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Books > Medicine > Other branches of medicine > Accident & emergency medicine > Trauma & shock
Every life-changing experience, be it the loss of a function, a job or a friendship, or the death of a loved one, can be excruciating. Illness can forever alter our life and our abilities. And what makes it even more challenging is that many other people might fail to understand how challenging our adjustment to "normalcy" might be. Because there is no "normal" in these experiences. How can there be? When people hear the word acceptance, they might assume that it means being OK with what happened in the past or with how things currently are. In fact, there is a difference between acceptance and "feeling good" about what happened - acceptance means allowing yourself to feel whatever emotions naturally come up in response to what you are going through. It means acknowledging the reality of the pain, even though in an ideal world, it shouldn't be that way. This therapeutic and comforting self-help guide will help you: * Give yourself the permission to grieve or process events in the way that makes sense to you * To fully experience and accept your feelings of anger, grief, frustration or anxiety * To own your truth, even if it makes others uncomfortable This essential book will teach you to understand and be able to accept the difficult moments and circumstances in your life and make room for how you feel about them. And with this kind of an acceptance, there can be healing.
This volume provides a timely collection of the most germane studies and commentaries on the complex links between recent changes in national economies, welfare regimes, social inequalities, and population health. Drs. Vicente Navarro and Carles Muntaner have selected 24 representative articles, organized around six themes, from the widely read pages of the International Journal of Health Services (2006-2013) - articles that not only challenge conventional approaches to population health but offer new insights and robust results that critically advance public health scholarship. Part I applies a social-conflict perspective to better understand how political forces, processes, and institutions precede and give rise to social inequalities, economic instability, and population health. The need to politicize dominant (neoliberal) ideologies is emphasized, given its explanatory power to elucidate unequal power relations. The next four parts focus on the health impacts of growing inequalities and economic decline on government services and transfers (Part II); labor markets and employment conditions (Part III); welfare states and regimes (Part IV); and social class relations (Part V). Part VI advocates for a more politically engaged approach to population health and presents alternative solutions to achieving egalitarian outcomes, which, in turn, improve health and reduce health inequalities. Taken together, the works in this volume reflect IJHS 's collective commitment to publishing high-impact studies, inspiring fruitful debates, and advancing the discipline in new and essential ways. Emerging and established researchers as well as students and professionals committed to health equity matters will benefit from this book's astute contributions.
Nurses must deliver up-to-date, clinically effective, evidence-based care across a range of settings and develop nursing services to meet changing demands. The revised and expanded Oxford Handbook of Trauma and Orthopaedic Nursing 2nd edition is tailored to provide the essential knowledge nurses need; at their fingertips when they need it. This handbook will guide the reader systematically through the care of patients with a wide range of musculoskeletal problems. Each chapter contains the up to date evidence-based guidelines covering a continuum from birth to death, covering everything from emergency care, rehabilitation, discharge, and end of life care. It now includes new topics such as pharmacological alternatives to blood transfusion, disability and enabling environments, hip articulations, and health promotion. Providing key summaries of common problems and essential issues, it will provide both an invaluable reference for trauma and orthopaedic nurses, as well as a precise, targeted guide for nurses from other specialties caring for patients with musculoskeletal problems.
This book provides a comprehensive insight into the multilayered effects experienced by directly affected victims and their indirectly affected family members following terrorist incidents and other world disasters. Chapters draw primarily on interviews with fifty victims of the Bali bombings, but also consider terrorist incidents including the London and Boston bombings, and disasters such as the Boxing Day tsunami and the Fukusima nuclear disaster. The book provides a detailed exploration of experiences and perceptions of those involved in the traumatic events, as well as their families, emergency response teams and community volunteers. Chapters discuss community responses to major incidents, appropriate non-medical models of intervention and vulnerable groups that may require special attention. The findings and analysis presented contribute to our understanding of the multilayered effects of terrorism on victims of all levels, and the importance of a planned and informed response, which includes the local community and its wealth of pre-existing resources. Terrorism, Trauma and Psychology: A multilevel victim perspective of the Bali bombing will be key reading for researchers and academics in the fields of social and clinical psychology, as well as scholars of victimology and terrorism studies.
