Written specifically for the conventional medical healthcare provider, Medicinal Herbs in Primary Care forms an integral part of the primary care tool belt. Through a series of system-based disease tables, this unique title provides quick, authoritative guidance for the busy practitioner whose patient is requesting guidance on medicinal herbs. The disease tables are supported by herbal monographs that provide expanded details of the available preclinical and clinical evidence laid out in a system-based sequence. Together with the section on herbal basics, this practical reference contains the information today's medical healthcare providers need to develop familiarity with and confidence in the prescription of medicinal herbs. Provides quick answers and evidence-based prescribing guidance for medicinal herbs while also addressing complexities and co-morbidities in patient care. Features 48 system-based disease tables that identify herbs based on strength of evidence and indicate the scope of potential benefits for other conditions the patient may have. Includes 55 monographs for the most common medicinal herbs, with safety and precaution guidelines, summaries of preclinical and clinical trials, chemical constituents and actions, and prescription options for each. Contains an introductory section on the basics of medicinal herbs that dispels common misconceptions regarding herbal medicine. Discusses key topics such as herb-drug interactions, and includes information on SARS-COV-2 where appropriate. Uses typical medical abbreviations throughout for ease of use, and provides a glossary of terms for non-medical and alternative health care providers. Helps conventional medical practitioners partner with patients to determine safe herbal options when appropriate, and ensure safety and efficacy of herbal use. 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.

When faced with a challenging dermatologic problem, physicians are often required to perform a time-consuming search through large dermatologic texts in order to find information that will assist in the necessary differential diagnosis. This comprehensive and concise handbook is designed to simplify this process dramatically, permitting rapid identification of the correct diagnosis. Hundreds of dermatologic diagnoses, morphologic features, drug-induced disorders, extracutaneous manifestations, histologic findings, and random other findings are listed in alphabetical order and in a homogeneous, reader-friendly structure. The differential diagnoses are shown under each main diagnosis, sorted according to similarity with that diagnosis. Since the first edition, approaching 50 new diagnoses have been added, and many new images included. This easily portable book will be of great value for dermatologists and all who deal with dermatologic diseases.

Exciting papers by leading researchers are integrated in this volume with presentations having direct clinical relevance: thus, the latest scientific advances in aging research are coupled with reports on how these advances are being applied to longevity medicine.

Topics include oxidative stress, genetic/biochemical mechanisms, hormone therapy, nutrition, fitness, and exercise, all as they pertain to aging.

In exploring the links between the latest basic gerontological research and the practice of longevity medicine, the current challenges faced by both scientists and clinicians engaged in combating aging and its consequences are presented here. This volume is readily accessible to the educated reader who is interested in learning more about how to reduce the negative impact of aging on human health and longevity.

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Dieses Buch bietet Ihnen kompakte Anleitungen und Tipps fur die optimale Praxisfuhrung. Patientenorientierung: patientengerechtes Leistungsspektrum, Patientenbindung, Patienten-Neuakquise. Kommunikations- und Marketingstrategien. Mitarbeiterfuhrung und -motivation. PatientInnen kommen gerne (wieder), wenn sie sich fachlich gut aufgehoben und emotional wohl fuhlen. Der/die heutige PatientIn ist dabei informierter, anspruchsvoller und fordernder denn je. Sie wollen: ein patientengerechtes Leistungsspektrum stimmige Praxisablaufe und eine patientenorientierte Kommunikation Ihre Zukunft: Wie reagieren Sie heute und in Zukunft am besten auf diese vielfaltigen Herausforderungen? Patientenbindung: Wie stellen Sie - mithilfe Ihrer qualifizierten und freundlichen MitarbeiterInnen - Ihre PatientInnen zufrieden? Patienten-Neuakquisition: Wie machen Sie Ihre PatientInnen zu aktiven Botschaftern Ihrer Dienst-Leistungen? Mit Zusatzwissen fur Praxiseinsteiger und -neugrunder zur Burnout-Prophylaxe um Ihre digitalen Praxisablaufe zu optimieren All das zeigt Ihnen ganz konkret dieses Buch. Das Ergebnis: engagierte, treue MitarbeiterInnen, loyale PatientInnen und eine erfolgreiche Praxis, in der Ihre PatientInnen, Ihre MitarbeiterInnen und Sie sich wohl fuhlen. Mit zahlreichen Praxis-Beispielen, Handlungstipps und Checklisten aus dem medizinischen Alltag. Fur alle niedergelassenen AErztInnen und Klinikambulanzen. (Auch als Geschenk fur Ihre Medizinischen Fachangestellten.)

