General practice / Family medicine Books
Springer Dermatology
Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. vii Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1 Viral infections.- 2 Fungal infections.- 3 Bacterial infections.- 4 Tropical infections.- 5 Parasitic infestations.- 6 Eczema.- 7 Psoriasis.- 8 Lichen planus.- 9 Pityriasis rosea.- 10 Acne.- 11 Rosacea.- 12 Urticaria.- 13 Erythema multiforme.- 14 Benign neoplasms.- 15 Skin malignancy.- 16 Disorders of pigmentation.- 17 Bullous disorders.- 18 Hair problems.- 19 Photosensitivity.- 20 Ichthyosis.- 21 Drug eruptions.- 22 Pruritus.- 23 Cutaneous manifestations of metabolic disease.- 24 Erythema nodosum.- 25 Cutaneous vasculitis.- 26 Purpura.- 27 Lupus erythematosus, scleroderma, dermatomyositis.- 28 Hyperhidrosis.- 29 Topical steroids.
£40.49
Springer Endocrinology
Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was con cerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symp toms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the community and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and relatively untried methods compared with those that are 'old' and well proven. vii Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1. Introduction.- 2. The Pancreas.- 3. Thyroid Disease.- 4. The Parathyroid Gland and Calcium Metabolism.- 5. Endocrine Diseases of the Ovary and Breast.- 6. The Testis.- 7. Disorders of the Pituitary.- 8. Disorders of the Adrenal Gland.
£40.49
Springer Medicine in Three Societies: A comparison of medical care in the USSR, USA and UK
Book SynopsisThis book is a personal testimony of faith in the future and in the progression to better health and a better life. It is the testament of a rough and ready measuring device - a practising physician who sought to compare and contrast three systems of medical care to see what can be distilled from them to help us all in achieving better services for medical care. Medical care as a human and civic right is the con cern of us all. Seeking to live longer and in good health we depend on medical, social and welfare services to attain this goal. Yet it is quite obvious that there are limits and dilemmas that prevent anything but an unsatisfactory compromise. The resources that are available cannot meet all the calls. How then can we make the best use of the resources that we have? This must be the theme for this book. What can we learn from each other for the com mon good? Since we all are facing the same common prob lems, how do we go about resolving them? For example, how do the medical care services in the USSR, USA and UK cope with an acute heart attack, with a middle-aged woman with depression, with a brain-damaged child, with a road accident or with a case of measles? These are the common human factors involved.Table of Contents1 Medical care — common goals and common problems.- 2 National characteristics.- 3 Structure and patterns of medical services.- 4 First contact care.- 5 Specialist Ambulatory care.- 6 Hospitals.- 7 Preventive aspects of medical care.- 8 Public health and social services.- 9 Maternity and child care.- 10 Mental health care.- 11 The greater medical profession — medical manpower.- 12 Education and training.- 13 The present dilemmas of medical care.
£40.49
Springer The MRCGP Examination: A comprehensive guide to preparation and passing
Book SynopsisJOHN JOHN FRY FRY All All examinations examinations create create problems problems and and stresses stresses in in examinees. examinees. The The examination examination for for the the Membership Membership of of the the Royal Royal College College of of General General Practitioners Practitioners is is no no exception. exception. Although Although the the examiners examiners state state that that their their objectives objectives are are to to pass pass candidates candidates wherever wherever and and whenever whenever possible, possible, nevertheless nevertheless the the failure failure rate rate remains remains con sistently sistently at at 30% 30% plus plus of of those those taking taking the the examination. examination. The The reasons reasons for for failure failure fall fall into into a a number number of of groups. groups. The The candidate candidate may, may, through through over-confidence, over-confidence, not not have have prepared prepared for for the the examination. examination. He He may may have have assumed assumed that that it it is is not not necessary necessary to to read, read, learn learn and and digest digest data, data, facts facts and and experience experience on on general general practice. practice. How How wrong wrong that that is, is, he he will will discover discover when when he he sits sits the the exam. exam.Table of Contents1 The MRCGP examination.- 2 The modified essay question paper or MEQ.- 3 The traditional essay question paper or TEQ.- 4 The multiple-choice question paper or MCQ.- 5 The oral examination and log diary.- 6 The problem-solving oral.- 7 Vital statistics.- 8 Sources of information.- 9 Work plan.- 10 Mock examination and answers: MEQ; TEQ; MCQ.
£40.49
Springer The Beecham Manual for Family Practice
Book SynopsisThis third edition of the Beecham Manual has its origins in a manual produced by Selwyn Carson for his general practice in Christchurch, New Zealand. He produced loose-leaf sets of instructions for his practice team and colleagues. Beecham Research Laboratories of New Zealand did a great service for the medical profession by publishing and distributing Dr Carson's manual there. The British version of the Beecham Manual had different objectives. The vocational training programme needed basic resources and the British Manual was created as an easy to read reference book on common prob lems and methods in general practice. The first and second editions met with enthusiastic approval from princi pals, trainers and trainees. This third edition follows the same general format but has been completely revised and updated and includes many new additions. The five sections are: o planned care of definable population and other groups o principles of teaching and learning o emergencies and their management o psychiatry o clinical care of common conditions We have kept to simple, clear and brief presentations of our conjoint views based on our experiences in our own practices. We dedicate this third edition to our colleagues involved in caring, learning and teaching. They may not agree with us completely but we hope that we will make them consider our suggestions and use them for thought, debate and discussion. We hope also that it will be used as a work book for the whole practice team.Table of ContentsSection A Planned Care.- A1 Family Planning.- The Combined Pill.- Starting a Patient on the Pill.- The Morning After Pill.- The Progestogen only Pill.- Injectable Progestogen.- The Sheath ..- The Rhythm Method.- The Vaginal Diaphragm.- The IUCD or Coil.- Sterilization.- Termination of Pregnancy.- A2 Antenatal Care.- Initial Examination (8–12 weeks pregnant).- From 12–28 weeks.- From 30 weeks onwards.- Postnatal Examination (6 weeks after delivery).- A3 Child Care.- Routine Preventive Care in the first 14 years of life.- Developmental Surveillance.- At Birth.- Motor Responses in the few weeks after birth.- Motor Responses 4–6 weeks after birth.- 6 weeks.- Motor Responses: 8-14 weeks.- 7 months.- 18 months.- 2-2 1/2 years.- 4 1/2 years.- Notes on the Use of Percentile Charts.- A4 The Adolescent.- A5 Care of Adults.- Record Keeping.- Using Records to improve Patient Care.- Overseas Travel Advice.- A6 Care of the Elderly.- A7 Terminal Care.- A8 Care of Immigrants.- A9 Care of the Disabled.- Section B Teaching and Learning.- B1 Patient Education.- The Need.- Whose Job is it?.- How is it Done?.- Content.- Methods.- B2 Undergraduate Education.- B3 Vocational Training.- Vocational Training Regulations.- Group Activities for Trainee GPs.- The Trainee Year.- Criteria for Membership of the Royal College of General Practitioners.- The MRCGP Examination.- Continuing Education.- Section C Emergencies.- Emergencies.- Acute Abdomen.- Anaphylaxis.- Back Pain.- Bereavement.- Bleeding.- Blindness.- Breathlessness.- Chest Pain.- Group.- Death — sudden and unexpected.- Dental and Oral.- Diarrhoea and Vomiting.- Earache.- Falls.- Fits, Faints and Convulsions.- Headaches.- Non-accidental Injury.- Psychiatric.- Sexual Assault.- Sore Throat.- Stroke.- The Unconscious Patient.- Vascular.- Vertigo.- Section D Psychiatry in General Practice.- Psychiatry in General Practice.- Anxiety.- Depression (Affective Illness).- Organic Psychoses.- Section E Clinical Care.- E1 Cardiovascular.- Anaemia.- Cardiac Arrhythmias.- Chronic Cardiac Failure.- High Blood Pressure.- E2 Respiratory.- Chronic Bronchitis.- Hay Fever.- E3 Rheumatic.- Ankylosing Spondylitis.- Gout.- Osteoarthritis (Osteoarthrosis).- Polymyalgia Rheumatica.- Rheumatoid Arthritis.- E4 CNS.- Epilepsy.- Migraine.- Multiple Sclerosis.- Parkinsonism.- Stroke.- E5 Gastrointestinal.- Dyspepsia and Functional Disorders of the GI Tract.- Peptic Ulcers.- Irritable Bowel Syndrome (spastic colon, mucous colitis).- Gallbladder Disease.- E6 Endocrine.- Diabetes Mellitus.- Thyroid.- E7 Genitourinary.- Chronic Renal Failure.- Urinary Tract Infection.- E8 The Menopause.- E9 Non-illness.
£40.49
Springer Transcultural Medicine: Dealing with patients from different cultures
Book SynopsisWHY WE MUST PRACTISE TRANSCULTURAL MEDICINE Health professionals and GPs should concern themselves with ethnicity, religion and culture as much as with the age, sex and social class of their patients. Transcultural medicine is the knowledge of medical and communication encounters between a doctor or health worker of one ethnic group and a patient of another. It embraces the physical, psychological and social aspects of care as well as the scientific aspects of culture, religion and ethnicity without getting involved in the politics of segregation or integration. English general practitioners and health professionals tend to regard everyone as English, and to assume that all patients have similar needs. Would that it were as simple as that! For economic reasons - based on supply and demand - the mass migration of working populations from the new Commonwealth countries, along with their dependent relatives (including their parents) to Britain took place during one decade - the 1960s. Broadly speaking, the workers were in their thirties and forties, and their dependent parents were in their fifties and sixties. All these will, of course, be 30 years older in the 1990s.Table of ContentsI: General Aspects.- 1. Avoiding communication problems.- 2. Ethnic terminology and occupations.- 3. History-taking and the examination.- 4. Factors affecting diagnosis and how to avoid diagnostic traps.- 5. Psychiatric disorders among different ethnic groups.- 6. Diet-related diseases.- 7. Avoiding diagnostic traps related to customs.- 8. Diseases related to visits to country of origin.- 9. Therapy and multi-ethnic groups: factors affecting treatment.- 10. Alternative therapies and ethnic groups.- II: Special Considerations.- 11. Cultural conflicts in a mixed marriage.- 12. Disease patterns in mutli-ethnic groups in the UK.- 13. Hidden corners of ethnic medical history.- 14. Gaps and needs in ethnic care.- 15. Transcultural factors in the consultation: the three generations concept.- 16. Management of ethnic Asian patients in general practice.- 17. Obstetric problems in multi-ethnic women.- 18. Family planning and culture.- 19. Paediatric problems in various ethnic groups.- 20. Pharmacists’ understanding of cultural customs and dangers of multi-therapy.- 21. Midwife, health visitor and nurse: dealing with patients from different cultures.- 22. Cultural aspects of the MRCGP examination.- 23. Muslim patients and the British GP.- 24. Nutritional problems in ethnic groups.- 25. Skin problems encountered in multi-ethnic patients.- III: Selected Points.- 26. Multi-cultural medicine: a series in the British Medical Journal.- 27. Transcultural medicine: education and examination.- Appendix: Resources available.
£40.49
Springer Problems in Peripheral Vascular Disease
Book SynopsisIn writing this short monograph on 'Problems in Peripheral Vascular Disease', I have tried to steer a course between a simplistic dogmatic approach more appropriate to an under graduate text, and a detailed specialist treatise of interest only to vascular surgeons. Although arterial surgery has been performed for centuries, the main indications in the past were to deal with the effects of trauma and aneurysm formation. The development of arterio graphy and the ability to see arterial blocks and stenoses allowed surgeons to carry out increasingly sophistidated operations for an enlarging range of pathological conditions. Even today, arterial surgery continues to develop, and although we are often dealing with the 'surgery of ruins', a successful outcome is just as rewarding for surgeon and patient alike. In this book I have also included a discussion on venous problems including a note about recent developments in direct surgery of the deep veins of the lower limb which could be a re warding field of endeavour for the vascular surgeon. The original descriptions by Buerger and Raynaud are taken from 'Classic Descriptions of Disease' by Ralph H. Major. While reviewing my own surgical practice, I have had the pleasure of reading once again the publications of H.H.G. Eastcott (arterial surgery), J.T. Hobbs (varicose veins), G.L. Hill (Buerger's disease), Adrian Marston (intestinal ischaemia), Martin Bimstingl (vasospastic disorders) and C.H. Hawkes (lumbar canal stenosis).Table of Contents1 Arterial occlusive disease.- Presentation.- Examination and risk factors.- Investigations.- Vasoactive drugs.- Surgical treatment.- 2 The surgical treatment of intermittent claudication.- Assessment.- Aortoiliac disease.- Femoropopliteal reconstruction.- 3 The critically ischaemic limb.- Definition.- Clinical features.- Management.- Results.- 4 When should arteries be dilated?.- Percutaneous transluminal angioplasty.- Technique.- Indications.- 5 Acute ischaemia and arterial embolism.- Thrombosis.- Embolism.- Clinical features.- Management.- 6 Amputation in peripheral vascular disease.- Indications.- Technique.- Results.- Rehabilitation.- 7 What is Buerger’s disease?.- Clinical features.- Prognostic factors.- Management.- 8 Aneurysms.- Pathogenesis.- Aortic aneurysms.- Surgery of leaking aortic aneurysms.- Dissecting aortic aneurysms.- 9 What about sex, doctor?.- Physiology.- Vasculogenic impotence.- Prevention of impotence.- Surgical treatment of vasculogenic impotence.- 10 Vascular surgery of the intestinal tract.- Anatomy.- Pathology.- Chronic intestinal ischaemia.- Acute intestinal ischaemia.- 11 Raynaud’s what?.- Physiology.- Raynaud’s syndrome.- Raynaud’s disease.- Raynaud’s phenomenon.- Assessment and investi-ation.- Treatment.- 12 The diabetic foot.- Pathophysiology.- Clinical presentation.- Assessment.- Management.- 13 Lumbar canal stenosis.- Cauda equina syndrome.- Anatomy.- Clinical features.- Diagnosis.- Treatment.- 14 Varicose veins.- Anatomy.- Physiology.- Classification.- Assessment.- Management.- Recurrent varicose veins.- Superficial thrombophlebitis.- Restless leg syndrome.- 15 Compression sclerotherapy for varicose veins.- Patient selection.- Injection technique.- Complications.- 16 Venous thromboembolism.- Pathogenesis.- Prevention of deep vein thrombosis (DVT).- Clinical features of DVT.- Management of DVT.- Recurrent DVT.- Pulmonary embolism.- 17 The post-thrombotic syndrome.- Clinical features.- Venous outflow obstruction.- Venous reconstructive surgery.- 18 Leg ulcers.- Aetiology.- Clinical features.- Diagnosis.- Management.
£44.99
Springer Backache: its Evolution and Conservative Treatment: Its Evolution and Conservative Treatment
Table of Contents1 The Normal Back.- Section I The Vertebral Column.- 1 The locomotion of fish.- 2 The escape from the seas.- 3 The biomechanics of quadrupeds.- 4 From four legs to two.- 5 The uniqueness of man.- 6 The anatomy of posture.- Section II The Motion Segments.- 7 Building blocks.- 8 Spinal mobility.- 9 The role of the discs.- 10 Stability and strength.- 11 The biomechanics of backache.- 2 The Abnormal Back.- 12 Spinal stenosis.- 13 Prolapsed intervertebral disc.- 14 Osteoarthritis of the facet joints.- 15 Facet joint malfunction.- 16 Lesions of ligaments.- 17 Spondylolysis and spondylolisthesis.- 18 The sacroiliac joint.- 19 Muscle spasm.- 20 Muscle fatigue.- 3 Conservative Treatment of the Abnormal Back.- 21 Bed rest, psychoactive drugs and epidural injections.- 22 Analgesics, acupuncture and TENS.- 23 Posture correction and exercise.- 24 Spinal manipulation.- References and further reading.
£40.49
Springer Principles of Practice Management: In Primary Care
Book SynopsisOne of the few real and lasting benefits of international medical meetings is the opportunity to meet, talk, gossip and get to know colleagues from other countries. So it was that we met, talked and planned at WONCA (World Organization of National Colleges and Academies and Academic Associa tions of General Practitioners/Family Physicians) meetings at Montreux and New Orleans. We realized that although we worked in different places and in different practices 'primary health care' was essentially the same the world over. Our roles, our problems, our clinical content, our challenges and objectives were similar whether we work in Europe, North America, Australasia, South Africa or developing countries. With such similarities we asked ourselves - 'why not share our common experiences for mutual benefits?' The question developed into an idea and the idea into this book. We started by selecting what we considered were important topics and then we invited friends and colleagues to join us in putting our experiences and beliefs from years of practice to readers from all over the world to demonstrate our common concerns and to learn from one another.Table of Contents1 Access to care.- 2 The health team.- 3 Relations with specialists in clinical and allied health professions.- 4 Providing for emergencies in general family practice.- 5 Promoting health — practice and principles.- 6 Principles of management in patient care.- 7 Patient education.- 8 Medical records.- 9 Group practice management.- 10 Facilities and equipment in general family practice.- 11 Applied research in general family practice.- 12 The general family practice as a teaching and learning environment.- 13 Practising primary care in developing nations.
