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Books > Medicine > General issues > Health systems & services > General practice
"The Elderly" is the third monograph in a series on management and treatment in major patient groups and subspecialties. Each book is complete in its own right. The whole series, however, has fill a gap between standard text-books of medicine been prepared to and therapeutics and research reviews, symposia and original arti cles in specialist fields. The aim of the series is to present up-to-date authoritative advice on patient management with particular refer ence to drug treatment. The first two volumes in the series, on gastrointestinal diseases and rheumatic diseases, were addressed to major therapeutic areas or subspecialties. The present volume, "The Elderly," is intended to provide overall guidance on the manage ment of a range of medical problems in elderly patients. The elderly make up an increasing proportion of the population and require a substantial proportion of health care resources. The management of elderly patients falls not only upon specialist geriatricians but also upon a range of others, including general practitioners, general physicians and almost all other medical specialists with the excep tion of paediatricians. It has become apparent in recent years that the management of disease in the elderly in general and drug treatment in particular presents new problems and challenges. Some of these relate to the wide spectrum of disease in elderly patients, in whom there is often multiple pathology, while others concern age-induced changes in drug handling or drug effect."
This work presents the knowledge and skills necessary for successful written communication in family medicine. It is intended for use by teachers of family medicine who, as part of their academic responsibilities, are called upon to produce written documents in a wide variety of areas. The book has also been written to serve as a resource for leaders presenting faculty development activities in various aspects of written communication, including writing for publication, administrative and educational communication, and other topics of interest to academicians. The Task Force on Professional Communication Skills was formed in 1981 as an initiative of the Board of Directors and the Communications Committee of the Society of Teachers of Family Medicine (STFM). In early meetings, the Task Force defined its goal as improvement of the communication skills-both written and oral-of STFM members. A survey of Task Force members revealed that the greatest challenges lay in the area of written communication skills, although the needs are not confined to medical article and book writing, but extend to the full range of academic communication. The Task Force set as its first task the creation of a monograph on written communication in family medicine.
The contributors to this volume, like many others concerned with medical education have for a long whilebeen conscious of the fact that in the training of medical students and in the practice of medicine too little attention is being paid to the psychological aspects of illness and to the use of psychotherapy in patient care. In an attempt to fill this gap medical students at University College Hospital, London, have since 1958 been given the opportunity on a voluntary basis to treat a pa tient with weekly analytically-orientated psychotherapy under supervision for a year or longer. In 1977 a similar scheme was started at the Psychosomatic Clinic of Heidel berg University. We were fortunate in obtaining generous financial support from the European Community which has enabled teachers and students from our two uni versities in Great Britain and the Federal Republic of Germany to collaborate in this student-psychotherapy teaching project and to compare our experiences. In this book we present an account of this joint educational endeavour, including our successes and our failures, as well as our attempts to solve some of the problems we have en countered. We decided to let individual supervisors and teachers who inevitably differed in their approach write their own contributions rather than try to present a unified pic ture which would not have given a fair impression of our work and experience. Ifthis has led to some repetition in the text we hope readers will appreciate the reason for it."
Das Buch richtet sich an Allgemeinmediziner, die in vertrauter Sprache und Form Antworten auf spezifische juristische Fragen und Probleme suchen. Die gemeinsame Erarbeitung durch einen Juristen und Allgemeinmediziner erlauben eine hohe Praxisrelevanz bei gleichzeitiger juristischer Genauigkeit. Typische Situationen und Probleme des allgemeinmedizinischen Alltags in Klinik und Praxis werden juristisch durchleuchtet. Sofort umsetzbare Antworten werden erganzt durch Checklisten und Praxistipps. Zukunftige Entwicklungen wie der Einfluss des europaischen Rechts auf die tagliche Arbeit oder auch Netzstrukturen werden berucksichtigt. Ein detailliertes Stichwortverzeichnis erleichtert das Auffinden der entsprechenden Themen. Das Buch richtet sich an Allgemeinmediziner aber auch an Arzte in der Weiterbildung in Klinik, Praxis und Verwaltung, um insbesondere Unsicherheiten in Bezug auf juristische Fragen dieses Fachgebietes zu nehmen."
