With an easy-to-follow approach and unmatched learning support, Jarvis' Physical Examination and Health Assessment, 8th Edition is the most authoritative, complete, and easily-implemented solution for health assessment courses in nursing. This tightly integrated learning package continues to center on Carolyn Jarvis's trademark clear, logical, and holistic approach to physical examination and health assessment across the patient lifespan. It's packed with vivid illustrations, step-by-step guidance and evidence-based content to provide a complete approach of health assessment skills and physical examination. With a fresh focus on today's need-to-know information, the 8th edition integrates QSEN and interprofessional collaboration, enhanced inclusion of LGBTQ issues, a new standalone Vital Signs chapter, and enhanced EHR and documentation content. The most trusted name in health assessment for nurses, now in its 8th edition! A clear, conversational, step-by-step, evidence-based approach to physical examination and health assessment of patients throughout the lifespan. A consistent format from chapter to chapter features sections on Structure and Function, Subjective Data, Objective Data, Documentation and Critical Thinking, and Abnormal Findings to help you learn to assess systematically. UPDATED! An unsurpassed collection of more than 1,100 full-color illustrations has been updated to vividly showcase anatomy and physiology, examination techniques, and abnormal findings. Enhanced content on the electronic health record, charting, and narrative recording exemplify how to document assessment findings using state-of-the-art systems with time-tested thoroughness. Engaging learning resources include assessment video clips; NCLEX (R) Exam review questions; case studies with critical thinking activities; audio clips of heart, lung, and abdominal sounds; assessment checklists, and much more. Promoting a Healthy Lifestyle boxes present opportunities for patient teaching and health promotion while performing the health assessment. Developmental Competence sections highlight content specific to infants, children, adolescents, pregnant women, and older adults. Culture and Genetics sections include information on biocultural and transcultural variations in an increasingly diverse patient population. NEW! Standalone Vital Signs chapter and refocused nutrition content include an expanded emphasis on the national epidemic of obesity. NEW! Enhanced integration of QSEN and interprofessional collaboration emphasize how to ensure patient safety during the physical exam and how to collaborate with other health professionals to promote optimal health. NEW! Enhanced inclusion of LGBTQ issues and revamped and refocused Cultural Assessment chapter equip you with the skills to practice with greater sensitivity and inclusivity. NEW! Health Promotion and Patient Teaching sections underscore the unique role of nurses (especially advanced practice nurses) in health promotion.

Christopher Kerr is a hospice doctor. All of his patients die. Yet he has tended thousands of patients who, in the face of death, speak of love, meaning and grace. They reveal that there is hope beyond cure as they transition to focus on personal meaning. In this extraordinary and beautiful book, Dr. Kerr shares his patients' stories and his own research pointing to death as not purely the end of life, but as a final passage of humanity and transcendence. Drawing on interviews with over 1,200 patients and more than a decade of quantified data , Dr. Kerr reveals why pre-death dreams and visions are remarkable events that bring comfort and exemplify human resilience. These are not regular dreams. Described as "more real than real," they frequently include loved ones long gone and mark the transition from distress to acceptance. These end-of-life experiences help patients restore meaning, make sense of the dying process and assist in reclaiming it as an experience in which they have a say. They also benefit the bereaved who get relief from seeing their loved ones pass with a sense of calm closure. Beautifully written with astonishing stories, this book, at its heart, celebrates the power to reclaim how we die, while soothing the bereaved who witness their loved ones go with unqualified grace.

Qualitative research has seen a surge of growth during the past decade. This is in large part because positivist approaches have not yielded the kinds of results that had been anticipated, and more researchers are seeking alternative perspectives to understand phenomena. The number of researchers using qualitative approaches continues to grow, yet there are few up-to-date guides to assist thinking broadly about qualitative research as a field of inquiry. Over the decades the range of approaches has increased, which has led to an even greater lack of certainty about how to think about doing qualitative research. In considering key issues while offering practical guidance on how to work within the face of uncertainty, this book will be a valuable resource to this next generation of researchers. New Approaches to Qualitative Research offers: a clear understanding of the range of issues related to researcher stance, the way that researchers position themselves in relation to their subjects, their participants, and their own belief systems, and the way in which they locate themselves across the qualitative paradigm an overview of some of the most cutting-edge qualitative techniques in use today: from the exploration of visual texts to the concept of inquiry to synthesis methods, this section lays out the state of the art in methodology specific information regarding processes of data analysis, synthesis and interpretation that are employed in these various approaches. In this book, the authors take the stance that qualitative research is a broad approach that encompasses and even encourages difference and uncertainty, and here at last they provide a route-map to this uncertain but fruitful line of inquiry. This vital text is ideal for professional researchers and postgraduates in a range of subject areas.

