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Books > Medicine > General issues > Health systems & services > General practice
Today we face the painful reality of the prevalence of chronic, rather than acute, diseases. The technologies developed to manager long-term, incurable illnesses have radically and irrevocably altered the organizational structure of health care, presenting us with a frequently bewildering array of medical specialties. Social Organization of Medical Work offers essential insight into this new era of health care. Through richly documented, often gripping case studies, Anselm Strauss and his co-authors show us exactly how health workers are confronting the problems created by chronic disease and coping with today's highly technologized hospitals. They guide us through the various hospital work sites, describing in detail the kinds of tasks performed by medical personnel, the interactions of staff members with each other and with patients, and the overall resulting patient treatment and response. Focusing on the concept of illness trajectory, the authors vividly illustrate the complex, contingent nature of modern medical work. For example, open heart surgery keeps ill persons alive and may even improve them symptomatically, but those who do survive must face an uncertain future in terms of the physiological consequences of the surgery and the drugs required. They also have to adjust t altered lifestyles. In the new introduction, Anselm Strauss discusses the continuing importance of this work to sociologists, medical scholars, and medical professionals.
The Inner Consultation, Second Edition sets out the author's thoughts on how consulting skills, and methods of teaching them, have evolved in the 17 years since the book's first publication. It also develops the theme of 'curiosity' as the key requirement for patient-centred consulting and provides a practical consultation model with five checkpoints to work to, advice for developing skills, and suggestions for doctors to ensure they know the cues in the consultation that require their full attention. All general practitioners, GP registrars, and medical professionals will find this book essential and thought-provoking reading.
Building upon the highly successful 1st edition, this book is a comprehensive review designed to prepare pediatric residents, fellows, and pediatricians for the General Pediatrics Certifying Examination, and for the American Board of Pediatrics Maintenance of Certification. Pediatric Board Study Guide: A Last Minute Review, 2nd edition, covers all aspects of pediatric medicine; each chapter has been updated according to the most recent content specifications provided by the ABP. The 2nd edition provides more illustrations, diagrams, radiology images, and clinical case scenarios to further assist readers in reviewing pediatric subspecialties. New chapter topics include nutrition, sports medicine, patient safety, quality improvement, ethics, and pharmacology. Finally, the book closes with a "Last Minute Review" of high-yield cases arranged in the same sequence as the chapters, providing readers with a concise study guide of critical cases and conditions. Pediatric residents and fellows preparing for the board examination, pediatricians, and pediatric subspecialists preparing for certification maintenance will find Pediatric Board Study Guide: A Last Minute Review, 2nd edition easy to use and comprehensive, making it the ideal resource and study tool.
A new volume in the bestselling Pocket Notebook series, Pocket Addiction Medicine delivers highly relevant coverage of this widespread and increasing health care problem in an easily portable source. Edited by physician leaders in Addiction Medicine, Drs. Sarah E. Wakeman, Joshua D. Lee, and Anika Alvanzo and co-published with the American Society of Addiction Medicine (ASAM), this handbook provides must-know information on everything from screening for and diagnosis of substance use disorder to managing intoxication and withdrawal, to ongoing treatment of substance use disorder, including caring for special populations-all designed for quick reference at the point of care. Using the popular, easy-access Pocket Notebook format, it puts key clinical information about a broad range of issues in addiction medicine at your fingertips in seconds. Contains up-to-date content in outline format, with bulleted lists, tables, and algorithms for quick reference. Covers the most essential topics in addiction medicine including screening, diagnosis, treatment, toxicology testing, harm reduction, and many more. Progresses logically from basic epidemiology, to assessment, diagnosis, and treatment. Consult this high-yield handbook by diagnosis, such as opioid use disorder, alcohol use disorder, or stimulant use disorder; or by special topic, such as preventing overdose and infectious complications associated with injection drug use, caring for pregnant people with substance use disorder, treatment of pain and opioid use disorder, or understanding recovery supports. A portable and authoritative resource for physicians and trainees in primary care and other specialty areas, as well as students and other healthcare professionals.