A Counselor's Introduction to Neuroscience is a guidebook to neurobiology that is customized for counselors' unique goals and requirements. Drawing on years of experience, not only in the lab, but in the counselor's chair, the authors unravel the complexities of neuroscience and present an easily understood volume that is an essential companion for any counselor who wishes to expand his or her understanding of the human brain, how it works, and how it creates our identities.
A Counselor's Introduction to Neuroscience is a guidebook to neurobiology that is customized for counselors' unique goals and requirements. Drawing on years of experience, not only in the lab, but in the counselor's chair, the authors unravel the complexities of neuroscience and present an easily understood volume that is an essential companion for any counselor who wishes to expand his or her understanding of the human brain, how it works, and how it creates our identities.
Restore your faith in love and family with one Army wife's courageous story of how she helped her husband recuperate from losing both of his legs while serving in Afghanistan.Paige received the phone call that every military wife prays will never come. Her husband, Army Sergeant Josh Wetzel, stepped on an improvised explosive device while patrolling in Afghanistan. The blast resulted in the immediate loss of his legs. His survival was uncertain, and in the days to come, this traumatic incident began an unbelievable journey of faith for them as a couple.Paige's vulnerability as she struggles physically, emotionally, and spiritually, will remind you of the power of commitment and love in the face of adversity. You will discover the bravery and grit of a woman who stood behind the battle lines but faced a battle of her own to save her marriage and her family. As a military wife, Paige had to come to terms with the priorities of the military: God, Country, and then Family.
Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.
Academic interest in hysteria has burgeoned in recent decades. The topic has been probed by feminist theorists, cultural studies specialists, literary scholars, anthropologists, sociologists, psychologists, medical and art historians, as well as novelists. The hysteric is construed as a powerless, voiceless subject, marginalised by the forces of the patriarchy that have been the root cause of their distress, dissembling, and disablement. In Performing Nerves, Anna Furse interweaves her artistic and academic practice, drawing on her own performance texts to explore four different versions of debilitating hysteric suffering. Each text is extensively annotated, revealing the dramaturgical logic and, in turn, the historical, medical, and cultural contexts behind their protagonists' illnesses, which are argued as environmentally caused in each case. This unique, reflective insight into a playwright and director's craft offers not only an account of how mental suffering can manifest in different contexts and times, from the 19th century to today, but also a breadth of access to the ideas that can motivate creative research. This book is an invaluable resource for scholars of theatre studies, performance studies, dramaturgy, 20th-century history, gender studies, and medical humanities.
Paralysis. Stuttering. The 'shakes'. Inability to stand or walk. Temporary blindness or deafness. When strange symptoms like these began appearing in men at Casualty Clearing Stations in 1915, a debate began in army and medical circles as to what it was, what had caused it and what could be done to cure it. But the numbers were never large. Then in July 1916 with the start of the Somme battle the incidence of shell shock rocketed. The high command of the British army began to panic. An increasingly large number of men seemed to have simply lost the will to fight. As entire battalions had to be withdrawn from the front, commanders and military doctors desperately tried to come up with explanations as to what was going wrong. 'Shell shock' - what we would now refer to as battle trauma - was sweeping the Western Front. By the beginning of August 1916, nearly 200,000 British soldiers had been killed or wounded during the first month of fighting along the Somme. Another 300,000 would be lost before the battle was over. But the army always said it could not calculate the exact number of those suffering from shell shock. Re-assessing the official casualty figures, Taylor Downing for the first time comes up with an accurate estimate of the total numbers who were taken out of action by psychological wounds. It is a shocking figure. Taylor Downing's revelatory new book follows units and individuals from signing up to the Pals Battalions of 1914, through to the horrors of their experiences on the Somme which led to the shell shock that, unrelated to weakness or cowardice, left the men unable to continue fighting. He shines a light on the official - and brutal - response to the epidemic, even against those officers and doctors who looked on it sympathetically. It was, they believed, a form of hysteria. It was contagious. And it had to be stopped. Breakdown brings an entirely new perspective to bear on one of the iconic battles of the First World War.