As the environment of care continues to evolve to promote person-centredness, dignity, health, and wellbeing, for nurses working with older people, this can be challenging. Nursing Older People at a Glance is a timely publication which provides an overview of key concepts that nurses need to know in order to care for older people in a wide range of settings. Divided into six sections, it explores a range of themes such as person-centred care, health and wellbeing, health promotion, and the complexity of older people's care, encompassing mental wellbeing, diverse communities and learning disability. With a strong focus on dignity in care throughout, Nursing Older People at a Glance will readily equip undergraduate and post-qualification nurses with the knowledge and skills required to care for older people in a competent and compassionate manner.

Get a complete study guide and certification review in one book with the Workbook and Competency Evaluation Review for Mosby's Textbook for Long-Term Care Nursing Assistants, 7th Edition. Engaging review questions, exercises, and valuable independent learning activities go beyond the textbook and build critical thinking skills to prepare you for your certification exam and clinical practice. A variety of activities and exercises including multiple-choice questions, matching, true/false, fill-in-the-blank, crossword puzzles, and labeling to enhance learning. Competency Evaluation Review section prepares you for certification exam without requiring you to purchase an additional text. Procedure checklists provide step-by-step list for completing skills for detailed instructor or self-evaluation of performance skills from the textbook. Procedure checklists icons alert you to additional sources and skills on companion CD or Evolve video clips for review prior to practicing the skill. Optional learning exercises and mini-case studies highlight concepts and skills within each chapter so you can apply concepts and build critical thinking skills. Independent learning activities in every chapter promote critical thinking with optional higher level study opportunities for those programs or learners wishing to go beyond the basic competency level.

Effective palliative care that rests on a sound ethical foundation requires ongoing discussions about patient and family values and preferences. This is especially important when addressing care at end-of-life including artificial nutrition and hydration, withdrawal of life-sustaining therapies and palliative sedation as well as requests for assistance in hastening death. The eighth volume in the HPNA Palliative Nursing Manuals series, Legal and Ethical Aspects of Palliative Care, provides an overview of critical communication skills and formal organizational mechanisms, such as ethics committees and interdisciplinary rounds, required for decisions in ethical dilemmas which respect diversity in the views of colleagues, as well as patients. The content of the concise, clinically focused volumes in the HPNA Palliative Nursing Manuals series is one resource for nurses preparing for specialty certification exams and provides a quick-reference in daily practice.

This textbook is a comprehensive guide for students interested in using participatory research to improve people's health and well-being. It is especially designed for those working in the fields of health and social welfare who are embarking on participatory research for the first time. It covers all phases in participatory research from "getting started," to "acting for change," "continuing the journey" and "articulating impact." Its unique format helps readers understand the essence of participatory research as a comprehensive approach for doing research which is underpinned by a set of fundamental values.The many real life examples of participatory research projects from around the world inspire readers to find creative ways to manage their own research while opening up new horizons in their work.

This textbook fills a gap in education for licensed practical nurses (LPN), providing information specific to their own needs and concerns. Firstly, it clarifies the leadership role of LPNs in the healthcare setting, and then identifies the knowledge, skills and abilities related to leadership, management, communication, culture change and person-directed care concepts. It also explains the efficacy of these concepts related to the LPN care of patients in the work setting and reviews the Nurse Practice Act (NPA) enacted in every US state. LPNs play an essential role in the patient care team and we have to ensure they receive advanced education as practitioners in healthcare settings that reach vulnerable populations such the elderly. They have been considered as the registered nurses' right hand in acute care as well as many home-health settings. They provide basic medical and nursing care, ensure the comfort of patients, discuss health care with patients, and report the status of patients to registered nurses and doctors. But the LPNs are often expected to take on a real leadership role based on the perception that as licensed nurses they already have all the qualifications and education necessary for leadership roles. However, there is a gap in the education they receive and a limited body of literature dedicated to them. Written in honor of all LPNs, this educational textbook fills that gap. With learning objectives, review questions and scenarios, it is a valuable resource for courses for undergraduate students training to be LPNs.

