How may nurses be enabled to contribute to, develop and advance their practice when working in bureaucratic and hierarchical health care settings? Corporate recognition and support for nurse--led change and development is gradually increasing. However, 'top down' change is still frequently imposed without due regard for the wisdom of practitioners. Nurses should explore the theory and practice of change, identify changes to enhance the quality of patient care, and systematically put these into practice. As a result, they will be better equipped to cope with the implementation of national and local policy initiatives, which include shared clinical governance and evidence based nursing practice, both of which are described in this text. This book documents how nurses attempt to undertake change and development in clinical practice through the use of the exploratory, creative, innovative and empowering process of critical action research. The text illustrates the evolution and outcome of the change process. The personal developmental process of engaging in collaborative change in clinical practice is clearly evident. Change is very difficult and complex and if it is to be accomplished successfully it needs to be clearly understood. Consequently, the book also explores the complexity of attempting change in clinical practice. This includes the identification of some of the disempowering processes (both actual and imagined) that currently exist in health care settings.

Clinical practice guidelines were initially developed within the context of evidence-based medicine with the goal of putting medical research findings into practice. However, physicians do not always follow them, even when they seem to apply to the particular patient they have to treat. This phenomenon, known as clinical inertia, represents a significant obstacle to the efficiency of care and a major public health problem, the extent of which is demonstrated in this book. An analysis of its causes shows that it stems from a discrepancy between the objective, essentially statistical nature of evidence-based medicine on the one hand and the physician's own complex, subjective view (referred to here as "medical reason") on the other. This book proposes a critique of medical reason that may help to reconcile the principles of evidence-based medicine and individual practice. The author is a diabetologist and Professor of Endocrinology, Diabetology and Metabolic Diseases at Paris 13 University. He has authored several books, including one to be published by Springer (Philosophy and Medicine series) under the title: The Mental Mechanisms of Patient Adherence to Long Term Therapies, Mind and Care. , Diabetology and Metabolic Diseases at the Paris 13-University. He has also published Pourquoi Se soigne-t-on, Enquete sur la rationalite morale de l'observance (2007), Clinique de l'Observance, L'Exemple des diabetes (2006), and Une theorie du soin, Souci et amour face a la maladie (2010). An English adaptation of the first book is published by Springer (Philosophy and Medicine) under the title: The Mental Mechanisms of Patient Adherence to Long Term Therapies, Mind and Care.

Revised and expanded, this blue-ribbon reference emphasizes the latest developments in the identification, utilization, and analysis of flavonoids for the prevention of disease and maintenance of good health. The book examines the processes involved in the absorption, metabolism, distribution, and excretion of these compounds and the impact of biotransformation on flavonoid function.
The Second Edition contains new discussions on the potential of dietary flavonoids to attenuate neurological dysfunction and degeneration, developments in gene expression and genomics for identification of therapeutic targets and markers of disease, and the mechanisms regulating flavonoid bioavailability.

Good clinical practice is impossible without an understanding of the ways in which patients present their complaints. Patients have their own styles of coping and of expressing their concerns, and without a clear understanding of these the clinician may find successful and swift diagnosis and treatment much harder to achieve. Coping and Complaining provides essential guidance for clinicians on how to identify various coping styles, and how to improve the quality of discourse with people of different backgrounds and ages.
Drawing on a diverse range of evidence from such areas as developmental psychology, and theories on learning and memory, Coping and Complaining provides essential information on identification of patients' coping styles, focusing on such areas as:
· The latest developments in attachment theory
· The neurobiology of emotional development, and the biology of language development
· Primary processes in early development
· Communication, role play, the moral order of the consultation, and emotional first aid
· Consequences for preventive medicine
Coping and Complaining presents stimulating new approaches to consultations with patients and creative new ways of looking at health promotion.

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ABC of Dementia is a practical guide, written with the needs of professionals in training in mind. Its aim is to enable readers to explore attitudes towards dementia, and find the knowledge and skills required in the important task of supporting the lives of people with dementia and their carers. This new edition is designed to assist students and practitioners working within both primary and secondary care settings with the diagnosis, treatment and provision of care. It covers the causes of dementia, diagnostic assessment, early intervention, pharmacological treatment, person-centred care, legal and ethical issues, and more. This resource has been thoroughly revised to reflect the most recent research and evidence-based practice. New and expanded content addresses dementia and frailty in care homes, explores the role of technology in the treatment of dementia, discusses working with minority groups, and examines case studies. Aids healthcare professionals in developing the knowledge, skills and confidence to care for those with dementia Highlights the importance of person-centred care and the effects of dementia on families and carers. Describes the cognitive changes and neurological disorders central to dementia Addresses the needs of younger people developing dementia Provides guidance on managing dementia in primary care, the acute hospital and end-of-life care settings Covers the Neuropsychiatric Symptoms of Dementia (NPSD) Features numerous full-colour photographs and illustrations ABC of Dementia is a must-have for healthcare students, general practitioners, and other healthcare professionals caring for people with dementia. It will also be of interest to members of the general public who wish to know more about dementia.

