This evidence-to-practice volume deftly analyzes the processes and skills of integrating mental healthcare with primary care, using multiple perspectives to address challenges that often derail these joint efforts. Experts across integrative medicine offer accessible blueprints for smoothly implementing data-based behavioral interventions, from disease management strategies to treatment of psychological problems, into patient-centered, cost-effective integrated care. Coverage highlights training and technology issues, key healthcare constructs that often get lost in translation, and other knowledge necessary to create systems that are rooted in-and contribute to-a robust evidence base. Contributors also provide step-by-step guidelines for integrating behavioral health care delivery in treating cancer, dementia, and chronic pain. Among the topics covered: The epidemiology of medical diseases and associated behavioral risk factors. Provider training: recognizing the relevance of behavioral medicine and the importance of behavioral health consultations and referrals. Screening for behavioral health problems in adult primary care. Health care transformation: the electronic health record. Meeting the care needs of patients with multiple medical conditions. Smoking cessation in the context of integrated care. This depth of clinical guidance makes Behavioral Medicine and Integrated Care an essential reference for practitioners on all sides of the equation, including health psychologists and other professionals in health promotion, disease prevention, psychotherapy and counseling, and primary care medicine.

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.

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).

Explains the NHS as a political environment, and concentrates on understanding the relationships of power rather than on the role of apparent authority. The book presents a range of management frameworks and personal examples to illustrate what a primary-care-led NHS means.

The concept of managed care evolved in the USA as a way of containing costs and promoting quality in health care. Some vital lessons can be learned from this experience, and many of its benefits can be applied to the UK as the NHS internal market develops. However, there are also pitfalls which it is equally important to avoid. This is the first book to provide an in-depth analysis of the contracting techniques seen in managed care. The author is in the rare position of being an NHS manager with practical experience of the US health care system, and has produced a first hand contemporary guide to managed care, highlighting its strengths and weaknesses and its relevance to the UK. To set the current debate about the future of the internal market and GP fundholding in context, the author offers a critical review of the NHS reforms and current management and clinician competencies. Citing American experience of the role of doctors in management, he demonstrates both the power and limitations of such initiatives.

'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

Rewritten with the new primary care environment in mind, this greatly expanded and updated edition of Child Mental Health in Primary Care extends the structured approach of the first edition to adoelscent mental health. As in the first edition, Primary Child and Adolescent Mental Health covers each problem in a uniform way, offering definitions, assessment outlines, detailed management options and indications for referral. Numerous case examples further illuminate aspects of many conditions. Comprehensive and practical, the forty-eight chapters of Primary Child and Adolescent Mental Health cover the full range of difficulties and disabilities affecting the mental health of children and young people. The book is divided into three volumes, and can either be read from cover to cover or used as a resource to be consulted for guidance on specific problems. This book is vital for all healthcare professionals including general practitioners, health visitors and other staff working in primary care to assess, manage and refer children and adolescents with mental health problems. School medical officers, social workers and educational psychologists, many of whom are in the front line of mental health provision for children and young people, will also find it extremely useful. Reviews of the first edition: 'This very comprehensive and detailed book provides the tools for primary care health professionals not only to assess a child's needs but in many cases also to implement an initial package of care.' JUST FOR NURSES 'I have no reservation in recommending the book to all people working with children and families in any capacity. An important training text for a variety of professions. A very effective text to be used in daily practice for quick reference.' CHILD AND ADOLESCENT MENTAL HEALTH 'This book is well produced and clearly written. A useful book for anyone interested or involved with children.' FAMILY PRACTICE 'I looked through the book again and again but could not find anything missing.' NURSING TIMES

'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

Vestibular Disorders, Third Edition, uses a case-study approach to outline the principles and practice of the care of patients with dizziness and balance disorders. The text reflects the combined perspectives and experience of a neurologist (Dr. Furman) a neurotologic surgeon (Dr. Cass), and a physical therapist (Dr. Whitney). Each case study contains relevant material regarding history, physical examination, laboratory testing, differential diagnosis, and treatment. This material provides a springboard for discussion of either a concept in the field of vestibular disorders or the diagnosis or treatment of a particular disease state. Practical, specific treatment options are discussed throughout the book. The book is written to a wide audience and educational level of readers including Primary Care Physicians, Otolaryngologists, Neurologists, Physical Therapist, and Audiologists. The case-format style of the book lends itself to use in teaching programs involving medical students, residents, physical therapy students, and audiology students, and as a reference text for clinicians at the bedside. Each of the cases from the first and second editions have been updated, the background material has been expanded and eight new cases have been added. Vestibular Disorders, Third Edition, aims to span the gap between existing in-depth tests and the problems that arise whenever a patient presents with dizziness.

