personal view, backed by his extensive research experience of obstetric anaesthesia.
In 2012, the American Board of Medical Specialties (ABMS) approved Interventional Radiology (IR) as its own specialty. Born out of the field of Diagnostic Radiology, IR requires a more clinical focus on initial consultation and post-procedural management, rather than its previous role of performing image-guided procedures. Interventional Radiology: Fundamentals of Clinical Practice is written with this new focus in mind to help readers incorporate their procedural knowledge into a holistic approach of patient management. Chapters explore topics across a broad spectrum of IR, with a focus on etiology and pathophysiology of disease, followed by discussions on intra-procedural and post-procedural management. Numerous tables and boxes, and over 420 total figures complement chapter content. This comprehensive text is a must-have for IR residents and all practicing interventional radiologists.
This groundbreaking analysis moves our knowledge of pain and its effects from the biomedical model to one accounting for its complex psychosocial dimensions. Starting with its facial and physical display, pain is shown in its manifold social contexts-in the lifespan, in a family unit, expressed by a member of a gender and/or race-and as observed by others. These observations by caregivers and family are shown as vital to the social dynamic of pain-as observers react to sufferers' pain, and as these reactions affect those suffering. The book's findings should enhance practitioners' understanding of pain to develop more effective individualized treatments for clients' pain experience, and inspire researchers as well. Among the topics covered: Why do we care? Evolutionary mechanisms in the social dimension of pain. When, how, and why do we express pain? On the overlap between physical and social pain. Facing others in pain: why context matters. Caregiving impact upon sufferers' cognitive functioning. Targeting individual and interpersonal processes in therapeutic interventions for chronic pain. Social and Interpersonal Dynamics in Pain will be a valuable resource for clinicians who deal in pain practice and management, as well as for students and researchers interested in the social, interpersonal, and emotional variables that contribute to pain, the processes with which pain is associated, and the psychology of pain in general.
Leading researchers are specially invited to provide a complete understanding of a key topic within the multidisciplinary fields of physiology, biochemistry and pharmacology. In a form immediately useful to scientists, this periodical aims to filter, highlight and review the latest developments in these rapidly advancing fields.
Get moving on that injury with this humorous guide to rehabilitation from the comfort of your home! Does it Hurt When I Do This? is designed to educate readers on the workings of the human body, how to keep it healthy, and how to prevent and rehabilitate injuries. In a light, humorous style that has endeared him to thousands of patients, Mark Salamon presents this "owner's manual for the human body" in a logical order, starting with very basic concepts and progressing gradually to more complex ideas. His continual references back to the basics stem from his observations over twenty-five years of patients who were frustrated because their doctors or therapists had never explained them. With a better understanding of how the body's different parts work together to protect itself from injury and repair itself if one occurs, readers learn how to care for all the parts together so injuries become less frequent and easier to fix. Guiding readers through hows and whys of rehabilitating injuries to specific body parts, starting with the feet and working up, Salamon emphasizes that this knowledge is meant to enhance, not replace, the reader's relationship with their physical therapist and doctor. When poor insurance coverage or high co-pays limit the number of office visits, the knowledge gleaned from this work helps patients better understand how to enhance and stick with their home programs, and when to seek help when things are not improving as expected.
A groundbreaking mind-body protocol for chronic pain. Chronic pain is an epidemic. 50 million Americans struggle with back pain, headaches, or some other pain that resists all treatment. Desperate pain sufferers are told again and again that there is no cure for chronic pain. Psychotherapist Alan Gordon was in grad school when he started experiencing chronic pain and it completely derailed his life. He saw multiple doctors and received many diagnoses, but none of the medical treatments helped. Frustrated with conventional pain management, he developed Pain Reprocessing Therapy (PRT), a mind-body protocol to eliminate chronic pain. He subsequently founded the Pain Psychology Center in Los Angeles to bring his treatment to other pain sufferers. PRT is rooted in neuroscience, which has shown that while chronic pain feels like it's coming from the body, in most cases it's generated by misfiring pain circuits in the brain. PRT is a system of psychological techniques that rewires the brain to break out of the cycle of chronic pain. The University of Colorado at Boulder recently conducted a large randomized controlled study on PRT, and the results are remarkable. By the end of the study, the majority of patients were pain-free or nearly pain-free. What's more, these dramatic changes held up over time. The Way Out brings PRT to readers. It combines accessible science with a concrete, step-by-step plan to teach sufferers how to heal their own chronic pain.
Although pain is widely recognized by clinicians and researchers as an experience, pain is always felt in a patient-specific way rather than experienced for what it objectively is, making perceived meaning important in the study of pain. The book contributors explain why meaning is important in the way that pain is felt and promote the integration of quantitative and qualitative methods to study meanings of pain. For the first time in a book, the study of the meanings of pain is given the attention it deserves. All pain research and medicine inevitably have to negotiate how pain is perceived, how meanings of pain can be described within the fabric of a person's life and neurophysiology, what factors mediate them, how they interact and change over time, and how the relationship between patient, researcher, and clinician might be understood in terms of meaning. Though meanings of pain are not intensively studied in contemporary pain research or thoroughly described as part of clinical assessment, no pain researcher or clinician can avoid asking questions about how pain is perceived or the types of data and scientific methods relevant in discovering the answers.
Discusses alternative analgesic techniques - acupuncture, chiropractic, rehab. Covers anesthesia and sedation for the donkey/mule and miniature horse. includes over 400 colour illustrations and tables
The effective management of pain is a problem which confronts all manual therapists. This book provides a clear picture of our current understanding of pain mechanisms and shows how that knowledge should inform approaches to treatment. The knowledge of pain science that the book conveys will help the therapist select the best approach to the clinical management of each patient. Different types of pain disorder may require different management strategies which may involve only one discipline or, at other times, a multidisciplinary team which may also include medical clinicians, psychologists, occupational therapists, nurses and other healthcare practitioners as well as manual therapists. The book is divided into three parts: An introduction to the concept of pain and its neurophysiological mechanisms. A review and discussion of current and potential evidence-based evaluation methods. A review and discussion of common types of functional pain disorders. This approach provides readers with a comprehensive reference to evidence-based information that should enable them to manage their clients' pain as effectively as possible. |
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