Those who do not feel pain seldom think that it is felt. SAMUEL JoHNSON, The Rambler, no. 48 (September 1, 1750) Who among us has not experienced the suffering of a patient with chronic disease, who in addition to the vicissitudes of fatigue, anxiety, and frustration, must also deal with the suffering of pain? Who among us has not considered, and then reconsidered, whether a patient's complaints are worthy of a narcotic and thence worried about the social and legal implications of chronic use? Who among us has not refused pain medications to our patients for fear that use was turning into abuse? Finally, who among us would not have liked a clinical guide to a myriad of syndromes, all of which have pain as their common denominator, in the hopes of developing some strategy to prioritize treatment. Our purpose in preparing The Pain Management Handbook is to provide the informa tion needed by clinicians to develop strategies that optimize pain management. It is the goal of the editors and authors that the present handbook, above all else, will be clinically useful. Its aim is to provide practical information regarding the diagnosis and treatment of disorders causing pain, along with tables and graphics to provide the busy practitioner with rapid access to relevant data."

For hundreds of years, psychology has looked into the dysfunctions and symptoms of the mind. It's only over the last few decades that the field has started to pay attention to what constitutes a functional and content life. Instead of using disease to understand health, positive psychology studies the components of a good life and helps people not only avoid mental health problems but develop happiness. The work done in positive psychology is now at a point where applications are being developed in positive psychotherapy and extended to those with psychiatric diagnoses in positive psychiatry. While these fields are a recent development they hold the promise of helping all of us live a fulfilled life. Medicine in general, and psychiatry in particular, suffers from a worldview that is symptom- and deficit-oriented. By adopting a positive approach, psychology, psychotherapy, and psychiatry add a more holistic, integrative, resource oriented, and preventive perspective. There is great urgency in developing resources and potentials in our patients, not only freeing them from their disorders. Psychiatrists and psychotherapists alike are incorporating these positive tools into their practices with positive clinical outcomes. Standing on the shoulders of pioneers like Nossrat Peseschkian, in positive psychotherapy, and Dilip Jeste, in positive psychiatry, this textbook is the first to bring together these innovations in one volume that will serve as an excellent resource for medical professionals looking to reap the benefits gained by the studies in these areas. Currently, the majority of texts that are available are targeting psychologists and researchers, whereas this book seeks to use positive psychology as the foundation on which the clinical applications are built. As such, this book will be of interest to psychiatrists, psychologists, social workers, and other mental health professionals. It may be used in educating a new generation of mental health professionals in these tenets that are expanding the reach of psychology, the practice of psychotherapy, and the scope of psychiatry.

The recent shifts in power, resources, influence and responsibility in primary care has increased the strain on general practice. This book is a comprehensive guide to the wide range of quality schemes available. It is unique in examining quality within the context of current practice, and it discusses future options based on new examples and research. It outlines the development of clinical governance, strategies for managing and assessing quality, continuing professional development, Department of Health policy initiatives and future trends.

A Fateful Meeting A year and a half ago, I was sitting at a conference listening to Ed Noffsinger speak, and suddenly had the most profound ''Aha'' moment of my professional career. Here was someone presenting a practical and tested solution to some of the most challenging problems currently plaguing the US healthcare system, problems such as poor access to primary and specialty care; the uncontainable and rising costs of healthcare; our nation's relatively poor quality outcomes; and finally, the sense of frustration, disempowerment, loneliness, and disenfranchisement that patients and their families too often experience. Dr. Noffsinger's solution seemed deceptively simple-shared medical appointments (SMAs) that afford the highest quality healthcare to be delivered in the highest quality care experience-a group setting. Experience collected over a decade and involving more than 100,000 patient visits throughout the United States, Canada, and parts of Europe has demonstrated that SMAs, when used in primary care as well as in the medical and surgical subspecialties, lead to increased access to care, enhanced quality of care, and improved patient satisfaction. For physicians, the efficiency gains and team support from their participation in SMAs translate into much needed relief and improved career satisfaction.

