Advances over the past two decades have enabled physicians to revolutionize the manner in which they can assess and manage children's pain. Thirty years ago it was thought that young children did not experience pain and therefore it was not necessary to treat it. Today professionals from a variety of disciplines have contributed data that have revolutionized medical perspectives. Technological advances now enable doctors to treat acute pain in fetuses, premature neonates, infants, toddlers, children, and adolescents with increasing precision and efficacy. Research highlighting the context of chronic pain has moved them away from a mind-body dichotomy and toward an integrated, holistic perspective that leads to substantial improvement in children's adaptive functioning as well as subjective discomfort.

This book covers these topics and is intended for anyone who provides medical care to children. Each chapter provides an overview of the problem, followed by a "hands on" description of relevant assessment and intervention strategies. The role of the primary care practitioner is highlighted, both as a front-line resource as well as a consumer of specialized pediatric pain treatment services. Each chapter ends with a summary and specific bullet points highlighting the most central elements, making for quick and easy reference.

Probiotics in Pediatric Medicine provides clinicians a tool to understand the current evidence for the role of probiotics in various pediatric disorders related to the gastrointestinal as well as the extra-intestinal tract. This book provides evidence-based up-to-date information from world experts in their fields to help clinicians make decisions regarding the use of probiotics. A list of resources, web sites, and references relevant to probiotics can be found in the appendix. Currently, the market for probiotics continues to rely heavily on health claims made by manufacturers and retailers. Clinicians have the sole responsibility to understand the various strains and preparations commercially available and to advise patients accordingly. Probiotics in Pediatric Medicine is an indispensable tool and a critical resource for health professionals that will aid in enhancing their ability to make the appropriate decisions regarding the use of probiotics.

Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: (1) produce healthier patients; (2) produce medical savings; (3) produce higher patient satisfaction; (4) leverage the primary care physician 's time so that they can be more productive; and (5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President 's New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.

This book provides an easy to use, practical, yet comprehensive resource for family practitioners to use in the daily struggle against infectious diseases. It discusses vaccines and preventive measures as well as information on how to reduce the incidence of antimicrobial-resistant organisms by judiciously prescribing antibiotics and informing patients about the appropriate use of these agents. This up-to-date overview is a one stop source for evidence-based guidelines.

Physicians recognize the importance of patients' emotions in healing yet believe their own emotional responses represent lapses in objectivity. Patients complain that physicians are too detached. Halpern argues that by empathizing with patients, rather than detaching, physicians can best help them. Yet there is no consistent view of what, precisely, clinical empathy involves. This book challenges the traditional assumption that empathy is either purely intellectual or an expression of sympathy. Sympathy, according to many physicians, involves over-identifying with patients, threatening objectivity and respect for patient autonomy.
How can doctors use empathy in diagnosing and treating patients rithout jeopardizing objectivity or projecting their values onto patients? Jodi Halpern, a psychiatrist, medical ethicist and philosopher, develops a groundbreaking account of emotional reasoning as the core of clinical empathy. She argues that empathy cannot be based on detached reasoning because it involves emotional skills, including associating with another person's images and spontaneously following another's mood shifts. Yet she argues that these emotional links need not lead to over-identifying with patients or other lapses in rationality but rather can inform medical judgement in ways that detached reasoning cannot. For reflective physicians and discerning patients, this book provides a road map for cultivating empathy in medical practice. For a more general audience, it addresses a basic human question: how can one person's emotions lead to an understanding of how another person is feeling?
"Jodi Halpern presents a scholarly and cogent exposition of the philosophic underpinnings of the concept of empathy may be rightly viewed as a seminal work in developing a scholarly understanding of the subject of empathy and will assist in the development of sound training and evaluation methods for imparting this skill to physicians." - Sharon K. Hull, MD JAMA
"I would recommend this book not as a manual, but as a vital reminder of how things should be, and as an insightful and philosophically educational analysis of how things probably are for the luckiest patients in our practice and hospitals." - Philip Berry, British Medical Journal
"This is a beautifully written and beautifully reasoned book. Physician-ethicist Jodi Halpern crafts one of the finest descriptions available of psychiatry's advance toward empathic involvement with patients. Intertwining psychiatry and ethics is no easy task. However in Halpern's hands, a blend of formal research, philosophical modeling, and straight talk shows how neatly psychiatry and ethics work together." - Philip Candilis, M.D., Psychiatric Services
"This is an important book. I recommend it to physicians and members of medical faculties for whom its subject matter is important. It is a serious essay on subjectivity, a topic about which we will be seeing more in the coming years. It repays the work of reading it." - Eric Cassell, M.D., The New England Journal of Medicine
"This lovely volume fixes on a profound truth in medicine: to the degree we are moved by our patients suffering we are better able to help them. The age of proteomics and genomics is the age of 'objective reality', yet for the patient it is all about humane empathetic care. Halpern in this scholarly and wonderful readable volume shows us that empathy is just as critical for the physician and without it healing cannot begin. This book is a must read for all of us with an interest in medical practice." - Abraham Verghese MD, author of CUTTING FOR STONE, Professor of Medicine, Stanford University