The syringe driver is a simple and cost-effective method of delivering a continuous subcutaneous infusion (CSCI). A CSCI provides a safe and effective way of drug administration and can be used to maintain symptom control in patients who are no longer able to take oral medication. There have been several developments in this field since the third edition of this highly successful book. The text in this edition has been completely revised, incorporating new treatment options and an extensive list of new compatibility data. This book serves as a valuable reference source, providing comprehensive review of syringe driver use and administration of drugs by CSCI. The first chapter provides an overview of syringe drivers and CSCIs, including a useful array of frequently asked questions. The second chapter provides information about the chemistry of drug incompatibility and degradation. The third chapter comprises revised and referenced information relating to most drugs likely to be administered by CSCI using a syringe driver. The fourth chapter discusses the control of specific symptoms that are often encountered when CSCIs are required. The fifth and final chapter contains an extensive, referenced list of compatibility and stability data relating to drug combinations administered by CSCI.

Disordered breathing patterns may be a symptom or a cause of frequently undiagnosed health problems. A significant proportion of the population worldwide suffers from breathing pattern disorders, particularly in the more developed countries. Accordingly, a wide range of practitioners encounter these problems, often without having received any prior training in their causation or management. This book is intended to help practitioners understand the causes and effects of disordered breathing and to provide strategies and protocols to help restore normal function. Fully updated throughout, this volume has been completely revised to guide the practitioner in the recognition of breathing pattern disorders and presents the latest research findings relating to the condition including a range of completely new techniques - many from an international multidisciplinary perspective - to help restore and maintain normal functionality. The volume also provides an overview of the underlying anatomy, physiology and basic biochemistry associated with breathing. Chapters then examine the psychological and emotional variables associated with disordered breathing together with assessment protocols taken from a variety of perspectives - including Dynamic Neuromuscular Stabilization methods, osteopathic, physiotherapeutic, and psychological methods. Comprehensively covering a range of interventions suitable for use in a variety of settings - including the use of techniques in patients with longstanding pain disorders - the book concludes with chapters on speech and singing, breathing disorders in the athlete, and looks at the importance of breathing techniques in relation to Feldenkrais (R), Pilates, Tai chi Qigong and yoga. "This is not a perfect all-encompassing textbook.That was not its purpose. As a catalyst for stimulating further exploration and for use as a reference in clinical work of wide-ranging paradigms it succeeds admirably." Reviewed by: David Propert, British School of Osteopathy, UK, International Journal of Osteopathic Medicine Date: Aug 2014 Carefully prepared by a global team of renowned experts under the guidance of Leon Chaitow Focuses on practical, validated, and clinically relevant information Abundant use of pull-out boxes, line artwork, photographs and tables facilitates ease of understanding Contains clinical cases to ensure full comprehension of the topics explored Suitable for physiotherapists, manual therapists, physical therapists, osteopaths, osteopathic physicians and chiropractors, massage therapists, Pilates and yoga teachers & therapists, Tai chi and Feldenkrais practitioners, athletic coaches and voice-coaches Video clips on an associated website presents practical examples of the breathing techniques discussed in the book Includes the latest protocols on breathing rehabilitation Includes specialist chapters on breathing dysfunction associated with pain syndromes such as pain of pelvic origin and other unexplained medical conditions Discusses the use of capnography in assessment and rehabilitation Includes discussion of Vojta/Dynamic Neuromuscular Stabilization Therapy

Nursing-focused and easy-to-read, this manual delivers all of the information you need to understand how tests work, interpret their results, and provide quality patient care - pre-test, intra-test, and post-test. Tests and procedures are listed in alphabetical order by their complete names for quick reference. The integrated index allows fast searches by abbreviation, synonym, disease/disorder, specimen type, or test classification. Plus, a Body Systems Appendix includes a list of common laboratory and diagnostic tests for each body system as well as nutrition-related lab tests. "Potential Nursing Problems" tables within many studies that present problems, signs and symptoms, and interventions related to the study. 'Common Use' for each monograph to provide an at-a-glance description of what the test is for, presented in everyday language that patients will understand. Monographs that focus on what you need to do before, during, and after each laboratory and diagnostic test, including patient teaching, detailed coverage of patient safety, "Sensitivity to Social and Cultural Issues" and "Nutritional Considerations," where appropriate. Diagnostic imaging monographs with explanations of the reasons for the test result. Pathophysiology information that explains why a lab test result is increased or decreased. Reference Ranges that are expressed in both conventional and SI units (with the SI unit conversion factor) and include age- and gender-specific variations when indicated and normal variations due to cultural considerations. Interfering Factors, including food, natural products, timing of test, handling of specimen, underlying patient conditions, and drugs that may interfere with the results of the test. Unique coverage of laboratory and diagnostic tests for subspecialties, such as maternity, therapeutic drug monitoring, nutrition and sensory. Cross referencing of related lab and diagnostic tests in every monograph. "Body System" appendix that includes therapeutic drug monitoring and toxicology as well as nutrition-related lab tests. Instructor resources: Ebook, testing resources, classroom & lecture planning resources, previous edition resources. Includes testbanks, PowerPoint slides, instructor guide Student resources: Appendices, Lab Find look-up info

