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The Practical Handbook of Perioperative Metabolic and Nutritional Care

The Practical Handbook of Perioperative Metabolic and Nutritional Care
A Book

by M. Isabel T.D Correia

  • Publisher : Academic Press
  • Release : 2019-06-25
  • Pages : 338
  • ISBN : 0128175117
  • Language : En, Es, Fr & De
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Intended for any healthcare professional working with surgical patients, including medical students, residents, surgeons and internists, nurses, dieticians, pharmacists, and physical therapists, The Practical Handbook of Perioperative Metabolic and Nutritional Care focuses on topics from the history of surgery and metabolism, to organic response to stress. Based on clinical processes, the author explores screening, assessment, and the impact of nutritional status on outcomes, in addition to investigating nutritional requirements, including macronutrients and micronutrients. Chapters examine wound healing as well as metabolic and nutritional surgical preconditioning, including coverage of preoperative counseling, preoperative nutrition, and preoperative fasting. Physical exercise is addressed, as well as nutritional therapy in the form of oral supplements, and enteral and parenteral approaches. Additional topics explored include nutrition therapy complications and immunomodulatory nutrients, pro, pre and symbiotics, postoperative oral, enteral and parenteral nutrition, enteral access, vascular access, fluid therapy, and more. With up-to-date information, practical and cost-effective data, this resource is critical for translating theory to practice. Focuses on preoperative metabolic and nutritional preparation for surgery Explores processes for intra and postoperatively assessing metabolic and nutritional state to ensure patient progress Contains content based on clinical process

A Practical Handbook on Pediatric Cardiac Intensive Care Therapy

A Practical Handbook on Pediatric Cardiac Intensive Care Therapy
A Book

by Dietrich Klauwer,Christoph Neuhaeuser,Josef Thul,Rainer Zimmermann

  • Publisher : Springer
  • Release : 2018-11-11
  • Pages : 560
  • ISBN : 3319924419
  • Language : En, Es, Fr & De
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This book combines valid physiology and treatment strategies with the institutional experience of one of the leading German pediatric heart centers. It is intended as a pragmatic guide, focusing on daily practice and bedside medicine: straightforward, easy to implement, and results-oriented. It offers readers a profound understanding of intensive care, with a specific focus on organ systems, their interactions, and the effect of life support technologies, pursuing a comprehensive approach to congenital heart defects and therapies, including pitfalls and solutions. The target group is extended towards pediatric cardiologists and anesthesiologists by integrating chapters on the systematic analysis of hemodynamics and anatomy, diagnostics and treatment of congenital heart defects, plus a chapter on modern anesthesiology during heart operations with a focus on early extubation that minimizes on-pump and medication trauma. As such, the book offers a pragmatic and clinically oriented guide for physicians with advanced experience and expertise in (cardiac) intensive and intermediate care, as well as beginners and junior physicians.

Practical Handbook of Nutrition in Clinical Practice

Practical Handbook of Nutrition in Clinical Practice
A Book

by Donald F. Kirby,Stanley J. Dudrick

  • Publisher : CRC Press
  • Release : 1994-07-12
  • Pages : 320
  • ISBN : 9780849378478
  • Language : En, Es, Fr & De
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The Practical Handbook of Nutrition in Clinical Practice is an excellent supplement to standard textbooks in nutrition support and a must-have reference for those with an interest in this area. The text reviews nutrition assessment techniques from the very basic to the latest research methods. The areas of malnutrition and refeeding are explored as are overnutrition and obesity. Enteral access techniques and enteral nutrition are expertly covered. The history and current practice of total parenteral nutrition are discussed by one of the modern-day developers of this lifesaving technique. The role of managed care in nutrition is a timely chapter with current health care reform in mind. Nutritional immunology, nutrition in renal disease, nutrition fraud and ethical issues in nutrition support, along with nutrition support in short bowel syndrome and the surgical patient, are all discussed in detail.

Nutrition Care of the Older Adult: a Handbook for Dietetics Professionals Working Throughout the Continuum of Care

Nutrition Care of the Older Adult: a Handbook for Dietetics Professionals Working Throughout the Continuum of Care
A Book

by Kathleen C. Niedert,Becky Dorner

  • Publisher : American Dietetic Associati
  • Release : 2004
  • Pages : 323
  • ISBN : 0880913320
  • Language : En, Es, Fr & De
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Completely revised with new chapters and sections covering everything the health-care provider needs to know when working with the older adult either at home or in nursing and long-term care facilities. Chapters cover factors affecting nutrition, nutrition and disease, nutritional assessment, dining challenges and regulatory compliance. This scientifically sound and practical resource for new and experienced nutrition professionals includes new forms, resources, the food guide pyramid for older adults and an index of tales.

