Pain has always been a problem for Western Society, but not the same kind of problem. Until about 1500, pain was primarily understood as a religious problem. Pain and suffering challenged the truth of religious belief and the legitimacy of the Church: How could a just, merciful, and all-powerful God allow so much pain and suffering in the world? As our society became more secular over the next 300 years, pain came to be understood primarily as a social problem. This modernizing society aimed to create the best environment for human flourishing: How might human society be designed and regulated to reduce the pain and suffering of everyone to the minimum possible? At least since 1900, we have separated pain as a medical problem from the remainder of human suffering. We have aimed to reduce this problem to a minimum through medical treatment. This quest has led us to our opioid epidemic. To fully comprehend the limitations of this medical interpretation, we must appreciate how the medical explanation of pain grew out of earlier religious and social interpretations of pain"--
Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
Patient-centered care for chronic illness is founded upon the informed and activated patient, but we are not clear what this means. We must understand patients as subjects who know things and as agents who do things. Bioethics has urged us to respect patient autonomy, but it has understood this autonomy narrowly in terms of informed consent for treatment choice. In chronic illness care, the ethical and clinical challenge is to not just respect, but to promote patient autonomy, understood broadly as the patients' overall agency or capacity for action. The primary barrier to patient action in chronic illness is not clinicians dictating treatment choice, but clinicians dictating the nature of the clinical problem. The patient's perspective on clinical problems is now often added to the objective-disease perspective of clinicians as health-related quality of life (HRQL). But HRQL is merely a hybrid transitional concept between disease-focused and health-focused goals for clinical care. Truly patient-centered care requires a sense of patient-centered health that is perceived by the patient and defined in terms of the patient's vital goals. Patient action is an essential means to this patient-centered health, as well as an essential component of this health. This action is not extrinsically motivated adherence, but intrinsically motivated striving for vital goals. Modern pathophysiological medicine has trouble understanding both patient action and health. The self-moving and self-healing capacities of patients can be understood only if we understand their roots in the biological autonomy of organisms. Taking the patient as the primary perceiver and producer of health has the following policy implications: 1] Care will become patient-centered only when the patient is the primary customer of care. 2] Professional health services are not the principal source of population health, and may lead to clinical, social and cultural iatrogenic injury. 3] Social justice demands equity in health capability more than equal access to health services.
Publisher's Note: Products purchased from Third Party sellers are not guaranteed by the publisher for quality, authenticity, or access to any online entitlements included with the product. The landmark pediatrics reference – completely reinvented by an all new team of editors Rudolph's Pediatrics has virtually defined the pediatric field for over a century, becoming one of the most important and well-respected pediatrics texts ever published. Renowned for its balance of clinical features and treatment of disease with underlying biological principles, this classic sourcebook has helped generations of pediatricians optimize their care of infants, children, and adolescents. The Twenty-Third Edition of Rudolph's has been completely restructured and streamlined thanks to an all new team of editors whose goal was to reinvent this classic with today’s busy practitioner in mind. Presented in full color, the Twenty-Third Edition provides an up-to-date, in-depth survey of pediatric medicine unmatched by any other text. With its algorithmic approach to pediatric systems, the book facilitates the diagnosis and treatment of both common and uncommon pediatric illnesses; and