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.

Navigating the tumultuous waters of cancer treatment and decision making is difficult for all patients. It is also difficult for doctors and other medical personnel. This books deals with a variety of emotion-related and ethics issues that form much of the basis of the world of cancer related medicine: the responsibilities of the physician relative to truth, full disclosure, patient autonomy, death and dying, physician assisted suicide, and suicide in general among cancer patients. These and many other matters are discussed using real stories from the author's extensive personal career in working with cancer patients and their families. This is not a book on treating cancer, but instead is a work that seeks to stimulate a dialog about these issues as well as the spiritual aspects of hope and other factors relating to the plight of cancer patients and their families. Written for health care professionals and cancer victims and their families alike, the core of the book centers around questions of medical ethics, doctor-patient relationships, decision making during cancer treatment (from medical and patient points of view). Given the emotional commitment and energy level required to work with cancer patients in a moral and ethical manner, medical students and residents will ask themselves: do I really want to be a cancer physician? Can I handle the ups and downs of treating people who may (or may not) be destined to fight and lose the battle against this strong nemesis? How will I answer the tough questions regarding medical approaches to cancer? How will I respond to patients who indicate a desire to commit suicide or request my help in doing so? What can I tell families whose loved one is choosing treatments that will not help and will deteriorate his quality of life? Basing his responses on the Oath of Hippocrates, the author illustrates how adaptable this oath actually is when considering the secular society in which we function. The Cancer Experience instructs doctors, medical students, and health care workers involved in cancer care on the proper role of medicine, the role of the doctor, and the opportunities for connecting with patients as they help them make decisions regarding treatment and end of life issues. It helps patients understand the issues facing doctors as they assist them, care for them, and try to maintain both close personal relationships but enough emotional and professional distance in order to protect themselves from the stress and strain when medicine fails and patients must face the hardest choices. Here the author promotes a return to traditional medical values that promote closer doctor-patient relationships in an effort to promote trust, civility, and partnership.

The book discusses the impact of genetics, social determinants of health, the environment, and lifestyle in the burden of cardiometabolic conditions in African American and Hispanic/Latinx populations. It includes fully updated and revised chapters on genetics and CVD risk, epidemiology of cardiovascular health, cardiovascular imaging, dyslipidemias and other emerging risk factors, obesity and metabolic syndrome, heart failure, and genetic variations in CVD. Unique aspects within African American and Hispanic/Latinx populations are explored with suggested appropriate therapeutic interventions. New chapters focus on ASCVD risk assessment, emerging precision medicine concepts, the impact of diabetes, resilience and CVD survival, and lifestyle and dieting considerations. Written by a team of experts, the book examines the degree to which biomedical and scientific literature can clarify the impact of genetic variation and environment on cardiovascular disease. The Second Edition of Cardiovascular Disease in Racial and Ethnic Minority Populations is an essential resource for physicians, residents, fellows, and medical students in cardiology, internal medicine, family medicine, clinical lipidology, and epidemiology.

This book comprehensively reviews soft tissue, bone, ligament, and nerve injury of the hand and wrist unique to baseball. Organized into three sections, the book begins with a discussion on fractures of the hand and wrist, including the distal radius, scaphoid, and phalanges. Following this, section two examines ligament injuries from the wrist to the thumb. Section three then concludes the book with an analysis of tendon and nerve injuries. Chapters include high-quality images and tables to supplement expertly written text. Unique and thorough, Hand and Wrist Injuries in Baseball is an invaluable resource for orthopedics surgeons and sports medicine specialists, as well as primary care physicians, emergency room physicians, pediatricians, athletic trainers, and therapists.

In the year of Queen Victoria's Golden Jubilee, eighteen-year-old Reginald Grove left Uppingham School for Cambridge before training at Guy's Hospital and then taking over his father's medical practice in Huntingdonshire. As he later reflected 'I was born in a country practice and destined from my earliest years for a medical career'. The three-volume biography, based on his diaries and letters from 1881 to 1910, draws also on contemporary accounts of social life in a period of massive change in education, science, medicine, sport, railways, communication, agriculture and religion. This first volume covers his upbringing in a Victorian market town; it paints a charming portrait of family life, his friends, hobbies, reading, holidays on his cousin's farms, summer days fishing and boating and in the winter, skating on the Fens.