A unique question-and-answer book for surgical residents and trainees that covers all surgical aspects of critical care and acute or emergency medicine This is a comprehensive, one-of-a-kind question-and-answer text for medical professionals and apprentices concentrating on the growing subspecialty of surgery in critical care and emergency surgery. Covering all surgical aspects of critical care and acute or emergency surgery, it is an ideal learning and review text for surgical residents and trainees who care for these patients and those taking the Surgical Critical Care Board Examination. Edited by highly experienced professionals, and written in an engaging style, Surgical Critical Care and Emergency Surgery: Clinical Questions and Answers focuses exclusively on the unique problems and complexity of illnesses of the critically ill and injured surgical patient, and covers the specialist daily care such patients require. It reflects the latest advances in medical knowledge and technology, and includes fully revised and updated questions throughout, with additional topics addressed in a new companion website. Unique question-and-answer book on the growing specialty of critical care and acute surgery Ideal for US boards candidates Covers trauma and burns as well as critical care 8 page full-color insert showing high quality surgical photos to aid study Supplementary website including additional questions Surgical Critical Care and Emergency Surgery, Second Edition is an excellent resource for medical students, residents, fellows, and surgeons, as well as those in non-surgical specialties.

Know the how and why of common conditions-and assess them accurately-with the newly updated Pathophysiology Made Incredibly Visual, 3rd Edition . Fully illustrated in the popular Made Incredibly Visual style, this essential guide offers easy-to-follow explanations for the causes and mechanisms of numerous common disorders, listing symptoms and indications for each. Use this as the perfect study guide for the NCLEX (R) or certification exam, to support class materials, and to absorb the pathophysiology principles every nurse needs to know. Absorb the expert wisdom and insights of this invaluable guide . . . Walks you through the development stages of numerous diseases and disorders , illustrating their cellular process, symptoms, and effects on tissue and organs Explains cell parts and their functions , as well as cell division, adaptation, injury, and stress and disease Hundreds of photos, illustrations, and diagrams explaining key concepts and providing clear direction on how to recognize common conditions Supports accurate diagnosis and treatment - Common disorders for each major body system, such as: Cardiovascular - Acute coronary syndromes, aortic aneurysms, cardiomyopathy Respiratory - ARDS, asthma, chronic bronchitis, lung cancer Neurologic - Alzheimer's, cerebral aneurysm, migraine headaches Gastrointestinal - Cholecystitis, cirrhosis, Crohn's disease Musculoskeletal - Carpal tunnel syndrome, herniated disk, osteoarthritis Hematologic - Anemia, leukemia, sickle cell disease Immune - AIDS, allergic rhinitis, rheumatoid arthritis Endocrine - Adrenal hypofunction, diabetes mellitus, metabolic syndrome Renal - Acute renal failure, acute tubular necrosis, pyelonephritis Integumentary - Acne, burns, pressure ulcers Reproductive - Breast, cervical, ovarian, and prostate cancer Special chapter features: Vision Quest - End-of-chapter quizzes in the form of puzzles, riddles, and multiple-choice questions, to help you retain vital information Risky business - Risk factors to be aware of while treating each condition How it happens - The physiological process that creates a particular condition What to look for - A list of symptoms for each condition Age-old story - Discusses how a condition develops and presents, according to the patient's age Memory board - Visual tricks that help you remember vital concepts and key treatments