it reflects new technologies and advances in molecular medicine that continue to evolve with current thinking about normal childhood development and pediatric disease processes. • New team of editors achieves consistency in both tone and depth of content • Contributions from section editors and authors from leading academic pediatrics programs give expert coverage of general pediatrics and all of the pediatric sub-specialties • Streamlined and consistent format for most chapters outlining Pathogenesis and Epidemiology, Clinical Manifestations, Diagnosis, Treatment, and Prevention • New 2-Volume presentation improves portability • Hundreds of full-color illustrations and tables • The acclaimed balance between clinical applicability and underlying biological principles offers pediatricians a depth of coverage not found anywhere else • Brand new or significantly revised chapters include: Complementary and Integrative Pediatrics, Childhood Adversity and Toxic Stress, Autism Spectrum Disorder, Pediatric Depression and Bipolar Spectrum Disorders, Extracorporeal Membrane Oxygenation (ECMO), Palliative Care for Children with Chronic Diseases, Arboviruses (with new coverage of Zika virus and chikungunya virus), Physiologic Basis of Pulmonary Function; Acute Lymphoblastic Leukemia; Neuroblastoma “You'd be hard pressed to find a resource that matches up to the comprehensive scope of Rudolph's. It's no wonder it's a staple in most offices and hospitals.” -Doody’s Review Service
For nearly 50 years, Sleisenger & Fordtran’s Gastrointestinal and Liver Disease has been the go-to reference for gastroenterology and hepatology residents, fellows, physicians, and the entire GI caregiving team. Now in a fully revised 11th Edition, this two-volume masterwork brings together the knowledge and expertise of hundreds of global experts who keep you up to date with the newest techniques, technologies, and treatments for every clinical challenge you face in gastroenterology and hepatology. A logical organization, more than 1,100 full-color illustrations, and easy-to-use algorithms ensure that you’ll quickly and easily find the information you need. Features new and expanded discussions of chronic hepatitis B and C, Helicobacter pylori infection, colorectal cancer prevention through screening and surveillance, biologic agents and novel small molecules to treat and prevent recurrences of inflammatory bowel disease (IBD), gastrointestinal immune and autoimmune diseases, and more. Offers reliable coverage of key topics such as Barrett’s esophagus, gut microbiome, enteric microbiota and probiotics, fecal microbiota transplantation, and hepatic, pancreatic, and small bowel transplantation. Provides more quick-reference algorithms that summarize clinical decision making and practical approaches to patient management. Employs a consistent, templated, format throughout for quick retrieval of information. Includes monthly updates online, as well as more than 20 procedural videos.
“Bone and Wound Healing in the Diabetic Patient”, “Surgery for Diabetic Foot Infection” “Antibiotic Therapy for Diabetic Foot Infection”, “Decision-Making in the Dysvascular Lower Extremity”, “Hindfoot and Midfoot Amputation in the Diabetic with Infection”, “Transmetatarsal, Ray and Toe Amputation in the Diabetic Patient” “Gait Abnormality Following Partial Foot Amputation in Diabetes” “Syme’s Amputation”, “What’s New in Transtibial Amputation”, “Angiosomes and Wound Care in the Diabetic Foot”, “Shoes, Orthoses and Prosthoses for Partial Foot Amputation and Diabetic Foot Infection”, “Avoiding Amputation in the Diabetic with Longitudinal Management.”
EMonCall handheld software provides on-the-spot treatment advice for the most frequently encountered problems in emergency medicine. The unique On Call format is organized for quick access to over 120 of the most common problems seen in the emergency department. For each on-call problem, users can immediately focus on the presenting problem, immediate questions, differential diagnosis, lab and other diagnostic tests, and treatment plan. Additional information on laboratory tests, procedures, fluids and electrolytes, and blood component therapy enhance the software’s value as a single-source reference. The commonly used medications section offers quick access to the most frequently used medications in the emergency department.