This inspiring text offers a collection of case studies from expert clinical social workers who work closely with survivors of LGBTQ-related sexual trauma. The book covers a wide range of topics, such as gender and sexual minority asylum seekers, the embodiment of queer identity, the role of religion, regionality in the LGBTQ experience, and effective use of gay affirmative therapy. Each chapter is framed by key questions that encourage students and mental health practitioners to "think through" the specific needs and challenges of LGBTQ individuals who have experienced sexual trauma. Additional resources include an example of effective supervision and an example of a case conceptualization. Drawing on the importance of narrative social work and the record of experience it provides, The Social Work and LGBTQ Sexual Trauma Casebook is an essential text for students and clinical social workers working with LGBTQ survivors of sexual trauma.
Today we are accustomed to psychiatrists being summoned to scenes of terrorist attacks, natural disasters, war, and other tragic events to care for the psychic trauma of victims--yet it has not always been so. The very idea of psychic trauma came into being only at the end of the nineteenth century and for a long time was treated with suspicion. "The Empire of Trauma" tells the story of how the traumatic victim became culturally and politically respectable, and how trauma itself became an unassailable moral category. Basing their analysis on a wide-ranging ethnography, Didier Fassin and Richard Rechtman examine the politics of reparation, testimony, and proof made possible by the recognition of trauma. They study the application of psychiatric victimology to victims of the 1995 terrorist bombings in Paris and the 2001 industrial disaster in Toulouse; the involvement of humanitarian psychiatry with both Palestinians and Israelis during the second Intifada; and the application of the psychotraumatology of exile to asylum seekers victimized by persecution and torture. Revealing how trauma has come to authenticate the suffering of victims, "The Empire of Trauma" provides critical perspective on some of the moral and political issues at stake in the contemporary world.
How can we help heal children who have been abused or neglected? Healing Child Trauma Through Restorative Parenting details how children can be helped to recover with the use of Restorative Parenting, an innovative model informed by psychological and neurological understanding of trauma and its effects. It explains the critical role that people, relationships and the environment play in a child's recovery. It shows what constitutes a therapeutic environment, whereby a child experiences therapy not as one-to-one sessions but as a lived experience. The authors show how other components of the model - building therapeutic relationships, promoting positive education and encouraging clinically informed life style choices - are intimately linked, each critical to the re-parenting which the child undergoes. This book will be welcomed by professionals working with children, including those in residential, health and foster care, psychology, education and health, as well as those commissioning services. The models, concepts and practices are transferable to public, private and charitable agencies.
Since early 2020, the already considerable stresses of working in health or social care have been greater than at any point in recent history. If you work in one of these fields, you may well be experiencing symptoms of trauma, burnout or compassion fatigue and wondering how you might move forward when you are balanced on the edge. This book is a 2-part guide to managing the symptoms of post-traumatic stress disorder (PTSD) if you are a health or social care professional. It takes a practical but holistic approach, with the intention of helping you develop a sense of self-awareness, a clear idea of your values and - critically - a strong support network. You will learn effective techniques for self-care, through practices like mindfulness and meditation; you will also come to understand more about the symptoms of trauma, moral injury and burnout - with insights on practising defensively and clear guidance for what the different treatments for PTSD are, and how to seek professional help. Small enough to keep to hand in a locker or desk drawer, and designed to be read in short pauses in breaks or at the end of a long shift, without being complicated or taxing, this accessible introduction throws a life raft to any medical or social care professional overwhelmed by a challenging and stressful working environment.
This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. "For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment. Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield. Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad. She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery. This is a must-read book for those in training and senior clinicians alike." --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology "Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD." --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain
Trauma, be it as a result of road traffic accident, domestic incident, deliberate violent act, or war, is a leading contributor to the global burden of disease, is a major issue for public health generally, and has significant impact on the economics of healthcare provision. This book provides a unique and comprehensive overview of the field, covering a wide range of non-orthopaedic trauma, as well as the more prevalent musculoskeletal injuries. After an introductory section defining the scale of the problem, the book describes the initial management and stabilization of the patient. There then follow substantial chapters on injuries to each of the major body systems and to the musculoskeletal structure. Other physical injuries, such as electrical shock and bites, are covered, before a look at trauma in special groups, including children, the elderly and in pregnant women. The final sections cover specific problems such as dealing with HIV, psychiatric trauma and sexual assault, before a chapter on rehabilitation. The book concludes with a resource section including a drugs formulary specifically for trauma and an online directory of related websites. This is an all-encompassing textbook providing a uniquely comprehensive and international resource for members of the trauma and accident and emergency teams.