Written by emergency nurses for emergency nurses, this comprehensive, evidence-based resource covers the issues and procedures that are often unique to the emergency department. New developments and changes in clinical practice are incorporated throughout. The user-friendly format features more than 350 high-quality illustrations and 150 tables that highlight essential concepts and offer quick access to vital information. Key coverage includes clinical fundamentals, treatment for trauma and medical-surgical emergencies, the foundations of emergency nursing practice, and special populations. 58 contributors offer valuable insights from a broad range of clinical positions in rural, suburban, and urban areas. High-quality radiographs and other diagnostic images help you learn to identify common conditions - especially head trauma, fractures, and dislocations. Logically organized, chapters are grouped into six sections for quick access to important content: Foundations of Emergency Nursing, Professional Practice, Clinical Foundations of Emergency Nursing, Major Trauma Emergencies, Medical and Surgical Emergencies, and Special Patient Populations. Tables and boxes highlight and summarize critical information for at-a-glance reference. A separate unit on special patient populations covers topics such as child abuse, elder abuse, intimate partner violence, sexual assault, substance abuse and behavioral/pediatric/obstetrical emergencies. Priority nursing diagnoses are highlighted in a quick-reference appendix to help you focus on the most serious problems. Five new chapters bring you the most reliable, up-to-date information on these key topics: Management of the Critical Care Patient in the Emergency Department Family Presence During Resuscitation Forensic Nursing Nuclear, Biological, and Chemical Agents of Mass Destruction Influenza: Seasonal, Avian, and Pandemic Expanded coverage of shock and sepsis provides essential information on pathophysiology and diagnosis, with valuable guidelines for managing these patients. A detailed discussion of various types of triage systems and triage acuity ratings examines valid and reliable methods for differentiating between patients who require immediate treatment and those who can wait. Additional coverage of behavioral health emergencies includes new information on agitation, substance abuse, and suicide prevention.

To deliver safe and effective patient care student nurses need to find, critique, and use evidence in every day nursing decisions and academic work, Consequently they need a new textbook that goes further than simply explaining research methods. Nursing Evidence based practice has been developed as a one stop shop for research theory and evidence based practice skills for all aspects of the pre-registration nursing course - in both the classroom and on clinical placement.
Taking a logical approach, the authors introduce the role of evidence based practice in nursing before explaining how research is produced and how students can find, read and critique it in order to make informed care decisions. Theory is applied to both academic and clinical work so readers can easily see how to weigh up the evidence before applying it to a nursing decision. Useful for the entire undergraduate course, the content is mapped against the skills required of registered nurses and includes practical advice for completing final year academic assignments.
Written in an easy to read, student friendly manner the authors have brought together trustworthy and reliable advice in a way that's easy to dip into any time you need it- from writing an assignment, devising a nursing plan, documenting your placement learning outcomes, or finding advice on disseminating evidence for practice. This book has been truly designed to help student nurses become evidence based practitioners and to develop their nursing practice.
Online Resource Centre
The Online Resource Centre to accompany Nursing Evidence based practice features:
DT Practical tools such as checklists and notes will help students to really put the theory into practice
DT Web links to authoritative sources of research will quickly direct students to the best evidence
DT Hyperlinked bibliographies mean readers can easily access the referenced articles in the book
DT Audio interviews will put the subject in to context
DT Our interactive glossary will help newcomers to the subject to understand the language of research

Infection Prevention and Control at a Glance is the perfect companion for study and revision for pre-registration nursing and healthcare students, as well as qualified nurses and medical students. Infection prevention and control is one of the key five essential skills clusters that is incorporated into all pre-registration nursing programmes. This highly visual and dynamic book is a thorough resource for nurses wanting to consolidate and expand their knowledge of this important part of nursing. Written by experienced infection prevention and control specialist nurses, it provides a concise and simple approach to a vast and complex subject, and equips the reader with key information in relation to various aspects of infection prevention and control practice. * Provides a snap-shot of the application of infection prevention and control in practice and the key infections affecting patients in both acute and primary care * A uniquely visual and accessible overview of a topic of relevance to all nursing staff * Includes key points for clinical practice, patient management, and signposting of key national guidance documents and websites * Available in a wide-range of digital formats - perfect for 'on the go' study and revision

A practical introduction to the use of the arts in dementia care. Based on experience, the book provides clear guidance on how to employ a variety of innovative techniques including art, music and dance therapies, to promote the physical, psychological, emotional, social and spiritual well-being of people with dementia.

"Clinical Case Studies for the Family Nurse Practitioner" is a key resource for advanced practice nurses and graduate students seeking to test their skills in assessing, diagnosing, and managing cases in family and primary care. Composed of more than 70 cases ranging from common to unique, the book compiles years of experience from experts in the field. It is organized chronologically, presenting cases from neonatal to geriatric care in a standard approach built on the SOAP format. This includes differential diagnosis and a series of critical thinking questions ideal for self-assessment or classroom use.