Derived from protocols developed for the National Football League, Infection Prevention in Athletes outlines best practices and recommendations that are designed to minimize the risk of infections among athletes. This unique resource provides concise, authoritative guidance for athletic training facilities on applying infection prevention practices typically provided in hospitals and outpatient clinics. You'll find practical tips and real-world advice on preventing transmission of bacterial and viral infections in an environment of frequent skin injuries, close proximity of players, and frequent administration of routine medical care. Offers clear guidance for today's athletes, athletic trainers, and physicians from the team that teaches infection control and prevention to the NFL. Covers best practices and recommendations for key areas of education, infection prevention, and cleaning and maintenance. Assists teams in formulating policies related to player and staff education, hygiene, cleaning and disinfection, diagnosis and treatment of specific infections and conditions, and the management of infections among team members. Helps readers devise protocols for assessing suitability to return to full team activities following treatment of common infections-including scientific evidence and rationale for recommendations when available. Includes access to posters designed for display in the athletic training facility that promote best practices and infection prevention among athletes. Includes a set of educational "trading cards" highlighting essential stats and information about some of the most common infections. Enrich 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.

Physician adoption of electronic medical records (EMRs) has become a national priority. It is said that EMRs have the potential to greatly improve patient care, to provide the data needed for more effective population management and quality assurance of both an individual practice's patients and well as patients of large health care systems, and the potential to create efficiencies that allow physicians to provide this improved care at a far lower cost than at present. There is currently a strong U.S. government push for physicians to adopt EMR technology, with the Obama administration emphasizing the use of EMRs as an important part of the future of health care and urging widespread adoption of this technology by 2014. This timely book for the primary care community offers a concise and easy to read guide for implementing an EMR system. Organized in six sections, this invaluable title details the general state of the EMR landscape, covering the government's incentive program, promises and pitfalls of EMR technology, issues related to standardization and the range of EMR vendors from which a provider can choose. Importantly, chapter two provides a detailed and highly instructional account of the experiences that a range of primary care providers have had in implementing EMR systems. Chapter three discusses how to effectively choose an EMR system, while chapters four and five cover all of the vital pre-implementation and implementation issues in establishing an EMR system in the primary care environment. Finally, chapter six discusses how to optimize and maintain a new EMR system to achieve the full cost savings desired. Concise, direct, but above all honest in recognizing the challenges in choosing and implementing an electronic health record in primary care, Electronic Medical Records: A Practical Guide for Primary Care has been written with the busy primary care physician in mind.

For clinicians who see patients suffering from non-life-threatening crises, Minor Emergencies, 4th Edition, provides concise, expert guidance on what to do and what not to do for nearly 200 common presentations, including both the correct procedural and pharmaceutical treatments. Completely updated with the latest equipment, devices, dosages, and techniques, this award-winning reference delivers fast, efficient guidance just when you need it. Instructional videos clearly demonstrate pearls and pitfalls of a wide variety of procedures. Offers a practical approach to common minor emergencies, with brief, to-the-point guidance on everything from febrile seizures in children, foreign body removal, and initial management of epistaxis to rib fractures, sacroiliac joint injection, and patellar dislocation reduction. Includes new ultrasound examples throughout, plus new chapters on floaters, prophylaxis following sexual exposure, leg edema, piercing complications, Taser injuries, and more. Provides at-a-glance guidance with "What to Do" and "What NOT to Do" checklists. Presents information in a highly templated format, with each topic given 2-3 pages of coverage. Features a discussion box at the end of each chapter with a quick overview of clinical manifestations, differential diagnosis, and other points of consideration-with evidence. Includes access to 38 procedural videos such as removing foreign body from skin, upper facial injury-fracture examination, and more. Offers procedural sedation recommendations from Dr. Daniel Wolfson. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