This book assumes that it is no longer tenable to work in healthcare without considering the person as a whole being constituted by a rich weaving of mind, body, culture, family, spirit and ecology. The MindBody approach embraces this 'whole.' But how does it transform clinical practice and training for the clinician and treatment for the patient/client? The book collects together the experiences from a diverse range of clinical practitioners (including psychotherapy, specialist medicine, general practice, physiotherapy, occupational therapy, dietetics, , nursing, and complementary and alternative medicine practitioners) who have deliberately chosen to integrate a MindBody philosophy and skill set in their clinical practices. All reflect deeply on their unique journeys in transforming their clinical encounters. Most have been trained in the dominant Western framework and have inherited the classical dualistic approach which typically keeps mind and body apart.

This text was developed with the practicing physician in mind, however, it will be of considerable interest to the virologist, pharmacologist, chemist and all scientists interested in antiviral agents.

Progress in the field of antiviral development is now moving rapidly and there is hope that one day there will be successful treatment modalities for most viral diseases. This work contains contributions from experts around the world, capturing worldwide practices.

An online version providing the current status of antiviral research is planned for the near future.

The first edition of "An Aid to the MRCP Short Cases" rapidly estabished itself as a classic and has sold over 25,000 copies.

The aims of this revised and extended second edition are the same as those of the first: to provide a comprehensive guide for those preparing for the short cases section of the Membership of the Royal College of Physicians examination. The MRCP examination is a major hurdle for all trainee hospital physicians and has a failure rate of over 70%.

The largest part of the book consists of 200 short cases that are presented in order of frequency of their occurrence in the examination (based on an extensive survey of successful candidates). The clinical features of each case are fully covered and supported by illustrations and photographs. The emphasis throughout the book is on examination technique and how to present the clinical information in the style that the examiners expect. In short, it is an indispensable guide for anyone preparing for this critical examination.

The second edition of this popular pocket book gives an overview of internal medicine, and is a highly relevant study aid for senior medical students and post-graduates preparing for examinations. Clinicians as well as students will find it a very useful aide memoire, as it packs between its covers the essentials of this large subject and gives a rapid update in current diagnosis and therapeutics.

Complex material is distilled and organised in a logical and accessible way, with integration of clinical, laboratory, imaging and therapeutic information. Extensively re-written with the assistance of two new authors, the subject matter has been carefully reviewed to ensure it is accurate, up-to-date and comprehensive. An overall standard format is used, covering clinical clues, pathophysiology, diagnosis and therapeutics. Key facts are presented as skeleton lists and tables, carefully derived from medical literature and other authoritative sources. Additional material on pharmacology and best evidence is included. This little book emphasises essential areas that may well be overlooked when one is reading the major textbooks which it complements.

Readable, compact and portable, it is a straight-forward study aid for medical students, and a dependable reference for junior doctors or for established practitioners, either in the office or on the wards.

Make your patients'final days as comfortable as possible!There are few situations more challenging and emotionally taxing to a medical professional than the care of the terminally ill. Much has been learned in recent years about symptom control that can profoundly improve the quality of life in a patient's final days.Evidence Based Symptom Control in Palliative Care: Systemic Reviews and Validated Clinical Practice Guidelines for 15 Common Problems in Patients with Life Limiting Disease provides you with symptom control approaches that will help meet patients'last wishes, improve the quality of life for patients and their families, and lessen their physical and emotional pain. Palliative care--often based on anecdotal experience--has until now been inconsistent and much of the time less than optimally effective. Evidence Based Symptom Control in Palliative Care is the result of comprehensive literature reviews and clinical validation resulting in recommendations and suggestions for therapies that will improve the lives of patients who are in pain and discomfort. Evidence Based Symptom Control in Palliative Care presents seven sections--Algorithm, Literature Review, Evidence Tables, Drug Therapy Tables, Evaluation Instruments, Unanswered Questions, and References--on each of these problems: anorexia and cachexia anxiety bleeding problems constipation delirium depression diarrhea dyspnea (shortness of breath) fatigue and weakness mouth problems nausea and vomiting nutrition and hydrationEvidence Based Symptom Control in Palliative Care is a vital guide for physicians, nurses, pharmacists, social workers, and other clinicians caring for patients with advanced irreversible diseases. Thisvolume supplies the data you'll require to offer patients relevant care and meet their needs.