£40.49
Springer Problems in Gastroenterology
Book SynopsisPart one of the book presents the gastrointestinal problems that commonly face the general practitioner. Emphasis is placed on analysis of clinical data and how this may provoke the most profitable lines of investigation. Many of the investigation and treatment protocols are within the scope of general practice, but hospital management is also included. It was possible to deal with common oesophageal diseases under the heading of oeso phageal problems in Part 1. In contrast, it proved impossible to discuss adequately all of the common diseases affecting other organs of the digestive system under the problem headings. For this reason, a fuller ac count of many common alimentary diseases is provided in Part two. M. L.-5. K. G. D. W. 9 Series Foreword This series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collec tive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well-accustomed to working in consultation.Table of ContentsPreface.- Series Foreword.- 1 Common Problems.- 1 Common oesophageal problems.- Heartburn.- Problems with swallowing.- 2 Nausea and vomiting.- 3 The acute abdomen.- 4 Recurrent abdominal pain and discomfort.- Symptoms and diagnosis.- Investigation.- 5 Acute diarrhoea.- Acute infective diarrhoea.- Diarrhoea in travellers.- Diarrhoea due to drugs.- 6 Chronic and recurrent diarrhoea.- Causes and indications.- Investigations.- 7 Malabsorption.- Mechanisms of malabsorption.- Clinical features.- Investigation of suspected malabsorption.- 8 Problems with laxatives.- Laxative abuse.- Problems with specific laxatives.- 9 Constipation and other problems with defaecation.- Constipation.- Other problems.- 10 Gastrointestinal bleeding.- Acute upper gastrointestinal haemorrhage.- Chronic or recurrent bleeding.- Rectal bleeding.- 11 Diagnosis of the common causes of jaundice.- Unconjugated hyperbilirubinaemia.- Hepatocellular and cholestatic jaundice.- 12 Miscellaneous gastrointestinal symptoms.- Anorexia.- The ‘abnormal’ tongue.- Bad breath.- Wind and gaseousness.- 13 Gastrointestinal endoscopy.- 2 Common Diseases.- 14 Peptic ulcer.- Aetiological factors.- Clinical features.- Diagnosis.- Management.- 15 Some diseases that cause malabsorption.- Coeliac disease.- Malabsorption after gastric surgery.- Crohn’s disease.- Malabsorption after small bowel resection.- Small intestinal lymphoma.- Chronic small bowel ischaemia.- Bacterial colonization of small intestine.- Post-infective malabsorption.- Giardiasis — Tropical sprue.- Whipple’s disease.- Pancreatic insufficiency.- 16 The irritable bowel syndrome.- Aetiology and pathogenesis.- Clinical categories.- Management.- 17 Inflammatory bowel disease.- Ulcerative colitis.- Crohn’s disease.- Complications and special problems.- 18 Diverticular disease of the colon.- Diffuse diverticulosis.- Sigmoid diverticulosis.- 19 Common liver diseases.- Viral hepatitis.- Hepatitis type A.- Hepatitis type B.- Hepatitis type non-A, non-B.- Complications of hepatitis.- Chronic hepatitis.- Chronic persistent hepatitis.- Chronic active hepatitis.- Drug induced liver disease.- Direct hepatotoxicity.- Toxicity due to drug metabolites.- ‘Hypersensitivity’ induced damage.- Halothane.- Canalicular cholestasis.- Other hepatic reactions to drugs.- Alcoholic liver disease.- Cirrhosis.- Categories of cirrhosis.- Encephalopathy.- 20 Common pancreatic diseases.- Acute pancreatitis.- Chronic pancreatitis.- Further reading.
£40.49
Springer Problems in Cardiology
Book SynopsisOver several years working in a district general hospital as a physician with a cardiological interest, the common problems in this field are clearer. This knowledge has come through normal out-patient clinic referrals, care of in-patients, and by working in a domiciliary consultative capacity. The problems that concern family physicians nowadays are somewhat different from the problems of two or three decades ago. The accent now is very much on the implications of hypertensive and ischaemic heart disease. Rheumatic fever is rarely seen, though its sequelae may still be discovered. Hence the approach of this book is to the common problems of today in family practice, and the book is not intended to be a reference text book of cardiology. It does not include references because it has been written from personal experience gained from the treatment and management of patients with common cardiac problems. It is hoped that it will be of value primarily to family physicians because it has been written in an attempt to fill a need as measured by the problems that are referred to specialists in the cardiological field. It may prove of value to those medical students and nurses who wish to consider medical problems in a practical way, that is from the ways that cardiac problems present in practice.Table of ContentsPreface.- Foreword.- 1 Presenting symptoms — chest pain.- Skin.- Intercostal muscles and muscles attached to the chest wall.- Ribs and spine.- costo-chondral junctions.- Pleura and diaphragmatic pleura.- The pericardium.- The myocardium.- The aorta.- The oesophagus.- Anxiety and cardiac neurosis.- 2 Ischaemic heart disease.- Myocardial ischaema.- Myocardial infarction.- 3 Hypertension.- Presentation.- General considerations.- Investigations.- Treatment.- Notes on hypotensive drugs.- 4 Cardiac murmurs.- Systolic murmurs.- Diastolic murmurs.- 5 Syncope.- Dysrhythmias.- Valvular heart disease.- Congenital heart disease.- Hypotension.- Other low output states.- Pulmonary embolism.- Cardiac compression.- 6 Breathlessness.- Presenting symptoms.- Acute cardiac failure.- Chronic heart failure.- The signs of heart failure.- Investigations in cardiac failure.- Treatment of cardiac failure.- 7 Infective and invasive processes of the heart.- Pericardium.- Myocardium.- Endocardium.- 8 Electrocardiography.- Particular value of e.c.g. in practice.- Reading and recording the e.c.g..- Some examples of common e.c.g. abnormalities.- 9 Dysrhythmias.- Presenting symptoms.- Supra-ventricular dysrhythmias.- Ventricular causes of dysrhythmia.- other dysrhythmias.- 10 Changing trends in the investigation and treatment of cardiological problems.- Investigations.- Methods of treatment.- 11 Drug therapy in practice.- Diuretics.- The ?-blocking drugs.- Other antidysrhythmic drugs.- Hypotensive drugs.- Anti-anginal drugs.- 12 Present and future problems.- Changing trends of cardiac disease.- Statistics concerning heart disease.- Epidemiology and prevention.- Logistics.
£40.49
Springer Problems in Respiratory Medicine
Book SynopsisThe topics chosen for discussion represent the most common problems referred by family doctors to chest clinics. It was taken for granted that the reader will be familiar with the symptoms, signs, and natural history of respiratory diseases, so that the stress is on differential diagnosis and treatment. Tuberculosis once occupied nearly all the time of chest physicians. At present weeks go by without a single case presenting itself. There has been no comparable improvement in cancer of the lung, which remains one of the most intract able problems. Asthma was seldom referred to out-patient clinics when the disease was regarded as more unpleasant than dangerous. The hazards of severe attacks and the advan tages of liaison with a hospital department are now widely recognized. A similar change of attitude to the management of chronic bronchitis brought many new patients to the chest clinics in place of the vanishing tuberculous population. Some uncommon pulmonary diseases are included: allergic alveolitis, because of the importance of early diagnosis, and sarcoidosis in order to discourage unnecessary treatment. The book is intended to be a practical guide and is not a critical review. This might serve as an excuse for its didactic style and the exclusion of controversial subjects. Some statements are repeated at more than one place in order to help readers who wish to consult individual chapters bearing on some current problem. Source references are omitted and are replaced by a short list of books recommended for further reading.Table of Contents1 Symptoms, clinical signs and breathing tests.- Cough.- Sputum.- Haemoptysis.- Dyspnoea.- Pain.- Percussion.- Auscultation.- Clubbing of the fingers-Cyanosis.- Pursed-lip breathing.- 2 Pneumonia.- Defences of the lung-Factors predisposing to infection.- Classification.- Clinicalfeatures.- Investigations.- Complications.- Recurrent pneumonia.- Differential diagnosis.- Treatment.- 3 Chronic bronchitis.- Prevalence.- Pathology.- Clinicalfeatures.- Investigations.- Differential diagnosis.- Complications.- Treatment.- 4 Asthma.- Pathogenesis.- Classification.- Clinicalfeatures.- Investigations.- Differential diagnosis.- Prognosis.- Treatment.- 5 Tuberculosis.- Mortality.- Natural history.- Presentation.- Diagnostic tests.- Investigation of contacts.- Prevention.- Treatment.- 6 Cancer of the lung.- Mortality.- Aetiology.- Classification.- Presentation.- Clinicalsigns.- Progress.- Investigations.- Differential diagnosis.- Prevention.- Treatment.- 7 Pleural effusions.- Aetiology.- Investigations.- Differential diagnosis.- Tumours of the pleura.- Complications.- Treatment.- 8 Recurrent respiratory illness in children.- Viral infections.- Cystic fibrosis.- Immune deficiencies.- Bronchiectasis.- 9 Fibrosing alveolitis.- Diagnosis.- Treatment.- 10 Spontaneous pneumothorax.- Pathogenesis.- Symptoms and signs.- Treatment.- 11 Pulmonary sarcoidosis.- Natural history.- Treatment.- Further reading.
£40.49
Springer Problems in Geriatric Medicine
Book SynopsisThe fact that there are special problems in the care of the elderly in the community is ample justification for writing a separate volume on the subject. The knowledge that there are increasing numbers of older people in virtually every country in the world makes it all the more important that the family physician should have sympathy with and understanding of the problems of them, since they are lilcely to make up a significant part of his worlcload and, increasingly, will take up more of his time and energy. There is a progressive amount of disability with advancing years, and this is particularly true of those aged 75 years and over. Increasing age is associated with serious impairment of hearing and vision, senses which younger people take for granted. Old age sees the arrival of major diseases of middle age with much greater frequency, such as ischaemic heart and cerebrovascular disease, diabetes mellitus and osteoarthritis. There are other disorders that are virtually confined to the elderly, such as fractures of the femoral neck, Paget's disease and myeloma. We now know that the disintegration of the con ducting tissue of the heart is largely an age-related phenomenon. Ageing processes affect every major organ system in the body and the impairment of physiological perfor mance resulting from these affects the elderly individual's response to infections, disease and environmental changes in complex ways that are not seen in younger people.Table of Contents1 Demographic and social factors.- 2 Disorders of the cardiovascular system (I) Myocardial and valvular disease; blood pressure.- 3 Disorders of the cardiovascular system (II) Disorders of cardiac rhythm and conduction; pacemakers.- 4 Disorders of the cardiovascular system (III) Diseases of the arteries.- 5 Strokes.- 6 Fits, faints and falls.- 7 Failing mobility (‘gone off his feet syndrome’).- 8 Incontinence.- 9 Memory, confusion and sleep.- 10 The use and misuse of drug treatment.- 11 Bone disease and fractures.- 12 Disorders of the blood.- 13 Endocrine diseases.
£44.99
Springer Problems in Ophthalmology
Book SynopsisThis series of books is designed to help general practitioners. So are other books. What is unusual in this instance is their collec tive authorship; they are written by specialists working at district general hospitals. The writers derive their own experi ence from a range of cases less highly selected than those on which textbooks are traditionally based. They are also in a good position to pick out topics which they see creating difficulties for the practitioners of their district, whose personal capacities are familiar to them; and to concentrate on contexts where mistakes are most likely to occur. They are all well-accustomed to working in consultation. All the authors write from hospital experience and from the viewpoint of their specialty. There are, therefore, matters important to family practice which should be sought not within this series, but elsewhere. Within the series much practical and useful advice is to be found with which the general practitioner can compare his existing performance and build in new ideas and improved techniques. These books are attractively produced and I recommend them.Table of ContentsSeries Foreword.- 1 History.- 2 Examination.- visual acuity.- visual fields.- colour vision.- external examination.- internal examination.- opthalmoscopy.- 3 The red eye.- conjunctivitis.- episcleritis.- keratitis.- iritis.- acute glaucoma.- 4 The external eye.- lids.- conjunctiva.- 5 The internal eye.- Examination of the inner eye.- alteration in pigment.- toxoplasmosis.- toxocara.- opaque nerve fibres.- 6 Sudden loss of vision.- migraine.- amaurosis fugax.- renal artery occlusion.- temporal arteritis.- retinal vein occlusion.- vitreous.- retinal detachment.- 7 Slow loss of vision.- cataract.- chronic glaucoma.- macular degeneration.- 8 Trauma.- superficial injuries.- lacerations.- penetrating injuries.- blunt injury.- chemical injuries.- radiation injuries.- 9 Paediatric ophthalmology.- squint.- watering eyes.- ptosis.- congenital glaucoma.- retinoblastoma.- 10 The eye and systemic disease.- thyroid disease.- the fundus.- hypertension.- diabetes.- papilloedema.- multiple sclerosis.- 11 Ocular pharmacology.
£40.49
Springer Geriatrics
Book SynopsisDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analyis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more defini tively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and as sessment and investigations, but the emphasis is on what to do best for the patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional islation in the com munity and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and rela tively untried methods compared with those that are 'old' and well proven. Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Trade Review`...this book should be considered as a "must" for all doctors interested in better understanding and care of the elderly. It is worthy of being included in any practice library and any potential Diploma of Geriatric Medicine candidate would be well advised to read it.' Journal of the Royal College of General PractitionersTable of ContentsSection 1 The Nature of the Problem.- Epidemiology.- Special factors in the management of disease in the elderly.- Ageing changes.- The causes and prevention of disability and disease.- Attitudes to management.- Principles of prescribing.- The nature of some common diseases.- Organization of care for the elderly.- Section 2 Symptoms and their Differential Diagnosis.- Palpitations.- Breathlessness.- Cough.- Swollen legs.- ‘Going off his feet’ syndrome.- Fits, faints and falls.- Aches and pains.- Constipation and diarrhoea.- Failing eyesight and hearing.- Incontinence.- Confusion.- Misery, apathy and sleep problems.- Collapse.- Section 3 Specific Disease Complexes.- Abnormalities of blood pressure.- Ischaemic heart disease.- Cardiac dysrhythmias.- Heart failure.- Bone disease of ageing.- Diseases affecting muscles and joints.- Strokes.- Parkinsonism and tremor.- Incontinence.- The elderly disabled.- Pain relief.- Anaemia.- Thyroid disorders.- Diabetes mellitus.- Psychiatric disorders.
£40.49
Springer Gastroenterology
Book SynopsisDDDDDDDDDDDDD Effective management logically follows accurate diagnosis. Such logic often is difficult to apply in practice. Absolute diagnostic accuracy may not be possible, particularly in the field of primary care, when management has to be on analysis of symptoms and on knowledge of the individual patient and family. This series follows that on Problems in Practice which was concerned more with diagnosis in the widest sense and this series deals more definitively with general care and specific treatment of symptoms and diseases. Good management must include knowledge of the nature, course and outcome of the conditions, as well as prominent clinical features and assess is on what to do best for the ment and investigations, but the emphasis patient. Family medical practitioners have particular difficulties and advantages in their work. Because they often work in professional isolation in the com munity and deal with relatively small numbers of near-normal patients their experience with the more serious and more rare conditions is restricted. They find it difficult to remain up-to-date with medical advances and even more difficult to decide on the suitability and application of new and rela tively untried methods compared with those that are 'old' and well proven. Their advantages are that because of long-term continuous care for their patients they have come to know them and their families well and are able to become familiar with the more common and less serious diseases of their communities.Table of Contents1. Gastro-oesophageal Reflux.- 2. Dysphagia.- 3. Nausea and Vomiting.- 4. Uncomplicated Peptic Ulcer.- 5. Complicated Peptic Ulcer.- 6. Surgical Management of Peptic Ulcer.- 7. Gastrointestinal Bleeding.- 8. Acute Abdominal Pain.- 9. Chronic Abdominal Pain.- 10. Acute Diarrhoea.- 11. Chronic Diarrhoea.- 12. Malabsorption.- 13. The Irritable Bowel Syndrome.- 14. Ulcerative Proctocolitis and Crohn’s Disease.- 15. Diverticular Disease of the Colon.- 16. Constipation and other Problems with Defaecation.- 17. Miscellaneous Gastrointestinal Problems.- 18. Jaundice and Common Liver Diseases.- Appendix: Patient Information Sheets and Diets.
£44.99
Springer A New Approach to Medicine: Principles and Priorities in Health Care
Book SynopsisMedicine is news. There is constant public interest in health and disease; in medical miracles and in breakthroughs; in medical disasters, failures and malpraxis ; in deficiencies and defects ofhealth services; and in the rising costs ofhealth care. Medicine is 'big business'. Physicians co me out near the top money earners in most medical care systems. In the Uni ted Kingdom the National Health Service (NHS) now costs over [6000 million a year ($ ro 800 million), a free service that costs every British man, woman and child [120 a year ($216) in direct and indirect taxes. But this is less than the [500 ($900) a year that medical care costs each person in USA and West Germany. In developed countries health care costs are approaching ro% ofthe gross national product (GNP). It is big business also in that in Britain the NHS is one of the largest employers; about I million Britons work as employees of the NHS, caring for the other 54 millions and in the USA the numbers are 5 million caring for 2. 5 millions. The provision of health services is full of problems and dilemmas. These problems and dilemmas cross all' national boundaries. All countries share the same problems and dilemmas. Problems of objectives, of standards, of effectiveness and efficiency, and problems of relations between the medical profession, the public and govern ment. Medical care still is full of mystique.Table of Contents1 Health care and its problems.- 2 Primary care: a special field.- 3 What is primary care? Content and implications.- 4 Who comes and why? Self-care and primary care.- 5 Work: quantity and quality-manpower policies.- 6 The nature and natural history of common diseases.- 7 Cure and care.- 8 Prescribing.- 9 The hospital-primary care interface.- 10 Community social services.- 11 The primary care team.- 12 Premises and organization.- 13 Prevention and postponement.- 14 Education and learning.- 15 How much care? Present state and future needs.