This book has been written to serve as a manual for physicians practicing in a private office setting to recognize and recommend appropriate treatment for patients believed to be substance abusers. While it is not written for drug abuse specialists, it provides information regarding the diagnosis and treatments a competent, concerned physician can provide without becoming immersed in addiction treatment. Topics discussed include the degree to which a physician should become involved, when it is appropriate to refer, using other professions and volunteer groups, and useful medications. Guidelines for recognizing substance abuse, testing to confirm the abuse, confronting the patient, and motivating the patient into specific treatment are also presented. Tables and illustrations are used to summarize major points, making this an extremely useful reference tool for internists and other non-specialist private practitioners.

Medical partnerships are highly complex legal and financial entities. This book navigates the reader through the key issues and deals with the less tangible aspects such as partnership dynamics and organisational behaviour. Examples illustrate common difficulties and offer possible choices. It is clear, practical and readable and essential for all GPs entering a partnership. It is also relevant for GPs currently in partnerships, practices considering their partnership deed, Senior House Officers and GP registrars.

With every passing year, the mutual mistrust between doctor and patient widens, as doctors retreat into resentment and patients become increasingly disillusioned with the quality of care. Rich in anecdote as well as science Doctors and Their Patients describes how both have arrived at this sad shape.

This latest edition has been comprehensively updated to include new information on the latest clinical evidence, national guidelines, and from the recent medical literature: all existing cases have been revised new cases have been added to cover pre-diabetes and premature ejaculation psoriasis, sore throat, thyroid disease and the PSA test are covered in even more detail The first three editions have helped thousands of candidates through the CSA exam. The original approach has therefore been retained so the book continues to offer readers a concise 'need-to-know' guide to passing the CSA, with the emphasis on successfully completing a case in the allotted ten minutes using a structured consultation framework that works. The aim of the book is to leave exam candidates with more time to concentrate on passing the CSA exam itself.

This book examines the best ways to provide primary care at nights and weekends. There has been increasing demand from patients for out-of-hours care, and a great reorganisation of primary care services outside normal surgery hours. Different models of organisations are being tested, including primary care centres and nurses giving telephone advice. This book examines the tensions between public and professional expectations, and describes the range of options for providing services, with examples of good practice. It reviews the evidence about what works best, and the issues to consider in setting up different services. The contributors combine experience in organising, researching, evaluating and providing out-of-hours care, and offer practical advice, critical analysis and a political perspective. The book is an accessible and valuable contribution to this increasingly important aspect of healthcare. It is essential reading for all practitioners, managers and researchers in primary care, public health, Accident and Emergency departments, pharmacy, community nursing and ambulance services.

This is a comprehensive text on the methods - dietary, anthropometric, laboratory and clinical - of assessing the nutritional status of populations and of individuals in the hospital or the community. This Second Edition incorporates recent data from national nutritional surveys in the US and Europe; the flood of new information about iron, vitamin A and iodine; the role of folate in preventing neural tube defects; the use of HPLC techniques and enzyme assays; improvements in data handling; and many other developments.
A paperback edition of this book is available to readers living outside of North America and Europe. Interested parties should contact the author at: [email protected] http: //nutrition.earthlight.co.nz

Master the skills needed for medical coding today with Green's best-selling 3-2-1 CODE IT!, 2022 EDITION. Updated each year to reflect the most recent code and guideline changes, this easy-to-use medical coding guide is ideal if you are just beginning medical coding. Updates incorporate the latest changes to ICD-10-CM, ICD-10-PCS, CPT (R) and HCPCS Level II coding sets and guide you in using the CDC's ICD-10-CM search tool website. This well-organized, intuitive approach begins with diagnosis coding before guiding you through coding procedures and services. Separate chapters differentiate inpatient and outpatient coding as well as general and specific coding guidelines. Memorable examples, clearly defined terms and hundreds of updated printed and digital practice activities help you master concepts. You also work with computer-assisted coding cases and professional tools as you prepare for professional coding credentials. MindTap digital resources further equip you for coding success.

