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Books > Medicine > General issues > Health systems & services > General practice
Information is vital for healthcare professionals striving to keep their practice current and based on the best available evidence. The Internet is playing an increasingly crucial role in life long learning of health professionals and is becoming the most practical way to access publications on clinical guidelines systematic reviews and for updating users about the key aspects of health policy. This book covers the diversity and variable value of material available on the Internet and takes a fresh approach to coping with information overload. It illustrates how simple techniques such as making and using smart maps concept maps and mind maps can help clinicians keep up-to-date and how these methods can be applied to particular areas of healthcare. It provides numerous case studies in key areas including mental health child health primary care and care of the elderly. Mapping Health on the Internet is essential reading for all healthcare professionals and will assist in their learning and continuing professional development.
Guidelines are powerful instruments of assistance to clinicians capable of extending the clinical roles of nurses and pharmacists. Purchasers and managers perceive them as technological tools guaranteeing treatment quality. Guidelines also offer mechanisms by which doctors and other health care professionals can be made more accountable to their patients. But how can clinicians tell whether a guideline has authority and whether or not it should be followed? Does the law protect doctors who comply with guidelines? Are guideline developers liable for faulty advice? This timely book provides a comprehensive and accessible analysis of the many medical and legal issues arising from the current explosion of clinical guidelines. Featuring clear summaries of relevant UK US and Commonwealth case law it is vital reading for all doctors health care workers managers purchasers patients and lawyers.
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 offers an in-depth analysis of the cognitive and ethical role of emotion, particularly empathy, in medical practice. The author explains how doctors can use empathy in diagnosing and treating patients without jeopardizing their objectivity or projecting their own values on to patients.
The #1 choice for more than 35 years for those involved in the care of adolescents and young adults, Neinstein's Adolescent and Young Adult Health: A Practical Guide, 7th Edition is your go-to resource for practical, authoritative guidance. The fully updated seventh edition, edited by Drs. Debra K. Katzman, Catherine M. Gordon, S. Todd Callahan, Richard J. Chung, Alain Joffe, Susan L. Rosenthal, and Maria E. Trent, offers a comprehensive view of the interdisciplinary nature of the field and is inclusive of the wide variety of health professionals who care for adolescents and young adults. This award-winning text features a full-color design, several new chapters, numerous algorithms, bulleted text throughout for quick reference at the point of care, and fresh perspectives from new editors-making it ideal for daily practice or certification examination preparation. Features significant revisions and new content on opioid use, vaping, gun violence, survivors of childhood cancer and other chronic illnesses, COVID, and more. Includes new chapters on Palliative Care and End of Life, Quality Improvement, Research, and Healthcare for Minoritized, Disenfranchised, and Marginalized Adolescents and Young Adults. Includes key topics such as technology use, the care of transgender adolescents and young adults, reproductive health, sports medicine, college health, and more Features a globally diverse editorial team and authors who are experts in their respective areas and who reflect the demographics of this wide-ranging field Offers comprehensive, evidence-based content from cover to cover, as well as numerous resources and websites on nearly every topic, where professionals, adolescents and young adults, and parents can find up-to-date information Continues to be a highly useful resource for pediatricians, family practitioners, gynecologists, internists, nurse practitioners, physician assistants, residents, medical students, and fellows practicing in traditional primary care and specialty settings serving adolescents and young adults, as well as in school-based and college health centers, juvenile detention centers, emergency departments, urgent care centers and any other facility that provides care to this population." 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 book combines models, theory and practical advice that guides clinicians, managers and facilitators to lead integrated primary health care. Using case studies and real life examples, the practical sections are cross-referred to theoretical sections that show how theories of whole system learning and change can be applied in different situations. Exercises help the reader to devise their own tailor-made interventions in small organisations, in networks, and in large institutions. The latest theories about leadership in complex situations are covered and challenges to traditional approaches to research and understandings of health are made. This book is perfect for those who lead or teach change in health care institutions such as primary care organisations, in small organisations such as general practices, and through networks. In particular practitioners and managers who wish to make sense of complex interacting factors will find it of great benefit.