Viele Erkrankungen und Beeintr chtigungen bei Kindern lassen sich vermeiden oder wenn fr hzeitig erkannt zumindest lindern. Eltern und Betreuer sollten deshalb die Vorsorgem glichkeiten kennen und nutzen: Untersuchungen w hrend der Schwangerschaft, U-Untersuchungen f r Kinder (U1-U9, J1), H rscreening, Impfungen usw. Dieses Buch bietet das notwendige Wissen f r Eltern und Betreuer, um Kinder physisch und psychisch zu f rdern. Mit einem Geleitwort von Ursula von der Leyen, Bundesministerin f r Familie, Senioren, Frauen und Jugend.
This is the first book to explore the impact of 'burnout' on the current NHS GP workforce and how this can be addressed, from an insider GP perspective. Adam Staten, recently qualified GP, and Euan Lawson, Fellow of the RCGP with over 20 years experience, discuss in engaging, accessible chapters how burnout manifests psychologically, the complex reasons why GPs burn out and the individual and broader impact this can have. Most importantly, the book offers practical advice on how to avoid burning out and combat the negative effects of an increasingly high-pressure role, exploring how GPs can develop resilience and work in a way that builds a healthier work-life balance. A section is dedicated to the array of GP job options, with testimonies from practitioners working in diverse areas from education and academia to military and humanitarian settings. This book explores the challenges of working in general practice today, but it also demonstrates the potential for every GP to experience a personally and professionally satisfying career. Providing practical, workable advice and links to resources for help and support, the book enables readers to find opportunity within the perceived 'crisis'. By reading this book, you will find the means to improve not just your own working life but also to enhance the way you deliver care to your patients.
This book assembles many of the foremost writers and clinicians in the field of team-based primary care to share their own relational reflections. It features narratives from fields such as integrated behavioral health, integrated primary care, primary care behavioral health, medical family therapy, health psychology, primary care psychology, and clinical social work. The key focus of the chapters are the relationships that are formed during primary care delivery. The book is organized into six core chapters: Family of Origin, Teachers and Mentors, Our Patients and Ourselves, Colleagues and Collaborators, Clinician as Patient, and Death and Loss. Each chapter contains a variety of styles and formats of narrative medicine, including personal reflections, story-telling, and poetry. Connections in the Clinic will be of interest to a wide audience of clinicians and educators dedicated to a reflective or story-telling approach to healing.
Diagnostik und Therapie sind die Pfeiler, auf denen die Medizin ruht. Beide wurden in der letzten Zeit wesentlich erweitert und vertieft - teils zum Nutzen der Patienten, teils aber auch zu deren Nachteil. Betroffen sind alle Fachgebiete der nicht-operativen Medizin inklusive der Pneumologie. Im Bereich der Pharmakotherapie von Lungenerkrankungen fehlte bisher ein Nachschlagewerk im deutschen Sprachraum. Meistens wird das Thema lediglich kursorisch in Lehrbuchern der Inneren Medizin und Pneumologie abgehandelt: Wenig vertieft bzw. kritisch abgehandelt mit Therapieempfehlungen ohne wissenschaftliche Evidenz. Erstmalig im deutschen Sprachraum liegt nun dieses fachbezogene Lehrbuch mit neuesten Erkenntnissen der Pharmakotherapie vor. Es wendet sich vor allem an Internisten und Pneumologen, ist aber auch fur Padiater, Thoraxchirurgen und Allgemeinarzte von grossem Interesse.