The much anticipated practical educational manual for General Practice (GP) trainers, programme directors, and other teachers and educators in primary care has finally arrived. This extensive, full-colour guide is written by a select group of hands-on educators who are passionate and knowledgeable. The book captures their wisdom and vast experience in an accessible and practical way. Although it's aimed at GP training, there are many chapters in this book that are relevant and transferrable to teachers and educators in areas outside of General Practice (and worldwide). We are sure that GP appraisers, Foundation Year trainers and other medical/nursing student educators will find the detailed comprehensive explorations inspirational. Beautifully presented, the chapters cover a wide educational framework employing a variety of presentational methods such as flowcharts, diagrams, conversational pieces, scenarios and anecdotes. Each chapter has a corresponding webpage containing over 300 additional resources - providing practical tools as well as additional reading material. This book was awarded the Royal College of GP's 'Paul Freeling Prize' in 2013 for merititious work in the field of General Practice education. It is also used as the foundation textbook for the Postgraduate Certificate in Medical Education (PGCE) in at least seven UK universities. The Essential Handbook for GP Training and Education adopts a relaxed, personable approach to primary care education that won't leave you with a headache.

What are the dynamics that shape a primary care team? How can difficult issues be tackled when aiming towards the government's strategies? This book shows how good governance and quality management in general practice can be achieved. It addresses difficult issues, such as power, leadership, interpersonal behavior, confrontation, accountability and handling conflict, and looks at the dynamics of both groups and individuals, and investigates ways of dealing with them. It provides practical solutions, questions to help the reader analyze problems and test their performance, case studies and real examples drawn from the authors' many years experience in diagnostic management consultancy. It is essential reading for all members of the new primary care organizations, especially GPs, practice managers and nurses.

This text uses cases to illustrate differential diagnoses of various infectious diseases. Unlike any other book on the market, this book is specifically designed for ease of use and can cater to a variety of medical professionals and their needs. The text features brief cases that allow for quick readability, an appendix particularly designed for cross-referencing cases with common symptoms, exposures, and putative diagnoses, bulleted conclusion points, and differential diagnoses tables. Each case is written by an expert in the field and includes a discussion that leads the reader through the logical process of deduction to narrow the diagnosis as well as the laboratory testing, physical examination findings, and elements of the patient's history and exposures utilized to make a diagnosis. Chapters conclude with a focused review on a specific topic related to diagnosis, treatment, or prognosis that the case illustrates, including references for further reading on the topics from the literature. The Infectious Disease Diagnosis is an outstanding resource for infectious disease specialists, internal medicine physicians, emergency room staff, primary care and general practice physicians, family practitioners, consultants in infectious disease, medical students, residents, fellows, and trainees who diagnose patients.

Convenient, practical, and portable.Revised and updated, the second edition of this practical resource remains the only advanced practice guide to provide an overview of the major DSM-5 disorders across the lifespan and complete clinical guidelines for their psychopharmacologic management. Compiled by expert practitioners in psychiatric care and pharmacy, it is designed specifically for use by nurse practitioners and other primary caregivers in clinical practice. Organized for quick access to key information, the resource includes the clinical features of each disorder and symptoms and information about the most current and effective drugs for its management. Tables delineate the first and second lines of drug therapy along with adjunctive therapies for each disorder. Drugs are organized according to classification and include the essential information needed to safely prescribe and monitor a patient's response to a particular drug. Brand and generic names, drug class, customary dosage, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations are also addressed. Convenient, practical, and portable, this guide will be a welcome and frequently used resource. Key Features: Delivers psychopharmacological treatment guidelines for major DSM-5 disorders and parameters for drug use Prioritizes drugs according to their clinical efficacy and recommended treatment algorithms Includes brand and generic names, dosages, side effects, drug interactions, pharmacokinetics, precautions, and management of special populations Provides easy-to-read tables for quick clinical consultation Offers information on clinical algorithms, lab evaluation, and preventive services Addresses medical and legal pitfalls Purchase includes access to the eBook for use on most mobile devices or computers

This book illuminates issues in medical ethics revolving around the complex bond between healer and patient, focusing on friendship and other important values in the healing relationship. Embracing medicine, philosophy, theology, and bioethics, it considers whether bioethical issues in medicine, nursing, and dentistry can be examined from the perspective of the healing relationship rather than external moral principles.

