Let your dog teach you to live a happier, healthier, and more fulfilling life! Companionship with your pet can be used as a means and a motivator to increase your own physical and mental fitness. This fun and easy-to-read book provides practical tips for learning healthy lifestyle habits from a four-legged friend. Pooch-proven advice for better living includes methods to adopt successful exercise and dieting strategies, re-focus how you approach food shopping, make sleep a top priority, and reduce harmful stress effects by improving social interactions. Easy-to-learn relaxation techniques, food portion sizes, and sleep needs for every age are included in this book. There are also "dog-approved" recipes that detail why including specific foods in your diet will improve different aspects of your health. Why not follow the lead of your canine personal trainer, and start to enjoy a happier, healthier life, today!
This engaging and highly practical title is designed to support healthcare professionals in providing the best possible care for their patients with migraine. Developed by two leading authorities in the field who bring wit and warmth to their writing, the book combines the valuable wisdom of their clinical expertise with cutting edge scientific synthesis and helpful clinical pearls. Replete with a plethora of instructional aids and clinical tools (such as patient handouts, questionnaires, checklists, video clips, and quick-reference boxes), Discussing Migraine with Your Patients: A Common Sense Guide for Clinicians reviews migraine treatment in an evidence-based manner -- according to the empirical data and FDA and consensus-based guidelines. Discussion topics include acute and preventive pharmacotherapy, medical interventions and devices, behavioral and psychological nonpharmacologic therapies, education, trigger management, healthy lifestyle practices, stress management, neutraceuticals, and alternative medicine offerings. In addition, this easy-to-read title covers genetics and pathophysiology, symptoms and comorbidities, and a range of essential clinical skills that are useful in achieving the best possible outcomes with patients. In invaluable addition to the literature, this title will serve as the ultimate go-to resource for primary care clinicians and trainees. Headache specialists, too, will find value in this work.
Fifteen specialists serve as chapter authors, covering sex hormones and genetics, as well as the social, cultural, psychiatric, and psychological factors that contribute to headache disorders. Their approach is evidence-based, but where there are gaps in research, the authors provide advice based on expert consensus and clinical experience. Each chapter opens with a case report that synthesizes the chapter's treatment recommendations, as well as key points listing the chapter's contents. The main body of the chapter features an introductory overview, a closing summary, tables, and an extensive list of suggestive reading.
Headache and Chronic Pain Syndromes provides a case-based approach to state-of-the-art evaluation and treatment of patients with common chronically painful conditions. Offering strategies for rapidly evaluating and treating pain complaints by body region, this innovative title also provides patient educational handouts that explain the diagnosis and treatment in easy-to-understand language for each condition. Tools for implementing both medication and non-medication therapies, such as exercises and relaxation techniques, are also included. Each chapter opens with typical presentations of three to five common patient scenarios, including pediatric, adult, and geriatric patients. A targeted approach for patient assessment is provided and applied to each scenario, showing how to rapidly identify important clues to distinguish among common diagnoses, including both benign and malignant causes of pain. Standard treatment regimens are then provided for each patient, along with patient-friendly educational flyers for each common pain condition. Figures and drawings help provide ready identification of these common chronic pain syndromes. Headache and Chronic Pain Syndromes offers primary care practitioners, neurologists, and orthopedists an optimal approach to the evaluation, treatment, and follow-up of chronically painful conditions.
Caring for patients with fibromyalgia requires an understanding of the complex nature of this condition. Fibromyalgia: A Practical Clinical Guide is a state-of-the-art resource designed to clarify the controversy about fibromyalgia and to provide clinicians with the latest information about its pathogenesis and clinical evaluation, as well as evidence-based guidelines for effective treatment. This comprehensive title includes fully referenced, practical information on this fast-emerging field and provides useful clinical suggestions and practical office tools for effectively managing patients. The good news for fibromyalgia patients and their healthcare providers is that a wide range of medication, non-medication, and non-traditional therapies have been proven to effectively reduce some of the most problematic and disabling fibromyalgia symptoms. Brief case vignettes help describe many of the common presentations, concerns, and complexities typically seen in fibromyalgia patients. Invaluable graphic aids -- boxes, tables, and figures – are used widely to provide quick reference for the busy clinician seeking information. In addition, clinic-proven assessment and documentation tools for evaluating and monitoring fibromyalgia symptoms and severity are provided, along with handouts for patients to provide guidance on pain management techniques, including detailed exercise and relaxation technique instructions. A unique addition to the literature, Fibromyalgia: A Practical Clinical Guide is an indispensable reference for all clinicians who care for patients with fibromyalgia.
Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, leading pain specialist Dawn A. Marcus, MD, offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad of painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Using an engaging case-based approach, the author simplifies the often complex care of patients with chronic pain by providing practical strategies for targeting important symptoms, establishing realistic treatment goals, and efficiently and effectively managing patients. Clinic-friendly instructional sheets (questionnaires, diaries, and chart documentation tools) can be copied directly from the book and used for both education and the monitoring of therapeutic compliance and response. Importantly, Dr. Marcus offers all of these practical applications in the context of the busy office practice. The author also presents invaluable guidelines for prescribing medications and nonmedicative therapies, and provides descriptions, illustrations, and diagnostic criteria to help identify specific, commonly occurring syndromes that produce chronic pain. Additional features include sections on opioid therapy and on chronic pain in special patient groups such as children and adolescents, pregnant women, and geriatrics. Also included is a value-added compact disk containing a companion ebook version of the book for downloading and use in the reader's computer or PDA, and continuing medical education (CME) questions that provide the opportunity to acquire 5 AMA/PRA category 1 CME credits from the American Society of Contemporary Medicine and Surgery. Comprehensive and case-oriented, Chronic Pain: A Primary Care Guide to Practical Management offers busy health care providers a practice-friendly approach to assessing and managing the often complex and time-consuming problems of chronic pain.
Medical studies have consistently shown that patients benefit from therapy dog visits. One recent study of 59 adults showed that following a therapy dog visit their energy levels increased, respiratory rated calmed significantly and pain scores decreased by over 20 percent. Mood scores improved by over 60 percent with the patients feeling less tense, anxious, angry, tied depressed and dejected. Now in "The Power of Wagging Tails," Dr. Dawn Marcus showcases the wide range of research that shows the therapeutic and healing power of people of all ages and with a wide range of health conditions. These research findings are brought to life through the personal stories of healing from dog owners across the United States and Canada. She shows you how to unleash the healing power of your own dog, describes how to effectively add a dog to the home of someone with a chronic condition, explains how the family dog can help with chronic health conditions, and teaches how to train a companion dog to be a certified therapy dog to help others. "The Power of Wagging Tails" is of interest to dog owners, people wondering how to help family and friends coping with chronic illnesses, and individuals considering training their dogs
Dogs that visit patients with cancer have been convincingly shown to reduce stress, loneliness, and mood disturbance that may complicate cancer care. In addition, dogs may provide important motivation for patients to maintain rehabilitation programs that have been shown to reduce cancer risk and improve cancer survival. Outlining all of these issues and many more, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is a ground-breaking, highly innovative addition to the literature on cancer care. Detailing a comprehensive summary of truly impressive research demonstrating the ability of dogs to serve an important therapeutic role within the cancer arena and in other serious medical conditions, the text provides highly practical advice and very helpful “tips” to ensure that those who wish to employ dogs to assist the cancer patient have the necessary knowledge and “tools” to optimize outcomes. Authored by Dawn A. Marcus, MD, an expert in both pain management and health improvement through human and dog interaction, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an extremely well-organized, well-researched, and highly readable book. Providing practical suggestions to effectively incorporate dogs into cancer care, with detailed instructions about requirements for therapy dogs to ensure visits are safe and limit unwanted spread of infection, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an invaluable reference that will inform and delight both the clinician desiring a “how-to” text as well as the casual reader.
A neurologist specializing in headache treatment outlines ten simple techniques to help relieve and prevent migraines, including drug therapy, lifestyle enhancements, and complementary therapies, including supplements, diet, and exercise.
Migraine is an extremely common condition affecting 28 million Americans. Fully 1 in every 6 adult women suffers from this malady. Patients with migraine are frequently seen in the Emergency Room and Urgent Care Clinic for acute treatment of their headaches. Headache generally accounts for nearly 3 % of all ER visits, resulting in almost 3.5 million visits annually. There currently are no widely used guidelines for the treatment of patients with headache in the ER or UCC, and reducing the number of CT scans remains a key goal for administrators in many ER or urgent care settings. In one study, 35 drugs, alone or in combination, were used to treat migraine. The most common medication class used was narcotics, which were used in 25% of the visits. The next two most commonly used classes were antiemetics and NSAIDs. Only 5% of patients seen for headache received headache-specific medications during their visit. ER and Urgent Care physicians generally have little or no formal training in treating these patients. Consequently, they often feel less comfortable ruling out secondary causes of headaches and using appropriate headache treatment medications and procedures. Since many patients have received narcotics in previous visits, providers may view them as drug seekers. Patients seen in ERs and UCCs for acute treatment of their headaches often report high levels of dissatisfaction. They often end up in the ER or UCC because they don’t have a formal treatment strategy for their severe headaches. Health plans and insurance agencies are often frustrated by the high cost of fragmented care for patients with headaches. Because of the environment that most ER and UCC providers operate in, many unnecessary scans and tests are done because of uncertainty of the diagnosis and unfamiliarity of the patient. Primary care physicians are also frustrated by patients with headaches presenting to them after being seen in the ER or UCC, wanting a refill of their narcotics that they were given. Many patients don’t follow up with their PCPs and simply keep returning to the ER/UCC for their treatment. In short, all involved in the care for patients with headache are frustrated by the current system. The care for these patients is clearly not optimal. It doesn’t have to be that way. There are a wide variety of effective treatment options available, but are underutilized in the acute setting. With these treatment options, patients no longer have to be treated only with parenteral narcotics, only to perpetuate the cycle of suboptimal care described above. This concise handbook covers all aspects of acute headache care, including care of the child and adolescent with acute headaches, treatment of pregnant and breastfeeding women with acute headaches and appropriate evaluation of secondary headaches. In addition, two other novel chapters are included: one on caring for older patients with acute headaches as well as a chapter describing how to ensure a seamless transition of the patient back to a headache interested provider. Representing an important milestone in the care of patients with headache, this is the first concise handbook available to exclusively address the issue of headache treatment in the acute care setting. Including protocols and strategies that can be used right away, Management of Headaches in Emergency Room and Urgent Care Settings: Diagnosis and Management provides information about lesser known, but effective strategies such as greater occipital nerve blocks that can be easily learned and incorporated in the acute care setting. It emphasizes the continuity of care that is so vital to keep headache patients from returning to the ER and UCC for acute treatment.