Recognizing that many skin disorders have a predilection to occur at specific sites, Goodheart’s Same- Site Differential Diagnosis, 2nd Edition, is organized in a convenient, head-to-toe fashion so physicians can quickly reach a differential diagnosis between skin disorders that are often confused with each other. Drs. Herbert P. Goodheart Mercedes E. Gonzalez presents hundreds of full-color images of common skin disorders side by side with their clinical look-alikes or other diagnostic possibilities that occur at the same anatomic site for easy comparison. Ideal for the non-dermatologist and dermatologists in training, this fully updated, highly illustrated text is invaluable for all clinicians who are on the front line of diagnosing and treating skin disorders.  Helps you narrow the number of diagnostic possibilities and reach a specific diagnosis or differential diagnosis quickly and accurately. Presents differential diagnoses by region, along with key physical findings, pertinent laboratory tests, and historical information to help you arrive at a definitive diagnosis. Describes the step-by-step management of each condition on a facing page, including brief listings of recommended first-line and alternative therapies. Features new introductory material including an explanation of how to use the book and a glossary of basic dermatologic terminology with descriptions of primary and secondary cutaneous lesions and reaction patterns. Contains more than 150 new, full-color images covering variations of clinical presentation, including more images of people of color. Includes four new chapters: Fever and Rash, Cutaneous Manifestations of Pregnancy, Cutaneous Manifestations of HIV Disease, and Cutaneous Manifestations of COVID-19. Features a new trim size and new interior design that improve readability and visual appeal. Uses extensive cross referencing that directs the reader to other body sites that describe the same disorder.  Contains a useful appendix with g illustrated diagnostic and therapeutic techniques.  , 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. ,
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.
Evidence Based Practice in Primary Health Care is split into two sections. The frist discusses how the individual can apply evidence based medicine in the clinical setting, and the second covers the wider issue of changes in organisation and strategy to promote better and more effective delivery of care within a practice or primary care group. Chapters are writtten by leading specialists in evidence based primary care from Australlia, the UK, and mainland Europe
This manual is a combination and revision from the assessment of sexual maturity stages developed for the PROS study on girls in 1995 and for the PROS puberty study on boys in 2005. It will assist the pediatric health care provider in learning how to assign the stages of the physical changes of pubertal development using the system described by Marshall and Tanner as well as correct techniques for breast palpitation and testicular measurement. This manual uses the classic photographs of Tanner and van Wieringen as well as many taken specifically for this resource.
International Perspectives on Primary Care Research examines how the evidence base from primary care research can strengthen health care services and delivery, tackle the growing burden of disease, improve quality and safety, and increase a person-centred focus to health care. Demonstrating the inter-professional nature of the discipline, the book also features a section on cross-nation organisations and primary care networks supporting research. National perspectives are offered from researchers in 20 countries that form part of the World Organization of Family Doctors, providing case histories from research-rich to resource-poor nations that illustrate the range of research development and capacity building. This book argues the importance of primary care research, especially to policy makers, decision makers and funders in informing best practice, training primary health care providers and achieving equitable distribution of care.
Designed as a highly visual and practical resource to be used across the spectrum of lifelong learning, Ballweg's Physician Assistant, 7th Edition, helps you master all the core competencies needed for physician assistant certification, recertification, and clinical practice. It remains the only textbook that covers all aspects of the physician assistant profession, the PA curriculum, and the PA's role in clinical practice. Ideal for both students and practicing PAs, it features a succinct, bulleted writing style, convenient tables, practical case studies, and clinical application questions that enable you to master key concepts and clinical applications. Addresses all six physician assistant competencies, as well as providing guidance for the newly graduated PA entering practice. Includes five new chapters: What Is a Physician Assistant, and How Did We Get Here?, Effective Use of Technology for Patient-Centered Care, Success in the Clinical Year, Transitioning to Practice and Working in Teams, and Finding Your Niche. Features an enhanced focus on content unique to the PA profession that is not readily found in other resources, more illustrations for today's visually oriented learners, a more consistent format throughout, and a new emphasis on the appropriate use of social media among healthcare professionals. Provides updated content throughout to reflect the needs of the PA profession, including new content on self-care for the PA to help prevent burnout, suicide, and other hazards faced by healthcare professionals. Guides students in preparation for each core clinical rotation and common electives, as well as working with special patient populations such as patients experiencing homelessness and patients with disabilities. Includes quick-use resources, such as objectives and key points sections for each chapter, tip boxes with useful advice, abundant tables and images, and more than 130 updated case studies. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices, as well as exclusive eBook chapters: A Primer on Learning Objectives, A Primer on Item Writing, and A Primer on Team-Based Learning.