This book addresses the unmet needs of the medical community in dealing with the psychological problems, particularly anxiety and depression, of patients diagnosed with cancer. Providing a scholarly review of the impact of cancer diagnosis on patients' emotional and psychological status, as well as the evidence that psychological factors impact cancer occurrence and biological behavior, this book explores the therapeutic implications of such converse dynamics. Chapters review financial toxicity, eHealth, palliative care, mindfulness, sleep and cancer, social support and cancer, cultural diversity, pediatric and adolescent oncology, and geriatric oncology. While intended primarily for the professional readership of oncologists, psychologists, psychiatrists, social workers, and palliative care physicians, a final chapter also provides practical information on available resources for patients. This fully updated and expanded new edition of Psychological Aspects of Cancer: A Guide to Emotional and Psychological Consequences of Cancer, Their Causes, and Their Management provides practitioners with cutting edge knowledge as well as practical information that translates into better care for patients with cancer.

This book provides family doctors with a wealth of evidence-based indications and tips regarding geriatric medicine and approaches for the management of older patients, to be applied in daily practice. After discussing old and new features of healthy ageing and the approaches required in Family Medicine Consultation, the text introduces key elements of geriatric medicine such as frailty, sarcopenia, and the comprehensive geriatric assessment (CGA), before describing a range of characteristics unique to older patients in different contexts, with a dedicated section on Palliative Care. The role of polypharmacy and the importance of quaternary prevention and deprescribing are also addressed. Finally, the book emphasizes both the importance of a humanistic approach in caring and the approach of research and meta-research in geriatrics. Though many texts explore the role of primary care professionals in geriatric medicine, the role of family doctors in older people care has not yet been clearly addressed, despite the growing burden of ageing, which has been dubbed the "silver tsunami." Family physicians care for individuals in the context of their family, community, and culture, respecting the autonomy of their patients. In negotiating management plans with their patients, family doctors integrate physical, psychological, social, cultural and existential factors, utilizing the knowledge and trust engendered by repeated visits. They do so by promoting health, preventing disease, providing cures, care, or palliation and promoting patient empowerment and self-management. This will likely become all the more important, since we are witnessing a global demographic shift and family doctors will be responsible for and involved in caring for a growing population of older patients. This book is intended for family medicine trainees and professionals, but can also be a useful tool for geriatricians, helping them to better understand some features of primary care and to more fruitfully interact with family doctors.

Asylum medicine, a field encompassing medical forensic evaluations of asylum seekers, is an emerging discipline in healthcare. In a time of record global displacement due to human rights violations, conflict and persecution, interest in the medical and psychological evaluation of individuals subjected to torture and other ill-treatment is high. Health professionals are uniquely qualified to use their skills to make contributions to a group of vulnerable individuals fleeing danger and death in their home countries. Health professionals involved in asylum medicine perform medical and psychological forensic evaluations of asylum seekers. Their educational background prepares them to examine and describe physical and emotional scars related to trauma, and further training allows them to assess these scars in the context of persecution, describe them in a medical-legal affidavit and support these findings with testimony. Providers of asylum medicine are often involved in advocacy, as many governments become increasingly hostile to asylum seekers. Books on human rights exist, but there is no authoritative text of asylum medicine. This book presents a comprehensive overview of asylum medicine, with emphasis on the historical and legal background of asylum law, best practices for performing asylum examinations, challenges of examining detained asylum seekers, education of trainees and advocacy. Written by experts in the field, Asylum Medicine: A Clinician's Guide is a first of its kind resource for health care providers who practice asylum medicine.

Chronic kidney disease (CKD) is a major global public health problem, affecting nearly one in seven adults in the United States alone. It is a disease that integrates chronic illness at several levels, and the progressive condition is associated with high rates of co-morbidity. This text provides a comprehensive, current state-of-the art review of this field, serving as a valuable resource for primary care providers and non-nephrology clinicians that treat patients with CKD. It is comprised of 24 chapters focused on specific aspects of the disease. The first 2 chapters provide a bit of background on the disease, describing the anatomy and physiology of the kidney as well as the definition and epidemiology of the disease. The following 3 chapters discuss the detection, prevention and progression of the disease. The next 6 chapters describe the relationship of the disease with other conditions and most common co-morbidities such as diabetes and hypertension. The chapters, that follow focus on the CKD associated complications and the CKD within special populations such as the elderly and minorities as well as dietary restrictions and drug dosing. The book concludes with discussion on preparation for renal replacement therapy and preemptive organ transplantation as an alternative to dialysis in the management of the advanced CKD. Written by experts in the field, Approach to Chronic Kidney Disease is a comprehensive guide for clinicians, especially primary care providers including residents and fellows in training, who take care of chronic kidney disease patients. It is also a useful tool for researchers dealing with this challenging field.