Featuring highly illustrated, evidence-based information along with high-quality videos, A Practical Guide to Joint & Soft Tissue Injection is the definitive guide to effective injection procedures that can be performed with simple equipment in a variety of settings. Expanded and updated for the fourth edition, this practical, award-winning guide thoroughly explains the rationale and step-by-step technique for each procedure, helping you offer patients immediate relief from pain and discomfort. Covers a full range of musculoskeletal disorders, chalazions, keloids, warts, and occipital neuralgia, as well as the use of corticosteroids, viscosupplementation, and dry needling. Contains new sections on Orthobiologics, Musculoskeletal Ultrasound, and Advanced and Adjunctive Techniques. Includes all-new content on facial/head nerve blocks, treatment of intersection syndrome, hamstring tendon/ischial bursa, gluteal pain syndrome, Baker's cyst, and midfoot joint injections. Features new coverage of auricular battlefield acupuncture, barbotage, tendon brisement, fenestration, nerve hydrodissection, capsular hydrodilatation/hydroplasty, and percutaneous tenotomy with debridement. Includes 25% more video content, with all videos shown from the operator's viewpoint. Features full-color illustrations and photographs that help you identify landmarks and determine exactly how to proceed. Discusses anatomy and landmarks, when to refer, indications and contraindications, special medical conditions, equipment, complications, coding and billing, and much more. Provides helpful appendices with consent forms, aftercare handouts, and information on documentation. 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.

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.

What 'kind' of community is demanded by a problem like dementia? As aspects of care continue to transition from institutional to community and home settings, this book considers the implications for people living with dementia and their carers. Drawing on extensive fieldwork and case studies from Canada, this book analyses the intersections of formal dementia strategies and the experiences of families and others on the frontlines of care. Considering the strains placed on care systems by the COVID-19 pandemic, this book looks afresh at what makes home-based care possible or impossible and how these considerations can help establish a deeper understanding necessary for good policy and practice.

Wieso verwenden wir Pflanzen zum Heilen?.- Ursprung und Wurzeln des Heilens mit Pflanzen.- Arzneimittel aus Pflanzen? 1st das Homoeopathie?.- Charakteristika, Vorteile und Grenzen der Phytotherapie.- Die Phytotherapie arbeitet mit naturwissenschaftlichen Methoden.- Wodurch unterscheidet sich die Phytotherapie von anderen Therapieformen?.- Phytotherapie - von der Pflanze zum Arzneimittel.- In welcher Form werden Arzneipflanzen angewendet?.- Welche chemischen Substanzen aus der Pflanze wirken?.- Die pflanzliche Notfallapotheke.- Noch Fragen?.- Nervensystem, Gehirn.- Ein- und Durchschlafstoerungen, Nervositat und UEbererreqbarkeit.- Depression.- Hirnleistungsstoerungen, Gedachtnisstoerunqen, Demenz.- Magen-Darm-Trakt.- Erkrankungen im Mund- und Rachenraum, Zahnungsschmerzen.- Zu viel Maqensaure, Maqensaure am falschen Ort, qeschadiqte Magenschleimhaut, Sodbrennen, saures Aufstossen.- Gastritis, Ulkus (Magengeschwur, Zwoelffingerdarmgeschwur).- Magenbeschwerden ohne ein Zuviel an Saure.- Blahunqen.- ubelkeit, Erbrechen, Reisekrankheit.- Durchfallerkrankungen.- Stuhlverstopfung (Opstipation).- Hamorrhoiden.- Erkrankungen der Leber, Galle und Bauchspeicheldruse.- Erkrankungen im Bereich der Gallenblase.- Die Bauchspeicheldruse.- Erkrankungen der ableitenden Harnwege.- Nieren- und Blasensteine, Durchspulungstherapie.- Harnwegsinfekte.- Reizblase.- Harninkontinenz, Blasenschwache.- Die Prostata - Vorsteherdruse.- Die Prostatitis.- Immunsystem und Infekte.- Starkunq des Immunsystems.- Der grippale Infekt.- Schnupfen, Nebenhoehlenentzundung.- Entzundungen im Rachenraum.- Herpes, Fieb erblase.- Husten.- Trockener Reizhusten.- Husten mit festsitzen dem Schleim.- Krampfartiger Husten, Keuchhusten, Asthma.- Erkrankungen des Bewegungsapparates.- Muskelschmerzen.- Stumpfe Verletzun gen, Prellun gen, Blutergusse, Zerrungen.- Die rheumatischen Erkrankungen.- Herz, Kreislauf, Blutqetasse.- Herz.- Arteriosklerose, Gefassverkalkung.- Blutdruck.- Venen.- Frauenkrankheiten und Geburtshilfe.- Der Monatszyklus.- Pramenstruelles Syndrom.- Blutungsanomalien, Schmerzen.- Wechselbeschwerden.- Schwangerschaftserbrechen.- Geburtsvorberetlung.- Stillp eriode.- Infektionen der Scheide und der aufieren Geschlechtsorgane.- Erkrankungen der Haut.- Trockene Haut.- Fette Haut, Akne.- UEbermassiqe Schweissproduktion.- Insektenstiche.- Sonnenbrand.- Juckreiz.- Ekzeme.- Neurodermitis - atopische Dermatitis.- Windeldermatitis.- Furunkel und andere bakterielle Infektionen der Haut.- Behandlung oberflachlicher Wunden.- Narbenbehandlung.- Chronische Mudigkeit und psychosomatische Erkrankungen.- Krebsbehandlung mit Pflanzen?.- Zuckerkrankheit, Diabetes.- Virusinfektionen.- Bakterielle Infektionen.- Pilzerkrankungen.- Para siten, Wurmerkrankungen.- Bluthochdruck.- Pflanzliche Neuheiten am Mark?.- Pu-Erh-Tee.- Macawurzel.- Noni.- Nopal-Kaktus.- Momordica.- Reishi-Pilz.- Aloe vera.- Pflanzliche Arzneimittel in der Schwangerschait und Stillzeit.- Vital durch Kneipp.- Wer war Sebastian Kneipp?.- Die funf Saulen der Kneipptherapie.- Beschreibung der Anwendungen, die im Buch erwahnt wurden.- Allergien, Asthma.- Register.