Benjamin Daniels is angry. He is frustrated, confused, baffled and, quite frequently, very funny. He is also a GP. These are his confessions. A woman troubled by pornographic dreams about Tom Jones. An 80-year-old man who can't remember why he's come to see the doctor. A woman with a common cold demanding (but not receiving) antibiotics. A man with a sore knee. A young woman who has been trying to conceive for a while but now finds herself pregnant and isn't sure she wants to go through with it. A 7-year-old boy with 'tummy aches' that don't really exist. These are his patients. Confessions of a GP is a witty insight into the life of a family doctor. Funny and moving in equal measure it will change the way you look at your GP next time you pop in with the sniffles.
Become proficient with the latest 2022 ICD-10-CM and ICD-10-PCS coding guidelines and new 2022 ICD-10 codes using Bowie's UNDERSTANDING ICD-10-CM AND ICD-10-PCS: A WORKTEXT, 2022 EDITION. Updated annually, this hands-on worktext presents the most current diagnostic and procedural coding systems. New content covers codes for COVID-19 and expanded, new ICD-10-CM codes for issues such as malignant bilateral ovaries, thrombocytosis, depression, toxic encephalopathy and social determinants of health. This edition's easy-to-follow approach reinforces understanding with professional exercises, expanded actual coding assignments and real case studies. Illustrations and digital links to medical research websites strengthen your knowledge of anatomy and disease processes to increase your coding accuracy. Use this trusted resource and MindTap online tools with Medical Coding Trainer and more than 200 digital cases to prepare for certification exams and diagnostic and procedural coding career success.
Churchill's Guide to UK Medicolegal Essentials provides a no-nonsense guide to managing those everyday clinical scenarios that have potential or obvious legal implications. With a clear, practical and easy-to-read style, it takes you through everything that you need to know including the UK legal systems, complaints handling, clinical governance and risk management, disciplinary procedures, and how the law relates to alcohol, drugs, mental health and end of life. This is an ideal book for medical, nursing, dental and paramedic students preparing for exams or interviews, all grades of healthcare professionals, police staff, and anyone needing a brief overview of the legal intricacies of medical practice. Defines the law of England and Wales, Scotland and Northern Ireland Provides tips on preparing a police statement, appearing in court and obtaining forensic samples Scenarios and questions to bring the law to life Filled with practical advice to help you understand and minimise risks to your practice Covers risk management, which is central to Government health policies An enhanced eBook version is included with purchase. The eBook allows you to access all the text, figures and references, with the ability to search, customize your content, make notes and highlights, and have content read aloud Comprehensive update of all areas of medical law New chapter on the Sexual Offences Act 2003 New questions and scenarios to test your knowledge and understanding
This authoritative, highly illustrated text and color atlas provides a systematic guide to commonly performed minor surgical and dermatology procedures. Accompanied by video clips, this critical resource on skin and minor surgery is designed for all trainees and practitioners, including experienced surgeons, dermatologists, family doctors, nurses, and the supporting healthcare team. Divided into four main color-coded sections, the book covers essential background information including postoperative management and aftercare, the key knowledge required for diagnosis and management, and the skills necessary to perform procedures step by step. Comprehensive coverage-Learn to perform a whole range of procedures from small skin surgical procedures to vasectomy Step-by-step techniques-See how to perform each technique with numerous color illustrations, animations and video clips Practical advice, boxes, tables, warnings, and indications of difficulty level-Achieve success and avoid common pitfalls Authoritative yet contemporary-Gain wisdom from this long-established, trusted book brought completely up to date by today's practitioners
In the early 1970s general practitioners were well aware that they were being asked to deal not only with physical illness in their patients but also with the stresses relating to social and emotional problems. Increasingly often they were working together with health visitors and social workers in attempting to respond more effectively to these demands. Originally published in 1972, this study describes the attachment of a social worker to a group general medical practice in London, indicating why, for all social groups, the general practice is an appropriate point at which psychosocial problems may be identified and treated. The authors describe the nature and range of patients' problems that come to light in the consulting room; how patients present their problems to the social worker; and the kind of help the social worker is able to offer. They explore the extent to which the general practice setting provides opportunities for preventive therapy and further describe how social work in general practice can most effectively be related to existing social services in the community, particularly to the reorganised personal social services. Their findings are supported throughout by illuminating case studies. The book also discusses the integration of the social worker into the general practice team, the problems that have to be solved and the mutual enlightenment that results. This emerges as an extremely encouraging and instructive experiment, which will immediately interest social service departments and social workers, doctors and nurses, both students and those in practice. The wide spectrum of social problems encountered and dealt with by the social worker in a general practice make it a particularly stimulating account.