Distinguished contributors explore the role of the health professional, the moral basis of health care, greater emphasis on the humanities in medical education, and some of the current challenges facing healers today.

Approximately one-quarter of the U.S. population is enrolled in HMOs or similar managed care health plans, and the proportion is increasing. But even though such plans dominate today's agenda for health care reform, good, quantitative information on the performance of managed care programs is scarce. In "Promise and Performance in Managed Care," Donald Freeborn and Clyde Pope draw on the research literature and unique data sources to provide that information.

Focusing on the human experience of managed care, the authors examine the effects of managed care on members as well as physicians--assessing whether members are satisfied with the care they receive, and how physicians evaluate their experience with managed care. After offering a brief history of managed care in the United States, the book addresses such questions as what determines the choice of a health plan, access to care, patient satisfaction, physician satisfaction, and the implications of these findings for the future of managed care.

With the issue of health care reform in the forefront of national debate, the topics raised in "Promise and Performance in Managed Care" are particularly timely. Serving as both a standard against which to examine the effectiveness of proposed reforms and as a methodological "how to" for the evaluation of system changes, the book will be of interest to professionals and students of health policy as well as to HMO administrators and practitioners.

How do economic stresses on the family, such as dual-earner parents, unemployment, and poverty, affect the human service professional's assessment of the families he or she serves? The field of family sociology is now providing a wealth of empirical, relevant knowledge on the impact of macroeconomic issues on the families most frequently helped by social workers. New Approaches to Family Practice takes current research driven by the family systems theoretical framework and applies it to human services direct practice with families in three specific areas: employed-work and family-work, unemployment, and poverty. To illustrate the linkages from research to practice, the book presents chapters on the theory and research in each of the three target areas, each followed by a chapter on application and tools for direct practice in that area. Individual chapters include case studies, assessment tools, multilevel interventions and evaluations, and strategies for social change. In addition to being a rich resource for the human services professional who works with families, this book is ideal for courses in social work with the family, social work and human services, family studies, and clinical/counseling psychology.

The only practical resource to focus solely on health issues specific to men. Written by and for NPs and PAs in the primary care setting, this is the first clinical reference to focus solely on managing health concerns that are specific to men. Filling a significant gap in knowledge about this patient group, the user-friendly reference delivers evidence-based guidelines for the day-to-day management of male patients. Designed for ease of use and quick access to information, the resource is divided into three sections, urology, cardiology, and general men's health topics. In addition to addressing the full gamut of urological and cardiac issues, the book discusses the basics of male physical assessment including sports assessment, male adolescent risk issues, musculoskeletal manifestations of stress in men, and health screening issues. Also covered are the aging male and physical activity, the health needs of male veterans, complementary and alternative health methods, chronic pain, high-risk MSM sexual health issues, and starting a men's health clinic. Key Features: The only practical men's health resource written specifically for NPs and PAs by NPs and PAs Organized to facilitate quick access to information Delivers evidence-based guidelines for men's health care Written and edited by noted APRN and PA men's health practitioners and faculty Addresses health issues in urology, cardiology treatment for men, and other health issues specific to men

This new edition of the MRCGP Study Guide has been purposely revised and updated to comprehensively cover every aspect of the membership examination of the Royal College of General Practitioners. It takes you through all the main medical topics fundamental to general practice, all relevant non- clinical areas, and then finally tests you with an AKT and CSA style examination. All the information you need in one place. This guide can be used as a source of reference, and for revising, to ensure you are perfectly prepared. It saves you the colossal amount of time you would otherwise need to cover the same ground.