NANOTECHNOLOGY IN MEDICINE Discover thorough insights into the toxicology of nanomaterials used in medicine In Nanotechnology in Medicine: Toxicity and Safety, an expert team of nanotechnologists delivers a robust and up-to-date review of current and future applications of nanotechnology in medicine with a special focus on neurodegenerative diseases, cancer, diagnostics, nano-nutraceuticals, dermatology, and gene therapy. The editors offer resources that address nanomaterial safety, which tends to be the greatest hurdle to obtaining the benefits of nanomedicine in healthcare. The book is a one-stop resource for recent and comprehensive information on the toxico logical and safety aspects of nanotechnology used in human health and medicine. It provides readers with cutting-edge techniques for delivering therapeutic agents into targeted cellular compartments, cells, tissues, and organs by using nanoparticulate carriers. The book also offers methodological considerations for toxicity, safety, and risk assessment. Nanotechnology in Medicine: Toxicity and Safety also provides readers with: A thorough introduction to the nanotoxicological aspects of nanomedicine, including translational nanomedicine and nanomedicine personalization Comprehensive introductions to nanoparticle toxicity and safety, including selenium nanoparticles and metallic nanoparticles Practical discussions of nanotoxicology and drug delivery, including gene delivery using nanocarriers and the use of nanomaterials for ocular delivery applications In-depth examinations of nanotechnology ethics and the regulatory framework of nanotechnology and medicine Perfect for researchers, post-doctoral candidates, and specialists in the fields of nanotechnology, nanomaterials, and nanocarriers, Nanotechnology in Medicine: Toxicity and Safety will also prove to be an indispensable part of the libraries of nanoengineering, nanomedicine, and biopharmaceutical professionals and nanobiotechnologists.

This book aims to be a single point of reference for advances in the care of geriatric populations across medical and surgical specialties. The aging population is a unique demographic with its own health challenges. Geriatricians are specifically trained to address these challenges but few medical students or residents enter geriatrics, even as the demand for geriatric expertise increases. The practices of many medical and surgical specialists are dominated by older patients who may themselves see many specialists but rarely visit geriatricians. This updated edition elucidates the most common medical conditions seen in aging patients and translates approaches to those conditions for physicians across specialties. Divided into three sections that assemble crosscutting issues, medical specialties, and surgical and related specialties, this book serves as a guide for clinicians of all backgrounds who will work with older patients as the demographic ages further. This second edition of Geriatrics for Specialists expands the number of specialist chapters to reflect growth in research in aging and clinical care for older people in dermatology, plastic surgery, and behavioral neurology. All original chapters from the first edition are extensively revised and updated to reflect the rapid growth of new knowledge in the field.

This book is a must for all MRCP candidates. Together with the two companion volumes, the book provides a comprehensive guide to the written paper MRCP syllabus.

Volume 3 covers the data interpretation component of the exam. The 100 data questions contained in this book encompass the full range of general medical problems encountered in hospital practice. The final chapter of this volume is devoted to Extended Matching Questions, which are increasingly used in the MRCP Written Paper. Familiarity with the contents of this book, will ensure that all candidates stand the best chance of passing the exam first time!

Working in the outpatient clinic is a key training experience for medical students. When they arrive at the clinic, students may discover that their time on the inpatient wards does not necessarily prepare them to perform well in the outpatient setting. Everything is different in the clinic, from the nature and context of the patient encounter to the student's role in note-writing, oral case presentation, and case discussion with the attending physician. The purpose of this book is to guide students as they transition to the world of 15-minute appointments, telemedicine, cyberchondriasis, motivational interviewing, shared medical appointments, and real-time informatics. The aim is to give students a clear understanding of their role in a variety of clinic settings, to evaluate and present their patients well, maximize learning, and provide excellent care for their patients. Excelling in the Clinic explains the process of becoming an effective, efficient, and scholarly worker in the primary care clinic.

Professional practice in health care and education is currently undergoing major reform as it adapts to complex and rapidly changing environments.

This multi-authored text explores professional practice in health, education and the creative arts in the four key practice dimensions: doing, knowing, being and becoming. These areas are used to explore the reality of professional practice as something more than the application of learned knowledge in practice situations.

Professional practice is presented as a lived experience as well as a process; a service for (and with) others, and a way of being and behaving. The text uses discourse, narrative, imagery and critical debate to explore the essential unity of knowledge and practice. The emphasis here is on understanding creative arts expertise, professional artistry and creativity in practice."