Written by a Johns Hopkins pediatric endocrinologist and an award-winning medical writer, Clinical Management of the Child and Teenager with Diabetes is a comprehensive and accessible clinical guide to the modern medical management of Type 1 diabetes. Emphasizing the concerns and needs of the child and family, the book is addressed to primary care clinicians, who are increasingly responsible for managing the care of patients with diabetes.

With detailed guidelines for establishing a comprehensive patient management plan, this book discusses how to effectively ensure the health and well-being of the child or adolescent with diabetes. The authors cover the basic mechanisms of disease, provide diagnostic and treatment guidelines, describe the spectrum of management options, and offer valuable advice on how to achieve effective communication among parent, child, and members of the health care team.

Throughout, the authors stress the importance of helping children with diabetes to live as normally as possible. They address a wide range of management alternatives, including practical issues -- snacking at the mall after school (and how to adjust insulin to cover it), what to do about insulin shots during sleepovers, what to tell friends and classmates as well as teachers and other educators, and how to counsel adolescents about the effect of alcohol on blood sugar levels. The text is enhanced by a variety of sample forms and documents: assessment and other record-keeping forms; sample letters to teachers describing activity restrictions and warning signs they should watch for; growth charts; tables of timing and duration of action for different types of insulin; and diabetic ketoacidosis treatment flow sheets.

Der Blick der deutschen Mehrheitsgesellschaft auf das Themenfeld Medizin ist weitgehend sakular. Menschen muslimischen Glaubens stellen hingegen die Begriffe "Gesundheit" und "Krankheit" sowie ihre Haltungen und Erwartungen gegenuber medizinischen Interventionen und dem gegenseitigen Verhaltnis von Arzt und Patient haufig direkt in religioese Zusammenhange. Daraus ergeben sich spezifische Bedurfnisse und Erwartungen, die glaubige muslimische Patienten sowohl von christlichen als auch von sakular eingestellten Menschen unterscheiden. Dieses essential zeigt anhand einer Reihe von Einzelinterviews Facetten der Rolle religioeser UEberzeugungen muslimischer Patienten fur den Umgang mit Krankheit, Medizin und dem Gesundheitssystem. Er wendet sich an AErzte und medizinisches Personal ebenso wie an Laien mit einem Interesse an interreligioesen und interkulturellen Fragen.

This is the updated edition of a medical handbook that deals with basic paediatric and childhood conditions. The book deals with these issues in an accessible, clear, and concise manner. The South African Government's focus on the provision of primary health care makes this text particularly valuable as it deals with paediatric issues related to primary health. Due to a shortage of doctors, nursing staff are expected to provide necessary services. This book equips nurses with the skills to deal with the required procedures. The book is therefore aimed primarily at nurses and, being written by paediatricians, is medically sound. It has been overviewed for relevance to nurses. It presents theory in an interactive fashion, to ensure that training takes place for nurses who are required to take on more and more responsibilities in primary health care facilities.

GPST Stage 3: Written and Simulation Exercises, Second Edition continues the tradition of the BMA award-winning first edition by providing the most relevant and current revision guide for candidates preparing for the GPST Stage 3 assessment. Written by authors who run a highly successful GPST course in West London, and who therefore have first-hand experience of the selection process, the book provides an ideal framework to help candidates prepare for both the written and the simulation exercises used in the assessment. The new edition has been updated to reflect the inclusion of more ethics-based written exercises in the assessment. An additional chapter containing 8 mock tests has also been included, ensuring GPST Stage 3: Written and Simulation Exercises, Second Edition remains the definitive guideto maximise chances of exam success. Includes 60 written priorisation and 45 simulated consultation exercises, all with suggested answers and updated for the new edition More ethics based written exercises have been added reflecting recent changes to the exam. New chapter includes 8 complete mock tests to allow candidates to simulate the experience of sitting the exam Previous edition published February 2013 (9781907816611) Amazon reviews of the first edition: Fully comprehensive for stage 3 GP application process. Covers written prioritisation and communication/consultation scenarios. Full of scenarios laid out in a way that you can practice alone or with a friend ...exactly the type of practice book I have been looking for. Written prioritisation task section included model answers and explains why they are the model answers. Really worth the money. I don't hesitate to recommend it to all my friends preparing for the application process. Excellent book. Covers all of the necessary information to pass the exam. All of the communication stations I did at the selection centre were discussed within the book. Well worth the money!