This guide contains a foreword by Simon Gregory, Dean of Postgraduate GP Education, Leicestershire, Northamptonshire and Rutland and General Practitioner, Northampton. This concise, jargon-free guide examines and explains the skills and attitudes needed to develop leadership abilities in individuals. It offers practical advice that is ideal for everyday implementation in the workplace. Developed alongside the NHS Leadership Qualities Framework, this book offers a unique 'healthcare organisation as a business' focus - concentrating efforts in the right areas. The case studies bring situations to life, and make it easier to identify with leadership and teambuilding issues. This book is an invaluable resource for practice managers, general practitioners, nurses and other healthcare professionals, including dentists, opticians and pharmacists. Allied health professionals, medical students and administrative staff will also find much of interest. 'Excellent. Tangible. Clear. This is not some simple self-help guide; it is a practical, thorough and useful text. I commend the authors and this book to you and commend the concept of applying leadership to teambuilding. If we are to work in effective teams and deliver effective healthcare then leadership is vital. This book encourages us to apply what we learn about leadership to our teams whether we are in general medical, dental or ophthalmic practice; yet is readily applicable to leadership in many walks of life. It is also readily applicable at various levels within teams. Leadership is about much more than being in charge, and is a vital element of professional practice.' - Simon Gregory, in the Foreword.

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

The daily work of General Practitioners can seem at once simple and immensely complicated. The routine nature of the consultation appears on the surface to be straightforward, but carries within it myriad layers of meaning. The options for diagnosis and treatment within a single consultation, or when combined in the overall pattern of the day, can seem huge. A basic understanding of complexity theory can provide GPs with a way to face the more bewildering aspects of their job. This book provides a concise and clear introduction to complexity, tailored specifically for the primary care environment. GPs and their colleagues throughout primary care will find this book assists them in working more efficiently, more effectively and more enjoyably.

Teaching and Learning in Primary Care has been specially designed for undergraduate and vocational teaching. It combines both practical advice and theory covering day-to-day teaching and learning in the real world. It also encourages trainers to become more involved in teaching and supervising. This essential guide provides vital guidance and support to general practitioners with teaching responsibilities, undergraduate healthcare lecturers and tutors and healthcare professionals in primary care.