FROM THE PREFACE The field of medical devices represents one of the most advanced technological areas in the United States. In 1991, over 12 million Americans had at least one medical device; fixation devices had the highest incidence, followed by contact lens use and lens implants and, lastly, artificial joints. The public has come to expect that medical devices will alleviate maladies and/or conditions that were not treatable fifty years ago. It is hard to believe that the first pacemaker was invented in the 1950s, the first artificial heart valve in 1952, and the first artificial hip replacement was performed in 1954. In 1992, the medical device industry exported a total of $6.9 billion, while the country imported a total of $3.9 billion, representing a $3.0 billion trade surplus. Medical devices are among the most regulated products in the world. The FDA maintains a constant vigil over medical device manufacturers and importers; even medical device definitions are subject to official scrutiny. Title 21 of the Code of Federal Regulations publishes these definitions, but the definitions are spread over several medical specialty areas and are, thus, difficult to find. This book attempts to bring a measure of order by providing an alphabetical listing of officially defined devices.
Common Mental Disorders in Primary Care provides a thorough overview of the diagnosis, treatment and management of the most common mental disorders encountered in primary care. In this book, published to mark the retirement of Professor Sir David Goldberg, distinguished contributors bring together clinical and research work drawn from psychiatry, medicine, psychology, social work and sociology, covering such topics as: * the biological basis of common mental disorders * disability and depression in primary care * the limits of mental health care in general medical clinics * improving the management of mental disorders in the elderly * training the whole primary care team. Common Mental Disorders in Primary Care provides an authoritative review of the subject for professionals working in the area of primary care.
Due to new developments in prenatal testing and therapy the fetus is increasingly visible, examinable and treatable in prenatal care. Accordingly, physicians tend to perceive the fetus as a patient and understand themselves as having certain professional duties towards it. However, it is far from clear what it means to speak of a patient in this connection. This volume explores the usefulness and limitations of the concept of 'fetal patient' against the background of the recent seminal developments in prenatal or fetal medicine. It does so from an interdisciplinary and international perspective. Featuring internationally recognized experts in the field, the book discusses the normative implications of the concept of 'fetal patient' from a philosophical-theoretical as well as from a legal perspective. This includes its implications for the autonomy of the pregnant woman as well as its consequences for physician-patient-interactions in prenatal medicine.
Described in the New York Times as "an astonishingly clear 'user's manual' that explains our health care system and the policies that will change it," The Health Care Handbook, by Drs. Elisabeth Askin and Nathan Moore, offers a practical, neutral, and readable overview of the U.S. health care system in a compact, convenient format. The fully revised third edition provides concise coverage on health care delivery, insurance and economics, policy, and reform-all critical components of the system in which health care professionals work. Written in a conversational and accessible tone, this popular, highly regarded handbook serves as a "one stop shop" for essential facts, systems, concepts, and analysis of the U.S. health care system, providing the tools you need to confidently evaluate current health care policy and controversies. Provides essential introductory coverage while also offering depth and focus gained through the authors' experience over three editions of this best-selling handbook Features new, realistic narratives throughout that provide a more human focus on the effects of today's policies and issues Contains a new chapter that synthesizes multifaceted issues such as breast cancer screening guidelines, readmissions and value, and the rising cost of insulin Includes more data visualization such as maps and infographics for quick comprehension of complex information Offers multiple viewpoints and suggested readings so readers can develop their own opinions on key topics Used as a curricular resource in more than 150 training programs nationwide, including schools of medicine, nursing, physician assistant, pharmacy, physical therapy, occupational therapy, business, sociology, pre-medical, health administration, health law, and health policy; also used for employee training in a variety of organizations within the pharmaceutical, medical device, health care system, health insurance, and health IT fields Features supplemental digital content for instructors, ideal for classroom use 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.