The gold-standard text on the diagnosis and treatment of disorders affecting the elderly – completely updated with a new full-color presentation A Doody's Core Title for 2021! The definitive treatise on the subject of geriatrics, this comprehensive text combines gerontology principles with clinical geriatrics, offering a uniquely holistic approach to this ever-expanding area of medicine. Written by some of the world’s most respected geriatricians, Hazzard’s Geriatric Medicine and Gerontology, Seventh Edition presents up-to-date, evidence-based information in a rich new full-color design. Unmatched as a textbook, this classic is also valuable to fellows in geriatric medicine. Hazzards’s Geriatric Medicine and Gerontology, Seventh Edition is logically divided into five parts: Principles of Gerontology, Principles of Geriatrics, Geriatric Syndromes, Principles of Palliative Medicine, and Organ Systems and Diseases. Within its pages, you will find balanced, authoritative coverage of every essential topic – from evaluation and management to nutrition and palliative medicine. Here’s why the Seventh Edition is the best edition ever: NEW full-color design with hundreds of color photographs NEW chapters: Quality of Care in Older Adults, Common Non-Pain Symptoms in Older Adults, Strategies of Effective Communication Around Advanced Illness, Palliative Medicine in the Continuum of Care Including Hospice, Coagulation Disorders, and Plasma Cell Disorders MORE chapters on Palliative Medicine NEW Learning Objectives and Key Points added to each chapter MORE tables, drawings, and clinical algorithms EVIDENCE-BASED through the use of the latest clinical practice guidelines , references to systemic reviews, and critically appraised topics UPDATED to reflect the most current clinical breakthroughs and advances for managing older adults in various settings
The undisputed leader on the subject of geriatrics—updated to reflect the most recent advances in the field A Doody's Core Title for 2023! The leading text on the subject of geriatrics, this comprehensive guide combines gerontology principles with clinical geriatrics, offering unmatched coverage of this area of medicine. Anchored in evidence-based medicine and patient-centered practice, Hazzard's Geriatric Medicine and Gerontology presents the most up-to-date, medical information available. This updated eighth edition reflects the continued growth and increasing sophistication of geriatrics as a defined medical discipline. The book focuses on the implementation of key concepts and covers the foundation for geriatrics, as well as frequently encountered syndromes found in older adults. In addition, it provides valuable insights into the simultaneous management of multiple conditions, including psychological and social issues and their interactions, an intrinsic aspect of geriatric patient care. Features: A greater emphasize on the growing knowledge base for key topics in the field, including gerontology, geriatrics, geriatric conditions, and palliative medicine NEW chapters on: Social Determinants of Health, Health Disparities and Health Equity Age Friendly Care Geriatrics Around the World The Patient Perspective Substance Use and Disorders Applied Clinical Geroscience Managing the Care of Patients with Multiple Chronic Conditions UPDATED contributions from a respected and diverse team of geriatricians and subspecialists to reflect clinical breakthroughs and advances NEW: Extensive coverage of the COVID-19 pandemic and its impact on vulnerable older adults Updated Learning Objectives and Key Clinical Points Hundreds of full-color images
The 5-Minute Patient Advisor offers busy clinicians much-needed assistance in counseling patients about their illnesses and treatments. The book contains concise, complete patient information sheets about medical surgical conditions, based on the expert advice in Griffith's 5-Minute Clinical Consult and written in understandable layperson's terms. These information sheets can be photocopied and used as "handouts" to answer most of the questions that patients are likely to have.
This quick reference for current medical diagnosis and treatment covers more than 1,000 medical/surgical conditions in a fast-access format that includes basics, diagnosis, treatment, medications, and more. This edition is thoroughly updated to reflect contemporary practice norms, and includes expanded indexes and listings of Web sites.
The definitive evidence-based introduction to patient history-taking NOW IN FULL COLOR For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history. Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter. Features NEW! Case scenarios introduce each chapter and place history-taking principles in clinical context NEW! Self-assessment multiple choice Q&A conclude each chapter—an ideal review for students seeking to assess their retention of chapter material NEW! Full-color presentation Essential chapter on red eye, pruritus, and hair loss Symptom-based chapters covering 59 common symptoms and clinical presentations Diagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians
EBOOK CLINICAL SPORTS MEDICINE, 5TH EDITION, Volume 1 INJURIES “A striking feature of Clinical Sports Medicine has always been the authors’ relentless commitment to ‘clinical’. This is a unique book.” Dr Emma K Stokes, President, World Confederation for Physical Therapy EDITORS PETER BRUKNER, BEN CLARSEN, JILL COOK, ANN COOLS, KAY CROSSLEY, MARK HUTCHINSON, PAUL McCRORY, ROALD BAHR, KARIM KHAN Brukner & Khan’s Clinical Sports Medicine, the world-leading title in sport and exercise medicine, is an authoritative and practical guide to physiotherapy and musculoskeletal medicine for clinicians and students. To accommodate the rapid advances in the professions, the fifth edition has been expanded into two volumes. This first volume, Clinical Sports Medicine: Injuries, is the essential guide to all aspects of preventing, diagnosing and treating sports-related injuries. It serves physiotherapists, team clinicians, athletic trainers, sports therapists, sports rehabilitators and trainers, as well as students in the health professions and in Human Movement Studies. All chapters have been updated and rewritten by an international team of sports physiotherapists and sports physicians at the top of their fields. More than 550 new figures have been added to bring the total number of illustrations to 1300. There are 15 new chapters, including: • Shoulder pain • Acute knee injuries • Posterior thigh pain • Low back pain • Return to play • Sport-specific biomechanics The second volume, Clinical Sports Medicine: Exercise Medicine, is scheduled for release in 2018 and will focus on the health benefits of exercise and the medical issues in sport. It will serve general practitioners and other clinicians who prescribe exercise to promote health and to treat medical conditions such as heart disease and diabetes. This ebook of Clinical Sports Medicine: Injuries is enhanced with up to 50 instructional videos demonstrating procedures. ABOUT THE AUTHORS PETER BRUKNER OAM, MBBS, FACSEP, FACSM, FFSEM Peter Brukner is a Sport and Exercise Physician and currently the Australian cricket team doctor. He was previously Head of Sports Medicine and Sports Science at the Liverpool Football Club in the UK. Peter is the founding partner of the Olympic Park Sports Medicine Centre, a past president of the Australasian College of Sport and Exercise Physicians, and Professor of Sports Medicine at La Trobe University. Peter has been an Olympic team physician and was the Socceroos team doctor at the 2010 World Cup. In 2005 he was awarded the Order of Australia medal (OAM) for services to sports medicine. KARIM KHAN MD, PhD, MBA, FACSEP, FACSM, FFSEM Karim Khan is a Sport and Exercise Physician and Professor of Sports Medicine at the Department of Family Practice at the University of British Columbia, Vancouver, Canada. He is Editor in Chief of the British Journal of Sports Medicine (BJSM) and has published more than 300 peer-reviewed research articles. In 2001, he was awarded the Australian Prime Minister’s Medal for service to sports medicine. Karim was profiled in The Lancet in its 2012 Olympic Games issue.
An engagingly written case-based review for the Family Medicine Board Examination and the USMLE Step 3 Widely recognized as the ideal study guide for the primary and recertification exams in family medicine and licensure exams, Graber and Wilbur's Family Medicine Examination and Board Review, Fifth Edition has been updated throughout to maintain currency and freshness—including new bits of humor that make the book fun to read and studying more enjoyable. Featuring hundreds of progressive cases, this acclaimed review has been applauded by residents and students for its "building-block approach" to learning that assures readers understand one subject before moving on to the next. The Fifth Edition has also been enhanced with cutting-edge coverage of topics such as health maintenance, decision-making, and metacognition. More than 350 progressive case studies that reflect the realities of clinical practice and prepare readers for the exams A 200-question final exam with answers referenced to pages in the book Detailed answer explanations for most questions that explain not only why an answer is right, but why the other answers are wrong Comprehensive coverage of ALL topics on the boards and recertifying exam Super-effective learning aids such as Quick Quizzes, learning objectives, clinical pearls, and more Color photographs of conditions most easily diagnosed by appearance Written not only to help pass exams, but to also update knowledge of family medicine with state-of-the-art information An outstanding refresher for primary care physicians, physician assistants, and nurse practitioners
Nearly forty years after its original publication, one of the most influential textbooks on modern pain management is available again for today’s generation, in a unique and enhanced edition. Now complemented by expert, chapter-by-chapter commentaries from leading authorities on psychologically-oriented pain management and pain-associated disability, Fordyce’s Behavioral Methods for Chronic Pain and Illness blends Dr. Fordyce’s pioneering behavioral concepts with modern research and clinical practice. This innovative title is ideal for clinicians and researchers involved in the multidisciplinary assessment, treatment, and management of pain and pain-associated disorders, as well as anyone interested in behavioral approaches to chronic pain and illness.