£40.49
Springer The MRCGP Study Book: Tests and self-assessment exercises devised by MRCGP examiners for those preparing for the exam
Book SynopsisThe Membership examination of the Royal College of General Practitioners has evolved and matured as a seal and a test on completion of vocational training. More than 1000 candidates are taking the examination each year and an increasing majority are trainees who have completed their three year training period. The whole concept and philosophy of the MRCGP has been questioned by critical cynics who refuse to accept general practice as a field of medical practice worthy of recognition as a specialty with its own core of know ledge, skills and expertise and with its own special epidemiology, pathology, clinical presentations and management. These cynical critics are being answered by the growth of the examination and its recognition within the profession as an important and necessary goal to be achieved. The MRCGP exam has arrived, it is here to stay and it will continue to grow and evolve. The exam is no easy obstacle to negotiate. It has a regular failure rate of I in 3 and it requires special preparation and study of its examinees if they are to understand its aims, contents and methods. It must not be assumed that even the brightest trainee can walk off the street, enter the examin ation hall and be confident of passing. It requires a few months of careful and guided preparation.Table of ContentsMultiple Choice Questions (MCQ).- Test 1.- Test 2.- Test 3.- Test 4.- MCQ Answers.- Test 1.- Test 2.- Test 3.- Test 4.- Modified Essay Question (MEQ).- Test 1.- Test2.- Test3.- Test4.- MEQ Answers.- Test 1.- Test 2.- Test 3.- Test 4.- Traditional Essay Questions (TEQ).- Tests 1–4.- TEQ Answers.- Test 1.- Test 2.- Test 3.- Test 4.- The Orals.- The Practice Log.- Problem Solving.
£40.49
Springer Verlag, Singapore Family Medicine OSCE First Aid to Objective
Book SynopsisIn this book, a clinician can experience the most typical medical subjects in a primary care setting, which is the highlight.
£82.49
Cambridge University Press The Vulva
Book SynopsisVulval problems are common, but poorly understood and somewhat taboo. This handbook gives the busy clinician the knowledge and tools to immediately start helping patients. Suitable for gynaecologists, dermatologists, primary care practitioners, and nurse practitioners, it enables quick access to information and is ideal for the consulting room.Table of ContentsGlossary; 1. The Basics; 2. Using Topical Steroids on the Vulva; 3. Red Vulval Rashes; 4. Things That Look White; 5. Things That Ulcerate, Blister And Erode; 6. Persistent Vaginitis; 7. Lumps – Benign And Malignant; 8. Vulval Pain and Dyspareunia; 9. Vulval Disease in Children; 10. Myths and Pearls; Index.
£37.99
Elsevier - Health Sciences Division Pfenninger and Fowlers Procedures for Primary
Book SynopsisTable of ContentsPfenninger & Fowler's Procedures for Primary Care, 4e Preface Section 1 - Anesthesia 1. Procedural Sedation and Analgesia 2. Pediatric Sedation 3. Nitrous Oxide Sedation 4. Topical Anesthesia 5. Local Anesthesia 6. Local and Topical Anesthetic Complications 7. Peripheral Nerve Blocks and Field Blocks 8. Oral/Facial Anesthesia 9. Bier Block 10. Epidural Anesthesia and Analgesia 11. Procedures to Treat Headaches Section 2 - Dermatology 12. Acne Therapy: Surgical Approaches 13. Approach to Various Skin Lesions 14. Cryosurgery 15. Dermoscopy (Epiluminescence Microscopy) 16. Flaps and Plasties 17. Fungal Studies and Scabies: Collection Procedures and Tests 18. Incisions: Planning the Direction of the Cut 19. Laceration and Incision Repair 20. Laceration and Incision Repair: Needle Selection 21. Laceration and Incision Repair: Suture Selection 22. Laceration and Incision Repair: Suture Tying 23. Nail Plate and Nail Bed Biopsy 24. Nail Bed Repair 25. Radiofrequency Surgery (Modern Electrosurgery) 26. Skin Biopsy 27. Skin Grafting 28. Hypertrophic Scars and Keloids 29. Unna Paste Boot: Treatment of Venous Stasis Ulcers and Other Disorders 30. Wart (Verruca) Treatment 31. Pilonidal Cyst and Abscess: Current Management 32. Wood's Light Examination 33. Wound Dressing 34. Maggot Treatment for Chronic Ulcers Section 3 - Aesthetic Medicine 35. Introduction to Aesthetic Medicine 36. Cosmeceutical Skin Care 37. Gingival Hyperpigmentation 38. Lasers and Pulsed-Light Devices: Hair Removal 39. Lasers and Pulsed-Light Devices: Photofacial Rejuvenation 40. Lasers and Pulsed-Light Devices: Acne 41. Lasers and Pulsed-Light Devices: Skin Tightening 42. Lasers and Pulsed Light Devices: Spider Veins 43. Lasers and Pulsed-Light Devices: Tattoo Removal 44. Lasers and Pulsed-Light Devices: Skin Resurfacing 45. Nonablative Radiowave Skin Tightening with the Ellman S5 Surgitron (The Pelleve Procedure) 46. Epilation of Isolated Hairs 47. Botulinum Toxin 48. Tissue Fillers 49. Microdermabrasion and Dermalinfusion 50. Chemical Peels 51. Photodynamic Therapy 52. Cellulite Treatments 53. Thread Lift Using Barbed Suspension Sutures for Facial Rejuvenation 54. Radiofrequency-Assisted Upper Blepharoplasty for the Correction of Dermatochalasis 55. Body Piercing Section 4 - Eyes, Ears, Nose, and Throat 56. Mucocele Removal 57. Chalazion and Hordeolum 58. Tonometry 59. Audiometry 60. Tympanometry 61. Myringotomy and Tympanocentesis 62. Cerumen Impaction Removal 63. Earlobe Repair 64. Nasolaryngoscopy 65. Indirect Mirro Laryngoscopy 66. Tonsillectomy and Adnoidectomy 67. Allergy Testing and Immunotherapy 68. Fine-Needle Aspiration Cytology and Biopsy Section 5 - Cardiovascular and Respiratory System Procedures 69. Antibiotic Prophylaxis for Prevention Bacterial Endocarditis 70. Office Electrocardiograms 71. Pre-op Evaluation 72. Ambulatory Blood Pressure Monitoring 73. Ambulatory Electrocardiography: Holter and Event Monitoring 74. Exercise (Stress) Testing 75. Echocardiography 76. Stress Echo 77. Noninvasive Venous and Arterial Studies of the Lower Extremities 78. Sclerotherapy 79. Ambulatory Phlebectomy 80. Endovenous Vein Closure 81. Pulmonary Function Testing Section 6 - Gastrointestinal System Procedures 82. Clinical Anorectal Anatomy and Digital Examination 83. Anoscopy 84. High Resolution Anoscopy 85. Anal Fissure/Lateral Sphincterotomy 86. Perianal Abscess Incision and Drainage 87. Office Treatment of Hemorrhoids 88. Removal of Perianal Skin Tags (External Hemorrhoidal Skin Tags) 89. Flexible Sigmoidoscopy 90. Colonoscopy 91. Esophagogastroduodenoscopy 92. PEG Tube Insertion 93. Capsule Endoscopy 94. Esophageal Foreign Body Removal 95. Inguinal Hernia Reduction Section 7 - Urinary System Procedures 96. Bladder Catheterization 97. Diagnostic Cystourethroscopy 98. Office Testing and Treatment Options for Interstitial Cystitis 99. Suprapubic Catheter Insertion and/or Change 100. Suprapubic Tap or Aspiration 101. Bedside Urodynamic Studies Section 8 - Male Reproductive System 102. Adult Circumcision 103. Androscopy 104. Dorsal Slit for Phimosis 105. Prostate Massage 106. Prostate and Seminal Vesicle Ultrasonography 107. Self-Injection Therapy for the Treatment of Erectile Dysfunction 108. Vacuum Devices for Erectile Dysfunction 109. Implantable Hormone Pellets for Testosterone Deficiency in Adult Men 110. Sperm Banking 111. Vasectomy 112. Manual Testicular Detorsion Section 9 - Gynecology and Female Reproductive System 113. Suction Aspiration for Elective and Spontaneous First Trimester Abortion 114. Medical Abortion 115. Emergency Contraception 116. Barrier Contraceptives: Cervical Caps, Condoms, and Diaphragms 117. Fertility Awareness-based Methods of Contraception (Natural Family Planning) 118. Bartholin's Cyst/Abscess: Word Catheter Insertion, Marsupialization 119. Breast Biopsy 120. Pap Smear and Related Techniques for Cervical Cancer Screening 121. Human Papillomavirus DNA Sampling 122. Wet Smear and KOH Preparation 123. Cervical Polyps 124. Colposcopic Examination 125. Cryotherapy of the Cervix 126. Cervical Stenosis and Cervical Dilation 127. Loop Electrosurgical Excision Procedure (LEEP) for Treating Cervical Intraepithelial Neoplasia 128. Cervical Conization 129. Endometrial Biopsy 130. Hysteroscopy 131. Permanent Female Sterilization (Tubal Ligation) 132. Insertion of ESSURE (Contraceptive Implant) 133. Endometrial Ablation (Roller Ball, Cryoablation, Thermal Balloon) 134. Hysterosalpingography and Sonohysterosalpingography 135. Intrauterine Device (IUD) Insertion and Removal 136. Insertion and Removal of Implanon 137. Pessaries 138. Treatment of Noncervical CONDYLOMATA ACUMINATA 139. Vulvar Biopsy 140. Management of the Adult Victim of Sexual Assault Section 10 - Obstetrics 141. Postcoital Examination Test 142. Obstetric Ultrasound 143. Cervical Cerclage 144. Amniocentesis 145. External Cephalic Version 146. Antepartum Fetal Monitoring 147. Induction of Labor 148. Amniotomy 149. Fetal Scalp Electrode Applicaton 150. Intrauterine Pressure Catheter Insertion 151. Transcervical Amnioinfusion 152. Intrathecal Analgesia 153. Paracervical Block 154. Pudendal Anesthesia 155. Saddle Block Anesthesia 156. Vaginal Delivery 157. Forceps- and Vacuum-Assisted Deliveries 158. Episiotomy and Repair of the Perineum 159. Symphysiotomy 160. Cesarean Section 161. Culdocentesis (Colpocentesis) 162. Dilation and Curettage Section 11 - Pediatrics 163. Neonatal Resuscitation 164. Pediatric Arterial Puncture and Venous Minicutdown 165. Umbilical Vessel Catheterization 166. Dorsal Penile and Subcutaneous Ring Block for Newborn Circumcision 167. Newborn Circumcision and Office Meatotomy 168. Pediatric Suprapubic Bladder Aspiration 169. Tonque-Tie Snipping (Frenotomy) for Ankyloglossia 170. Management of Young Female as Possible Victim of Sexual Abuse Section 12 - Orthopedics and Sports Medicine 171. Musculoskeletal Ultrasound 172. Extensor Tendon Repair 173. Nursemaid's Elbow: Subluxation of the Radial Head 174. Shoulder Dislocations 175. Ankle and Foot Splinting, Casting, and Taping 176. Cast Immobilization 177. Knee Braces 178. Fracture Care 179. Compartment Syndrome Evaluation 180. Joint and Soft Tissue Aspiration and Injection (Arthrocentesis) 181. Trigger-Point Injection 182. Ganglion Treatment 183. Transcutaneous Electrical Nerve Stimulation (TENS), Phonophoresis, and Iontophoresis 184. Acupuncture 185. Podiatric Procedures 186. Body Fat Analysis 187. NC-Stat System for Office EMGs 188. Muscle Biospy Section 13 - Urgent Care 189. Burn Treatment 190. Fishhook Removal 191. Foreign Body Removal from Skin and Soft Tissues 192. Incision and Drainage of an Abscess 193. Subungual Hematoma Evacuation 194. Ingrown Toenails 195. Ring Removal from an Edematous Finger 196. Skin Stapling 197. Tick Removal and Prevention of Infection 198. Tissue Glues 199. Topical Hemostatic Agents 200. Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies 201. Slit Lamp Examination 202. Auricular Hematoma Evacuation 203. Reduction of Dislocated Temporomandibular Joint (with TMJ Syndrome Exercises) 204. Removal of Foreign Bodies from the Ear and Nose 205. Management of Epitaxis 206. Peritonsillar Abscess Drainage 207. Management of Tooth Fracture and Reimplantation of an Avulsed Tooth 208. Management of Fecal Impaction 209. Gastrointestinal Decontamination 210. Peritoneal Lavage, Diagnostic 211. Tube Thoracostomy and Emergency Needle Decompression of Tension Pneumothorax 212. Anaphylaxis 213. Prevention and Treatment of Wound Infections 214. Emergency Department and Office Ultrasound 215. Heimlich Maneuver 216. Zipper Injury Management Section 14 - Hospitalist 217. Nasogastric Tube, Nasoenteric Tube, and Salem Sump Insertion 218. Thoracentesis 219. Paracentesis 220. Bone Marrow Aspiration or Biopsy 221. Lumbar Puncture 222. Tracheal (Endotracheal and Nasotracheal) Intubation 223. Cricothyroidotomy, Transtracheal Catheter Insertion and Tracheostomy 224. Ventilation Management 225. Arterial Puncture and Percutaneous Arterial Line Placement 226. Intraosseous Venous Access 227. Venous Cutdown 228. Central Venous Catheter Insertion 229. Swan-Ganz (Pulmonary Artery) Catheterization 230. Pericardiocentesis 231. Electrical Cardioversion 232. Temporary Pacing 233. Drawing Blood Cultures 234. Blood Products 235. Principles of X-Ray Interpretation Appendices A to M Appendix A: Commonly Used Instruments/Equipment Appendix B: Informed Consent Appendix C: Latex Allergy Guidelines Appendix D: Supplier Information Appendix E: Resources for Learning Procedures Appendix F: Universal Precautions Appendix G: Neoplasm, Skin: ICD-9 Codes Appendix H: Pearls of Practice Appendix I: The Society of Teachers of Family Medicine Procedural Skills Task Force Appendix J: Outline of a Comprehensive Operative Note Appendix K: Algorithms for the Evaluation of Abnormal Pap Smears and Treatment of Colposcopic Findings Appendix L: Buying Office Equipment Appendix M: Special Considerations in Geriatric Patients
£140.39
Elsevier - Health Sciences Division DevelopmentalBehavioral Pediatrics
Book SynopsisTable of ContentsSECTION 1 Foundations of Developmental-Behavioral Pediatrics 1 An Introduction to the Field of Developmental-Behavioral Pediatrics 2 The Biopsychosocial Model: Understanding Multiple Interactive Influences on Child Development and Behavior 3 Theories of Human Development 4 Theories of Learning and Behavior Change SECTION 2 Life Stages 5 The Maternal-Fetal Dyad: Challenges and Adaptations 6 Infancy 7 Toddlerhood and the Preschool Years 8 Middle Childhood 9 Adolescence 10 Transition to Adulthood 11 End-of-Life, Death, and Bereavement SECTION 3 Social and Environmental Contexts of Children 12 Understanding Child Development and Behavior in the Context of Family Systems 13 Parenting and Parenting Behavior 14 Foster Care and Adoption: Implications for Developmental and Behavioral Pediatrics 15 Trauma, Resilience, and Child Development 16 Childcare 17 Peers 18 Schools as a Milieu 19 Neighborhoods and Personal Networks 20 Celebrating Sociocultural Diversity in the Exam Room and Addressing Racism and Bias 21 The Influence of Digital Media on Children and Families 22 Natural and Human Disasters SECTION 4 Biological Factors, Medical Conditions, and Exposures Affecting Development and Behavior 23 Biological Mechanisms of Human Development and Behavior 24 Genetic Disorders and Their Associated Mechanisms 25 Chromosome Disorders and Inheritance Patterns 26 Sex Chromosome Aneuploidy 27 Down Syndrome 28 Fragile X Syndrome and FMR1 Variants 29 Nervous System, 30 Neuromuscular Disorders 31 Seizures and Epilepsy 32 Diffuse Acquired Brain Injury 33 Congenital Infections 34 Consequences of Preterm Birth 35 Nutritional Disorders 36 Inborn Errors of Metabolism 37 Prenatal Exposure of Alcohol, Tobacco, and Drugs 38 The Impact of Environmental Chemicals on the Developing Brain SECTION 5 Developmental Disorders 39 Cerebral Palsy and Other Motor Disorders 40 Intellectual Disability 41 Autism Spectrum Disorder 42 Developmental Considerations in Deafness 43 Blindness and Visual Impairment 44 Language and Speech Disorders 45 Sensory Processing Disorders SECTION 6 Variation in Behavior, Learning, Emotion, and Mental Health 46 Attention-Deficit/Hyperactivity Disorder (ADHD) 47 Learning Disabilities 48 Talent and Giftedness 49 Mood Disorders in Children and Adolescents 50 Suicide Prevention Care in the Pediatric Setting: A Trauma-Informed Approach 51 Anxiety Disorders in Children and Adolescents 52 Psychotic-Spectrum Disorders in Children and Adolescents 53 Substance Use Disorders and Other Risk-Taking Behaviors in Youth 54 Dual Diagnosis of Mental Health and Developmental Disorders in Developmental-Behavioral Pediatrics 55 Aggression and Disruptive Behavior Disorders 56 Acute Stress Disorder and Posttraumatic Stress Disorder in Youth 57 Adjustment and Adjustment Disorders in Developmental-Behavioral Pediatrics SECTION 7 Developmental and Behavioral Considerations Related to Medical Care 58 Impact of Hospitalization and Acute Medical Care on Children and Families 59 Children with Chronic Illness and Medical Complexity 60 Survivors of Childhood Brain Tumors: Developmental and Behavioral Considerations 61 Neurodevelopment in Children With Congenital Heart Disease 62 Medications With Developmental and Behavioral Side Effects 63 Palliative Care for Children With Medical Complexity 64 Chronic Pain SECTION 8 Variations in Functional Domains 65 Feeding and Swallowing Disorders 66 Growth Faltering 67 Childhood Obesity 68 Urinary Incontinence and Nocturnal Enuresis 69 Toileting and Encopresis 70 Sleep and Sleep Disorders In Children 71 Movement Disorders 72 Habit Disorders in Children and Adolescents 73 Sexuality and Its Variations 74 Sexuality in Children and Youth With Disabilities 75 Gender and Its Variation in Youth SECTION 9 Assessment and Measurement in Developmental-Behavioral Pediatrics 76 Fundamentals of Developmental, Behavioral, and Psychological Assessment 77 The Interview in Developmental-Behavioral Pediatrics 78 The Physical Exam: Laying on of Hands.or Not 79 Evaluation of Children Who Are Nonverbal/Minimally Verbal 80 Assessment of Temperament 81 Developmental Surveillance and Screening 82 Evaluation of Emotion and Behavior 83 Evaluation of School Readiness: Beyond ABCs 84 Observational Assessment in Developmental-Behavioral Pediatrics 85 Developmental, Cognitive, and Intelligence Testing 86 Educational Testing and Evaluation of Academic Performance 87 Neuropsychology in Developmental-Behavioral Pediatrics Practice 88 Evaluation of Adaptive Functioning 89 Assessments of the Central Nervous System 90 Integration of Data Sources and Uncertainty SECTION 10 Interventions, Management, and Treatment of Developmental and Behavioral Conditions 91 Counseling and Readiness to Change 92 Common Factors and Lifestyle Interventions 93 Behavioral Parent Training and Consultation 94 Applied Behavior Analysis for Autism Spectrum Disorder 95 Crisis Management in Developmental-Behavioral Pediatrics 96 Individual Therapy for Children and Adolescents: Play Therapy and Interpersonal Therapy as Developmentally Centered Relational Change Modalities] 97 Family Systems Therapy and Its Importance in Developmental-Behavioral Pediatrics 98 Cognitive-Behavioral Therapy in Developmental-Behavioral Pediatrics 99 Psychopharmacology 100 Hypnosis, Biofeedback, and Meditation 101 Growth Mindset as a Brief Intervention: Research to Practice 102 Treatment of Developmental, Behavioral, and Mental Health Conditions via Technology 103 Early Intervention 104 Special Education Services 105 Transition to Adulthood for Young Adults With Intellectual and Developmental Disabilities 106 Rehabilitation Services: Occupational Therapy and Physical Therapy 107 Speech-Language Pathology for Developmental-Behavioral Disorders 108 Art and Music Therapy 109 Integrative Medicine for Disorders of Development and Behavior 110 Community-Based Interventions 111 Endocrine and Gynecologic Management of Children With Severe Disabilities SECTION 11 Societal and Legal Contexts of Developmental-Behavioral Pediatrics 112 Social Inclusion 113 Education Law: Implications for Developmental-Behavioral Pediatrics 114 Health Care Systems for Children With Disabilities 115 Interprofessional Team-Based Care 116 Ethical Considerations 117 The Pitfalls of Guardianship (Conservatorship) and the Promise of Alternatives SECTION 12 Conclusion 118 The Right to Belong, The Right to be Differen
