In an ageing society, developing high-quality healthcare for older people becomes increasingly important. This revised and updated fourth edition focuses on the key aspects of ageing and healthcare for older people, especially those with moderate to severe frailty. It has expanded sections on the key topics of frailty and medicines optimisation with evidence from critically appraised clinical trials formulated into practical guidance for management. It details the non-pharmacological management of cognitive disorders and models of person-centred care. Additional topics of acute coronary syndromes and COVID-19 have also been added in this comprehensive text for healthcare professionals. Key Features Provides practical therapeutic advice including deprescribing decisions for all medication types. Presents statistics in more clinically meaningful ways – i.e. number needed to treat and no p-values, to aid the process of shared decision-making for clinicians and professionals. Includes 200 revised questions and answers throughout the text in the 'best of five' format suitable for the SCE and similar higher-training exams.
Frail older people now contribute the majority of the acute emergency take both medical and surgical. Despite this there is often a lack of confidence and knowledge among doctors and nurses in treating older people in the Emergency Department and on Emergency Assessment Units.From the Preface Emergency care of frail older people is challenging but very rewarding. Older patients tend to be complex and therefore their assessment needs to be more extensive and include comprehensive geriatric assessment. It is the extras in their assessment that are not usually needed in younger patients, such as cognitive, functional and social evaluations that make the difference in achieving a better outcome. This book describes the key features of high quality care for frail elderly patients in acute hospital settings. With chapters on assessment and the characteristic non-specific ways that patients tend to present (such as 'confusion', 'collapse query cause' and 'off legs'), this practical guide is ideal to have on-hand. As well as common medical and surgical conditions, it also covers medication management, elder abuse, pressure ulcers and hypothermia, including the physiological changes seen in ageing and ways to define frail patients. Tables, diagrams and images are ideal for quick reference, and key points are summarised throughout the text to aid comprehension, providing doctors, nurses and therapists with both background and essential information to provide the excellent acute care older people deserve.
An in-depth biography of the iconic American revolutionary that “helps us understand the significance of Henry’s enduring image” (The New York Times Book Review). Patrick Henry was a charismatic orator whose devotion to the pursuit of liberty fueled the fire of the American Revolution and laid the groundwork for the United States. As a lawyer and a member of the Virginia House of Burgess, Henry championed the inalienable rights with which all men are born. His philosophy inspired the Declaration of Independence, the Constitution, and, most significantly, the Bill of Rights. Famous for the line “Give me liberty or give me death!” Patrick Henry was a man who stirred souls and whose dedication to individual liberty became the voice for thousands. In A Son of Thunder, Henry Mayer offers “a biography as [Patrick] Henry himself would have wanted it written—a readable style, informal, engaging, and entertaining” (Southern Historian). “This is history and biography at its best.” —Charleston Evening Post “A fine job of placing Henry’s idea of republican rectitude in context without ignoring the many ironies of his life as a mediator between the yeomanry and the elite.” —The New York Times Book Review “A narrative that eases the reader with seemingly effortless grace into the rough-and-tumble world of eighteenth-century Virginia. Patrick Henry, patriot, emerges . . . a lion of a man, proud, earnest, melancholy, eloquent. The biographer has done his job; one sets this book down having heard the lion’s roar and having felt the sorrow that he is no more.” —San Francisco Examiner
This fourth volume in the ten-volume series covers the career of Henry Clay during his first year as Secretary of State in the cabinet of President John Quincy Adams. Within a month after taking office, Henry Clay described the Department of State as "no bed of roses." Even though routine papers bearing his signature have been omitted by the editors, the 950 pages of documents included in this volume show that many duties filled Clay's days and nights. The evidence in autograph drafts and the meagerness of revision in the official documents indicate the need for major reconsideration of Clay's role in United States foreign relations during the presidency of John Quincy Adams. The range of issues emerging in these papers is broad, and the duties were obviously more than the limited staff of the Department of State could satisfactorily perform. But if, as a result, the United States suffered a major diplomatic defeat during the British revision of trade regulations, Clay's instructions to the Panama mission marked him as a statesman of world stature. Publication of this book was assisted by a grant from the National Historical Publications and Records Commission.
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