Accurate diagnosis is the foundation of medical practice, but at the start of the diagnostic process, uncertainty is inevitable. The clinician's skills and cognitive attributes determine the quality of the initial differential diagnosis and thus the crucial first phases of investigation and treatment; mistakes are often self-propagating. Diagnostic error is a major cause of avoidable morbidity and mortality, and is the commonest reason for successful litigation. Risk and Reasoning in Clinical Diagnosis is an accessible and readable look at the diagnostic process. Dr. Cym Ryle presents the insights and concepts developed in cognitive psychology which have led to the consensus that in all domains human reasoning is primarily driven by unconscious, intuitive mechanisms; the contribution of structured, analytical thinking is variable and inconsistent. He notes that the risk of error is inseparable from these mechanisms. Dr. Ryle then develops a description of the diagnostic process which encompasses its form, strengths and fallibility, and illustrates this description with examples from his work as a general practitioner. He argues that improving diagnostic accuracy should be a priority, and that there is sufficient evidence to guide changes in medical training, in clinical practice, and in the culture and organisation of our institutions. He identifies specific, practical steps that can be taken by individual clinicians and by clinical teams, suggests priorities for action in our institutions, and considers the obstacles to progress.

This unique book is a first-of-its-kind resource that comprehensively covers each facet and challenge of providing optimal perinatal palliative care. Designed for a wide and multi-disciplinary audience, the subjects covered range from theoretical to the clinical and the practically relevant, and all chapters include case studies that provide real-world scenarios as additional teaching tools for the reader. Perinatal Palliative Care: A Clinical Guide is divided into four sections. Part One provides the foundation, covering an overview of the field, key theories that guide the practice of perinatal palliative care, and includes a discussion of perinatal ethics and parental experiences and needs upon receiving a life-limiting fetal diagnosis. Part Two delves further into practical clinical care, guiding readers through issues of obstetrical management, genetic counseling, neonatal pain management, non-pain symptom management, spiritual care, and perinatal bereavement care. Part Three discusses models of perinatal palliative care, closely examining evidence for different types of PPC programs: from hospital-based programs, to community-based care, and examines issues of interdisciplinary PPC care coordination, birth planning, and team support. Finally, Part Four concludes the book with a close look at special considerations in the field. In this section, racial, ethnic, and cultural perspectives and implications for PPC are discussed, along with lessons in how to provide PPC for a wide-range of clinical and other healthcare workers. The book closes with a look to the future of the field of perinatal palliative care. Thorough and practical, Perinatal Palliative Care: A Clinical Guide is an ideal resource for any healthcare practitioner working with these vulnerable patient populations, from palliative care specialists, to obstetricians, midwifes, neonatologists, hospice providers, nurses, doulas, social workers, chaplains, therapists, ethicists, and child life specialists.

Das bewahrte Fachbuch zum Kinderschutz in der Medizin bietet Strategien fur den Umgang mit Verdachtsfallen von Kindesmisshandlung und -vernachlassigung, fundierte fachliche Grundlagen fur die Diagnose, Sicherheit in Rechtsfragen und erprobte Konzepte fur die Intervention. Fundierte somatische Diagnostik Leitliniengerecht, hohe Evidenz Rationale diagnostische Strategien Forensische Befundsicherung Kindergynakologische Grundlagen Umsichtige Intervention & Pravention Gesprachsfuhrung mit Eltern Interdisziplinare Netzwerke schaffen und nutzen Fruhe Hilfen Umgang mit Missbrauch in Institutionen Gesellschaftliche und rechtliche Grundlagen Auszuge wichtigster Gesetze Gesetzlicher Opferschutz, psychosoziale Folgen Kompakt und praxisrelevant Korrekte Anamnese und Dokumentation Merkblatter, Checklisten, Internetadressen Praxistipps, Differenzialdiagnosen und Fallstricke Vom "unguten Gefuhl" zu evidenzbasiertem Handeln. Unter Berucksichtigung der neuesten internationalen Leitlinien, Literatur, Gesetze und Rechtsprechung. Das erste deutschsprachige Handbuch fur fachgerechte medizinische Diagnostik und Intervention. Das notwendige "Handwerkszeug" fur AErzte und andere Gesundheitsberufe, um in der taglic hen Praxis die richtigen Entscheidungen zu treffen. Als Leitfaden, Ratgeber und Nachschlagewerk fur AErzte, aber auch alle anderen beteiligten Fachleute im Kinderschutz: Juristen, Polizei, Jugendamter, Beratungsstellen ....

Adolescence is a pivotal period of development with respect to health and illness. It is during adolescence that many positive health behaviors are consolidated and important health risk behaviors are first evident; thus, adolescence is a logical time period for primary prevention. In addition, the predominant causes of morbidity and mortality in adolescence are quite different from those of adults, indicating that early identification and treatment of adolescent health problems must be directed to a unique set of targets in this age group. Moreover, because of the particular developmental issues that characterize adolescence, intervention efforts designed for adults are often inappropriate or ineffective in an adolescent population. Even when chronic illnesses are congenital or begin in childhood, the manner in which the transition from childhood to adolescence to young adulthood is negotiated has important implications for disease outcomes throughout the remainder of the person's life span. Organized in five major sections (General Issues, Developmental Issues, Treatment and Training, Mental Health, and Physical Health) and 44 chapters, Handbook of Adolescent Health Psychology addresses the common and not so common health issues that tend to affect adolescents. Coverage includes: Context and perspectives in adolescent health psychology Health literacy, health maintenance, and disease prevention in adolescence Physical disorders such as asthma, obesity, physical injury, and chronic pain Psychological disorders such as substance abuse, attention deficit hyperactivity disorder, depression, and eating disorders Congenital chronic diseases such as type 1 diabetes and spina bifida Handbook of Adolescent Health Psychology is the definitive reference for pediatricians, family physicians, health psychologists, clinical social workers, rehabilitation specialists, and all practitioners and researchers working with adolescents.

This atlas, containing a wealth of clinical and dermoscopic images, describes and illustrates the applications of dermoscopy in a wide variety of skin disorders that may be encountered in the pediatric population. Key features and other salient aspects are highlighted with the aim of enabling the clinician to reach a fast and reliable diagnosis in all cases. Dermoscopy is a non-invasive technique that allows rapid and magnified in vivo observation of the skin, with visualization of morphologic features imperceptible to the naked eye. Dermoscopy has revolutionized the approach to pigmented skin lesions, greatly improving diagnostic accuracy. Furthermore, over the past few years it has been demonstrated to be very useful in the diagnosis, follow-up, and therapeutic monitoring of a range of other skin disorders, including cutaneous/mucosal infections, ectoparasitoses, inflammatory diseases, and hair and nail abnormalities. Being non-invasive, dermoscopy is particularly suitable for use in the pediatric population, in which invasive diagnostic procedures may be problematic.