This fascinating book presents 100 biographies of general practitioners, the majority of whom have made key contributions to the development of general practice and medicine, but also some who have influenced society through engineering, literature, music, politics, sport and other fields. Organised into four different time periods and with key themes in each, the reader will gain an insight into the background of these individuals and what led to their decision to enter the speciality, discover their successes and occasional failures, while also learning about significant events in the history of general practice, medical education, medical politics, medical research, the Royal College of General Practitioners and society as a whole. Key features: * Highly readable and visual introduction to the history of general practice * Includes 100 biographies of a variety of general practitioners from 1640 to the present day * Describes both successes and failures in the development of the specialty and how these have helped direct and shape current clinical practice * Key themes covered include academia and research, medical education, medical politics and society * Ideal for anyone wishing to gain a broader insight into the history of this important specialty, as well as those interested in medical biography Written in an accessible style, and illustrated throughout, the book is an invaluable guide for academics, doctors or students with a special interest in general practice, medical education, medical history or social history.
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.
?er 1000 Stichworte: Wer schnelle Information ?er Krankheitsbilder, Ursachen, Symptome, Behandlung und Vorbeugung sucht, findet hier verst?dliche Antworten und Rat.
An interdisciplinary textbook on dry mouth, Xerostomia: An Interdisciplinary Resource for Practitioners provides an overview of xerostomia for physicians, dentists, nurses, speech-language pathologists, and otolaryngologists who encounter the condition in their practice. Xerostomia is a common condition, yet only one in seven cases are referred to a speech-language pathologist or otolaryngologist for treatment. Featuring contributions from speech-language pathologists, otolaryngologists, dentists, oral pathologists, and nurses, the text's interdisciplinary approach and evidence-based framework provides practitioners with an awareness and understanding of xerostomia that will improve interprofessional coordination and enhance patient care. With a robust accompanying website including patient education resources, Xerostomia addresses the following topics: An otolaryngologist's view of xerostomia, including causes, symptoms, evaluation, and treatment Patient perspectives of living with xerostomia, including quality of life measures and new research findings Effect of xerostomia on dental and oral health Voice disorders associated with xerostomia Impact of xerostomia on swallowing The science of saliva, including composition and production Pharmacological management of xerostomia Xerostomia: An Interdisciplinary Resource for Practitioners provides indispensable information for general practitioners, internists, dentists, nurses, otolaryngologists, speech-language pathologists, and speech-language pathology students, as well as any health care practitioners who encounter patients with xerostomia.
Die vergessene Alternative zur aufwendigen Arzneitherapie! In diesem Buch erfahren Sie alles Wissenswerte uber die erfolgreiche Behandlung von Erkrankungen mit Hilfe der Ernahrungstherapie. Die Vorzuge gegenuber der herkoemmlichen Arzneitherapie liegen auf der Hand: Sie ist risikoarm, effizient, kostengunstig und vor allem hat der Patient keinerlei Nebenwirkungen zu befurchten. Dieses Kompendium gibt praxisbezogene Ernahrungstipps zu einem grossen Spektrum von Krankheiten, wie zum Beispiel bei Cholesterinproblemen, koronarer Herzkrankheit, Bluthochdruck, Diabetes mellitus und Krebs. Der Inhalt basiert auf jahrzehntelanger diatetischer Erfahrung grosser Kliniken. Alphabetisch geordnete Stichwoerter bieten dem Arzt, der Diatassistentin und der OEkotrophologin einen schnellen Zugriff auf Informationen zu annahernd 600 Krankheitsbildern aus allen Fachgebieten der Medizin. Jetzt als vollstandig uberarbeitete und erweiterte Neuauflage!