Cardiac resynchronization therapy is a new therapy for advanced heart failure patients. This therapy has been shown to improve quality of life, exercise capacity, NYHA classification, and even reverse the detrimental "reverse remodeling" that occurs in advanced heart failure - in patients already receiving optimal pharmacological therapy.

The typical patient has NYHA III/IV HF symptoms, a QRS > 120 ms, LVEDD > 55 mm, without any indication required for pacing. The therapy is available in an ICD device, too. CRT has been shown to be effective in patients with both ischemic and non-ischemic cardiomyopathy.

The implant procedure is part of a learning curve. Many physicians who already perform electrophysiology procedures, or PPM, or ICD implants are the ideal implanter - but are surprised at the challenges this implant presents. This book will help "flatten" the learning curve for new physician implanting, and will provide a "guide' for those who have already started implanting.

The success rate is about 90o after 10 years of application, we have found that there are still patients who do not get access to this great therapy because of the complexity of the patient's anatomy, or physician skills.

The book is written by three authors with a great deal of experience culminating in over 3000 cases between them.

This book is intended for cardiologists who currently implant either or both pacemakers and cardioverter defibrillators with cardiac resynchronization therapy (also called bi-ventricular pacing), or plan to implant in the future. This book will be extremely useful for the new cardiologist in training who is learning to implant devices.

This is the first critical edition and translation of the first Islamic medical work on fevers. Zad almusafir is perhaps the most influential handbook in the history of medical science, and Gerrit Bos's provides invaluable insight into the medical theory of Book Seven.

This authoritative reference surveys mind-body healing concepts and psychosomatic medicine in diverse countries and regions of the world. It provides practical insights on the Western division between medical and mental healing and useful information concerning recent efforts to bridge that enduring divide, particularly in the use of ancient and indigenous healing knowledge in psychosomatic practice. Coverage compares and contrasts current applications of psychosomatic medicine and/or consultation-liaison psychiatry as conducted in such representative countries as France, Britain, China, India, Argentina, Canada, and the United States. And the book predicts how this synthesis of traditions and advances will progress as it: Traces the history and development of psychosomatic medicine. Reviews contributions of traditional healing methods to psychosomatic medicine. Analyzes national styles of psychosomatic medicine as practiced in specific countries. Compares the status of psychosomatic medicine / consultation-liaison psychiatry in various countries. Considers the future of psychosomatic medicine as the field, and the world, evolves. Global Psychosomatic Medicine and Consultation-Liaison Psychiatry expands the knowledge base for psychiatrists, primary care physicians, psychiatric and primary care residents, medical students, behavioral medicine specialists, and others who are interested global and regional perspective on providing biopsychosocial care. It is also relevant for advanced students in health psychology and behavioral medicine, and for professionals in related health fields.

Adverse reactions to medicines continue to present a considerable burden on healthcare, causing considerable morbidity and mortality. As well as knowing about the benefits of medicines, healthcare professionals need to understand the problem of adverse drug reactions and be aware of how they can be prevented and managed.

There is growing pressure to ensure that patients receive care that is proven effective and subsequently, a tremendous need to train mental health practitioners in the latest in Evidence-Based Practice (EBP). "Evidence-Based Treatment Planning for Posttraumatic Stress Disorder DVD Companion Workbook" covers presenting problems stemming from anxiety after a traumatic event. The DVD (sold separately) demonstrates the techniques and treatment interventions covered in the lecture. This workbook guides staff in implementation of the interventions with their clients subsequent to the DVD training. Ideal for training mental health professionals at any level.

Professional counselling practice is full of complexities and subtleties, yet the richness of clinical counselling still receives insufficient recognition in the literature and in public opinion.
In the light of the current professionalization of counselling, Clinical Counselling in Context: An Introduction examines the hypothesis that counselling theory and practice is altered by the specific organizational context in which it takes place - the consequence of which is that context is an important force for therapeutic change. It also argues that, with careful professionalization and a well-thought-out academic base, counselling can be a sophisticated activity which is not just the poor neighbour of psychotherapy.