£136.79
Springer-Verlag Berlin and Heidelberg GmbH & Co. KG Differential Diagnosis for the Dermatologist
Book SynopsisWhen faced with a challenging dermatologic problem, physicians are often required to perform a time-consuming search through large dermatologic texts in order to find information that will assist in the necessary differential diagnosis. This comprehensive and concise handbook is designed to simplify this process dramatically, permitting rapid identification of the correct diagnosis. Hundreds of dermatologic diagnoses, morphologic features, drug-induced disorders, extracutaneous manifestations, histologic findings, and random other findings are listed in alphabetical order and in a homogeneous, reader-friendly structure. The differential diagnoses are shown under each main diagnosis, sorted according to similarity with that diagnosis. Since the first edition, approaching 50 new diagnoses have been added, and many new images included. This easily portable book will be of great value for dermatologists and all who deal with dermatologic diseases.Table of ContentsThe Chief Complaint.- The Past Medical History, Social History, and Review of Systems.- The Physical Exam.- The Biopsy.- The Laboratory Results.- The Diagnosis.- Quick Glossary.
£237.49
Springer International Publishing AG Principles of Diabetes Mellitus
Book SynopsisThe third edition of this important work is a timely update to the comprehensive textbook first published in 2002 and reissued in a second edition in 2010. The past few years have witnessed major developments in our understanding of diabetes and in therapeutic approaches to this disease and its numerous complications. Thus, all chapters have been significantly revised and updated with current evidence and best practices, and four brand new chapters are included, discussing the potential role of vitamin D in the pathogenesis of diabetes, peculiarities of diabetes in the elderly, oral manifestations of diabetes, and the current state of bariatric surgery.Written by an international group of experts and carefully edited by a leading authority on the subject, Principles of Diabetes Mellitus, Third Edition is an invaluable resource for researchers and physicians of all specialties, as well as medical students and investigators of all aspects of diabetes, who deal with an illness that has reached epidemic proportions.Table of ContentsPart I.- The Main Events in the History of Diabetes Mellitus.- Part II: Physiology of Glucose Metabolism.- Normal Glucose Homeostasis.- Endocrine Pancreas.- The Role of Incretins in Insulin Secretion.- Cellular Mechanisms of Insulin Action.- The Role of Brain in Glucose Metabolism.- Part III: Diagnosis and Epidemiology of Diabetes.- Diagnostic Criteria and Classification of Diabetes.- Epidemiology.- Diabetes in Culturally Diverse Populations: From Biology to Culture.- Part IV: Genes and Diabetes.- Genetics of Type 2 Diabetes: From Candidate Genes to Genome-Wide Association Analysis.- Rodent Models of Diabetes.- Part V: Diabetes Syndromes.- Type 1 Diabetes Mellitus: Epidemiology, Genetics, Pathogenesis, and Clinical Manifestations.- Type 2 Diabetes Mellitus: Epidemiology, Genetics, Pathogenesis, and Clinical Manifestations.- Maturity-Onset Diabetes of the Young: Molecular Genetics, Clinical Manifestations, and Therapy.- Diabetes in Pregnancy.- Secondary Causes of Diabetes Mellitus.- Syndromes of Extreme Insulin Resistance.- Oral Manifestations of Diabetes.- Part VI: Complications of Diabetes.- Acute Hyperglycemic Syndromes: Diabetic Ketoacidosis and the Hyperosmolar State.- Hypoglycemia in Diabetes Mellitus.- Intake of Advanced Glycation Endproducts: Role in the Development of Diabetic Complications.- Diabetic Retinopathy.- Diabetic Nephropathy.- Diabetic Neuropathy.- Peripheral Vascular Disease in Diabetes.- The Diabetic Foot.- Male Sexual Dysfunction in Diabetes Mellitus.- Gastrointestinal Manifestations of Diabetes.- Dyslipidemia: Pathogenesis and Management.- Dermatological Complications of Diabetes Mellitus: Allergy to Insulin and Oral Agents.- Part VII: Related Disorders.- Obesity – Genetics, Pathogenesis, Therapy.- Hypertension.- Coronary Artery Disease and Cardiomyopathy.- Polycystic Ovary Syndrome.- Insulin Resistance and the Metabolic Syndrome.- Diabetes and Liver Disease.- The Increased Risk of Cancer in Obesity and Type 2 Diabetes: Potential Mechanisms.- Diabetes and Sleep Disorders.- HIV Infection and Diabetes.- Part VIII: Therapy of Diabetes Mellitus – General Principles.- Glycemic Goals.- Behavioral and Educational Approaches to Diabetes Self- Management.- Dietary Therapy of Diabetes Mellitus.- Exercise in the Therapy of Diabetes Mellitus.- Therapy of Type 1 Diabetes Mellitus.- Treating Type 2 Diabetes Mellitus.- Prevention of Microvascular Complications of Diabetes – General Overview.- Psychiatric Care of the Patient with Diabetes.- Management of Diabetes and Hyperglycemia in the Hospital Setting.- The Future of Diabetes Therapy.- Part IX: Diabetes Prevention.- Prevention of Type 1 Diabetes Mellitus.- Prevention of Type 2 Diabetes Mellitus.- Part X.- Resources for Patients with Diabetes.
£617.49
Elsevier - Health Sciences Division Minor Emergencies
Book SynopsisTrade Review"This book is an easy read that offers quick referencing and QR videos for many hands-on technical explanations. The size of the text makes it easy to place in one's work area or bag to go." ©Doody's Review Service, 2022, Sheffey N. Massey, DO (Regions Hospital)Table of ContentsPART 1: Neurologic and Psychiatric Emergencies 1. Dystonic Drug Reaction 2. Heat Illness (Heat Edema, Heat Syncope, Heat Cramps, Heat Exhaustion) 3. Hyperventilation 4. Hysterical Coma or Pseudoseizure 5. Idiopathic Facial Paralysis (Bell's Palsy) 6. Migraine Headache 7. Seizures (Convulsions, Fits), Adult 8. Seizures (Convulsions, Fits), Febrile and Pediatric 9. Tension-Type (Muscle Contraction) Headache 10. Trivial, Minimal, and Minor Head Trauma (Concussion) 11. Vasovagal or Neurocardiogenic or Neurally Mediated Syncope (Faint, Swoon) 12. Vertigo (Dizziness, Lightheadedness) 13. Weakness PART 2: Ophthalmologic Emergencies 14. Conjunctivitis (Pink Eye) 15. Contact Lens Complications 16. Corneal Abrasion 17. Floaters 18. Foreign Body, Conjunctival 19. Foreign Body, Corneal 20. Hordeolum (Sty) 21. Iritis (Acute Anterior Uveitis) 22. Periorbital and Conjunctival Edema 23. Periorbital Ecchymosis (Black Eye) 24. Removal of Dislocated Contact Lens 25. Subconjunctival Hemorrhage 26. Ultraviolet Keratoconjunctivitis (Welders or Tanning Bed Burn) PART 3: Ear, Nose, and Throat Emergencies 27. Cerumen Impaction (Earwax Blockage) 28. Epistaxis (Nosebleed) 29. Foreign Body, Ear 30. Foreign Body, Nose 31. Foreign Body, Throat 32. Laryngotracheobronchitis (Croup) 33. Mononucleosis (Glandular Fever) 34. Nasal Fracture (Broken Nose) 35. Otitis Externa (Swimmer's Ear), Acute 36. Otitis Media, Acute 37. Otitis Media with Effusion; Serous (Secretory) Otitis Media (Glue Ear) 38. Perforated Tympanic Membrane (Ruptured Eardrum) 39. Pharyngitis (Sore Throat) 40. Rhinitis, Acute (Runny Nose) 41. Rhinosinusitis (Sinusitis) PART 4: Oral and Dental Emergencies 42. Aphthous Ulcer, Acute 43. Avulsed Tooth, Dental Subluxation, and Dental Luxation 44. Bleeding after Dental Surgery 45. Burning Mouth Syndrome, Burning Tongue (Glossodynia) 46. Dental Pain, Periapical Abscess (Tooth Abscess 47. Dental Pain, Pericoronitis 48. Dental Pain, Postextraction Alveolar Osteitis (Dry Socket) 49. Dental Pain, Pulpitis 50. Dental Trauma (Fracture, Subluxation, and Displacement) 51. Gingivitis and Acute Necrotizing Ulcerative Gingivitis (Trench Mouth) 52. Lacerations of the Mouth 53. Oral Candidiasis (Thrush or Yeast Infection) 54. Oral Herpes Simplex (Cold Sore, Fever Blister) 55. Orthodontic Complications 56. Perlèche (Angular Cheilitis) 57. Sialolithiasis (Salivary Duct Stones) 58. Temporomandibular Disorder 59. Temporomandibular Joint Dislocation (Jaw Dislocation) 60. Uvular Edema, Acute PART 5: Pulmonary and Thoracic Emergencies 61. Bronchitis (Chest Cold), Acute 62. Costochondritis and Musculoskeletal Chest Pain 63. Inhalation Injury (Smoke Inhalation) 64. Irritant Incapacitant Exposure (Lacrimators, Riot Control Agents, Tear Gas) 65. Rib Fracture and Costochondral Separation (Broken Rib) PART 6: Gastrointestinal Emergencies 66. Anal Fissure 67. Blocked Tubes (G-tube, J-tube) 68. Constipation, Irritable Bowel Syndrome, and Colic (Stomach Cramps) 69. Diarrhea (Acute Gastoenteritis) 70. Enterobiasis (Pinworm, Seatworm, Threadworm) 71. Esophageal Food Bolus Obstruction (Steakhouse Syndrome) 72. Foreign Body, Rectal 73. Foreign Body, Swallowed 74. Hemorrhoids (Piles) 75. Singultus (Hiccups) 76. Vomiting (Food Poisoning, Gastroenteritis) PART 7: Urologic Emergencies 77. Blunt Scrotal Trauma 78. Colorful Urine 79. Epididymitis 80. Genital Herpes Simplex 81. Phimosis and Paraphimosis 82. Prostatitis, Acute Bacterial 83. Urethritis (Drip, Clap) 84. Urinary Retention, Acute 85. Urinary Tract Infection, Lower (Cystitis), Uncomplicated PART 8: Gynecologic Emergencies 86. Bartholin Abscess 87. Condylomata acuminate (Genital Warts) 88. Contact Vulvovaginitis 89. Dysmenorrhea (Menstrual Cramps) 90. Foreign Body, Vaginal 91. Pelvic Inflammatory Disease (PID) 92. Prophylaxis Following Sexual Exposure 93. Vaginal Bleeding 94. Vaginitis PART 9: Musculoskeletal Emergencies 95. Acromioclavicular (Shoulder) Separation 96. Ankle Sprain (Twisted Ankle) 97. Annular Ligament Displacement, Radial Head Subluxation (Nursemaid's Elbow) 98. Boutonnière Finger 99. Boxer's Fifth Metacarpal Fracture 100. Bursitis 101. Carpal Tunnel Syndrome 102. Cervical Strain (Whiplash) 103. Clavicle (Collarbone) Fracture 104. Coccyx Fracture (Tailbone Fracture) 105. DeQuervain's Paratenonitis (Thumb Tenosynovitis) 106. Extensor Tendon Avulsion-Distal Phalanx (Baseball or Mallet Finger) 107. Finger Dislocation (PIP Joint) 108. Finger Sprain (PIP Joint) 109. Fingertip (Tuft) Fractures 110. Flexor Digitorum Profundus Tendon Avulsion-Distal Phalanx (Splay Finger) 111. Ganglion Cysts 112. Gouty Arthritis, Acute 113. Knee Sprain 114. Lateral Epicondylitis (Tennis Elbow) and Medial Epicondylitis (Golfer's Elbow) 115. Ligament Sprains (Including Joint Capsule Injuries) 116. Locked Knee 117. Lumbar Strain ("Mechanical" Low Back Pain, Sacroiliac Dysfunction), Acute 118. Monarticular Arthritis, Acute 119. Muscle Cramps (Charley Horse) 120. Muscle Strains and Tears 121. Myofascial Pain Syndrome (Trigger-Points) 122. Patellar Dislocation 123. Plantar Fasciitis ("Heel Spur") 124. "Plantaris Tendon" Rupture, Gasrocnemius Muscle Tear (Calf Muscle Tear) 125. Radial Head Fracture 126. Radial Neuropathy (Saturday Night Palsy) 127. Scaphoid Fracture 128. Shoulder Dislocation 129. Tendinopathy: Tendinosis, Paratenonitis (Tendonitis) 130. Toe Fracture (Broken Toe) 131. Torticollis (Wryneck) 132. Ulnar Collateral Ligament Tear of the Thumb (Ski Pole or Gamekeeper's Thumb) PART 10: Soft Tissue Emergencies 133. Bicycle Spoke Injury 134. Contusion (Bruise) 135. Fingernail or Toenail Avulsion 136. Fingertip Avulsion, Superficial 137. Fishhook Removal 138. Foreign Body beneath Nail 139. Impalement Injuries, Minor 140. Laceration, Simple 141. Leg Edema 142. Mammalian Bites 143. Marine Envenomations 144. Nailbed Laceration 145. Nail Root Dislocation 146. Needle (Foreign Body) in Foot 147. Needle Stick (Postexposure Prophylaxis) 148. Acute Paronychia 149. Pencil Point Puncture 150. Piercing Complications 151. Puncture Wounds 152. Ring Removal 153. Sliver, Superficial 154. Subcutaneous Foreign Bodies (Metal, Dental Fragments, Glass, Gravel, and Hard Plastic) 155. Subungual Ecchymosis; Tennis Toe 156. Subungual Hematoma 157. Superficial Thrombophlebitis/Bleeding Varicosity 158. Taser Injuries 159. Torn/Split Earlobe 160. Traumatic Tattoos and Abrasions 161. Zipper Entrapment (Penis or Chin) PART 11: Dermatologic Emergencies 162. Allergic Contact Dermatitis 163. Arachnid Envenomation (Spider Bite) 164. Arthropod Bites (Bug Bites, Insect Bites) 165. Cutaneous Abscess or Pustule 166. Cutaneous Larva Migrans (Creeping Eruption) 167. Diaper Dermatitis (Diaper Rash) 168. Erysipelas, Cellulitis, Lymphangitis 169. Fire Ant Stings 170. Friction Blister 171. Frostnip, Frostbite, and Mild Hypothermia 172. Herpes Zoster (Shingles) 173. Hymenoptera (Bee, Wasp, Hornet) Envenomation 174. Impetigo 175. Partial-Thickness (Second-Degree) Burns and Tar Burns 176. Pediculosis (Lice, Crabs) 177. Pityriasis Rosea 178. Pyogenic Granuloma or Lobular Capillary Hemangioma (Proud Flesh) 179. Scabies (Human Itch Mite) 180. Sea Bather's Eruption (Sea Lice) 181. Sunburn 182. Tick Removal 183. Tinea Pedis, Tinea Cruris, Tinea Corporis (Athlete's Foot, Jock Itch, Ringworm) 184. Toxicodendron (Rhus) Allergic Contact Dermatitis (Poison Ivy, Oak, or Sumac) 185. Uticaria (Hives), Acute 186. Warts (Common and Plantar)
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Elsevier Health Sciences Swartz Textbook of Physical Diagnosis
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Lippincott Williams and Wilkins Primary Care Medicine
Book SynopsisSelected as a Doody's Core Title for 2022 and 2023! Long regarded as “the book” in the field for in-depth learning as well as decision support at the point of care, Primary Care Medicine, 8th Edition, continues its tradition as a comprehensive, evidence-based, action-oriented information resource. Presented in companion electronic format updated quarterly, its problem-based orientation spans the full spectrum of problems encountered in adult primary care practice. Chapters address screening, diagnosis, prevention and management, including indications for referral and approaches to patient education and shared decision making. Clear, practical, bulleted recommendations and an extensive annotated bibliography of best references follow detailed discussions of pathophysiology, clinical presentation, differential diagnosis, and strategies for workup and treatment. Now with its 40th-anniversary edition, this exceptional text is a must-hav
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Springer Nature Switzerland AG Challenges in Older Women’s Health: A Guide for Clinicians
Book SynopsisThe number of Americans 65 years of age or older is projected to more than double to over 98 million by 2060, making them 24% of the overall population. Women constitute more than 50% of this group. Most clinicians who provide primary care for older women receive minimal training about their unique health issues and needs during residency however, and few resources exist to guide them regarding these issues in practice.This book provides user-friendly, evidence-based guidance to manage common challenges in healthcare for women during menopause and beyond, filling a huge and growing unmet need for primary care clinicians. Edited by a multidisciplinary team with content expert authors from family medicine, oncology, urogynecology, obstetrics and gynecology, psychology, and more, this text provides clinically relevant information about important conditions impacting the health of older women, including suggested guidelines for management and helpful resources for patient counselling and care. The first half of the book covers general topics such as menopause, bone health, depression and grief, cancer survivorship, and obesity. The second half focuses on issues below the belt that are difficult to talk about, such as incontinence, vulvar pathology, and sexual health after menopause.While there is copious literature about the menopausal transition, few resources for clinicians exist about caring for women beyond the 6th decade. Challenges in Older Women’s Health: A primer for clinicians provides focused, evidence-based information about high-yield topics for a too often neglected group of patients. Table of Contents