Previous editions of the Handbook (second edition 1994, 1-87090-524-5) have built its reputation as the definitive guide to using child surveillance to promote the health, welfare and life chances of children. This new edition remains as authoritative as ever, whilst encompassing recent developments in the field. The book has been extensively revised, including much completely new material, to incorporate new research and evolving policy. It remains an essential child surveillance reference for family medicine physicians and trainees, primary care nurses, pediatricians, and child mental health staff.
Trotz betrachtlicher Fortschritte in der Behandlung psychischer Stoerungen kommt es haufig nur zu einer teilweisen, oft unzureichenden Ruckbildung der Symptomatik. Daraus ergibt sich die Notwendigkeit, bisherige Behandlungsmoeglichkeiten weiter zu verbessern und durch neuartige Ansatze zu erganzen. Das vorliegende Buch geht zunachst auf aktuelle Befunde zur Pathogenese und Behandlung der Panikstoerung ein. Es wird ein auf Ausdauertraining basierender bewegungstherapeutischer Ansatz vorgestellt, der in einer randomisierten, kontrollierten Studie an Patienten mit Panikstoerung und Agoraphobie evaluiert wurde. Die Ergebnisse zeigen, dass bereits alleiniges Ausdauertraining zu einer signifikanten Besserung der Angstsymptomatik fuhrt. Der therapeutische Nutzen von Bewegung und Sport fur andere psychische Stoerungen wird uberblicksartig dargestellt. Das Buch beschaftigt sich mit den Wirkmechnanismen koerperlicher Aktivitat und der Frage, wie effektives Training in der Praxis umgesetzt werden kann.
This book addresses the maldistribution of health care between people in dense cities and more rural areas. This proactive resource provides solutions that will motivate dermatologists to make a difference, including free rural clinics and incentives to attract dermatologists to the aforementioned areas. Comprehensive yet concise, the book encompasses not only the logistics of the healthcare issues, including location, incentive, and set up of facility but includes insight into the effectiveness of teledermatology, a practice more commonly utilized due to the COVID-19 Pandemic. Additionally, chapters examine the relationship between economic viability and quality of care, as well as government incentives and political action to mitigate this issue. Unique and timely, Dermatology in Rural Settings is an invaluable resource for dermatologists, resident dermatologists, and academic physicians interested in rural and urban health.
Updated second edition of the concise but comprehensive handbook covering clinical infectious disease for students, residents, primary care medical providers, nurses, and PAs. Written in outline format with short, focused chapters, the book presents a systematic method for understanding basic mechanisms, establishing a diagnosis, and implementing appropriate treatment for commonly encountered problems. Essentials of Clinical Infectious Diseases, Second Edition begins with a general framework covering basics of clinical reasoning, antimicrobial agents and microbiology, and antimicrobial stewardship. Individual chapters devoted to the broad range of infectious diseases and topics are organized by body system and feature targeted presentation of pathogenesis and risk factors, microbial causes, clinical manifestations, patient work-up, diagnostic criteria, and medical, antimicrobial, and surgical management. The book also addresses important related topics including fever and neutropenia, approach to evaluating ectoparasite-related infections, infectious diseases approach to sepsis, travel medicine, and basics of infection control and hospital epidemiology. Designed for busy practitioners at any level looking to sharpen the clinical problem-solving skills required to provide the highest quality care to patients with infectious diseases. Key Features: Presents core clinical infectious disease topics in concise easy-to-read format Revised and updated to reflect recent developments in the field consistent with evidence-based literature and current clinical practice guidelines 6 new chapters on lyme disease, anorectal infections, travel medicine, dental infections, antimicrobial stewardship, and clinical reasoning and statistics Focus on the approach to evaluation and management of the patient Incorporates essential antimicrobial therapy information with adult, pediatric, and OB-GYN dosing considerations |
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