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Coumarins are a group of compounds that have important roles as food constituents; as anti-oxidants, stabilisers, and immunomodulatory substances; as fluorescent markers for use in analysis, in lasers and in clinical use. Coumarins: Biology, Applications and Mode of Action predominantly focuses on the parent compound, coumarin, and its main metabolite in humans, 7-hydroxycoumarin. It describes in detail every facet of these compounds including history, toxicology, chemistry, metabolism, analysis, clinical, veterinary and other applications, their roles as immunomodulatory agents and speculates on their mode of action. Features include:
* New insights into mode of action of coumarins
* Comprehensive summary of new coumarin compounds
* Detailed accounts of methods used for analysis
* Applications of coumarins for diverse methods of analysis
This volume will be of interest to those working in biochemistry, chemistry, pharmacology, clinical sciences and toxicology.

Provides the essential information that health care researchers and health professionals need to understand the basics of qualitative research Now in its fourth edition, this concise, accessible, and authoritative introduction to conducting and interpreting qualitative research in the health care field has been fully revised and updated. Continuing to introduce the core qualitative methods for data collection and analysis, this new edition also features chapters covering newer methods which are becoming more widely used in the health research field; examining the role of theory, the analysis of virtual and digital data, and advances in participatory approaches to research. Qualitative Research in Health Care, 4th Edition looks at the interface between qualitative and quantitative research in primary mixed method studies, case study research, and secondary analysis and evidence synthesis. The book further offers chapters covering: different research designs, ethical issues in qualitative research; interview, focus group and observational methods; and documentary and conversation analysis. A succinct, and practical guide quickly conveying the essentials of qualitative research Updated with chapters on new and increasingly used methods of data collection including digital and web research Features new examples and up-to-date references and further reading The fourth edition of Qualitative Research in Health Care is relevant to health care professionals, researchers and students in health and related disciplines.

Provides composite case studies of emotional abuse victims, who with the help of intervention, therapy, and advocacy are moved from states of despair upward to the path of recovery and survivorhood. Intervention, therapy, and advocate are all perspectives used to capture the range of innovative methods for treating emotional abuse survivors. Family and community resources are utilized with an emphasis on the reconnection process integral to moving from victim, to survivor of emotional abuse.

Examines how evidence-based medicine can be applied in general practice, and how its benefits can be realized in the form of effective treatments. It argues for rational rationing, using clinical effectiveness to exclude ineffective measures.

The Objective Structured Clinical Examination or OSCE for short is a familiar and often daunting experience for medical students. This book provides the essential information needed to tackle OSCE stations competently and with confidence. Over 150 topics are covered at the perfect level of detail for candidates preparing for final exams. Using bulleted checklists and a succinct writing style, the authors cover the most important points to remember about the key conditions that students are likely to encounter during OSCEs, all in a brief 2 to 4 pages per condition.

The explosion of knowledge in the fields of neurobiology, psychology and genetics has made it no longer helpful to discuss whether or not a particular illness is psychosomatic. This title provides an introduction to psychosomatics for counsellors and psychotherapists who want to learn about the psychologically informed management of their patients' physical symptoms. It is also intended for general practitioners who are interested in the role of emotions in the formation of physical symptoms.

This clinical manual discusses the treatment of 201 diseases with Chinese herbal medicine and acupuncture. These diseases span such TCM specialties as: internal medicine, surgery, gynaecology, paediatrics, dermatology, otorhinolaryngology. The text discusses aetiology and pathogenesis, but the emphasis is laid on key points in diagnosis, differentiation of syndrome and treatment, particularly with herbal medicine. Treatment of each disease is detailed in five parts: Treatment based on differentiation syndromes Patent Chinese medicines Simple recipes of herbal medicines Acupuncture and moxibustion Other therapies Professor Zhou is one of the foremost doctors of TCM in China. His knowledge and experience of herbal medicine are the core of this text.Written by a leading light from China -- who is highly regarded by Western practitioners English publication will precede Chinese publication - allowing Western practitioners earliest access to Professor Zhou's clinical experience, knowledge and its application Coverage of over 200 diseases means the text is comprehensive Treatment with herbal medicine is integrated with treatment with acupuncture and other treatments - expanding the practitioner's potential treatment skills Gives unique guidance on how to reach the best differential diagnosis Real clinical situations give authority to the guidance offered on the complexities of herbal prescribing

In recent years the study of illness as experienced by patients has emerged as an approach to understanding sickness. Descriptions of the everyday situations of people with particular diseases, provide a commentary upon the nature of symptoms and upon the relation of the body to society. This approach stresses the biographical and cultural contexts in which illness arises and is borne by individuals and those who care for them. It emphasises the need to understand illness in terms of the patients own interpretation, of its onset, the course of its progress and the potential of the treatment for the condition.
Worlds of Illness examines people's experience of illness and their understanding of what it means to be healthy. The contributors are the first to offer this biographic and cultural approach in one volume, redefining the perspective further and drawing attention to its potential for questioning theoretical assumptions about health and illness.