'How many general practitioners ended up in their roles thanks to a faint breeze nudging them in a given direction? How many successes resulted from failure? Some of the most successful practices were built up from nothing, and some of the happiest doctors spent time not being doctors. Despite the element that fate plays in career paths it is prudent to make plans - ' A career in general practice offers many options for further professional development. While some GPs prefer to concentrate primarily on their practice, others find additional fulfillment in teaching, research or international collaboration. Whichever path you choose, general practice promises a rewarding and exciting experience. This inspiring new book emphasises there is no single career path in general practice. Without being prescriptive, its practical approach helps you make life-changing decisions, prompts self-analysis and equips you with the tools to remain flexible, positive and reflective about your career. 'So - have you got what it takes to practise the 'medicine plus' which is today's general practice? This book, written and edited by colleagues many of whom have far more street cred than I, will help you decide. If you have, I wish you luck, fulfilment, and the gratification that comes from being a catalyst for good in the lives of your fellow human beings. If you have a role teaching and mentoring the next generation of GPs, you will find this book a persuasive ally. But if you decide that hospital medicine is your preferred option - well, that's fine. There would be no shame, if you find the ladder to general practice too steep, in settling for becoming a brain surgeon.' Roger Neighbour, in the Foreword 'Lively, extremely informative and engaging' Professor Roger Jones, Editor, British Journal of General Practice

'Medical technology is beneficial for well researched dangerous diseases. However, most symptoms that people bring to their primary care physician have no single clearly identifiable cause: investigations and drugs do more harm than good - and also waste resources - ' - Wilfrid Treasure Diagnosis and Risk Management in Primary Care teaches that adopting an evidence-based approach to primary care improves patient care and treatment outcomes. It demonstrates that brief clinical assessments, repeated if necessary, allow effective diagnosis while avoiding the costs and complications associated with more advanced testing. Adopting a fresh approach, this book sets consultation skills alongside evidence-based information by both itemising the specific techniques and facts that are needed in the consulting room, and providing detailed information on odds and likelihood ratios to quantify risk and deal with uncertainty. This book provides food for thought, and helps doctors develop communication skills that support their personal styles of consulting, encouraging a more traditional, intuitive treatment. It provides a map of the consultation and a compass to navigate through symptoms, signs and evidence - listening to their patients with one ear and, with the other, to the reflective inner voice of reason. General Practitioner Specialist Trainees and their teachers will find much of interest, as will established General Practitioners with an interest in maintaining traditional models of care. Undergraduate medical students and candidates for the MRCGP will find this an ideal reader for the clinical skills assessment. 'What a breath of fresh air to find an author capable of putting the patient back at the centre of the consultation and who is able to entertain at the same time as he informs and to stimulate critical reflection while nudging us in the direction of a rigorous approach to diagnosis, and the assessment and communication of risk.' From the foreword by Roger Jones

The Practice Manager Library presents information and advice on the extended role of the practice manager both for those with experience and increasing responsibility, and for others who are new to general practice. Its clear and unambiguous guidance is based on extensive practical experience. Health service initiatives, including the introduction of Primary Care Groups and the NHSnet, will lead to major changes in the layout, structure and computerization of practices. This essential book: * covers surgery security, insurance, and health and safety issues * identifies ways to finance expansion of premises * discusses pharmacies within surgeries, practices within superstores and one-stop health shops * advises on how best to purchase and upgrade hardware, peripherals and software * explores additional uses for practice PCs, including computerized accounts and payroll * explains the implications of joining the NHSnet, the Internet, and the millennium time-bomb The question-and-answer format allows the book to be read cover-to-cover or used as a handy reference. Practice managers, whatever their background, will find it an invaluable guide to enhancing their career, and for those considering becoming a practice manager it is a vital source of information. Other books in The Practice Manager Library Series include: Finance and Administration: your questions answered

Tax planning can lead to considerable efficiencies, but few GPs have been trained as businessmen. This book in "The Business Side of General Practice" series, provides a guide to the regulations, identifies the pitfalls and opportunities and shows how to maximize the income retained by the practice. John Dean is known for his writing on financial management in general practice and has also written "Making Sense of Practice Finance" (Radcliff).