Professional Practice in Health, Education and the Creative Art" is for all those seeking to learn, improve and transform professional practice. It:
Encourages reflective, visionary, innovative and creative practice
Actively promotes the blurring of restrictive practice boundaries
Offers an interesting new perspective for the analysis of professional practice
Provides practical strategies for professional development
Includes internationally recognized authors from the fields of education, health sciences and the creative arts
Reflects the cutting edge of thinking on professional practice

This book is an essential purchase for practitioners, educators and researchers in nursing, allied health professions, medicine and the creative arts who are engaged or interested in practice, and for the otherprofessional people and members of the community interested in the way professionals practice and frame their practice.

This volume highlights the socioeconomic concerns related to medical care for homeless patients and places them at the interface of common psychiatric and medical problems clinicians encounter. Written by experts in psychiatry and other medical specialties, this volume is a concise, yet comprehensive overview of the homeless crisis, its costs, and ultimately, best practices for improved outcomes. The text begins by examining the scope and epidemiology of the problem and discusses its costs. It then examines the best practices for both physical and psychiatric care before concluding with a section on working with special populations that have unique concerns across the country including LGBTQ, women, children, veterans, and aging adults. As the first medical book on homelessness, it is designed to cover a broad range of concerns in a concise, practical fashion for all clinicians working with homeless patients. Clinical Management of the Homeless Patient is written by and for psychiatrists, general internists, geriatricians, pediatricians, addiction medicine physicians, VA physicians, and all others who may encounter this crisis in their work.

What are primary health care sciences? In this state of the art synthesis of current knowledge, the phrase broadly encompasses the discovery, creation, accumulation and refinement of knowledge pertinent to primary health care. Jane Sims has brought together representatives from the various professions to give their unique perspectives on the current trends in primary health care in a discourse which will provide stimulating reading for all those who wish to improve their understanding of contemporary issues in this field.

A number of themes run through the book. The first two chapters review the historical background of primary care and the organizational changes that have occurred in the last two decades. The following four chapters deal more closely with professional and service issues arising from the various policy changes. The next three chapters discuss a number of novel approaches to the promotion of efficient care giving, and how the patient is increasingly an active partner in, rather than a passive recipient of, such innovations. Taking up an issue arising from earlier chapters, the concluding chapter considers the impact of a changing health service on the educational needs of primary health cate professionals, using GP education as an exemplar.

This book will enable practicing physicians and trainees to learn, in a clinically relevant and intellectually stimulating way, guidelines for appropriate ordering of imaging exams. The new edition provides more than 460 clinical case scenarios, organized into subspecialty modules (breast, cardiac, thoracic, gastrointestinal, urologic, women's, pediatric, vascular, musculoskeletal, and neurologic imaging). Each scenario is presented as a quiz in which the reader is invited to select the best option from various imaging modalities. All choices are given ratings of appropriateness and is consistent with the American College of Radiology (ACR) Appropriateness Criteria. Furthermore, a brief solution to each case is included. Finally, over 500 radiologic images are included each associated with a clinical case to illustrate the diagnostic capabilities of the imaging exam. This second edition incorporates new content and revisions to remain consistent with the updated ACR Appropriateness Criteria since the original publication in 2012. It will be an ideal tool both for self-study and for quantitative evaluation of students' knowledge.

Providing a critical update and review of salient topics needed for the proper cardiac evaluation and care of athletes, this text is designed to be the most up-to-date and practical manual for all health care providers who evaluate and treat athletes, including sports cardiologists, general cardiologists, sports medicine specialists, team doctors and athletic trainers. The book is divided into three key sections. The first section discusses essential topics pertaining to the pre-participation cardiac screening of athletes, providing a framework for how best to perform pre-participation cardiac evaluations and optimize the interpret at ion of cardiac screening test results, and a guide to assist the streamlining of appropriate downstream testing when required. The second section reviews the management and care of athletes with specific, existing cardiovascular disorders, providing the reader with fundamental principles to help recognize and advise levels of sport participation to athletes with these disorders. The final section deals with acute sideline management of the symptomatic athlete and will again provide practical algorithms for cardiologists and non-cardiologists alike who are responsible for athlete health and safety in the sports arenas and training facilities. Written and edited by highly regarded experts in the field of sports cardiology, including several cardiologists who are collegiate and professional team physicians and who work with professional sports organizations on developing policies for cardiac screening and monitoring, Sports Cardiology is an excellent practical resource for all clinicians working in the field.