American medicine attracts some of the brightest and most motivated people the country has to offer, and it boasts the most advanced medical technology in the world, a wondrous parade of machines and techniques such as PET scans, MRI, angioplasty, endoscopy, bypasses, organ transplants, and much more besides. And yet, writes Dr. Eric Cassell, what started out early in the century as the exciting conquest of disease, has evolved into an overly expensive, over technologized, uncaring medicine, poorly suited to the health care needs of a society marked by an aging population and a predominance of chronic diseases. In Doctoring: The Nature of Primary Care Medicine, Dr. Cassell shows convincingly how much better fitted advanced concepts of primary care medicine are to America's health care needs. He offers valuable insights into how primary care physicians can be better trained to meet the needs of their patients, both well and sick, and to keep these patients as the focus of their practice. Modern medical training arose at a time when medical science was in ascendancy, Cassell notes. Thus the ideals of science--objectivity, rationality--became the ideals of medicine, and disease--the target of most medical research--became the logical focus of medical practice. When clinicians treat a patient with pneumonia, they are apt to be thinking about pneumonia in general--which is how they learn about the disease--rather than this person's pneumonia. This objective, rational approach has its value, but when it dominates a physician's approach to medicine, it can create problems. For instance, treating chronic disease--such as rheumatoid arthritis, diabetes, stroke, emphysema, and congestive heart failure--is not simply a matter of medical knowledge, for it demands a great deal of effort by the patients themselves: they have to keep their doctor appointments, take their medication, do their exercises, stop smoking. The patient thus has a profound effect on the course of the disease, and so for a physician to succeed, he or she must also be familiar with the patient's motivations, values, concerns, and relationship with the doctor. Many doctors eventually figure out how to put the patient at the centre of their practice, but they should learn to do this at the training level, not haphazardly over time. To that end, the training of primary care physicians must recognize a distinction between doctoring itself and the medical science on which it is based, and should try to produce doctors who rely on both their scientific and subjective assessments of their patients' overall needs. There must be a return to careful observational and physical examination skills and finely tuned history taking and communication skills. Cassell also advocates the need to teach the behavior of both sick and well persons, evaluation of data from clinical epidemiology, decision making skills, and preventive medicine, as well as actively teaching how to make technology the servant rather than the master, and offers practical tips for instruction both in the classroom and in practice. Most important, Doctoring argues convincingly that primary care medicine should become a central focus of America's health care system, not merely a cost-saving measure as envisioned by managed care organizations. Indeed, Cassell shows that the primary care physician can fulfill a unique role in the medical community, and a vital role in society in general. He shows that primary care medicine is not a retreat from scientific medicine, but the natural next step for medicine to take in the coming century.

Patient-Centered Care Series Series Editors: Moira Stewart Judith Belle Brown and Thomas R Freeman Primary care clinicians are often unfamiliar with new and effective methods for detecting substance abuse problems in their earliest stages and the majority of patients with substance abuse problems remain undiagnosed. Substance Abuse is written by primary care clinicians and focused to meet the needs of primary care providers demonstrating how the patient-centered clinical method can assist clinicians in learning how to diagnose this complex psychosocial disorder. This book describes how to use state-of-the-art screening techniques and how to understand and motivate patients to decrease or eliminate harmful use of alcohol and drugs. It presents the latest scientific findings and gives examples of using a patient-centered approach as well as describing specific communication skills with samples of dialogue illustrating their use in helping substance-abusing patients. This is essential reading for all family doctors paediatricians gynaecologists psychiatrists nurses social workers psychologists and all clinicians whose practices include substance abusing patients. It will also appeal to counsellors education personnel and all professionals working with substance abusing individuals. For more information on other titles in this series please click here

How can a doctor best understand the emotions and behaviour of his or her patients? An effective and deeply satisfying route is through an appreciation of literature and the profound understanding its authors have of the human predicament. In this extraordinary and enlightening volume general practitioner John Salinsky guides the reader through some of the world's finest works. In each chapter he describes a classic novel short story play or poem revealing them to be easily accessible and enjoyable. He shows how parallels can be drawn between characters in literature and in the consulting room. Developed from his long-running column in the journal Education for Primary Care (formerly Education in General Practice) Dr Salinsky's book gives doctors a new perspective on the doctor-patient relationship and provides unique support to communication skills.

"Many counsellors who work in primary care find it difficult to explain to colleagues in the primary care team what they actually do with clients behind the closed door of their room. In this book the author brings to life in a gripping way what really does go on when a counsellor sees a patient in the primary healthcare setting. It's good to read for once a book that describes so realistically and movingly the minute-by-minute account of what actually happens, not a book describing clever therapists getting it right all the time. The book should be required reading for newly appointed non-clinical managers of counselling services and for primary healthcare staff about to start working with a counsellor as a member of their team." - Graham Curtis Jenkins in his Foreword

Patient and public involvement in health and social care has become a key element of government policy, and the need to listen and act on the views of patients and the public is an increasingly integral part of the planning and delivery of healthcare. This new edition has been completely revised and updated, providing practical information on the new responsibilities under clinical governance and Health Improvement Programmes, including useful website links and contact details. It offers clear and straightforward practical advice and provides an introduction to the new structures and processes being set up to enable patients and the public to be more influential in designing and delivering healthcare services. This book is essential reading for all healthcare professionals including doctors, nurses and therapists, and those with management responsibilities, as well as policy shapers and patient organisations.