The book fills a void by bringing together literature in an under-represented but disaster-prone region - Southeast Asia. It discusses the cultural considerations of those providing mental health and psychosocial support in the region. It highlights the role of education in reducing disaster vulnerability. It presents ways in which workplace organization have sought to enhance employee and organizational resilience in the face of disasters. It discusses how the disaster planning process, including prevention, mitigation, and preparedness efforts, can be integrated with mental health efforts. It features how mental health interventions including psychological first aid, resilience interventions, mindfulness, and art therapy have been carried out. It also discusses the issues of those caring for survivors and describes MHPSS interventions for disaster responders themselves. The book also addresses post-traumatic growth as an outcomes of disaster exposure, concluding by summarizing the challenges and prospects for promoting resistance, resilience, and recovery in SEA.
Military psychology has become one of the world's fastest-growing disciplines with ever-emerging new applications of research and development. The Routledge International Handbook of Military Psychology and Mental Health is a compendium of chapters by internationally renowned scholars in the field, bringing forth the state of the art in the theory, practice and future prospects of military psychology. This uniquely interdisciplinary volume deliberates upon the current issues and applications of military psychology not only within the military organization and the discipline of psychology, but also in the larger context of its role of building a better world. Split into three parts dedicated to specific themes, the first part of the book, "Military Psychology: The Roots and the Journey," provides an overview of the evolution of the discipline over the years, delving into concepts as varied as culture and cognition in the military, a perspective on the role of military psychology in future warfare and ethical issues. The second part, "Soldiering: Deployment and Beyond," considers the complexities involved in soldiering in view of the changing nature of warfare, generating a focal discourse on various aspects of military leadership, soldier resilience and post-traumatic growth in the face of extreme situations, bravery and character strengths and transitioning to civilian life. In the final section, "Making a Choice: Mental Health Issues and Prospects in the Military," the contributors focus on the challenges and practices involved in maintaining the mental health of the soldier, covering issues ranging from stress, mental health and well-being, through to suicide risk and its prevention, intervention and management strategies, moral injury and post-traumatic stress disorder. Incorporating enlightening contributions of eminent scholars from around the world, the volume is a comprehensive repository of current perspectives and future directions in the domain of military psychology. It will prove a valuable resource for mental health practitioners, military leaders, policy-makers and academics and students across a range of disciplines.
This book is a unique compilation of essays about the genocidal persecution fuelling the Nazi regime in World War II. Written by world-renowned experts in the field, it confronts a vitally important and exceedingly difficult topic with sensitivity, courage, and wisdom, furthering our understanding of the Holocaust/Shoah psychoanalytically, historically, and through the arts. Authors from four continents offer their perspectives, clinical experiences, findings, and personal narratives on such subjects as resilience, remembrance, giving testimony, aging, and mourning. There is an emphasis on the intergenerational transmission of trauma of both the victims and the perpetrators, with chapters looking at the question of "evil", comparative studies, prevention, and the misuse of the Holocaust. Those chapters relating to therapy address the specific issues of the survivors, including the second and third generation, through psychoanalysis as well as other modalities, whilst the section on creativity and the arts looks at film, theater, poetry, opera, and writing. The aftermath of the Holocaust demanded that psychoanalysis re-examine the importance of psychic trauma; those who first studied this darkest chapter in human history successfully challenged the long-held assumption that psychical reality was essentially the only reality to be considered. As a result, contemporary thought about trauma, dissociation, self psychology, and relational psychology were greatly influenced by these pioneers, whose ideas have evolved since then. This long-awaited text is the definitive update and elaboration of their original contributions.