This handbook provides tools for nurse educators, ethics educators, practicing nurses and allied health professionals for developing confidence and skill in ethical decision making in interdisciplinary settings such as acute and chronic care hospitals and clinics. It is useful for all healthcare personnel who face ethical issues in the course of their work and who work with nurses to resolve these issues. While the content is based on a US context, the concerns of nurses internationally are discussed and emphasized. Nurses working in acute and chronic care settings face many obstacles to providing good care and are often the first line of defense related to patient safety and meeting the needs of patients and their families. Some of the obstacles to optimal patient care are institutional, some sociocultural, and others the result of inadequate communication. Evidence points to the idea that while nurses do have the knowledge and skills to address practice problems of various sorts, they may not be confident in their skills of ethical decision making and advocacy actions. This is a resource to develop moral agency on behalf of individuals and to address broader barriers to good care raised at the local, community, or social levels.

This volume provides an eloquent review of the anatomy and physiology of phonation, the work-up of patients with voice disorders, basic evaluation of wind instrument performance and dysfunction, and a full description of the most common skeletal and non-skeletal dentofacial anomalies, including their means of diagnosis and treatment. This is followed by a comprehensive review of literature on the vocal and acoustic features of affected patients, as well as the special considerations in wind instrumentalists. The effect of orthodontic therapy/ orthognathic surgery on voice, associated upper airway changes, and wind instruments performance is emphasized. The information provided in this book will heighten the patients', therapists', teachers' and physicians' awareness of the vocal characteristics and wind instrumentalists concerns often associated with these conditions. Dentofacial Anomalies: Implications for Voice and Wind Instrument Performance is addressed to otolaryngologists, laryngologists, speech-language pathologists, voice teachers, professional voice users, wind instrumentalists, instrument teachers, arts medicine physicians, physical therapists, orthodontists and other dentists, as well as members of the general public who are concerned about their voices and or wind instrument playing.

Understanding Health Communications Technologies provides a hands-on guide for students and professionals for effective investment in deployment of management of communication technologies in health settings. Employing case studies that enhance understanding and insight this book guides readers in appropriate technology selection, and long-term strategic management. This book provides an overview of the distribution and use of communication technologies within the health field and includes information about current and emerging synchronous and asynchronous health care communications technologies. It is filled with illustrative examples of real-life projects that have succeeded and provides lessons learned from projects that failed. The thirty-eight case studies cover topics such as management and operations, implementation, communication, outcomes, education, patient care, policy, unique applications, and technology. In addition, each case study includes discussion questions and references. Written by editors Pamela Whitten and David Cook and a panel of highly experienced contributors, this book offers students and health care professionals practical approaches to evaluating and selecting communications technologies for improving health services delivery.

Awarded First Prize, in the Primary health care category, at the 2013 BMA Medical Book Awards.Following the familiar, easy-to-use "at a Glance" format, this brand new title provides a highly illustrated introduction to the full range of essential primary care presentations, grouped by system, so you'll know exactly where to find the information you need, and be perfectly equipped to make the most of your GP attachment.

"General Practice at a Glance" Is comprehensively illustrated throughout with over 60 full-page colour illustrationsTakes a symptoms-based approach which mirrors the general practice curriculumOffers 'one-stop' coverage of musculoskeletal, circulatory, respiratory, nervous, reproductive, urinary, endocrine and digestive presentationsHighlights the interrelations between primary and secondary careIncludes sample questions to ask during history taking and examinationFeatures 'red flags' to highlight symptoms or signs which must not be missed

This accessible introduction and revision aid will help all medical students and junior doctors develop an understanding of the nature and structure of primary care, and hit the ground running on the general practice attachment.