"Many of the problems that are encountered in the everyday consultation are diffuse, with important psychosocial components, and are the products of the social contexts in which patients are located. All of these figure prominently in this book, as does the ever growing problem of chronic illness. Measuring the performance of general practitioners figures prominently in some of the activities of the primary care trusts, but not all that can be counted counts, and this is why this book is both interesting and important. Listening to patients and engaging with their affective and social problems remains central to the work on the general practitioner." Carl May, in the Epilogue "At a time when GPs are concentrating as never before on bio-medical aspects of their work, this book is a very timely reminder of the importance of inter-personal aspects of the care that we provide for patients. Simon Cocksedge argues that listening is work, and he describes the choices that we have during consultations to allow the patient to express their problems, the importance of listening to the development of long term relationships with patients and the importance of 'being with' patients during important life experiences." Martin Roland, in the Foreword 'This book has arisen from reflections on patients' everyday stories in my work as a general practitioner. Over several years I have reflected on the mandate that general practitioners are given by society to listen and be available if required. The field of study is the everyday business of being a family doctor and the inter- and intra-personal phenomena that arise as a result.' Combining analysis of detailed accounts by general practitioners of their everyday work with theoretical argument, this book is an invaluable read for medical professionals in primary care, students of medicine and nursing, GP tutors and all healthcare professionals directly involved with patients.
Exciting papers by leading researchers are integrated in this
volume with presentations having direct clinical relevance: thus,
the latest scientific advances in aging research are coupled with
reports on how these advances are being applied to longevity
medicine. Topics include oxidative stress, genetic/biochemical mechanisms,
hormone therapy, nutrition, fitness, and exercise, all as they
pertain to aging. In exploring the links between the latest basic gerontological
research and the practice of longevity medicine, the current
challenges faced by both scientists and clinicians engaged in
combating aging and its consequences are presented here. This
volume is readily accessible to the educated reader who is
interested in learning more about how to reduce the negative impact
of aging on human health and longevity. "NOTE: Annals volumes are available for sale as individual books or as a journal. For information on institutional journal subscriptions, please visit" "www.blackwellpublishing.com/nyas"."" "ACADEMY MEMBERS Please contact the New York Academy of Sciences directly to place your order (""www.nyas.org""). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit http: //www.nyas.org/MemberCenter/Join.aspx for more information about becoming a member."
The upheavals of the NHS reforms have caused a great deal of stress and uncertainty in primary care, and professional development and support for general practitioners needs to take account of this. This book offers a group supervision model which can be used to develop the core competencies needed for GPs to make the new primary care organisations work. The book analyses how primary care professionals have dealt with the various reforms of the past decade, and picks apart the paralysing culture of politeness, conflict avoidance and rivalry for power, to reveal how at the core of reform is the struggle for each GP to construct a new professional identity which integrates medicine, management and politics. It proposes ways GPs can benefit from these experiences to become equipped with the necessary competencies to be active members or dynamic leaders in the new primary care organisations. The doctor-patient relationship is no longer one-to-one, but located within a group matrix, in the same way that a GP is now required to work within a group framework. This book enables GPs to develop the essential group skills they now need, and on which the success of the healthcare reforms ultimately depends.
Gastroesophageal Reflux and the Lung provides a comprehensive review of current knowledge concerning normal deglutition and foregut digestive processes and examines how abnormalities of swallowing or excessive/abnormal GER can lead to respiratory tract dysfunction and lung disease. In-depth Chapters deliver a concise review of the prevalence of GER in patients with lung disease and synthesize the current evidence regarding its diagnosis and management. Each chapter includes key points and a summary. In addition to outlining the current state of knowledge, each chapter provides a summary of ongoing research in the field and identifies the need for future research. Written by an international group of authors who are experts in their respective fields, Gastroesophageal Reflux and the Lung is a valuable resource for practicing clinicians, internists, pulmonologists and primary care personnel.