This book is for all those entering general surgical training. It explains the reasoning involved in recognizing and dealing with general surgical conditions and pays special attention to managing surgical emergencies and trauma patients. It is also intended to serve as a practical guide to safe and effective day-to-day surgical practice. The content is laid out logically so that a patient can be followed from a working diagnosis, through investigation and assessment, preparation for surgery, care in the operating theatre and afterwards, including the prevention and treatment of complications. Throughout, factors are identified which affect surgical outcome and which are important in surgical audit and quality control. It is not meant as a textbook of diagnosis, or an atlas of operative surgery; however, it does cover the principles of both, as well as details of the common operations trainees are likely to have to perform. Each chapter concludes with a few key references to classic papers, books and review articles. Philip Deakin, a medical artist and GP, has illustrated tha book throughout. Clive Quick and Paul Thomas are recent past members of the Court of Examiners for the Royal College of Surgeons of England and have planned the book to meet the requirements of the new syllabus for the higher general surgical qualification. Their team of contributing authors is made ip of senior trainees and recently appointed consultants who provide a clear and focused perspective, reflecting their recent experience or the training process.
Through a Trauma Lens aims to understand and highlight successful examples of health, mental health, substance abuse treatment, and other service delivery systems that have implemented an integrated trauma-informed service model. This innovative volume draws on the author's first-hand experience working alongside a number of local and state organizations as well as a nationwide survey of notable trauma-informed models. Structured around illustrative case studies, chapters that correspond to stage of adoption, and strategies for cultivating staff support, this valuable new resource include examples and strategies to be applied in any treatment or service setting.
Wound management forms the bulk of the work in Accident and Emergency practice. Although most of these wounds will appear minor and the treatment straightforward for many injuries, the consequences of improper assessment or management can be very serious. Disabling injury may be overlooked, and life threatening infections can follow inappropriate treatment. Accident and Emergency staff must be prepared to begin initial assessment and treatment while surgical help arrives. This new edition of The Management of Wounds and Burns provides practical and authoritative information on all aspects of wound and burn care, taking the reader from initial assessment to the treatment of specific injuries. The care and legal aspects of life-threatening wounds are covered, together with anaesthesia, surgical techniques of wound care, wound infection, and injuries to the hand, face, neck, chest, and abdomen. Throughout , the authors present their guidelines concisely and lucidly, with detailed advice on anatomy, medication, and treatment techniques, providing an invaluable guide for junior doctors and nurses in A & E. Reviews of the first edition: 'Any doctor, regardless of seniority or speciality, likely to be called on to treat a wound would do well to read this valuable book from cover to cover and to retain the wealth of practical information that it contains... the best insurance against patients suffering needless harm after sustaining a wound.' British Journal of Surgery (1993) 'There is good advice throughout the book... It is well suited to the target audience of junior doctors starting a job in A & E and to the nursing staff of an A & E department... Patients can only benefit.' British Journal of Hospital Medicine (1993) 'Each chapter has a clear and well structure layout... I think this book would provide a useful addition to any A & E library.' Accident and Emergency Nursing (1993) 'It covers just about every wound that one is likely to encounter... It will be of great help in the treatment room.' The Medical Journal of Australia (1993)
Traumatic stress arises in reaction to catastrophic life events. Such events can range from train disasters and car crashes to natural calamities such as earthquakes, wildfires and floods, and from life-threatening medical diagnoses to acts of violence and abuse. Post-Traumatic Stress Disorder (PTSD) is a common psychological condition resulting from such events and occurs when our coping resources have been completely overwhelmed. The intrusive hyper-reactions, recurring memories, flashbacks, avoidance behaviours and changes in the sense of self linger long past the actual event and often prevent a sense of healing or resolution with the experience. This self-help guide uses Cognitive Behavioural Therapy (CBT) strategies with a trauma focus to help you to manage your reactions to the traumatic experience and find new, effective ways of coping. You will learn: - To understand your reactions to traumatic events - Practical strategies for monitoring, managing and overcoming post-traumatic stress - Innovative therapeutic options and new mobile device supports
From pioneering therapist Cathy A. Malchiodi, this book synthesizes the breadth of research on trauma and the brain and presents an innovative framework for treating trauma through the expressive arts. The volume describes powerful ways to tap into deeply felt bodily and sensory experiences as a foundation for safely exploring emotions, memories, and personal narratives. Rich clinical examples illustrate the use of movement, sound, play, art, and drama with children and adults. Malchiodi's approach not only enables survivors to express experiences that defy verbalization, but also helps them to transform and integrate the trauma, regain a sense of aliveness, and imagine a new future. Purchasers get access to a companion website where they can download and print reproducible tools from the book in a convenient 8 1/2" x 11" size, as well as full-color versions of 26 figures. |
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