This concise yet comprehensive reference is the first of its kind and draws on the authors' personal teaching file of cases from the Adult Drug Court in California. The book offers unparalleled insight into the drug court system and the medical problems of drug court patients. It is the first book of its kind in the family medicine literature. The authors share their extensive knowledge of addiction and withdrawal, treatment of patients with dual diagnoses of mental illness and addiction, and treatment of drug-associated diseases such as tuberculosis, hepatitis, and HIV.

Despite its direct effect on a patient's health, the literature on treatment adherence does not yet include a summary of proven methods for identifying and addressing patient non-adherence. Improving Patient Treatment Adherence Across Multiple Behaviors: A Clinician's Guide differs significantly from many treatment adherence books on the market by focusing on clinicians and the practical tactics they need to improve patient adherence. The book is orgnaized by behavior and special issues as opposed to other texts, which look at treatment adherence as a theoretical concept. Each chapter provides a summary of existing literature regarding the impact of patient non-adherence, including costs, clinical outcomes and health-related quality of life, as well as a review of patient factors related to treatment adherence across behaviors, diseases, and special populations. A discussion of methods for improving treatment adherence takes a look at both proven methods and new technological advances in the field. Each chapter includes a table listing 3-5 key bullets that a clinician could use to address treatment adherence. Actual questions and scoring algorithms for widely used measures of treatment adherence make this book a useful guide for practicing clinicans.

This book presents an extensive collection of high-yield case vignettes with recommendations for a comprehensive approach to cultural psychiatry. Culture is defined from an anthropological perspective, with an emphasis on aspects of culture beyond race, ethnicity, and other traditional demographic categories. The goal of this book is to offer clinical applications of cultural psychiatry via examination of special populations, systems, and settings. With ever-changing geopolitical environments, institutional structures, and sociodynamics, attention and consideration of context is paramount. Theoretical models and specific frameworks for evaluating cultural influence on the manifestation, development, and treatment response of mental health illnesses are presented. The chapters are organized to showcase different ways in which culture plays into everyday clinical practice. Emphasis is placed on the full sum of the care delivery transaction within a larger context, including public and community systems of care. Real-world case examples are discussed in each chapter to help contextualize the dynamic nature that culture plays in practice across inpatient and outpatient settings. Each case presents with relevant academic and historical background and practical operational advice for psychiatrists providing care within these respective communities. The authors address diverse clinical cases related to refugee and asylum seekers, military service members, survivors of human trafficking, incarcerated populations, and more. Training recommendations and best practices are outlined including psychopharmacology, psychosocial treatments, and cultural adaptations to evidence based treatments. Diversity in Action: Case Studies in Cultural Psychiatry is a useful resource for all psychiatrists, psychologists, general practitioners, social workers, nurses, administrators, public policy officials, and all medical professionals working with a culturally diverse subset of patients seeking mental health.

This book presents a broad yet focused treatment of central topics in the field of clinical neurophysiology. The volume was inspired by the clinical neurophysiology lecture series at Beth Israel-Deaconess Medical Center and Rhode Island Hospital. Much like the lecture series, this book is designed to acquaint trainees with the essential elements of clinical neurophysiology. Each chapter is written by leading and respected clinical neurophysiologists.