Manual of Electrophysiology is a comprehensive guide to cardiac electrophysiology, brought together by a team of US based experts in this field. The book focuses on current understanding and the most recent advances in electrophysiology. Consisting of 16 chapters, the book begins with basic understanding of the mechanisms of arrhythmia (irregular heartbeat), the pharmacology of antiarrhythmic drugs, and an introduction to electrophysiology studies. Various arrhythmias are discussed in detail, from tachycardia and bradycardia to cardiomyopathy and Brugada Syndrome. The latter part of the book provides a number of therapeutic guidelines for heart conditions, including surgical and catheter ablation of cardiac arrhythmias, cardiac resynchronisation therapy and ambulatory electrocardiographic monitoring. With 350 full colour images and illustrations enhancing practical advice on the diagnosis and therapy of cardiac diseases, Manual of Electrophysiology provides indispensable guidance for physicians, clinicians and cardiologists. Key Points Essential guide to cardiac electrophysiology from a team of experts at the Universities of California and Iowa Discusses the most recent advances in the field Provides therapeutic guidelines for a number of heart conditions 350 full colour images and illustrations
Derived from Sam W. Wiesel’s four-volume Operative Techniques in Orthopaedic Surgery, this single-volume resource contains the user-friendly, step-by-step information you need to confidently perform the full range of sports medicine surgical procedures. In one convenient place, you’ll find the entire Sports Medicine section, as well as relevant chapters from the Shoulder and Elbow; Pediatrics; Hand, Wrist, and Forearm; Adult Reconstruction; and Foot and Ankle sections of Operative Techniques in Orthopaedic Surgery. Superb full-color illustrations and step-by-step explanations help you master surgical techniques, select the best procedure, avoid complications, and anticipate outcomes. Written by global experts from leading institutions, Operative Techniques in Sports Medicine Surgery, 2nd Edition, provides authoritative, easy-to-follow guidance to both the novice trainee or experienced surgeon.
GET YOUR HIGHEST SCORE POSSIBLE ON THE PAIN MEDICINE CERTIFICATION AND RECERTIFICATION EXAM WITH THIS ALL-IN-ONE REVIEW This concise yet comprehensive review, edited by two of today's leading pain clinicians/scientists, is the perfect tool to prepare for certification and recertification. It is also an outstanding clinical companion when time is of the essence and authoritative information is needed quickly. Featuring insights from renowned experts, the book's high-yield bulleted presentation condenses and simplifies essential must-know information for the easiest and most time-efficient learning and retention possible. HERE'S WHY THIS IS THE BEST REVIEW OF PAIN MEDICINE AVAILABLE TODAY: Every chapter contains key points that encapsulate the most importantinformation for a given topic Valuable opening section on Test Preparation and Planning reviewsimportant aspects of test taking such as planning study time, planningmaterial to cover, study skills, and taking the actual exam Section on Basic Principles covers key topics such as Pain Physiology,Epidemiology, Gender Issues, Placebo Response, Pain Taxonomy, and Ethics Other sections include: Evaluation of the Patient, Analgesic Pharmacology,Acute Pain Management, Regional Pain, Chronic Pain Management, andSpecial Techniques in Pain Management--which covers the latest advancesin interventional pain Coverage includes alternative treatments such as acupuncture and TENS Numerous photographs and drawings enhance the text
A complete evidence-based textbook and reference for physical therapy students and practitioners Dutton’s Orthopaedic Examination, Evaluation, and Intervention provides you with a systematic, logical approach to the evaluation and intervention of the orthopedic patient. Comprehensive and up-to-date, Dutton’s strikes the perfect balance in its coverage of examination and treatment. For any intervention to be successful, an accurate diagnosis must be followed by a carefully planned and specific rehabilitation program to both the affected area and its related structure. This approach must take into consideration the structure involved and the stage of healing. Dutton’s Orthopaedic Examination, Evaluation, and Intervention emphasizes the appropriate use of manual techniques and therapeutic exercise based on these considerations. The correct applications of electrotherapeutic and thermal modalities are outlined throughout as adjuncts to the rehabilitative process. The content reflects the consistent, unified voice of a single author – a prominent practicing therapist who delivers step-by-step guidance on the examination of each joint and region. This in-depth coverage leads you logically through systems review and differential diagnosis, aided by decision-making algorithms. Features: NEW full-color illustrations of anatomy and treatment and evaluation procedures Review Q&A for each chapter Companion DVD includes 500 illustrative video clips Chapters updated to reflect the latest research and treatment techniques
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