£999.99
Springer International Publishing AG Promoting Healing and Resilience in People with Cancer: A Nursing Perspective
Book SynopsisThis is the first Nursing book on cancer care designed around a conceptual model of whole person care. Key concepts are stress, healing, resilience and health. As a clinical model, nursing goals, desired outcomes, key concepts and proposed psychosocial interventions with patients and family caregivers, advance the practice of clinical nursing toward a more comprehensive understanding of the whole person with cancer and their loved ones. As a model for teaching nursing students about chronic illness, it provides a scientific basis for students to learn how to assess and care for the whole person and his loved one. As a model for clinical research in the field of cancer care, it serves as a predicate for the development, evaluation and interpretation of clinical interventions. The model is a dynamic framework that both informs and is informed by research findings. It is hoped that future research findings will reveal the optimal combination of interventions to provide comprehensive care across clinical contexts. With a patient-centred humanistic focus anchored by the quality of the nurse patient and family caregiver relationships, it is hoped that the nurse's technical, procedural and medical expertise may complement rather than define the nurse's approach to the whole patient and family. The book is structured to facilitate the reader's easy access to needed information. Each chapter examines a key concept of the model, and is organized around an introduction, learning objectives, definitions, and relevant research findings that serve as the scientific predicate for suggested interventions discussed in Part 4, Nursing approaches. Clinical and personal anecdotes, tables and figures illustrate the concepts under discussion. Nurse practitioners, clinic nurse specialists, nursing professors, graduate students, and nurse researchers may find this book a useful reference for conceptualizing whole person care, and for determining relevant interventions that promote healing, resilience and health. But it is also relevant for family doctors and fourth year students learning to care for the whole person with a chronic illness.Table of ContentsDetailed Table of ContentsPART 1Stress, healing and resilience in the whole person with cancer Chapter 1. Introduction My earliest memories about cancer and healing were derived from a true story my father once told me. He was an ENT surgeon working at an academic hospital in the early 1950s when a curious event concerning one of his patients, occurred. A priest had made an appointment to see my father because of a chronic problem with hoarseness that had befuddled previous doctors. My father located a tumour of the larynx. As per the protocol of the newly established hospital tumour board my father presented the diagnostic evidence, and the board members fully concurred with his diagnosis. A cancer diagnosis was dire in those days, so the evening before the surgery, my father dropped by the priest's hospital room with the nurse-in -charge. The priest was praying, but stopped on seeing his surgeon and the nurse. My father who was not particularly religious, but respectful of the priest's devotion to his faith, asked if they could all pray together, which they did in the priest's room. They were three individuals from different faiths praying to their own higher Being, encompassing the priest with their presence, caring and support. The next morning, my father and the medical residents started the operation. But they soon discovered to their amazement that the tumour had disappeared. It was inexplicable. When I have shared this story with nursing students it has been met, unsurprisingly, with the highest degree of skepticism. A couple of students have had the courage to say what I am sure many others were thinking: that it could be explained away by poor diagnostic tools in those days or medical incompetence! Still, it was equally difficult to dismiss, out of hand, the diagnostic capabilities of a group of surgeons working at an eminent university hospital in Montreal, all members of the Tumour Board, who had arrived at the same conclusion. It was a mystery. Years later, doing research for this book I came across a scientific review of the placebo effect in oncology, now recognized as an innate healing effect, triggered by strongly held cognitive expectations for a positive clinical outcome. Based on WHO criteria, the review reported that the cancer tumours were significantly reduced in about 2.4% or 10 out of 375 patients from 10 trials (Chvetzoff & Tannock, 2003). From a scientific perspective, it was an unimpressive result to be normally discounted out of hand. Yet the finding left open the possibility for the medically inexplicable. Although humans throughout history have been known to heal physical and psychic wounds, it is only recently that medical scientists have come to realize that strongly held human beliefs can trigger innate processes of healing via various physiological pathways such as the reward system, down regulating the stress response system, enabling the re emergence of healing processes that also enhance cell -mediated immunity, a critical anti cancer defense (Colloca & Barsky, 2020; Dutcher & Creswell, 2018). Healing and health in the whole person have been much revered core concepts of the Nursing discipline, since Florence Nightingale's Notes on Nursing, which was published over 100 years ago (Skretkowicz, 2010). Nightingale's scientific observations suggested that distressed patients possessed an innate ability to heal or restore wholeness, when certain environmental conditions, such as uninterrupted sleep, a clean, restful or quiet environment, and a caring and thoughtful approach were implemented. These observations led her to hypothesize that the mind influences physical well being; and conversely, physical health has a significant impact on the mind (Skretkowicz, 2010). Both involved reparative processes within the interactive context of the patient's environment. These mind-body connections laid down the first essential ideas about what constituted the whole person (an integrated mind-body) in relation to stress, health and healing within the discipline of Nursing. Since then Nurse scientists have argued that human beings are more than the sum of their parts, in stanch contrast to a healthcare system mostly shaped by a reductionist perspective in which the clinical focus remains the individual's illness and treatment. Their thinking was also influenced by von Bertalanffy's general systems theory (1973)) and Roger's conceptualization of the human being as an 'irreducible whole', fuelled by homeo-dynamic energy interrelating with the environment' (Malinski 2011, p. 446). Von Bertalanffy (1973) argued that systems are distinguished by non- linear interactions among their constituent parts, which was a prescient idea that has since been supported by research findings that highlight the human's non linear process of biological adjustments in response to environmental stressors (B. S. McEwen, 2007). In other words, the whole person both influences and is influenced by the environment. McGill University's School of Nursing under the leadership of Moyra Allen developed the key concepts of the McGill Model of Nursing. In contrast to prevailing thinking in the 1960s, that health and illness were at opposite ends of the same continuum, the McGill Model envisioned health as co- existing with illness (L. Gottlieb & Rowat, 1987). Influenced by the work of Spiegel (1997) and Bronfenbrenner (1981) health was described in terms of multidimensional developmental processes that grow toward greater complexity and self actualization while maintaining coherence over the life span (L Gottlieb & Gottlieb, 2007).. Around the same time, research in the field of environmental stress and psycho- neuro-endocrine and immune sciences provided scientific legitimacy to Nursing's foundational beliefs about the mind-body relationship, healing and resilience (in terms of both biological as well as psychological processes of adaptation in relation to the environment (e.g.B. McEwen, 2008; B. S. McEwen & Stellar, 1993). McEwen and colleagues built upon earlier landmark research on stress by introducing concepts of allostasis (healthy resilience) to exemplify the adaptive changes that occur in response to stress, and allostatic load (maladaptive changes) to reflect the measurable burden caused by chronic stress on the whole person (McEwen, 2007;McEwen & Stellar, 1993). They advanced knowledge of the whole person through their work on the main biological regulator of stress and the dynamic non -linear networks of biological mediators triggering widespread temporary or prolonged changes to neural structures, pathways and functions throughout the whole being. These stress-induced changes suppress neuro-biological processes (eg the parasympathetic nervous system) associated with regeneration, reparation and restoration (healing) of myriad biological functions including cell mediated immunity, which is vital for promoting long- term health particularly in patients with cancer (Lutgendorf & Andersen, 2015; Lutgendorf, Sood, & Antoni, 2010; Wang et al., 2017). Knowledge of these stress- induced neuro-biological impairments negatively affecting healing and resilient processes have added immeasurably to the clinical context within which resilient- and healing- promoting clinical interventions may be developed and evaluated. These scientific advances underscore the clinical need for an integrated formulation of the whole person based on stress, healing, resilience and related concepts that may be delineated by a conceptual model so that nursing interventions may target relevant unique and overlapping endpoints that promote or protect the individual's resilience and health. This is a clinical imperative in caring for patients with cancer and their family caregiver who must confront diverse stressors along the continuum. Finally I conclude with this last thought: Delineating a substantive body of knowledge that can be leveraged on behalf of patients and loved ones also offers the potential for further levelling of the healthcare playing field within which nursing and medicine continue to exchange biological as well as behavioural perspectives of their shared patients, expressed via the complementary prisms of their respective professions, which together can only benefit the patient and family. Part 1 introduces the Stress, Resilience and Healing Model. Chapter 1 presents the whole person's key concepts of central interest, the desired outcomes and proposed interventions known to enhance healing and resilience. Chapter 2 reviews the different forms of environmental stress; some serve to trigger he development and adaptive capabilities of resilience, others, such as chronically stressful experiences alter neural structures and disrupt signalling pathways and molecular processes that ultimately can drive the development of cancer, its progression, and or a cancer recurrence, particularly in the absence of adequate personal and social resources. ReferencesBenson, Herbert, & Stark, Marg. (1997). Timeless healing : the power and biology of belief. New York: Simon & Schuster.Bertalanffy, Ludwig von. (1973). General system theory : foundations, development, applications. New York: G. Braziller.Bronfenbrenner, Urie. (1981). The ecology of human development: Experiments by nature and design. Cambridge, Mass, and London England: Harvard University Press.Chvetzoff, G., & Tannock, I. F. (2003). Placebo effects in oncology. J Natl Cancer Inst, 95(1), 19-29. Colloca, L., & Barsky, A. J. (2020). Placebo and Nocebo Effects. N Engl J Med, 382(6), 554-561. doi: 10.1056/NEJMra1907805Dutcher, J. M., & Creswell, J. D. (2018). The role of brain reward pathways in stress resilience and health. Neurosci Biobehav Rev, 95, 559-567. doi: 10.1016/j.neubiorev.2018.10.014Gottlieb, L, & Gottlieb, B. (2007). The development/health framework within the McGill Model of Nursing: 'Laws of nature' guiding whole person care. Advances in Nursing Science, 30(1), E43-57. Gottlieb, L. , & Rowat, K. (1987). The McGill Model of Nursing: A practice derived model. Advance in Nursing Science, 9(4), 51-61. Lutgendorf, S. K., & Andersen, B. L. (2015). Biobehavioral approaches to cancer progression and survival: Mechanisms and interventions. Am Psychol, 70(2), 186-197. doi: 10.1037/a0035730Lutgendorf, S. K., Sood, A. K., & Antoni, M. H. (2010). Host factors and cancer progression: biobehavioral signaling pathways and interventions. J Clin Oncol, 28(26), 4094-4099. doi: 10.1200/jco.2009.26.9357Malinski , V. M. (2011). Models and theories focused on human existence. Sudbury,MA: Jones & Bartlett Learning McEwen, B. (2008). Central effects of stress hormones in health and disease: Understanding the protective and damaging effects of stress and stress mediators. European Journal of Pharmacology, 583, 174-185. McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev, 87(3), 873-904. doi: 10.1152/physrev.00041.2006McEwen, B. S., & Stellar, E. (1993). Stress and the individual. Mechanisms leading to disease. Arch Intern Med, 153(18), 2093-2101. Skretkowicz, Victor (2010). Florence Nightingale's Notes on Nursing and Notes on Nursing for the Labouring Classes. New York: Springer Publishing Co.Spiegel, Daniel. (1997). The developing mind T. G. Press (Ed.)Wang, M., Zhao, J., Zhang, L., Wei, F., Lian, Y., Wu, Y., . . . Guo, C. (2017). Role of tumor microenvironment in tumorigenesis. J Cancer, 8(5), 761-773. doi: 10.7150/jca.17648 PART 2ResilienceChapter 4. Introduction Part 2 explores resilience from both biological and psychological perspectives in Chapters 1 and 2, respectively. Although the two are integrated within the human organism the decision to present each resilient process separately is based on how much there is to cover in order to heighten clinical awareness of key biological and psychological clinical targets and processes associated with resilience, in the most straightforward and understandable format. Knowledge of the processes of adaptation can serve as the basis of clinical assessments and interventions aimed at strengthening our patient's healing and resilient capabilities particularly during the vulnerable phases of the disease and treatment. As relevant, connections between biological and behavioural processes will be made throughout both chapters raising clinical implications for care. PART 3Poor resilienceChapter 7. Introduction Part 3 is designed to demonstrate the toxic biological and psychological impairments resulting from chronic stress that lead to poor resilient capabilities. If left unregulated, this mal-adaptation to stress facilitates the development of cancer or another chronic illness depending on the individual's genetic predisposition. Chapter 1, discusses the clinical significance of poor resilience which is the inability of the human organism to adapt biologically or cope behaviourally in the face of chronic stress, with progressively deleterious patho-physiological and psychosocial behavioural consequences(McEwen, 2015)). Poor resilience is associated with widespread damage to brain cell structures, synapses, and other biological pathways and functions which contribute to systemic inflammation. These neurobiological impairments throughout the human organism, caused by chronic stress strains the individual's ability to cope effectively, imposing a metabolic burden. When chronic stress is unregulated, the consequence ultimately is oxidative stress caused by an imbalance of reactive oxygen species (ROS) to anti oxidants, favouring ROS which damage cells and even DNA (McEwen, 2007)). In Chapter 2 we learn how these biological damages mediated by stress-induced epigenetic changes threaten homeostasis, healing processes, and immune defences which are now thought to be the scientific predicate for tumorigenesis, cancer progression and metastases, ultimately threatening the survival of the human organism (Andersen et al., 2008; Lutgendorf, 2012; McEwen, 2015). The purpose of Part 3 is to provide a comprehensive albeit simplified portrait of the whole person whose biology is progressively overloaded by an inchoate systemic inflammatory environment mediated by the quality of the individual's personal resources, supportive relationships, coping skills, lifestyle behaviours as well as other clinical environmental factors that also contribute to allostatic load/overload. Through this description, it is hoped that the clinical interventions to be discussed in Part 4 and Part 5 find their rationale with clear end targets within the larger context of the psycho-social and biological human being. And as you read about the progressive biological impairments due to stress which are further exacerbated by the tumour and its various treatments, it helps to remember that the stress- induced epigenetic changes are still reversible with effective interventions, and can still offer the individual an enhanced quality of life, an overall sense of well being, and for most, at least some relief from emotional distress/ existential suffering. Andersen, B. L., Yang, H. C., Farrar, W. B., Golden-Kreutz, D. M., Emery, C. F., Thornton, L. M., . . . Carson, W. E., 3rd. (2008). Psychologic intervention improves survival for breast cancer patients: a randomized clinical