Asian Americans are the fastest growing minority group in the United States. When Asian immigrants arrive in the United States, they regularly encounter a vast number of difficulties integrating themselves into their new culture. In Handbook of Mental Health and Acculturation in Asian American Families, distinguished researchers and clinicians discuss the process of acculturation for individuals and their families, addressing the mental health needs of Asian Americans and thoroughly examining the acculturative process, its common stressors, and characteristics associated with resiliency. This first-of-its-kind, multi-dimensional title synthesizes current acculturation research, while presenting those concepts within a clinical framework. In addition to providing an in-depth look at both past and present research and offering directions for future topics to explore, the book also offers a range of practical tools such as research scales to measure levels of acculturation, interview techniques, and clinical approaches for special populations including children, the elderly, and their families. Thought-provoking and informative, Handbook of Mental Health and Acculturation in Asian American Families will enhance the understanding of the clinical and sociocultural problems Asian Americans face, providing clinicians with all the necessary insights to better care for their patients.

This book presents an invaluable symptoms-based approach to sports cardiology for sports medicine physicians, primary care physicians, and cardiologists. Edited by an authority in the field, the text offers sought-after insight on the cardiac health of athletes. Case studies are featured throughout to further understanding and the integration of concepts into daily practice. With contributions by both sports medicine physicians and cardiologists, this timely book bridges the gap between disciplines and is an unparalleled resource for those looking to effectively manage the cardiac health of active patients.

Advances over the past decades in space flight technology have allowed U.S., Russian, and other space programs to not only increase the frequency of manned space flights but also to increase the duration of these flights. As such, a large body of knowledge has been developed regarding the ways in which space flight affects the health of the personnel involved. Now, for the first time, this body of clinical knowledge on how to diagnose and treat conditions that either develop during a mission or because of a mission has been compiled by Drs. Michael R. Barratt and Sam L. Pool of the NASA/Johnson Space Center. This text is a must have for all those associated with aerospace medicine.

An estimated 21 million people are diagnosed each year with a major depressive disorder in the USA, Western Europe and Japan. The economic cost of depression and its impact on sufferers and those around them is enormous. There are numerous therapy choices available, which can be daunting for the clinician trying to achieve the best treatment regimen. "Managing Depression in Clinical Practice" provides a concise overview of the clinical manifestation, diagnosis and management of this debilitating condition. The book gives practical coverage of depression in special populations, the management of treatment non-response and long-term treatment. "Managing Depression in Clinical Practice" is intended as an accessible text for family practitioners and psychiatrists in training and in practice. It will also be of interest to specialist nurses and allied health professionals working in the field.

In comments that were unfortunately prescient, Dr. Doroghazi said in the first edition "the author feels we are currently experiencing a real estate bubble." And in anticipation of the credit crisis, he said "banks are far too lenient in their lending practices...the problem is that bankers are often not lending their own money considering that a significant percentages of mortgages are sold to Fannie Mae (FNM) and Freddie Mac (FRE), the problem is now actually everyone s." This new and expanded edition provides commonsense advice that all investors, physicians and non-physicians will find profitable in these difficult times. Learn about the power of thrift, the magnificence of compound interest, the malevolence of debt and the perniciousness of fees. See how to pay off the mortgage by age 45, fund your children 's education and retire at a reasonable age rather than continue to work because you must.

* Offers a concise, comprehensive overview of the diagnosis, treatment and management of common and rarer movement disorders * Written by two key international movement disorder experts * Clinically focused and accessible * Provides a practical guide to the assessment of movement disorders where diagnosis relies on examination and observation rather than radiology and serological assessments Movement disorders attack the part of the brain that controls our movements, they are a complex group of disorders, spanning all aspects of neurological illnesses. Such disorders are widespread, often destroying the independence of those affected. Movement Disorders in Clinical Practice provides a concise, practical overview of the diagnosis, treatment and management of patients with these debilitating conditions, including a brief evaluation of ongoing clinical trials. Edited by two key international movement disorder experts, chapters cover: * Parkinson's disease * Parkinsonian syndromes * Dystonia * Tremor * Restless legs syndrome * An overview of other movement disorders

This practical book is ideal for readers who want to rapidly determine the appropriate imaging for pediatric patients. The text provides a concise and accessible summary of the literature on how and when to use imaging studies. Chapters address the essentials, such as cost-effectiveness, and are written in collaboration by renowned specialists in the fields of pediatrics and pediatric radiology. Topics cover common clinical scenarios in neuroimaging and musculoskeletal, chest, and abdominal imaging. Each imaging recommendation is presented along with the supporting data and the strength of the evidence.