"Medication Management in Care of Older People" is an accessible introduction to medication management and its role in the management of older people and their medicines. It addresses key issues in medication management, evaluates professional roles and clinical practice initiatives and explores healthcare policy and prescribing initiatives.

This text explores the biology and neurobiology of ageing, pathological conditions such as Parkinson's and Alzheimer's disease, medication errors, issues of concordance, long term conditions and the older person, the principles of applied pharmacology and its relationship to older people. "Medication Management in Care of Older People" will be of interest to health care professionals who either have an interest in medication management and older people, or who are qualified independent or supplementary prescribers, and will enable them to comprehend the principles of applied pharmacology and medication management to enable them to use this knowledge in their daily practice.Illustrates the current issues, concerns and approaches used to manage older people and their medicines. Builds on pertinent current policy and research initiatives including the NSF for Older People and 'Building a Safer NHS for Patients: the role of medication safety' Each chapter features case studies, learning outcomes and implications for practice

"I found this book to be interesting and highly relevant to OT practice. I would recommend this book as a learning resource to inform, review and support clinical therapy practice. Occupational Therapists could well appreciate many of the contributory factors relating to medication problems with Older People, using this resource could raise own standards, but also assist with reducing the negative impacts of medication issues on older people." - "Sarah Montgomery, A&E Occupational Therapist and Communications Officer, (COT Specialist Section Older People), London, UK"

The Cleveland Clinic Center for Human Nutrition developed the Nutrition-Focused Physical Exam (NFPE) to assist bedside clinicians in the nutrition assessment of their patients and to help discern the presence and degree of malnutrition. The Academy-ASPEN Consensus Statement and Characteristics for Identification of Malnutrition has been a catalyst to realizing the importance of incorporating a nutrition-focused physical exam (NFPE) as part of a comprehensive nutrition assessment and to standardize the approach in assessing the nutritional status of patients. Most healthcare disciplines perform a physical exam of their patients, and a NFPE should be part of the nutrition clinician's skill set. This handbook discusses the components of the NFPE and includes pictorial representations of various stages of muscle and fat depletion (normal-mild-moderate-severe), vitamin and mineral losses, and fluid balance. Techniques and tips that can be used in daily practice when examining patients, as well as charts and references, are provided. Clinical characteristics are discussed, along with the influence of inflammation and functional status. This guide is intended to help the clinician develop their NFPE skills. The spiral-bound cover allows the handbook to lay flat for easy referral and assessment charts include side-by-side coloir illustrations. Chapters include: Preparation for the physical exam. Inflammation. Physical exam of subcutaneous muscle and fat stores. Assessment of fluid status (accumulation; dehydration). Examination of functional. Status and assessment of micronutrient status. The appendix includes a check-list for conducing an NFPE.

This book discusses the impact on women of the diagnosis and treatment of early breast cancer. Readers will learn about the risks of breast cancer recurrence and interventions to reduce these, such as endocrine therapy and bisphosphonate therapy, as well as the role of lifestyle factors such as diet and exercise. The long-term effects of treatment on fertility, the heart and other systems are discussed, as well the psychological burden for women who are increasingly likely to be cured from their cancer. Each chapter provides background and a practical guide in the management of women after the initial phase of diagnosis and treatment. Authored by a multidisciplinary team this book provides all the relevant expertise as well as different perspectives, providing a holistic picture of early breast cancer consequences. From oncologists to general practitioners as well as specialist nurses, gynaecologists, psychologists and other healthcare professionals involved in the long-term care of women with breast cancer, this book provides a timely and indispensable guide to practitioners caring for early breast cancer survivors.

This book invites clinicians to take a fresh look at the routine physical examination by outlining in detail how they can adapt a more efficient, regional approach to the exam activity. By adopting the systematic sequence and focus provided in this novel title, clinicians can offer a more modern physical examination, one that may prove more productive than the methods taught in the pre-imaging era. The Physical Exam: An Innovative Approach in the Age of Imaging offers a unique, step-by-step sequence for the physical exam. The text guides the clinician through a series of steps that involve observing, touching and listening - in an organized sequence, region by region - of all organ systems. The general approach is applicable to every physical examination and can be modified when appropriate. Express pathways are provided so that the clinicians can quickly assess the general health of the patient while focusing on the presenting problem. A major contribution to the diagnostic literature, the book offers a format and level of complexity that will be of significant value to internal medicine and family physicians, emergency professionals, nurse practitioners, physician's assistants, and medical students.