trial. Cancer, 113(12), 3450-3458. doi: 10.1002/cncr.23969Lutgendorf, S., De Geest, K, Bender, D., Ahmed A., Goodheart M., Dahmoush, L., Zimmerman M, et al (2012). Social influences on clinical outcomes of patients with ovarian cancer. Journal of Clinical Oncology, 30(23), 2885-2890. McEwen, B. S. (2007). Physiology and neurobiology of stress and adaptation: central role of the brain. Physiol Rev, 87(3), 873-904. doi: 10.1152/physrev.00041.2006McEwen, B. S. (2015). Biomarkers for assessing population and individual health and disease related to stress and adaptation. Metabolism, 64(3 Suppl 1), S2-S10. doi: 10.1016/j.metabol.2014.10.029PART 4Fostering healingChapter 10. Introduction Facilitating healing in nursing practice has to do with making an individual feel whole. Healing may be conceptualized in different interrelated ways. In the first half of this book, we learned about the role of healing in biological and psychological resilience. In PART 4 healing is addressed in terms of diverse strategies that may be mobilized by the nurse to foster innate and self- induced processes of healing in order to strengthen or restore the individual's resilient capabilities. Each chapter addresses a specific therapeutic approach and its respective role in influencing processes of healing and resilience. Theoretical and empirical perspectives are covered. We examine ways that nurses may leverage related scientific theory and evidence to offer healing or resilient- strengthening strategies. Therapeutic approaches are derived from both conventional and complementary modes of nursing practice. Chapter 11 discusses the key elements within the quality of the nurse-patient relationship that are conducive to creating a healing environment. Key components include the nurse's competence, effective communication, compassion, and sense of compassion, strengthened by a heightened sense of shared humanity and a shared belief that the patient is known by the nurse and his or her healthcare team (e.g.Durkin, Usher, & Jackson, 2019). Chapter 12 discusses nursing strategies in promoting emotion- regulating cognitive and behavioural coping capabilities of resilience. These strategies include facilitating more positive re appraisals of the cancer- and treatment-related threats, shifting patient goals and expectations toward new cognitive and behavioural coping skills, problem -solving skills for better self management of clinical issues in order to adapt more effectively to health- related stresses in the future (Antoni, 2013; Dunkel-Schetter, Feinstein, Taylor, & Falke, 1992; Jassim, Whitford, Hickey, & Carter, 2015). Personal and social resources or strengths that may be leveraged by the nurse to foster more effective coping capabilities in the face of adversity are also discussed. Chapter 13 has to do with fostering meaning in patients and caregivers who are struggling to find meaning in the face of a cancer diagnosis or a shortened life (e.g.Lee, Cohen, Edgar, Laizner, & Gagnon, 2006; Vehling & Philipp, 2018). Fostering meaning is approached from a theoretical and evidentiary perspective that serves as the predicate for suggesting relevant therapeutic approaches (Folkman, 2007; Park & Folkman, 1997; Vehling & Philipp, 2018). It reviews ways that the individual may come to terms with a threatening event such as the diagnosis of cancer, and or find new meaning in the cancer experience through the guided process of re-ordering and realigning beliefs and assumptions about the world and the self as a function of clinical realities. Chapter 14 has to do with ways to strengthen supportive relationships with close family members, as exemplified by the family caregiver. Research findings strongly suggest that patients heal when they are socially attached to loved ones who provide the support they need (Antoni et al., 2012; Lutgendorf, 2012). Chapter 15 addresses the potential healing effects of positive conscious beliefs or expectations of clinical benefits (Benson & Stark, 1997; Colloca & Barsky, 2020). These convictions may be based on previous experiences within the health care system or from family stories, or the health- related experiences of friends. The nurse may play an important role in supporting these expectations knowing that they trigger the biological reward system which has been shown to down regulate the stress response system and enable healing processes to re emerge. Similarly, the patients ' clinical outcomes may be modulated by the negative beliefs they hold regarding their treatment (e.g.Petrie & Rief, 2019). Aspects of the clinical environments that can further interfere with the goals of treatment by inadvertently suppressing healing effects are also highlighted and suggested strategies to counteract these potential ill effects are examined. Chapter 16 discusses self-induced healing strategies for instance through physical exercise or meditation which can induce the physiological relaxation response, again resulting in the down regulation of the stress response, facilitating the re emergence of critical biological healing or reparative processes (e.g.Bhasin et al., 2013; Carlson, 2016). Finally, Chapter 17 presents the critical role of touch and reiki in inducing therapeutic healing benefits in patients and caregivers (Jakubiak & Feeney, 2017; Post-White et al., 2003). ReferencesAntoni, M. H. (2013). Psychosocial intervention effects on adaptation, disease course and biobehavioral processes in cancer. Brain Behav Immun, 30 Suppl, S88-98. doi: 10.1016/j.bbi.2012.05.009Antoni, M. H., Lutgendorf, S. K., Blomberg, B., Carver, C. S., Lechner, S., Diaz, A., . . . Cole, S. W. (2012). Cognitive-behavioral stress management reverses anxiety-related leukocyte transcriptional dynamics. Biol Psychiatry, 71(4), 366-372. doi: 10.1016/j.biopsych.2011.10.007Benson, Herbert, & Stark, Marg. (1997). Timeless healing : the power and biology of belief. New York: Simon & Schuster.Bhasin, M. K., Dusek, J. A., Chang, B. H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., . . . Libermann, T. A. (2013). Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One, 8(5), e62817. doi: 10.1371/journal.pone.0062817Carlson, L. E. (2016). Mindfulness-based interventions for coping with cancer. Ann N Y Acad Sci, 1373(1), 5-12. doi: 10.1111/nyas.13029Colloca, L., & Barsky, A. J. (2020). Placebo and Nocebo Effects. N Engl J Med, 382(6), 554-561. doi: 10.1056/NEJMra1907805Dunkel-Schetter, C., Feinstein, L. G., Taylor, S. E., & Falke, R. L. (1992). Patterns of coping with cancer. Health Psychol, 11(2), 79-87. doi: 10.1037//0278-6133.11.2.79Durkin, J., Usher, K., & Jackson, D. (2019). Embodying compassion: A systematic review of the views of nurses and patients. J Clin Nurs, 28(9-10), 1380-1392. doi: 10.1111/jocn.14722Folkman, S., & Moskowitz, J. . (2007). Positive affect and meaning-focused coping during significant psychological stress. In H. A. W. S. M.Hewstone, J.B.F. de Wit, K. van den Bos, & M.S. Stroebe (Eds.), (Ed.), The scope of social psychology: Theory and applications (pp. 193-208). New York: NY:: Psychology Press.Jakubiak, B. K., & Feeney, B. C. (2017). Affectionate Touch to Promote Relational, Psychological, and Physical Well-Being in Adulthood: A Theoretical Model and Review of the Research. Pers Soc Psychol Rev, 21(3), 228-252. doi: 10.1177/1088868316650307Jassim, G. A., Whitford, D. L., Hickey, A., & Carter, B. (2015). Psychological interventions for women with non-metastatic breast cancer. Cochrane Database Syst Rev, 5, CD008729. doi: 10.1002/14651858.CD008729.pub2Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006). Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum, 33(2), 291-302. doi: 10.1188/06.onf.291-302Lutgendorf, S., De Geest, K, Bender, D., Ahmed A., Goodheart M., Dahmoush, L., Zimmerman M, et al (2012). Social influences on clinical outcomes of patients with ovarian cancer. Journal of Clinical Oncology, 30(23), 2885-2890. Park, Crystal, & Folkman, Susan. (1997). Meaning in the Context of Stress and Coping. Review of General Psychology, 1, 115-144. doi: 10.1037/1089-2680.1.2.115Petrie, K. J., & Rief, W. (2019). Psychobiological Mechanisms of Placebo and Nocebo Effects: Pathways to Improve Treatments and Reduce Side Effects. Annu Rev Psychol, 70, 599-625. doi: 10.1146/annurev-psych-010418-102907Post-White, J., Kinney, M. E., Savik, K., Gau, J. B., Wilcox, C., & Lerner, I. (2003). Therapeutic massage and healing touch improve symptoms in cancer. Integr Cancer Ther, 2(4), 332-344. doi: 10.1177/1534735403259064Vehling, S., & Philipp, R. (2018). Existential distress and meaning-focused interventions in cancer survivorship. Curr Opin Support Palliat Care, 12(1), 46-51. doi: 10.1097/spc.0000000000000324PART 5Clinical approaches Chapter 18. Introduction Part 5 addresses the main health-related concerns of patients and caregivers in respective chapters across the diagnostic (Chapter 19), treatment (Chapter 20), transition to survivorship (Chapter 21) and end- of -life (Chapter 22) phases; and psycho-social interventions predicated on evidence from clinical trials, systematic reviews and or meta analysis, are suggested. Nursing interventions are directed toward reducing emotional distress, promoting healing, strengthening resilient capabilities, and improving healthy lifestyles and the well being of the whole person even when there is no cure. However the first nursing objective must be to reduce emotional distress (Andersen et al., 2007; Riba et al., 2019) Through these clinical objectives, the nurse supports the medical goals of treatment by increasing the likelihood of the patients' ability to complete treatment. These psycho-social nursing objectives may also enhance the patients' and family caregivers' ability to live well with the disease as a chronic illness, thrive in survivorship and face the end of life in acceptance and serenity. These objectives are enabled by the quality of the therapeutic nurse-patient relationship across the continuum. One consistent theme exists throughout the cancer experience: the emotional distress of patients and caregivers (Hagedoorn, Sanderman, Bolks, Tuinstra, & Coyne, 2008; Riba et al., 2019). It may ebb and flow depending on the stage of disease, treatment and clinical results, but it always hovers in some form, posing a potential physical threat to patients' and family caregivers' future health. An estimated 20% to 52% of patients report high levels of distress depending on the stage and type of cancer, and its cancer- and treatment- related symptoms and side effects (Dans et al., 2017; Riba et al., 2019). An estimated 10-60% of caregivers experience similar anxiety, depression, grief, and poor physical health across the continuum, which may exceed that of patients, especially toward the terminal phase (e.g.Ahn, Romo, & Campbell, 2020; Dionne-Odom et al., 2016).). Given the emotional interdependence between patients and caregivers which impact their respective psychological and physical health, it is incumbent upon nurses to address the psychological and physical needs of both at all phases, starting at diagnosis and continuing throughout the disease and transition to survivorship (Ferrell 2018). Patient centred The findings from meta analyses and clinical trials that have assessed the effectiveness of various patient-centered psychosocial and behavioral interventions across the stages of disease, have generally reported positive patient outcomes with respect to quality of life, anxiety, depression and marital relationship (Hu, Liu, & Li, 2019; Kalter et al., 2018; Salsman et al., 2019). Patient- centered therapeutic interventions consisted of one or more of the following: providing relevant information, enhancing supportive relationships (Andersen (Andersen et al., 2007) coping skills training (Cohen et al., 2011)), meaning making (Lee, Cohen, Edgar, Laizner, & Gagnon, 2006)), mindfulness based cancer recovery intervention (Carlson et al., 2016)), mindfulness- based stress reduction (MBSR) interventions (Reich et al., 2017)), different modalities of meditation that often include the relaxation response technique (Bhasin et al., 2013)), and various strategies for symptom management (e.g.Lau et al., 2020)), and self management strategies (McCorkle et al., 2011). Ascertaining the most appropriate intervention(s) depends on the goals of care, the clinical target(s) and preferences of the patient. Patient-caregiver focus When patients are accompanied by the family caregiver, clinical interventions tend to focus on the patient based on a partially misplaced assumption that helping the patient helps the caregiver. Too often, the unique and mounting psychological, physical and informational needs of the caregiver with disease progression are neglected. This is an important clinical issue when both caregiver and patients at clinic visits are seen, and the caregiver's needs are assumed to be the same as the patient's (Dionne-Odom et al., 2015). The few studies reporting caregiver as well as patient improvements may reflect the extent to which the clinical interventions addressed their shared concerns (Northouse et al., 2013). This clinical finding underscores the importance of doing a nursing assessment of the patient and the caregiver. Caregiver focus In the year following a cancer diagnosis, correlational findings have suggested that as patient well being improved, caregiver health declined (Shaffer, Kim, & Carver, 2016). Although caregiver needs clearly increase as the patients' (their loved ones) cancer progresses toward its terminal phase, the finding highlights the unique experiences of family caregivers as well as the bidirectional effects on one another 's health (Kershaw et al (Kershaw et al., 2015). Clinical interventions that do not address caregiver concerns earlier in the disease trajectory will likely undermine the health of both patient and caregiver. Many nurses try to set aside meaningful time for patients and their informal caregivers, particularly at distressing moments. But the clinical reality too often is that patient and caregiver needs for psychosocial nursing interventions face a tremendous professional hurdle in hospital settings in particular where nursing goals are predominantly centred on treatment and physical symptoms related to the cancer or treatment. Neither staff rotations nor daily staff schedules build in qualitative time for patients and caregivers (e.g.Molin, 2018)). Although the psycho social interventions discussed in Part 4 fall within the purview of advanced nursing practice, there appears to be sufficient evidence to suggest that most clinic nurses would benefit from more psycho-social skills training as evidenced in part by the number of controlled studies in which the clinic nurses carrying out, for instance, self management interventions required further skill formation (Dionne-Odom et al., 2015). It is hoped that Part 5 which offers nurses an essential repository of clinical interventions supported by the latest scientific findings and the conceptual model, will help to foster a shift in nursing goals and objectives toward clinical interventions that address the psychosocial needs of the whole individual. Ahn, S., Romo, R. D., & Campbell, C. L. (2020). A systematic review of interventions for family caregivers who care for patients with advanced cancer at home. Patient Educ Couns. doi: 10.1016/j.pec.2020.03.012Andersen, B. L., Farrar, W. B., Golden-Kreutz, D., Emery, C. F., Glaser, R., Crespin, T., & Carson, W. E., 3rd. (2007). Distress reduction from a psychological intervention contributes to improved health for cancer patients. Brain Behav Immun, 21(7), 953-961. doi: 10.1016/j.bbi.2007.03.005Bhasin, M. K., Dusek, J. A., Chang, B. H., Joseph, M. G., Denninger, J. W., Fricchione, G. L., . . . Libermann, T. A. (2013). Relaxation response induces temporal transcriptome changes in energy metabolism, insulin secretion and inflammatory pathways. PLoS One, 8(5), e62817. doi: 10.1371/journal.pone.0062817Carlson, L. E., Tamagawa, R., Stephen, J., Drysdale, E., Zhong, L., & Speca, M. (2016). Randomized-controlled trial of mindfulness-based cancer recovery versus supportive expressive group therapy among distressed breast cancer survivors (MINDSET): long-term follow-up results. Psychooncology, 25(7), 750-759. doi: 10.1002/pon.4150Cohen, L., Parker, P. A., Vence, L., Savary, C., Kentor, D., Pettaway, C., . . . Radvanyi, L. (2011). Presurgical stress management improves postoperative immune function in men with prostate cancer undergoing radical prostatectomy. Psychosom Med, 73(3), 218-225. doi: 10.1097/PSY.0b013e31820a1c26Dans, M., Smith, T., Back, A., Baker, J. N., Bauman, J. R., Beck, A. C., . . . Scavone, J. L. (2017). NCCN Guidelines Insights: Palliative Care, Version 2.2017. J Natl Compr Canc Netw, 15(8), 989-997. doi: 10.6004/jnccn.2017.0132Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Prescott, A. T., Tosteson, T., . . . Bakitas, M. A. (2016). Family Caregiver Depressive Symptom and Grief Outcomes From the ENABLE III Randomized Controlled Trial. J Pain Symptom Manage, 52(3), 378-385. doi: 10.1016/j.jpainsymman.2016.03.014Dionne-Odom, J. N., Azuero, A., Lyons, K. D., Hull, J. G., Tosteson, T., Li, Z., . . . Bakitas, M. A. (2015). Benefits of Early Versus Delayed Palliative Care to Informal Family Caregivers of Patients With Advanced Cancer: Outcomes From the ENABLE III Randomized Controlled Trial. J Clin Oncol, 33(13), 1446-1452. doi: 10.1200/jco.2014.58.7824Hagedoorn, M., Sanderman, R., Bolks, H. N., Tuinstra, J., & Coyne, J. C. (2008). Distress