The book discusses the impact of genetics, social determinants of health, the environment, and lifestyle in the burden of cardiometabolic conditions in African American and Hispanic/Latinx populations. It includes fully updated and revised chapters on genetics and CVD risk, epidemiology of cardiovascular health, cardiovascular imaging, dyslipidemias and other emerging risk factors, obesity and metabolic syndrome, heart failure, and genetic variations in CVD. Unique aspects within African American and Hispanic/Latinx populations are explored with suggested appropriate therapeutic interventions. New chapters focus on ASCVD risk assessment, emerging precision medicine concepts, the impact of diabetes, resilience and CVD survival, and lifestyle and dieting considerations. Written by a team of experts, the book examines the degree to which biomedical and scientific literature can clarify the impact of genetic variation and environment on cardiovascular disease. The Second Edition of Cardiovascular Disease in Racial and Ethnic Minority Populations is an essential resource for physicians, residents, fellows, and medical students in cardiology, internal medicine, family medicine, clinical lipidology, and epidemiology.

This book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text. Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.

Master high-yield point-of-care ultrasound applications that are targeted specifically to answer questions that arise commonly in the outpatient clinic! Written for primary care providers in Family Medicine, Pediatrics and Internal Medicine, Ultrasound for Primary Care is a practical, easy-to-read guide. Learn to incorporate ultrasound to augment your physical exam for evaluation of thyroid nodules, enlarged lymph nodes, pericardial effusion, chronic kidney disease, and a host of musculoskeletal issues, and much more. Additionally, included are chapters on ultrasound for guidance of procedures including joint injections, lumbar puncture and needle biopsy, to name a few. Well-illustrated and highly templated, this unique title helps you expand the scope of your practice and provide more effective patient care. Puts key concepts in the perspective of common questions that arise in primary care with case-based clinical vignettes that exemplify the situations in which these questions arise Presents information in highly templated chapters that provide a clinical vignette, review of the evidence, description of protocol, illustrations, ultrasound view of anatomy, pearls and pitfalls, algorithms, billing codes, and more. Features additional chapters on procedures, covering Musculoskeletal Aspirations and Injections, Central Line Placement, Thoracentesis, Core Needle Biopsy, and many more. Enhance Your eBook Reading Experience Read directly on your preferred device(s), such as computer, tablet, or smartphone. Easily convert to audiobook, powering your content with natural language text-to-speech.

General practice provides the first point of contact to medical care for patients across the world. GPs have obligations to patients in their care, to the government for responsible use of resources, and to communities for the standard of health services provided. Ethics is at the heart of health services, dealing with fundamental questions about what ought to be valued, and why. The two disciplines inevitably impact upon each other, and this book brings them together to focus on practical ethics for general practitioners.
In this update of a successful first edition, the authors aim to: help GPs appreciate the ethically significant nature of general practice, drawing attention to the ethical complexity of apparently mundane and everyday experience; present a thoughtful and thought-provoking account of the moral foundations of general practice, exploring how moral concepts such as trust, beneficence, respect for autonomy, and fairness take on unique meanings in the general practice setting; and to discuss some specific ethical issues in detail, offering solutions that are practical as well as ethically sound.
The focus is on practice throughout, ensuring through real cases and discussions with practitioners that the book is not abstract and esoteric in its discussion of philosophical principles, but that it is applicable in the real world of the doctor's surgery. The authors guide their readers through basic approaches to ethical reasoning and use of a practical ethics analysis framework suitable for use in all ethical dilemmas in medicine. Themes covered include the authors' research-based account of trust and the doctor-patient relationship, acting in the patient's best interests, confidentiality, making decisions with patients, beginning and end of life issues, treating children and adolescents, and role conflicts in general practice.

Primary care providers (physicians, nurse practitioners, physician assistants) make decisions on a daily basis regarding treatment for musculoskeletal problems, including referrals to orthopedic surgeons and other specialists. Despite the large number of patients presenting with musculoskeletal complaints, primary care providers often feel poorly educated about how to assess and manage these conditions. Now in its fully revised second edition, Principles of Orthopedic Practice for Primary Care Providers continues to be a go-to resource for clinicians interested in the effective treatment of musculoskeletal disorders. Written by expert orthopedic, physical medicine and pain management specialists at major Harvard teaching hospitals, the second edition of Principles of Orthopedic Practice for Primary Care Providers represents a high-yield and succinct resource on the assessment and management of musculoskeletal conditions. Chapters overview specific body parts, typical presentations of disease, options for diagnostic testing, treatment paradigms, and anticipated outcomes of management both in the primary care setting and following specialist consultation. The text offers suggested pathways for working up and treating these problems with an emphasis on when referral to a specialist, or surgical intervention, is needed. While all previous chapters have been fully revised, this edition also includes nine brand new chapters, including chapters on pain management, hip-spine syndrome, adult spinal deformity, sports-related injuries, and cost and quality in musculoskeletal care.