With all the attention heaped upon the most deadly sexually transmitted infection of all, HIV, other non-fatal forms of infection have been somewhat neglected, and even overlooked in sexual education. However, incidences of STIs such as chlamydia and gonorrhoea have been dramatically and silently rising in many parts of the world in recent years - though receiving far less attention. It is now recognized that this is a major public health issue, affecting thousands of people, irrespective of background, education or social class.
In Sexually Transmitted Infections: The Facts, David Barlow, for thirty years a consultant physician at a large London teaching hospital, describes, in a readable, sensible and light style, the common and rare conditions which are seen in clinic. Case histories drawn from real patients illustrate many of the pitfalls and problems that can arise from misunderstanding how diseases such as herpes or genital warts are transmitted. An important and novel section explains how and why the seemingly reliable tests from a hospital laboratory can be misleading and, in many cases, actually wrong. This new edition has been brought up-to-date with coverage of the new HPV vaccine for cervical cancer, recent work on the aetiology of bacterial vaginosis, evidence on the treatment and management of genital herpes simplex, and a totally revived section on HIV and AIDS.
Using the early section on symptoms, the reader is rapidly pointed to the relevant section of the book for explanations and reassurance. Providing essential information on all the main forms of sexually transmitted infections, the book delivers essential, accessible, pragmatic, information that should be read by all adults.

Is there an epidemic of depression sweeping the world, or are we radically altering our interpretation of normal human experiences? Do we need a dose of medication or a renewed sense of meaning? In this second edition of Beyond Depression, Christopher Dowrick - an academic general practitioner - takes a critical insider's look at commonly held views about the diagnosis and management of depression. He argues that our belief in depression as a medical condition is based on commercial, professional, organisational and cultural factors which combine to sustain the popularity of depression as a concept, which is based more on our values than on science. Based on the best contemporary evidence available, this second edition includes new research findings on the management of mild and recurrent depression, the possibility of a genetic basis to depression, and extended arguments on the limitations of screening, and the placebo effects of antidepressant medication. The author considers alternative ways of understanding the thoughts and feelings that we currently describe as depression, drawing on cross-cultural, religious, political and literary sources. He proposes a conceptual framework that provides a means of moving beyond depression as a medical concept and as a personal problem. When applied to encounters between doctors and patients in primary care it leads us towards enabling narratives, with an emphasis on listening and understanding rather than diagnosis and prescription. Beyond Depression combines a comprehensive analysis of current scientific evidence with an impressive review of linguistic, literary and philosophical perspectives. Moving seamlessly between controlled trials and Camus, from prescribing to Proust, the book is informed throughout by a series of sensitive case studies drawn from the author's personal experience.

Older people have complex and unique primary care needs. The frequent occurrence of co-morbidities, polypharmacy, psychological, social and functional impairments can impact on the way problems present making the diagnosis and treatment more challenging for the primary care physician. The provision of healthcare is becoming more community-based and national service frameworks have highlighted the special healthcare needs of older people. This means that treating older patients will become an even larger proportion of the daily work of the general practitioner. Packed full of practical and down to earth advice for clinicians specialising in the care of older people, this book examines real problems that present on a day-to-day basis in the primary care environment. It provides GPs with specific advice and guidance to help them in the management of the often complex conditions that present in older people. Written by practising clinicians who are experts in the field, this book covers a diverse range of subjects from stroke medicine to incontinence to the role that the voluntary sector plays in the care of older people. It includes clinical case scenarios throughout and colour photographs in chapters on areas such as ophthalmology and dermatology enable readers to effortlessly understand the points being made. Easy to read and with most chapters co-authored by a specialist and a general practitioner, this book provides GPs, community and practice nurses, and those specialising in the care of older patients with an indispensable resource they can use to find practical advice from specialists in the field, including tips on differential diagnosis and summaries of the existing evidence-base and guidelines on treatment.