More than 28 million Americans suffer from migraine headaches, with migraine affecting nearly one in five women in their reproductive years. Effective Migraine Treatment in Pregnant and Lactating Women: A Practical Guide, provides a comprehensive resource to address diagnosis, testing, and treatment of headaches in reproductively fertile women. This important new book offers a wealth of practical, ready-to-use, clinically tested tips and recommendations to treat women with headaches during pregnancy and nursing. Although women may ideally prefer to restrict migraine treatments during pregnancy, up to one in three pregnant women self-medicate for symptoms, especially with analgesics. Fortunately, there are many effective treatment options that can be safely used when pregnant and breastfeeding. Available therapies include medication and nonmedication treatments, traditional and alternative therapies, and nutritional supplements. This book uniquely answers frequently asked questions by patients and offers healthcare providers easy-to-use office tools for patient education and charting documentation. The authors of this important new work have collaborated to provide a resource that will help clinicians provide women with the tools and knowledge to become empowered and to gain control over their migraines when trying to conceive, during pregnancy, and when nursing.
An expansive guide for resistance and solidarity across this storied region. Richmond and Central Virginia are a historic epicenter of America’s racialized history. This alternative guidebook foregrounds diverse communities in the region who are mobilizing to dismantle oppressive systems and fundamentally transforming the space to live and thrive. Featuring personal reflections from activists, artists, and community leaders, this book eschews colonial monuments and confederate memorials to instead highlight movements, neighborhoods, landmarks, and gathering spaces that shape social justice struggles across the history of this rapidly growing area. The sites, stories, and events featured here reveal how community resistance and resilience remain firmly embedded in the region’s landscape. A People’s Guide to Richmond and Central Virginia counters the narrative that elites make history worth knowing, and sites worth visiting, by demonstrating how ordinary people come together to create more equitable futures.
Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.
Patients with chronic pain present a unique set of challenges to the primary care clinician. In Chronic Pain: A Primary Care Guide to Practical Management, Second Edition, leading pain specialist Dawn A. Marcus, MD, again offers practical, clear, and succinct evidence-based approaches to the diagnosis and treatment of the myriad painful conditions clinicians see in their offices every day, such as headache, back pain, arthritis, fibromyalgia, and abdominal pain. Sections addressing pain management in children, pregnant women, and seniors are also included. This new edition is designed to provide a pragmatic approach to assessing and treating the complex issues and characteristics of chronic pain patients. New chapters expand upon the evidence-based recommendations and practical office tools previously provided, with the addition of new chapters addressing risk management; pain syndromes in the shoulder, upper extremity, and lower extremity; and cancer and end-of-life pain. Chronic Pain: A Primary Care Guide to Practical Management, Second Edition provides strategies and techniques that are designed to improve the confidence with which the primary care physician can approach patients with complex pain complaints, reduce staff stress, and improve patient success.
Dogs that visit patients with cancer have been convincingly shown to reduce stress, loneliness, and mood disturbance that may complicate cancer care. In addition, dogs may provide important motivation for patients to maintain rehabilitation programs that have been shown to reduce cancer risk and improve cancer survival. Outlining all of these issues and many more, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is a ground-breaking, highly innovative addition to the literature on cancer care. Detailing a comprehensive summary of truly impressive research demonstrating the ability of dogs to serve an important therapeutic role within the cancer arena and in other serious medical conditions, the text provides highly practical advice and very helpful “tips” to ensure that those who wish to employ dogs to assist the cancer patient have the necessary knowledge and “tools” to optimize outcomes. Authored by Dawn A. Marcus, MD, an expert in both pain management and health improvement through human and dog interaction, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an extremely well-organized, well-researched, and highly readable book. Providing practical suggestions to effectively incorporate dogs into cancer care, with detailed instructions about requirements for therapy dogs to ensure visits are safe and limit unwanted spread of infection, Therapy Dogs in Cancer Care: A Valuable Complementary Treatment is an invaluable reference that will inform and delight both the clinician desiring a “how-to” text as well as the casual reader.
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