This book presents updated clinical material on child and adolescent psychiatry from the best-selling Kaplan and Sadock's Synopsis of Psychiatry, Tenth Edition. Coverage includes clinically relevant information on normal and abnormal development; examination; neuroimaging; learning, communication and behavioral disorders; adolescent substance abuse; forensic issues; and the spectrum of psychiatric problems such as depression and bipolar disorders. Treatment chapters include a broad range of psychopharmacotherapeutic and psychotherapeutic techniques, and the many controversies related to appropriate use of medication in children are addressed. The book is DSM-IV-TR compatible and replete with case studies and tables, including DSM-IV-TR tables.

Antibiotics will soon no longer be able to cure common illnesses such as strep throat, sinusitis and middle ear infections as they have done for the last 60 years. Antibiotic-resistant bacteria are increasing at a much faster rate than new antibiotics to treat them are being developed. The prescription of antibiotics for viral illnesses is a key cause of increasing bacterial resistance. Despite this fact, many children continue to receive antibiotics unnecessarily for the treatment of viral upper respiratory tract infections. Why do American physicians continue to prescribe inappropriately given the high social stakes of this action? The answer appears to lie in the fundamentally social nature of medical practice: physicians do not prescribe as the result of a clinical algorithm but prescribe in the context of a conversation with a parent and a child. Thus, physicians have a classic social dilemma which pits individual parents and children against a greater social good.
This book examines parent-physician conversations in detail, showing how parents put pressure on doctors in largely covert ways, for instance in specific communication practices for explaining why they have brought their child to the doctor or answering a history-taking question. This book also shows how physicians yield to this seemingly subtle pressure evidencing that apparently small differences in wording have important consequences for diagnosis and treatment recommendations. Following parents use of these interactional practices, physicians are more likely to make concessions, alter their diagnosis or alter their treatment recommendation. This book also shows how small changes in the way physicians presenttheir findings and recommendations can decrease parent pressure for antibiotics. This book carefully documents the important and observable link between micro social interaction and macro public health domains.

Learn everything you need to know about medical coding with the practical and easy to understand UNDERSTANDING MEDICAL CODING: A COMPREHENSIVE GUIDE, 4E. Using clear, step-by-step instructions, you learn how to code a claim correctly and link the correct CPT and ICD-10-CM codes for reimbursement. You gain an understanding of adjustments, how and when to bill patients, and what to do in case of a denial or rejection. Thoroughly updated coverage introduces the industry's new standard: ICD-10-CM. This edition also details CPT coding and modifiers with more code-specific information and a concentration on specialty coding and levels of coding. Case studies, practice exercises, tips, examples, charts, and photos help improve your performance and ensure that you are well prepared to succeed in a medical coding position in a variety of today's professional settings.

As the focus of the health care delivery system continues to move toward a coordinated and accountable system, there is an increasing need for a single resource that focuses on analytics for population health. Population Health Analytics addresses that need by providing detailed information and a "how to" guide for achieving population health analytics. Comprehensive, current, and practical, this logically organized text builds from understanding data sources, to contextualizing data, modeling data, and gleaning insights from that data, which is a natural progression for organizations in progressing to higher levels of analytic capabilities. Furthermore, these frameworks for the population health process and analytics are grounded in an evidence base that is also aligned with theories and processes used in healthcare disciplines. A first of its kind text, Population Health Analytics, will prepare students to improve health outcomes, understand patterns of health behavior and behavior determinants, develop effective interventions, and track health and cost performance across populations. Key features: - Real world scenarios using case studies, use cases, critical thinking and discussion questions encourage readers to apply data and analytics to improve health. - Readers will learn to discern the intricacies and nuances of creating, preparing, contextualizing, tracking, and reporting data to support clinical quality and healthcare cost improvement. - Guiding principles and processes to develop a population health workforce are introduced, such as the Team Troika in Chapter 31. - Each application of healthcare data is supported with evidence, ample references, and ancillary resources - Navigate eBook Access (included with each printed text) enabling online or offline access to the text from a computer, tablet, or mobile device.