T e evaluation of musculoskeletal disorders is of en T is atlas of ers a starting point for orthopedic, ra- problematic because of the variety of diseases and di- ology, and pathology residents. Furthermore, it emp- agnostic complexity. T is is compounded by the in- sizes a team approach and should be attractive to the creasing specialization in this f eld. While a variety of clinician, the rheumatologist, the radiologist, and - recent textbooks give comprehensive coverage of these thologist and of er them the opportunity to familiarize disorders, this color atlas is intended to provide a suc- themselves with and enhance their diagnostic acumen of cinct guide to evaluation and treatment. T e atlas is or- these musculoskeletal conditions. ganized into sections according to diagnosis. T e text T is atlas of clinical orthopedics is a joint ef ort from is brief and gives concise information on the clinical two large institutions, the Orthopedic Department of features, radiographic characteristics and pathologi- Semmelweis University (Hungary) and the musculos- cal features that are important for the diagnosis. T e letal tumor center of Mayo Clinic (USA), both of which reader will appreciate the many illustrations demon- have extensive experience in the dif erent areas of m- strating the characteristic features of musculoskeletal culoskeletal diseases.
Interprofessional education (IPE) and collaborative practice (IPCP) are the keys to improving health, safety, satisfaction and cost in the modern healthcare system. This IPE Toolkit provides healthcare educators, administrators, and clinicians with a practical, evidence-based manual for leading change. With these keys, we invite you to unlock meaningful collaboration for the next generation of health professionals, supported by an interprofessional collaboration of authors with more than 50 years of combined experience in education, practice, and scholarship in medicine, nursing, pharmacy, physical therapy, speech-language pathology, instructional design, simulation and online education. Following a step-by-step approach with supporting resources and examples, this guide offers a structured method for successful interprofessional program design, implementation, and assessment. Readers will explore IPE through the context of accreditation standards, administrative leadership, stakeholder buy-in, faculty and professional development, scholarship, teaching and learning, and curriculum development. Ten toolkits give professionals and educators the resources they need to quickly start new IPE learning experiences. This book is the go-to manual to fully explore, successfully launch, and advance quality IPE that creates results. Key Features: * Presents active learning strategies including team-based learning, case-based learning, simulation, and dilemma discussions. * Highlights best practices for virtual and online IPE that help educators overcome major IPE barriers, especially accessibility, scalability and cost. * Offers an abstract, key definitions, and concepts at the beginning of each chapter to set the reader's expectations. * Utilizes illustrations and tables to help clarify and expand on key concepts, enabling readers to more easily understand and apply material. * Includes comprehensive appendices on available resources for IPE and IPCP. * Provides step-by-step checklists, tables and figures on how to build IPE using didactic, simulation, online, and experiential learning andragogies. * Explores techniques to identify and reduce interdisciplinary biases, stereotypes, and prejudices, all barriers to dual professional identity and successful teaming.
This book provides an easy to use, practical, yet comprehensive resource for family practitioners to use in the daily struggle against infectious diseases. It discusses vaccines and preventive measures as well as information on how to reduce the incidence of antimicrobial-resistant organisms by judiciously prescribing antibiotics and informing patients about the appropriate use of these agents. This up-to-date overview is a one stop source for evidence-based guidelines.
This volume features papers on the theme of issues in health and health care for special groups, social factors and disparities. This includes papers dealing with macro-level system issues and micro-level issues involving special groups, social factors and disparities linked to issues in health and health care. The volume also contains an examination of health and health care issues of patients and providers of care especially those related to special groups and social factors including education, family, income, government, neighborhoods, social networks, health beliefs and attitudes. This includes a focus on links to policy, population concerns and patients and providers of care as ways to meet health care needs of people both in the US and in other countries.
Offering timely guidance on the junction of the opioid crisis and infectious diseases, this practical handbook by Dr. Brianna L. Norton provides concise yet comprehensive coverage of a growing patient population. Infectious disease specialists are increasingly seeing patients who previously used opiods and now use intravenous drugs. Many challenges are unique to this patient population, including new and growing infections such as hepatitis C, endocarditis, HIV, and hepatitis B. The Opioid Epidemic and Infectious Diseases is an up-to-date, real-world guide that covers the scope of the problem, management guidelines, and much more. Describes the new landscape of the opioid crisis in the U.S. and its intersection with infectious diseases, including epidemiology, Opioid Use Disorder (OUD) and rural America, and more. Offers practical guidance on (OUD) and infectious co-morbidities like hepatitis C, STDs, endocarditis, HIV, and hepatitis B. Covers prevention, treatment, and harm reduction. Discusses OUD, infectious diseases, and the criminal justice system. Consolidates today's available information and guidance into a single, convenient resource.