How did doctors make a living? Making a Medical Living explores the neglected socio-economic history of medical practice, beginning with the first voluntary hospital in 1720 and ending with national health insurance in 1911. It looks at private practice and how this was supplemented by public appointments. In this innovative study, Anne Digby makes use of new archival sources of information to produce a compelling picture of ordinary rather than elite doctors, and of the dynamics of provincial rather than metropolitan practice. From the mid-eighteenth century doctors travelled to see ordinary patients, developed specialisms and expanded institutions. Despite limitations in treatment, doctors raised demand for their services as illuminating case studies of women, children, the poor and the affluent show. But doctors did not limit their own numbers, and were largely unsuccessful in restricting competition from other practitioners, with the significant exception of women. Consequently, many GPs struggled to make a living by seeing numerous patients at low fees. Doctors' entrepreneurial activity thus helped shape English medicine into a distinctive pattern of general and specialist practice, and of public and private health care.
The standard textbook of Dermatology and Allergy in new edition! The 4th edition of the "Braun-Falco Textbook", an international standard text of dermatology, allergy and sexually transmitted disorders has been thoroughly rewritten and reedited and offers a comprehensive state-of-the-art review of the entire field for clinicians in hospital and private practice. The editors assembled an expert team of authors with outstanding international reputation who present a concise overview of the complete spectrum of dermatology and its groundbreaking progress with particular emphasis on aspects of practical care within the specialty. The treatment recommendations are based on current international guidelines and standards of care, and pay special attention to latest therapeutic progress as well as recent pathophysiological concepts. A special emphasis has been put on a unique array of high quality figures and a clear, easily understandable structure of the respective chapters. Besides the printed version, the new edition is available as a digital version. New aspects of the 4th edition that reflect the tremendous and rapid progress of dermatology include an up to date clinical classification of dermatoses, current guidelines and therapeutic concepts in inflammatory and neoplastic diseases, and dermatological aspects of the new Covid-19 infection. "Braun-Falco`s Dermatology" is a must for specialists and trainees in dermatology, and of great value for all physicians who encounter skin diseases in general.
The new edition of this best-selling title from the popular 100 cases series explores common scenarios that will be encountered by the medical student and junior doctor when working in the community setting, and which are likely to feature in qualifying examinations. The book covers a comprehensive range of presentations from tiredness to tremor. Comprehensive answers highlight key take home points from each case and provide practical advice on how to deal with the challenges that occur in general practice at all levels.
Medical schools currently use specialist perspectives on psychiatric disorders to train physicians, nurses and health professionals. This results in a lack confidence among non-psychiatric health professionals, which reduces their ability to manage common mental health conditions in primary care and secondary hospitals. This book is a practical guide to common mental health conditions encountered in general medical practice.
This new edition of the best-selling Minor Illness Manual has been completely revised and updated with the latest clinical guidance and prescribing information, and includes a new chapter on the changing demands of Primary Care. The simple, clear and easy-to-use format enables Primary Care professionals - such as nurses, pharmacists, midwives, doctors, and paramedics - to quickly access the current procedures for dealing with situations they are likely to encounter in their daily practice.
This is the most comprehensive resource for trainees sitting the RCGP consultation skills' exam (RCA/CSA), offering a complete curriculum guide as well as 100 roleplays that can be removed and practised in pairs. The guidance is seamlessly aligned to the NEW RCGP 2020 curriculum, fully up to date and referenced with the latest guidelines, with detailed 'example' answers for each case. Offering a new, straightforward consultation model highly suited to the requirements of the exam, the book provides: A realistic amount of information for both 'doctor' and 'patient'. The answers! Each case includes a fully worked-up example consultation. Summaries of guidelines and tips from the authors own experience of the RCGP exams - both as candidates and as teachers for many hundreds of trainees. An easy way to mark each other's role plays, with tick boxes on the Example Consultation and a universally applicable marking scheme. A colour coded curriculum for ease of reference. The only Casebook and revision guide providing information and answers across the 2020 curriculum. The Complete MRCGP casebook is essential reading for any candidate preparing for their final clinical and consultation skills' exam and will remain an invaluable resource for best practice after qualification.