in couples coping with cancer: a meta-analysis and critical review of role and gender effects. Psychol Bull, 134(1), 1-30. doi: 10.1037/0033-2909.134.1.1Hu, Y., Liu, T., & Li, F. (2019). Association between dyadic interventions and outcomes in cancer patients: a meta-analysis. Support Care Cancer, 27(3), 745-761. doi: 10.1007/s00520-018-4556-8Kalter, J., Verdonck-de Leeuw, I. M., Sweegers, M. G., Aaronson, N. K., Jacobsen, P. B., Newton, R. U., . . . Buffart, L. M. (2018). Effects and moderators of psychosocial interventions on quality of life, and emotional and social function in patients with cancer: An individual patient data meta-analysis of 22 RCTs. Psychooncology, 27(4), 1150-1161. doi: 10.1002/pon.4648Kershaw, T., Ellis, K. R., Yoon, H., Schafenacker, A., Katapodi, M., & Northouse, L. (2015). The Interdependence of Advanced Cancer Patients' and Their Family Caregivers' Mental Health, Physical Health, and Self-Efficacy over Time. Ann Behav Med, 49(6), 901-911. doi: 10.1007/s12160-015-9743-yLau, B. H. P., Chow, A. Y. M., Ng, T. K., Fung, Y. L., Lam, T. C., So, T. H., . . . Wong, D. F. K. (2020). Comparing the efficacy of integrative body-mind-spirit intervention with cognitive behavioral therapy in patient-caregiver parallel groups for lung cancer patients using a randomized controlled trial. J Psychosoc Oncol, 38(4), 389-405. doi: 10.1080/07347332.2020.1722981Lee, V., Cohen, S. R., Edgar, L., Laizner, A. M., & Gagnon, A. J. (2006). Meaning-making and psychological adjustment to cancer: development of an intervention and pilot results. Oncol Nurs Forum, 33(2), 291-302. doi: 10.1188/06.onf.291-302McCorkle, R., Ercolano, E., Lazenby, M., Schulman-Green, D., Schilling, L. S., Lorig, K., & Wagner, E. H. (2011). Self-management: Enabling and empowering patients living with cancer as a chronic illness. CA Cancer J Clin, 61(1), 50-62. doi: 10.3322/caac.20093Molin, J., Lindgren, B.,Graneheim, U, Ringner, A. . (2018). Time together: a nursing intervention in psychiatric inpatient care-feasibility and effects. Int. J. Ment. Health Nurs., 27(6), 1698-1708. Northouse, L. L., Mood, D. W., Schafenacker, A., Kalemkerian, G., Zalupski, M., LoRusso, P., . . . Kershaw, T. (2013). Randomized clinical trial of a brief and extensive dyadic intervention for advanced cancer patients and their family caregivers. Psychooncology, 22(3), 555-563. doi: 10.1002/pon.3036Reich, R. R., Lengacher, C. A., Alinat, C. B., Kip, K. E., Paterson, C., Ramesar, S., . . . Park, J. (2017). Mindfulness-Based Stress Reduction in Post-treatment Breast Cancer Patients: Immediate and Sustained Effects Across Multiple Symptom Clusters. J Pain Symptom Manage, 53(1), 85-95. doi: 10.1016/j.jpainsymman.2016.08.005Riba, M. B., Donovan, K. A., Andersen, B., Braun, I., Breitbart, W. S., Brewer, B. W., . . . Darlow, S. D. (2019). Distress Management, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw, 17(10), 1229-1249. doi: 10.6004/jnccn.2019.0048Salsman, J. M., Pustejovsky, J. E., Schueller, S. M., Hernandez, R., Berendsen, M., McLouth, L. E. S., & Moskowitz, J. T. (2019). Psychosocial interventions for cancer survivors: A meta-analysis of effects on positive affect. J Cancer Surviv, 13(6), 943-955. doi: 10.1007/s11764-019-00811-8Shaffer, K. M., Kim, Y., & Carver, C. S. (2016). Physical and mental health trajectories of cancer patients and caregivers across the year post-diagnosis: a dyadic investigation. Psychol Health, 31(6), 655-674. doi: 10.1080/08870446.2015.1131826
£999.99
Springer International Publishing AG Managing Emergencies in the Outpatient Setting: Pearls for Primary Care
Book SynopsisMany primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department.This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care.The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified. Written by experts in the field, Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike. Table of ContentsCardiovascular - Some of the most common conditions that cause chest pain and/or shortness of breath are covered. Several other miscellaneous conditions requiring hospitalizations are discussed. Ischemia Congestive Heart Failure Arrhythmias Syncope Hypertensive EmergencyPulmonary Embolus and DVT Peripheral Vascular Disease Mesenteric Ischemia Aneurysms Thoracic Abdominal Pericarditis Rheumatic Fever Endocarditis Miscellaneous Dermatologic – Two conditions will be discussed that can result in ED referral. Stevens Johnson Syndrome DRESS Endocrinology – A discussion of how to handle hyperglycemia in the office will be had. Brief discussions of other conditions will also be addressed. Diabetes Post parathyroidectomy/thyroidectomy Thyroid Storm Miscellaneous Gastrointestinal - A focus on abdominal pain will be made. Appendicitis Cholecystitis Diverticulitis Acute liver failure Spontaneous Bacterial Peritonitis GI Bleed Hernias Obstruction Volvulus Miscellaneous – thrombosed hemorrhoid HEENT – The conditions in this organ system (mostly infections) are briefly discussed. Epiglottitis Retropharyngeal and Peri-tonsillar Abscess Lemierres Disease Mastoiditis Epistaxis Miscellaneous Hematology and Oncology – There will be a brief discussion of heme/onc emergencies. Severe Anemia ITP Hemarthrosis Leukemia Miscellaneous Infectious Disease – Various infectious conditions necessitating ED referral will be discussed. Cellulitis Diabetic Foot Pyelonephritis Sepsis Septic Joint Nephrology – A discussion of renal failure will be had. Various lab findings that may be encountered that require ED referral will be covered. Acute Renal Failure Hyponatremia Hyperkalemia Hypercalcemia Miscellaneous Neurology - Various conditions will be discussed focusing on the evaluation of stroke and headache. Multiple sclerosis and seizure will be briefly discussed in addition to several more rare conditions. Embolic CVA Hermorrhagic CVA TBI (concussion) Meningitis Pseudotumor Cerebri Temporal Arteritis Seizure Bells Palsy Mutiple Sclerosis Flare Myasthenia Crisis Miscellaneous OB/GYN – The conditions in this specialty are discussed and some will headed under abdominal pain in an index of possible conditions by particular symptom. Ectopic Pregnancy Vaginal Bleeding – in pregnancy and post-partum Pre-eclampsia Ovarian Cysts and Torsion PID and Tubulo-ovarian Abscess Miscellaneous Ophthalmology- A brief discussion of the painful red eye with and without vision loss will be had. Corneal Abrasion Chemical Exposure Optic Neuritis Orbital Cellulitis Endophthalmitis Amaurosis Fugax Acute Angle Closure Glaucoma Central Vein thrombosis Homonymous Hemianopsia Miscellaneous Psychiatry – A brief discussion of psychiatric emergencies will be made. Suicidal Ideation Psychosis Ethanol Withdrawal Benzodiazapine Withdrawal Pulmonary – Emergencies primary to the lung will be discussed. Pneumonia COPD Asthma Urology – The common issue of nephrolithiasis will be discussed. There will be brief discussion of other more rare conditions. Nephrolithiasis Ureteral Outlet Obstruction and Anuria Priapism Testicular Torsion Testicular Abscess Fourniers Gangrene Miscellaneous
£999.99
Springer International Publishing AG Telemedicine for the Musculoskeletal Physical Exam: A Pocket Guide
Book SynopsisTelemedicine has ballooned in popularity and necessity in the COVID-19 world, and it has proved its worth. Even in the post-pandemic world, telemedicine will be here to stay, as it offers both patient and provider many advantages. However, physicians are often ill-equipped and lack sufficient training in how to conduct a physical examination remotely. Practical and timely, this book presents the current best practices for performing musculoskeletal examination remotely via telemedicine. It takes an anatomical approach, covering all joints and disorders commonly seen in the clinic, including preparation and general principles, the upper and lower extremities and the axial skeleton. For each region, the challenges and limitations of telemedicine are systematically highlighted and discussed, with techniques clearly described and illustrated. Concluding chapters present telemedicine procedures for both the functional assessment of a patient and evaluation and management of respiratory muscle dysfunction.Orthopedic and sports medicine practitioners, as well as general physicians, nurse practitioners, and physician assistants who treat patients with musculoskeletal disorders, will find this book highly engaging and enlightening. Table of ContentsRemote Patient Monitoring.- Video Visit Preparation and Patient Education.- The General Telemedicine Exam.- The Telemedicine Cervical Spine Exam.- The Telemedicine Thoracic Spine Exam.- The Telemedicine Lumbar Spine Exam.- The Telemedicine Shoulder Exam.- The Telemedicine Hip Exam.- The Telemedicine Hand and Wrist Exam.- The Telemedicine Hip Exam.- The Telemedicine Knee Exam.- The Telemedicine Foot and Ankle Exam.- Telemedicine Evaluation and Management of Respiratory Muscle Dysfunction.- The Telemedicine Functional Assessment.
£999.99
Springer International Publishing AG A Case-Based Approach to Neck Pain: A Pocket Guide to Pathology, Diagnosis and Management
Book SynopsisNeck pain is one of the most common reasons for patient visits to orthopedic, physiatrist, primary care and sports medicine offices. Most books that cover this topic review it as a chapter within a larger book on orthopedics as a whole, or they focus on one specific aspect of spinal pathology.This practical text is an evidence-based, user-friendly review of the literature for the breadth of cervical injuries and conditions that present to the busy practitioner. Opening with a review of the relevant anatomy, subsequent chapters discuss strains and sprains, facet joint and discogenic pain, radiculopathy and myelopathy. Additional chapters cover sports trauma and fractures as well as rheumatologic causes and considerations. And while reviewing pathology and its diagnosis and treatment is important, proceeding through real case studies is extremely valuable in bringing the diagnosis and treatment of neck pathologies to life, hence an engaging section of clinical case material rounds out the presentation.Taken together, A Case-Based Approach to Neck Pain will be an ideal resource for musculoskeletal medicine practitioners of all types.Table of ContentsCervical Anatomy.- Cervical Strains and Sprains.- Cervical Facet Joint Pain.- Cervical Discogenic Pain.- Cervical Radiculopathy.- Cervical Myelopathy.- Cervical Sports Trauma and Fractures.- Rheumatologic Causes of Cervical Pain.- Cervical Pain Case Studies.
£999.99
Springer Selective Antibiotic Use in Respiratory Illness: a Family Practice Guide
Book SynopsisThe purpose of this book is to clarify the use of antibiotics in the management of the eommon respiratory illnesses seen in general practiee. The underlying philosophy, whieh embraees the avoidanee of unneeessary use, is that proper use entails a full understanding of the nature of the illness. The eoneept of seleetive antibiotie use reeognizes that respiratory illnesses eommonly eomprise multiple illness features, and that some of these features have a viral cause and some a bacterial one. In assessing antibiotic need, eaeh feature or eomponent part of an illness may be evaluated individually, so enabling adecision for antibiotie use in the illness as a whole. The nature of eaeh individual illness feature with its antibiotic indication is diseussed in sueeessive ehapters, and this aecumulated knowledge is of value in managing the more eomplex PUO and flu-like illnesses whieh are diseussed at the end of the book. The first two ehapters eneompass the principles of antibiotic use and the relationship between antibiotie preseribing and various states of the patient, e.g. allergy, pregnaney ete. An attempt has been made to justify every reeommendation or decision, and non-antibiotic management is diseussed where relevant.Table of Contents1 Antibiotics and the Patient.- Allergy.- Antibiotic Diarrhoea.- The Contraceptive Pill.- Pregnancy.- Lactation.- Neonates.- Children.- The Elderly.- Hepatic and Renal Impairment.- Drug Interactions.- Absorption.- 2 Management Principles.- 3 Pyrexia.- Febrile Convulsions.- Delirium.- Rigors.- Symptomatic Management of Pyrexia.- Antibiotic Use.- 4 Sore Throat, Tonsillitis and Pharyngitis.- Definition.- The Non-inflamed Sore Throat.- The Inflamed Throat.- Referral for Tonsillectomy.- 5 Otitis Media.- Use of the Auroscope.- Clinical Features of Acute Otitis Media.- Bacteria in Acute Otitis Media.- Secretory Otitis Media.- Management and Antibiotic Use.- Chronic Otitis Media.- 6 Sinusitis.- Clinical Features.- Bacteriology.- Management and Antibiotic Use.- 7 Laryngitis.- Croup.- Hoarseness or Loss of Voice.- 8 Coughs and Colds.- The Acute Cough.- Cold in the Nose.- Persistent Cough in Children.- Persistent Cough in Adults.- The Absent Cough.- 9 Wheezy Bronchitis in Children.- The Nature of Wheezy Bronchitis.- Recognition of Asthma.- Management of the Acute Episode.- Longerterm Management.- Differential Diagnosis.- 10 Pneumonia.- Clinical Diagnosis.- Investigation.- Infective Causes.- Management and Antibiotic Use.- Differential Diagnosis.- 11 Bronchitis, Bronchiolitis and Bronchiectasis.- Acute Bronchitis.- Acute Bronchiolitis.- Chronic Bronchitis.- Bronchiectasis.- 12 Vomiting and Diarrhoea.- Non-specific Vomiting.- Gastro-enteritis.- Management.- 13 PUO in Children.- Definition.- Emergent Diagnoses.- Management and Antibiotic Use.- 14 Influenza and the ’Flu-like Illness.- The Influenzal Illness.- Viral Causes.- Differential Diagnosis.- Clinical Assessment of the Patient with ’Flu.- Management and Antibiotic Use.
£72.68
Oxford University Press Obesity and Cardiovascular Disease
Book SynopsisThis essential book comprehensively covers the diagnosis, treatment and management of cardiovascular disease in obese patients, translating up-to-date clinical research findings into clinical practice.Trade Review...for any clinician who looks after this group of patients it will be a useful guide and also a good starting point for people interested in developing their knowledge of obesity-related heart disease * British Journal of Hospital Medicine *Table of Contents1. Obesity and the cardiovascular system: redefinition of this relationship ; 2. Obesity definition, classification, phenotypes, and worldwide prevalence ; 3. Metabolically healthy obesity ; 4. Adipose tissue and the heart ; 5. Markers of adiposity ; 6. Echocardiography in obesity ; 7. Obesity and atherosclerosis ; 8. Obesity and hypertension ; 9. Electrocardiogram and arrhythmias in obesity ; 10. Obesity and heart failure ; 11. Obesity and peripheral venous diseases ; 12. Obesity and obstructive sleep apnoea ; 13. Weight loss strategies ; 14. Major trials in obesity ; Further reading
£40.50
Cambridge University Press Clinical Mitochondrial Medicine
a huge range and FREE tracked UK delivery on ALL orders.
£44.64
McGill-Queen's University Press The Doctor Dilemma
Book SynopsisThe Doctor Dilemma provides a timely discussion of policy issues in five key areas of physician-related public policy in Ontario: physician payment schemes, regulation of physician numbers and distribution, monitoring of the quality of medical care, the role of physicians in hospitals, and the regulation of new medical technologies. Shortt defines the scope of the problems, clarifies the focus of the debate, identifies the constraints on policy formation, and discusses the policy options available. The author accepts the inevitability of substantial change to the health care system and the way practitioners work but believes that such change can ultimately lead to a better system of health care in Ontario. His aim is to persuade fellow doctors not to oppose change but rather to inform policy makers of what areas of physician activity legitimately demand intervention and how best to make changes. The Doctor Dilemma will be of tremendous interest to physicians and health care professionaTrade Review"The Doctor Dilemma is the best-researched review of the state of the health care system in Ontario I have yet come across. It helps put the debate into a balanced context and will perhaps pave the road to finding solutions." Dr Marshall Godwin, Family Medicine, Queen's University "The Doctor Dilemma is unique in devoting careful policy analysis to the specific issues now facing doctors in Ontario and, in very similar if not identical terms, other provinces. It should draw strong interest among physicians and other health professionals, administrators and policy makers across Canada as well as in Ontario." Tom Kent, Policy Studies, Queen's University
£68.25
Cambridge University Press Liver Transplantation Volume 5
Book SynopsisLiver Transplant: Your Transition to Care is an informative and interactive book designed to help you understand how to keep yourself and your liver healthy as you grow older and become more independent. With a simple and engaging format, this book helps you understand and organize information about your own liver transplant and treatment. It also explains why you may want to rebel against your transplant care as you grow up, but why it''s so vital to stay on track. The interactive nature of the book provides space for you to write down important information such as your goals, frustrations, medical team, and medicines. This helps you take an active role in your own care and stay motivated to keep yourself healthy for the amazing life ahead of you. This empowering book is part of the series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.