Community health workers (CHWs) are an increasingly important member of the healthcare and public health professions who help build primary care capacity. Yet, in spite of the exponential growth of CHW interventions, CHW training programs, and CHW certification and credentialing by state agencies, a gap persists in the literature regarding current CHW roles and skills, scope of practice, CHW job settings, and national standards. This collection of contributions addresses this gap by providing information, in a single volume, about CHWs, the roles CHWs play as change agents in their communities, integration of CHWs into healthcare teams, and support and recognition of the CHW profession. The book supports the CHW definition as defined by the American Public Health Association (APHA), Community Health Worker Section (2013), which states, "A community health worker is a frontline public health worker who is a trusted member of and/or has an unusually close understanding of the community served." The scope of the text follows the framework of the nationally recognized roles of CHWs that came out of a national consensus-building project called "The Community Health Worker (CHW) Core Consensus (C3) Project". Topics explored among the chapters include: Cultural Mediation Among Individuals, Communities, and Health and Social Service Systems Care Coordination, Case Management, and System Navigation Advocating for Individuals and Communities Building Individual and Community Capacity Implementing Individual and Community Assessments Participating in Evaluation and Research Uniting the Workforce: Building Capacity for a National Association of Community Health Workers Promoting the Health of the Community is a must-have resource for CHWs, those interested in CHW scope of practice and/or certification/credentialing, anyone interested in becoming a CHW, policy-makers, CHW payer systems, CHW supervisors, CHW employers, CHW instructors/trainers, CHW advocates/supporters, and communities served by CHWs.

This book uses a case-based approach to provide current information on a range of medical issues with the goal of enhancing preoperative evaluation and optimization. It meets the market need for a resource that concisely encapsulates current knowledge on the medical management of specific topics in a setting relevant to the preoperative clinic. In so doing the book aims to improve patient care and safety, enhance resource use, facilitate appropriate and timely management of preexisting conditions and diminish patient concerns. Organized into sections according to body system, each section consists of chapters delineating a specific disorder. Each chapter starts with a clinical vignette followed by a question-and-answer style investigation of the relevant issues. These questions attempt to address commonly encountered clinical dilemmas where opinion often differs between, and occasionally within, medical sub-specialties. Expertly written chapters are also supplemented by a number of chapters which address special considerations such as the frail patient and chronic opioid use. Preoperative Assessment: A Case-Based Approach is an invaluable reference for all physicians involved in preoperative assessment including anesthesiologists, surgeons, internists, family doctors and residents in these fields. Nurse practitioners and other allied heath professionals involved in preoperative evaluation may also find this a book a valuable and timely resource.

Finally, everything about ADHD in adolescents is in one place. This book is for you: a clinician diagnosing and treating teens with ADHD, a teacher educating teens with ADHD, or a parent raising one. Written for all readers, this resource is both comprehensive and straightforward, with quick tips and concise guidance in each chapter. Each of the four sections explores an essential aspect of ADHD in adolescents, starting first with detailed yet accessible best-practices of diagnosis and treatment. The second section takes a deep dive into the many disorders that mimic and co-occur with ADHD, including the most up to date information about electronics use and substance use. Section three unpacks the critical topic of Race, Culture, and Ethnicity in ADHD, and the hard-to-find topic of Relationships, Sexuality, and Sexual Behavior in Adolescents with ADHD. The closing and must-read chapters include practical guidance for parenting, thriving in high school, and planning the next steps for success. Across all four sections, clinical scenarios mirror common dilemmas faced by parents and teachers, and recurrent challenges familiar to clinicians. Information and resources direct the reader to best practices in ADHD in adolescents, with useful strategies usable for everyone. Written by experts in the field, ADHD in Adolescents is a valuable guide for all clinicians caring for teens with ADHD: pediatricians, child and adolescent neurologists, child and adolescent psychiatrists, adolescent medicine specialists, psychologists, nurse practitioners, physician assistants, social workers, and licensed clinical mental health workers. Parents and teachers of adolescents with ADHD will find this resource indispensable.

Primary care clinicians are performing more varied procedures than ever before, and physicians, residents, and students need a comprehensive, authoritative resource that provides trusted information in an easy-to-follow format. Through three outstanding editions, Pfenninger and Fowler's Procedures for Primary Care has been the go-to reference for step-by-step strategies for nearly every medical procedure that can be performed in an office, hospital, or emergency care facility by primary care providers. This 4th Edition continues that tradition with new section editors, updated illustrations, new chapters, and much more. No other primary care procedure book compares with Pfenninger and Fowler's breadth and depth of practical, step-by-step content! Access to this product, which may be at the discretion of your institution, is up to 3 years of online and perpetual offline access. Elsevier reserves the right to restrict or remove access due to changes in product portfolio or other market conditions. Provides comprehensive, real-world coverage of more than 230 procedures that arise in the primary care setting, including many that were previously performed only in subspecialty settings, such as joint injections and cosmetic procedures. Includes new chapters: Esophageal Foreign Body Removal, Manual Testicular Detorsion, Symphysiotomy, Zipper Injury Management, and Blood Products. Presents the "how-to" expertise of six new section editors, for a fresh, contemporary perspective throughout the book. Additional focus on the evidence, with plentiful citations to key references, makes this the most evidence-based edition yet. Features numerous updated illustrations, including many more in full color, and incorporates updated ICD-10-CM codes throughout. Provides access to online resources including patient education handouts and consent forms, lists of device manufacturers, and more. Utilizes a concise outline format, detailed text and illustrations, and abundant boxes and tables for quick access to the information you need. Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices

This book provides primary care clinicians, researchers, and educators with a guide that helps facilitate comprehensive, evidenced-based healthcare of women and gender diverse populations. Many primary care training programs in the United States lack formalized training in women's health, or if they do, the allotted time for teaching is sparse. This book addresses this learning gap with a solid framework for any program or individual interested in learning about or teaching women's health. It can serve as a quick in-the-clinic reference between patients, or be used to steer curricular efforts in medical training programs, particularly tailored to internal medicine, family medicine, gynecology, nursing, and advanced practice provider programs. Organized to cover essential topics in women's health and gender based care, this text is divided into eight sections: Foundations of Women's Health and Gender Based Medicine, Gynecologic Health and Disease, Breast Health and Disease, Common Medical Conditions, Chronic Pain Disorders, Mental Health and Trauma, Care of Selected Populations (care of female veterans and gender diverse patients), and Obstetric Medicine. Using the Maintenance of Certification (MOC) and American Board of Internal Medicine blueprints for examination development, authors provide evidence-based reviews with several challenge questions and annotated answers at the end of each chapter. The epidemiology, pathophysiology, evaluation, diagnosis, treatment, and prognosis of all disease processes are detailed in each chapter. Learning objectives, summary points, certain exam techniques, clinical pearls, diagrams, and images are added to enhance reader's engagement and understanding of the material. Written by experts in the field, Sex and Gender-Based Women's Health is designed to guide all providers, regardless of training discipline or seniority, through comprehensive outpatient women's health and gender diverse care.

This book provides a comprehensive and practical guide to orthostatic hypotension (OH) for doctors and nurses involved in the care of older adults, together with a state-of-the-art update on OH, covering its epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, management, and relevance for geriatric practice. In addition, it addresses mechanisms of orthostatic tolerance and other orthostasis related conditions, as well as drugs, comorbidities and geriatric syndromes related to OH. The homeostatic ability to maintain blood pressure while standing requires an adequate blood volume and the integrity of the nervous system, heart, blood vessels and muscle pump. However, in older adults, some age-related factors can contribute to the development of OH. For example, decreased baroreflex sensitivity, -1-adrenergic vasoconstrictor response to sympathetic stimuli, parasympathetic activity, renal salt and water conservation, increased vascular stiffness and decreased ventricular diastolic filling, as well as concentrated capacities of the kidney may be associated with changes in postural blood pressure. It has also been shown that OH is associated with falls, cardiac events, heart failure, stroke, reduced quality of life, and increased risk of overall mortality in these patients. "Orthostatic Hypotension in Older Adults" will be of considerable interest to all professionals working in the fields of geriatrics, geriatric psychiatry, neurology, internal medicine, cardiology, and emergency medicine, or working with older people in hospitals or in their community.

This book brings together findings from research and clinical practice, with comprehensive coverage of the important aspects of mental health in ageing persons with intellectual and developmental disabilities. It is crucial for professionals involved in the care of persons with all intellectual and developmental disabilities to have a broad understanding of the essential range of issues, and therefore this book provides a truly multi-disciplinary perspective, complete with many figures and illustrations to underline the key points. Undoubtedly, research and clinical practice are much more advanced in the general ageing population than in persons with intellectual and developmental disabilities, and so professionals and academics must be made fully aware of commonalities and idiosyncrasies of older people with intellectual and developmental disabilities. This book presents the ongoing developments concerning mental health and aging, which will become relevant to the intellectually disabled population. Through experience, this book also acknowledges that the impact on the persons themselves and on their carers always needs to be taken into account, with treatment programs established with a multi-faceted team approach in mind. Avoiding the jargon of many titles in this area while maintaining the hands-on approach of clinical practice, this book meshes the practical and scientific worlds, with all chapters written by leading experts in the field. Beyond the US, the IASSIDD support expands the book message worldwide.