This book brings together in one volume many important topics about death and dying, including the pathophysiology of death, the causes of death among cancer patients, the ethics of death, the legal aspects of death for the physician and for the patient and caregivers, the economics of death, the medical management of the dying patient, including pain and dyspnea, the prediction of death, and the spiritual management of the dying patient. It also discusses other medical and humanistic aspects of death and dying, such as the historical definition of death and various cultures' and religions' viewpoints on death and the afterlife. Everybody, including every patient with cancer, will die, and every physician will have to assist dying patients. Oncologists face this prospect more often than many physicians. And yet to date there has been no comprehensive textbook on Thanatology, the academic discipline studying death and dying, to assist oncologists in this difficult task. This book will help the physician to understand his or her own relationship with death and to communicate about death and dying with the patient and the patient's caregivers.
Safe and effective prescribing is one of the pillars of medical practice but is much more complicated than it seems. Many new prescribers find prescribing extremely challenging, and a plethora of independent, multidisciplinary prescribers are also seeking guidance. However, pharmacology textbooks are rarely practical. They warn to 'take care when prescribing erythromycin to a patient on warfarin, as the INR may rise'. But what should the prescriber actually do? Surviving Prescribing fulfils an important need by offering practical advice for real-world prescribing problems. The book complements existing educational resources but adds a new perspective. Written by experienced contributors from a variety of professional backgrounds, the content speaks directly to the problems routinely seen in hospital prescribing. And all in one, pocket-sized volume. Whether revising for the national Prescribing Safety Assessment, preparing for starting on the wards, or looking for a quick reference guide, this book is an essential companion.
'Dermatological Emergencies' aims to cover aspects of situations and their management when they present in a Dermatology setup. This includes severe drug reactions, bullous disorders, erythroderma, infections, vasculitis and systemic emergencies presenting with skin signs. This book guides the reader to recognize such emergencies, helps to approach the initial phase of management, identifies the investigations, thus leading to a holistic management of the scene. Case scenarios are used in all chapters with logical flow of text, flowcharts, algorithms and representative clinical and laboratory images for better understanding of the readers. Key Features Details all dermatological emergencies Discusses manifestation of these emergencies with unique algorithms and flowcharts Examines case scenarios for first-hand experience Consists of Do's and Don'ts for effective management of cases Uses high quality clinical images for clarity
Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1963 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.
Practical Procedures in General Practice 2e is an updated guide for any GP looking to establish a minor surgery service, covering: setting up a minor surgery clinic accreditation - new patient selection and assessment basic operative procedures diagnosis and management of skin lesions - new joint injections long-term contraception, including LARCs - new specialist procedures such as carpal tunnel decompression and non-scalpel vasectomy which may be undertaken by GPs with extended roles If you are one of the many GPs looking to reduce referrals and provide a better service to your patients by developing a minor surgery DES, then Practical Procedures in General Practice will help. Note from the publisher: This book will help you to understand what is possible and to remind you how to do the procedures correctly. It is not a substitute for gaining relevant practical experience through expert supervision or at a specialist training course, such as one of those run by the RCGP.
Although all primary care organisations have to develop business plans at every level, for many this is a new experience. This book will show the reader how., The Business Planning Tool Kit is a practical, comprehensive book that contains all the reader needs to know about business planning in primary care. The book includes topics on what to include in a business plan, personnel, finances, premises and information management. It is an interactive guide including links to websites that have practical templates for the reader to download and use. It takes general practitioners, practice managers, and managers in primary care groups, trusts, and health authorities through the business planning process in a clear, straightforward way., This book provides a whole new way of looking at how general practice can be managed and it does so in the form of a manual which gives whoever takes on the task the tools to do so. The layout of the book is a joy. Every section has sheets on which staff members can write their comments on the issue in hand. Users of this book are likely to find themselves in a healthier practice because of it.' Andrew Polmear, in the Foreword |
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