Medical practitioners receive little, if any, formal training in the prevention, assessment and management of pressure ulcers and other chronic wounds. Pressure Ulcers in the Aging Population: A Guide for Clinicians is a resource primarily aimed at physicians interested in the fundamentals of wound care. This book is written for geriatricians, internists, general practitioners, residents and fellows who treat older patients and unlike other texts on the market addresses the specific issues of wound prevention and managment in older individuals. Pressure Ulcers in the Aging Population: A Guide for Clinicians emphasizes prevention, proper documentation and the team care process which are often overlooked in standard texts. Chapters are written by experts in their fields and include such evolving topics as deep tissue injury and the newer support surface technologies.
'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
For the last 40 years, biogerontology--the study of the biological
basis of aging--has progressed tremendously, and it has now become
an independent and respected field of study and research. This
volume brings together contributions by biogerontologists,
bioethicists, biodemographers, researchers, students, clinicians,
and dieticians. The main areas of discussion and presentation of new research
results include (1) biological and non-biological factors affecting
lifespan and the quality of life; (2) ethical and social issues
related to lifespan and health-span extension; (3) physiological,
cellular, and molecular aspects of aging; (4) new technologies to
understand and modulate aging; (5) the latest successful approaches
in the prevention and treatment of age-related diseases, and (6)
aging intervention, prevention, and modulation by genes, natural
and synthetic molecules, and lifestyle modifications. Accordingly, the main sections of the volume focus on the
following topics: defining aging, longevity, and the diseases of
aging; selected aging organs; cellular aging; molecular aging;
ethics of aging intervention; genetics of aging and longevity; and
aging interventions. "NOTE: Annals volumes are available for sale as individual books
or as a journal. For information on institutional journal
subscriptions, please visit www.blackwellpublishing.com/nyas.
" "ACADEMY MEMBERS: Please contact the New York Academy of Sciences directly to place your order (www.nyas.org). Members of the New York Academy of Science receive full-text access to the Annals online and discounts on print volumes. Please visit ""www.nyas.org/membership/main.asp"" for more information aboutbecoming a member."
This issue of Physician Assistant Clinics, Guest Edited by Jane McDaniel of Yale University, is devoted to Laboratory Medicine. Articles in this issue include: Rheumatology; Sexually Transmitted Infections; Provider Performed Microscopy Procedures; New Methods in Dementia Testing; Cardiology Testing; Thyroid Testing; Renal Function Testing; Anti-Xa for Heparin Monitoring and other Coagulation Studies; ABG Interpretation; Transfusion Medicine; Diagnostics for WBC Abnormalities: Leukocytosis/Leukopenia; Anemia Diagnostics for Iron Deficiency, B12/Folate Deficiency, Thalassemias, and Anemia of Chronic Disease; Hematology Testing for Hemolytic Anemias; and Liver Function Testing.
This book is designed to present a state-of the-art approach to the assessment and management of bereavement-related psychopathology. Written by experts in the fi eld, it addresses the recent shift in the fi eld calling for greater recognition of bereavement-related psychopathology, as evidenced by the removal of bereavement from the exclusion criteria for major depressive disorder and the provisional inclusion of a bereavement disorder as a condition requiring further study in the DSM-5. Th is text introduces and reviews the theoretical background underlying bereavement-related psychopathology, addresses the issues faced by clinicians who assess bereaved individuals in diff erent contexts, and reviews the management of and varied treatment approaches for individuals with grief reactions. Clinical Handbook of Bereavement and Grief Reactions is a valuable resource for psychiatrists, psychologists, students, counselors, psychiatric nurses, social workers, and all medical professionals working with patients struggling with bereavement and grief reactions. |
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