There is an ever-increasing emphasis on evidence-based medicine that is distinguished by systematic crafting of the patient-centered research question, detailed literature searches, and careful appraisal of the resulting evidence. The consensus that ultimately emerges must then be applied in specific clinical settings, and it is to this process that translational effectiveness analysis refers. This portable and easy-to-use handbook is intended as a practical teaching guide on translational effectiveness for students and clinicians. Specifically, it will serve as a primer on patient-centered outcomes research methodology in the health sciences and explain how to acquire and understand the fundamental data that determine which reports are valued as the "best available" evidence. It presents an accessible and readily intelligible set of principles which doctors, dentists, nurses, and insurance carriers will be able to use in the process of health care-related decision-making.

Women are entering medical school in equal numbers as men, yet still face unique challenges in a profession where, overall, male physicians outnumber female physicians 3 to 1. Women in medicine also face decisions such as when to have a child during training and often struggle with work-life balance. This book features real stories and advice from mothers in medicine at all stages of training from medical student to practicing physician and addresses the topics that shape the lives, joys, and challenges of women in medicine today. The book is based on the best posts and wisdom shared on the Mothers in Medicine blog, which was established in 2008 by the editor and has published over 1500 posts and has over 4.8 million page views to date. The book is organized by themes that are unique to the physician-mother: career decisions, having children during training, navigating life challenges, practice issues, and work-life balance. Each chapter features an excerpt from the blog followed by an honest discussion of the key considerations, guidelines, and tips as related to each topic in the conversational, personal tone of the blog. The book concludes with a chapter that features the most popular questions posted on the Mothers in Medicine blog and a summary of the responses received from the community of readers. Mothers in Medicine: Career, Practice, and Life Lessons Learned is a valuable and contemporary resource for pre-medical students, medical students, residents, and physicians.

Designed for primary care clinicians, this book is about patients who suffer with long term pain. Written in a distinct, friendly style, it analyses ideas about pain from the simple to the complex and provides up-to-date and relevant information written by doctors whose practice is either wholly or substantially related to people with pain. It provides examples of everyday patients to provide clinicians with the confidence to prescribe and treat patients with more difficult pain. In an attempt to 'demystify' some areas of pain medicine it also includes details of the science behind common conditions and their remedies in order to emphasise the psychological and social impacts of pain.

The need to expand expertise in cancer genetics beyond highly specialized genetics clinics is increasingly being recognized. In response, this practical book provides oncologists, specialist nurses, genetic counsellors, family doctors, and geneticists with comprehensive and easy-to-use guidelines on risk assessment and appropriate management.
The book focuses on common familial cancers such as breast, colorectal, ovary, prostate and melanoma, and separate chapters cover cancer predisposing syndromes such as neurofibromatosis, familial adenomatous polyposis and their management.

This book provides a practical, evidence-based overview of the supportive care of patients with urological failure, covering issues such as quality of life measurements, the role of the multidisciplinary team, and psychological and social support for patients, families and carers. The book focuses on chronic symptoms such as chronic prostatitis. It begins by looking at quality of life measurements, self-help strategies, the role of the interdisciplinary team, and psychological and social support. It then moves on to clinical chapters which cover issues such as patients who present with hematuria, urinary retention, urinary incontinence, neurological disease affecting the urinary tract, chronic prostatitis, and infertility; ending with a chapter on supportive care for the urology patient and family in the future. The book places a special emphasis on symptomatic interventions, particularly in the setting where the course of the illness cannot be modified.

Cicely Saunders is universally acclaimed as a pioneer of modern hospice care. Trained initially in nursing and social work, she qualified in medicine in 1958 and subsequently dedicated the whole of her professional life to improving the care of the dying and bereaved people. Founding St Christopher's Hospice in London in 1967, she encouraged a radical new approach to end of life care combining attention to physical, social, emotional and spiritual problems, brilliantly captured in her concept of 'total pain'. Her ideas about clinical care, education and research have been hugely influential, leading to numerous prizes and awards in recognition of her humanitarian achievements. In this book the sociologist and historian David Clark presents a selection of her vast correspondence, together with his own commentary. The letters of Cicely Saunders tell a remarkable story of vision, determination and creativity. They should be read by anyone interested in how we die in the modern world.