£11.99
Cambridge University Press Peritoneal Dialysis
Book SynopsisPeritoneal Dialysis: A Bath for my Belly explains the purpose and experience of treatment called peritoneal dialysis. Written in easy to understand language with vibrant illustrations, this book explains that the treatment helps people who have kidneys that don''t work so well and need help. The story uses an analogy that compares peritoneal dialysis to a bath, to explain that the treatment cleans our blood just like a bath cleans our body. The book also features key facts and a glossary of commonly used words by doctors. This informative and enjoyable book is part of the series The Strength of My Scars, written and illustrated by surgeon, Maria Baimas-George.
£11.99
Cambridge University Press Surviving Prescribing
Book SynopsisSafe and effective prescribing is one of the pillars of medical practice but is much more complicated than it seems. Many new prescribers find prescribing extremely challenging, and a plethora of independent, multidisciplinary prescribers are also seeking guidance. However, pharmacology textbooks are rarely practical. They warn to ''take care when prescribing erythromycin to a patient on warfarin, as the INR may rise''. But what should the prescriber actually do? Surviving Prescribing fulfils an important need by offering practical advice for real-world prescribing problems. The book complements existing educational resources but adds a new perspective. Written by experienced contributors from a variety of professional backgrounds, the content speaks directly to the problems routinely seen in hospital prescribing. And all in one, pocket-sized volume. Whether revising for the national Prescribing Safety Assessment, preparing for starting on the wards, or looking for a quick reference guTrade Review'Wow. This is a phenomenal piece of work. Excellent for medical students, specialty trainees and anyone prescribing outside specialty. It acknowledges both the complexity and risks of prescribing and provides a framework that spans pre-clinical pharmacology and prescribing at the bedside. I wish this book had been written 20 years ago. It's chatty and readable and will be an invaluable resource to students and doctors alike.' Dr Chris van Tulleken, Honorary Associate Professor, UCL, London'A valuable source of information and reference and a 'must read' text to support education and learning for prescribers in all health sectors.' Ian Bates, Professor of Pharmacy Education, UCL School of Pharmacy, London'Surviving Prescribing is a must have for new prescribers. An easy-to-use, practical guide to prescribing, it is full of useful tips and easy-to-remember acronyms, in a concise readable format. It will help the reader develop their knowledge of key therapeutic topics, calculation methods, serious drug interactions and electronic prescribing. The comprehensive content is primarily written for hospital-based prescribers though practitioners in care homes, general practice, domiciliary and other primary care settings will find much of the content useful too.' Nina L. Barnett, Consultant Pharmacist, London North West University Healthcare NHS Trust and NHS Specialist Pharmacy Service, and Visiting Professor, Kingston University, London'… it is probably best suited to a medical student on clinical rotations as an introduction to prescribing.' Sonya Shipley, Family MedicineTable of ContentsSection 1. Introduction; 1. The basics of safe drug use Yogini Jain; Section 2. Prescribing for patient groups; 2. Prescribing in renal disease Dipty Joshi; 3. Prescribing for children Abimbola Sanu; 4. Prescribing for older patients Shirley Ip; 5. Prescribing in pregnancy Alia Husain; 6. The basic principles of prescribing and breastfeeding Alia Husain; 7. Management of the delirious (acutely confused) patient Jim Bolton; 8. Prevention of delirium tremens and management of alcohol withdrawal syndrome Rob Shulman; Section 3. Emergency prescribing; 9. Diabetic ketoacidosis Lloyd E. Kwanten; 10. Hyperosmolar hyperglycaemic state Lloyd E. Kwanten; 11. Hypoglycaemia Lloyd E. Kwanten; 12. Paracetamol overdose Mayur Murali; 13. Emergency prescribing in cardiology Sebastian Vandermolen and David Brull; 14. Emergency prescribing in neurosurgery Sheetal Sumaria and Lindsey Stockford; 15. Respiratory emergencies Xolani Dereck Gondongwe; 16. Pulmonary embolism Rob Shulman; 17. Electrolyte and metabolic emergencies Ned Gilbert-Kawai; Section 4. Gastronintestinal; 18. Practical prescribing in general gastroenterology Angad Singh; 19. Constipation in the adult patient Angad Singh; 20. Nausea and vomiting Angad Singh; 21. Safe prescribing in liver disease Angad Singh; 22. Practical parental nutrition Laura Hyam and Angad Singh; Section 5. Central nervous system; 23. Analgesia Suparna Bali; 24. Patient controlled analgesia Suparna Bali; 25. Epidural analgesia Suparna Bali; 26. Fit for a fit: How to treat adults with seizures Lindsey Stockford and Sheetal Sumaria; 27. Pallative care prescribing Simon Noble; Section 6. Haemotology; 28. Warfarin prescribing Bridget Coleman; 29. Parenteral anticoagulation Rob Shulman; 30. Prescribing survival guide: Direct oral anticoagulants Rosalind Byrne and Alison Brown; Section 7. Surgery; 31. Practical prescribing in the surgical patient Mayur Murali; 32. Diabetes in surgery Jessal Mitual Palan; 33. Bowel preparation Mayur Murali; Section 8. Diabetes; 34. Treating diabetes Lloyd E. Kwanten and Miriam Conway; 35. Intravenous insulin infusions Lloyd E. Kwanten; Section 9. Calculations; 36. Calculations for the prescriber Gemma Wareing; 37. Therapeutic drug monitoring Nishma Gadher; Section 10. Interactions, hypersensitivity and contraindications; 38. Drug hypersensitivities and contraindications Roman Landowski; 39. Interactions that matter Roman Landowski; Section 11. Infections and other important topics; 40. Infections Peter Wilson; 41. Deprescribing Kat Le Bosquet; 42. Electronic prescribing Samrina Bhatti; 43. Corticosteriods Rob Shulman; 44. Intravenous therapy Rob Shulman; Index.
£999.99
Orion Publishing Co This Beating Heart
Book SynopsisWHAT IF THE FAMILY YOU WANT......ISN''T THE FAMILY YOU NEED?''It was up to her now; everything was up to her;she needed only to make a choice and step towards it, out from the shadows and into the light.'' At forty-three, Christina Lennox thought her future was settled: marriage to Ed, children, a house of their own. But this is not that future: her marriage has ended, fractured by the stress of five rounds of IVF and two miscarriages. Overwhelmed by grief and disappointment, Ed has relocated to San Francisco and Christina''s dream of becoming a mother rests on persuading him to let her go ahead with one final round of IVF, using the last frozen embryo they have stored at the clinic.But when Ed drops a bombshell that threatens to undo everything Christina has strived for, she is forced, once again, to realign her plans.Is this the end of her dream, or an opportunity to consider a different - perhaps happier -Trade ReviewBarnett's well-crafted backlist is big on emotional acuity and this novel is no different, forging from Christina's grief an insistence that we think more creatively when it comes to happiness, and especially to the shapes that our families might take. -- Hephzibah Anderson * THE OBSERVER *A warm, emotional story with brilliant characters. -- Deirdre O'Brien * BEST MAGAZINE *An uplifting tale about new beginnings. -- Maureen Stapleton * HEAT MAGAZINE *I found this beautifully told tale of disappointed motherhood moving, but the best bit for me was the lively South London scene Barnett conjures up. -- Wendy Holden * DAILY MAIL *Barnett writes beautifully about relationships and the possibility of finding a very different happy ever after from the one you were expecting. -- Mernie Gilmore * SUNDAY EXPRESS S MAGAZINE *Laura Barnett weaves an inspiring story about shifting perspective and finding light in the darkness. -- Zoe West * WOMAN'S OWN *A compelling read. * CLOSER *What makes Barnett's novel soappealing is the realistic steps taken by Christina so that she may improve her ownlife - it's not easy but, as Barnett suggests, nothing worth doing ever is. * SUNDAY BUSINESS POST *
£14.99
Nova Science Publishers Inc Knowledge Transfer: Practices, Types & Challenges
Book Synopsis
£149.99
Nova Science Publishers Inc Family Doctors: Images & Metaphors of the Family
Book SynopsisMedicine is often learned through a mechanistic metaphor of biology and a military metaphor of war. However, the conceptual elements and skills that promote the mastery of family medicine, such as contextual knowledge, continuity of care, the clinical interview, comprehensiveness, coordination, and so on, are often difficult to explain and to understand. Furthermore, these fundamental concepts of family medicine have nothing to do with the metaphor of the machine or the metaphor of war. In this book, these concepts are explained through metaphors that are more explanatory, nicer, sweeter, and more playful. Thinking based on metaphors and comparisons is a way of making a concept so suggestive, interesting and surprising that it reaches people more easily. The value of family medicine lies in its distinctiveness from academic medicine; it is a unique discipline that defines itself in terms of relationships, especially those between the doctor and patient. Family physicians tend to think in terms of individual patients rather than of abstractions and generalizations, and family medicine is based more on the metaphor of an organism rather than that of mechanistic biology. Family medicine is unique in the medical arena in that it transcends the duality of body and mind. Thus, the family doctor should be encouraged to use a non-conventional form when thinking about the problems that are presented in the consultation (for example, thinking on the basis of metaphors).
£163.19
Nova Science Publishers Inc A Closer Look at Women's Health
Book SynopsisThis book includes six chapters that detail various aspects of women's health. Chapter One uses a hermeneutic phenomenological method to explore hope in eating disordered women. Chapter Two considers the importance of hope as a mediating factor in the complicated relationships between body shame and eating disorder behaviour as well as with substance use/abuse behaviour via an Internet survey. Chapter Three examines the influence of six Indigenous Australian sportswomen and their role as sporting role models for women and girls. Chapter Four highlights the research that has been conducted regarding eating disorders in women of colour and reviews the unique race and culture-related risk factors that may influence the presence of eating disorder symptoms. Chapter Five deals with the history and definition of food craving, the cognitive event of appetizing targeting, the associations with the diet mentality as a promoter of moral judgment concerning food, and the twelve primary triggers according to the latest data from studies in the field of eating disorders. Finally, Chapter Six focuses on the association between physical activity and menopausal transition from the viewpoint of evolutionary biology and evolutionary medicine.Table of ContentsPreface; Womens Experience of Hope in a Twelve-Step Self-Help Group for Eating Disorders; The Effects of Hope and Body Shame on Alcohol and Drug Use in Eating Disordered Women; Indigenous Australian Sportswomen: Inspiring the Next Generation; Eating Disorders in Women of Color: Race and Culture-Related Risk Factors; The Body Asks and the Mind Judges: Understanding Desires and Food Cravings in Eating Behavior and Its Triggers; Physical Activity as a Treatment Strategy during Menopausal Transition: An Evolutionary Approach; Index.
£113.59
Canongate Books What Is a Doctor?: A GP's Prescription for the
Book SynopsisA WATERSTONES BEST BOOK OF 2023: POPULAR SCIENCEWhat Is a Doctor? is a vital contribution to the ongoing debate about how we maintain an NHS that is both fit for purpose and free. Using stories and case studies from across his thirty-year career as a GP, Dr Phil Whitaker offers insight into the medical movements, political interference and societal changes that have transformed the role of doctor over the past three decades.Much has altered for the better but, even when based on good intentions, an equal or greater amount has been damaging and threatens the sustainability of the NHS. In examining what it means to be a doctor today, this book also answers an accompanying question 'what is a patient?' - and how we can all take a more active role in our healthcare. And, looking forward, Dr Whitaker describes what might yet be done to restore the NHS and its capacity for properly patient-centred care.Trade ReviewA powerful account of what has happened to the bedrock of the NHS, the GP system. Whitaker gives us a series of subtle and graphic stories that illustrate the complexity of the doctor-patient relationship and of modern medical practice at the ground level . . . The book is essential - and highly readable -- HENRY MARSH * * New Statesman * *If the NHS is to survive as a model of health-care for another 75 years, it needs thinkers and champions like Dr Whitaker to challenge policy and to ask how the system can reinvent itself. What is a Doctor? is a call to review, renew and revitalise the way we provide medicine, and to ensure that individualised care remains at the heart of the NHS -- KATHRYN MANNIX, author of WITH THE END IN MINDPhil Whitaker knows the business of being a doctor inside out, and his moving and thought-provoking memoir of how the job has changed is essential reading for anyone interested in the future of the NHS -- DAVID NOTT, bestselling author of WAR DOCTORWith meticulous analysis, deep vocational understanding and a palpable compassion for the human stories at the heart of all this, What Is a Doctor? is an essential intervention in the urgent conversation about the future of healthcare in this country -- POLLY MORLANDFascinating and challenging . . . The book is a page turner and makes a vital contribution to the discussion about the future of doctors and the NHS * * Health Matters * *Calm, knowledgeable, and clear, Phil Whitaker is the GP everyone would like to have, and his prescription for the health service is full of wisdom and kindness. I hope it will be read by everyone concerned about how we care for one another, now and in the future -- GAVIN FRANCIS, author of ADVENTURES IN HUMAN BEING and RECOVERYThis remarkable book shares profound insights into many of the problems facing modern medicine and offers a hopeful way forward - resuscitating the humanity that healthcare desperately needs. Simply brilliant -- SIR DAVID HASLAM, past chair of NICE and author of SIDE EFFECTSIf just one member of the government could be persuaded to read this book, there might be hope for a reinvigorated NHS and for its beleaguered professionals and its worried patients -- IONA HEATH, President of the Royal College of General Practitioners 2009-2012
£15.29
TFM Publishing Ltd Managing LONG COVID Syndrome
Book SynopsisOver ten percent of people infected with the COVID virus will suffer with long COVID syndrome. Up until now, more than one million people have been affected with this syndrome in the United Kingdom alone, and the incidence worldwide is estimated to be more than 35 million people, although this may be the tip of the iceberg. The World Health Organization has highlighted a need for the three Rs -- Recognition, Research and Rehabilitation. Long COVID syndrome can be frustrating and disabling, even many months or years after the infection; sufferers complain of fatigue, pain, post-exertional malaise, cognitive dysfunction and many other systemic symptoms. It can be challenging for healthcare professionals to recognise the disease and for patients who are suffering from the condition it can have a wide and far-reaching impact on their lives and day-to-day activities. Being a relatively new condition, many healthcare professionals, now more than ever, need to have the requisite knowledge to recognise and manage this severely debilitating disease. This book will be useful to all frontline healthcare professionals to help diagnose, manage and direct patients to the available resources. General practitioners, physiotherapists, pain therapists, nurses, surgeons, physicians, junior doctors, psychologists, medical students and other clinicians will be able to update their knowledge on long COVID syndrome with this easy-to-read book. Patients will also find the book useful to understand the basis of the disease and how they can seek help. This comprehensive treatise covers a wide variety of topics on long COVID syndrome including the aetiopathogenesis, recognition, systemic involvement, investigations, guidelines on management, available resources, systemic management and pain/fatigue management. This book will be handy for candidates preparing for various examinations conducted by the Royal College of General Practitioners, UK (MRCGP), Royal College of Anaesthetists, UK (FRCA), Faculty of Pain Medicine, UK (FFPMRCA), College of Anaesthesiologists of Ireland (FCAI), European Society of Anaesthesiology and Intensive Care (EDAIC), Australian and New Zealand College of Anaesthetists (FANZCA), World Institute of Pain (FIPP/CIPS), National Board of Examinations of India (Dip NB), and the American and Canadian board examinations, as well as other examinations conducted by medical boards across the globe. The author is a consultant in pain medicine who has published extensively on various topics and specialises in treating long COVID patients. He has written many textbooks in the fields of anaesthesia and pain, and conducts regular examination courses attended by candidates from all over the world. He is also a regular invited lecturer on the specialist subject of long COVID syndrome.
£22.50
Wolters Kluwer Health Infection Prevention in Athletes
Book SynopsisDerived from protocols developed for the National Football League, Infection Prevention in Athletes outlines best practices and recommendations that are designed to minimize the risk of infections among athletes. This unique resource provides concise, authoritative guidance for athletic training facilities on applying infection prevention practices typically provided in hospitals and outpatient clinics. You’ll find practical tips and real-world advice on preventing transmission of bacterial and viral infections in an environment of frequent skin injuries, close proximity of players, and frequent administration of routine medical care. Offers clear guidance for today’s athletes, athletic trainers, and physicians from the team that teaches infection control and prevention to the NFL. Covers best practices and recommendations for key areas of education, infection prevention, and cleaning and maintenance. Assists teams in formulating policies related to player and staff education, hygiene, cleaning and disinfection, diagnosis and treatment of specific infections and conditions, and the management of infections among team members. Helps readers devise protocols for assessing suitability to return to full team activities following treatment of common infections—including scientific evidence and rationale for recommendations when available. Includes access to posters designed for display in the athletic training facility that promote best practices and infection prevention among athletes. Includes a set of educational “trading cards” highlighting essential stats and information about some of the most common infections. Enrich Your Ebook Reading Experience Read directly on your preferred device(s),such as computer, tablet, or smartphone. Easily convert to audiobook,powering your content with natural language text-to-speech.
£52.50
Nova Science Publishers Inc Chronic Disease Follow-Ups for Adults in Primary
Book Synopsis
£219.99
HarperCollins Publishers Further Confessions of a GP The Confessions Series
a huge range and FREE tracked UK delivery on ALL orders.
£999.99