Surgery

Surgery
Basic Science and Clinical Evidence

by Jeffrey Norton,Philip S. Barie,Ralph R. Bollinger,Alfred E. Chang,Stephen Lowry,Sean J. Mulvihill,Harvey I. Pass,Robert W. Thompson

  • Publisher : Springer Science & Business Media
  • Release : 2009-04-21
  • Pages : 2442
  • ISBN : 9780387681139
  • Language : En, Es, Fr & De
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Much anticipated, the Second Edition of Surgery: Basic Science and Clinical Evidence features fully revised and updated information on the evidence-based practice of surgery, including significant new sections on trauma and critical care and the often challenging surgical care of unique populations, including elderly, pediatric, immunocompromised, and obese patients as well as timely new chapters on the pre- and post-operative care of the cardiac surgery patient, intestinal transplantation, surgical infections, the fundamentals of cancer genetics and proteomics. Also new to this edition are discussions of electrosurgical instruments, robotics, imaging modalities, and other emerging technologies influencing the modern practice of surgery. Clinically focused sections in gastrointestinal, vascular, cardiothoracic, transplant, and cancer surgery enable the surgeon to make decisions based upon the most relevant data in modern surgical practice. The text is enhanced by more than 1,000 illustrations and hundreds of the signature evidence-based tables that made the first edition of SURGERY an instant classic.

Nursing Care of the Pediatric Surgical Patient

Nursing Care of the Pediatric Surgical Patient
A Book

by Nancy Tkacz Browne

  • Publisher : Jones & Bartlett Learning
  • Release : 2007
  • Pages : 531
  • ISBN : 0763740527
  • Language : En, Es, Fr & De
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The book packages all aspects of the pediatric surgical nurse's job into one comprehensive reference, including pre- and post-operative care, minimally invasive surgery, innovative therapies, fetal surgery, pediatric solid organ transplantation, and more. It offers up-to-date information on pediatric surgical nursing and includes many critical pathways and research topics. It is a must-have resource for all healthcare providers involved in the care of the general pediatric surgical patient.

Critical Care Manual of Clinical Procedures and Competencies

Critical Care Manual of Clinical Procedures and Competencies
A Book

by Jane Mallett,John Albarran,Annette Richardson

  • Publisher : John Wiley & Sons
  • Release : 2013-05-15
  • Pages : 592
  • ISBN : 1118496132
  • Language : En, Es, Fr & De
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This manual is aimed at all healthcare practitioners, from novice to expert, who care for the critically ill patient, recognising that different disciplines contribute to the provision of effective care and that essential knowledge and skills are shared by all practitioners. It provides evidence-based guidelines on core critical care procedures and includes a comprehensive competency framework and specific competencies to enable practitioners to assess their abilities and expertise. Each chapter provides a comprehensive overview, beginning with basic principles and progressing to more complex ideas, to support practitioners to develop their knowledge, skills and competencies in critical care.

Handbook of Psychological Assessment in Primary Care Settings

Handbook of Psychological Assessment in Primary Care Settings
A Book

by Mark E. Maruish

  • Publisher : Routledge
  • Release : 2017-04-21
  • Pages : 824
  • ISBN : 1317330943
  • Language : En, Es, Fr & De
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The second edition Handbook of Psychological Assessment in Primary Care Settings offers an overview of the application of psychological screening and assessment instruments in primary care settings. This indispensable reference addresses current psychological assessment needs and practices in primary care settings to inform psychologists, behavioral health clinicians, and primary care providers the clinical benefits that can result from utilizing psychological assessment and other behavioral health care services in primary care settings.

The Royal Marsden Manual of Clinical Nursing Procedures

The Royal Marsden Manual of Clinical Nursing Procedures
A Book

by Lisa Dougherty,Sara Lister,Alex West-Oram

  • Publisher : John Wiley & Sons
  • Release : 2015-03-17
  • Pages : 848
  • ISBN : 1118746651
  • Language : En, Es, Fr & De
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The Royal Marsden Manual of Clinical Nursing Procedures has been the number one choice for nurses since it first published, over 30 years ago. One of the world's most popular books on clinical skills and procedures, it provides detailed procedure guidelines based on the latest research findings and expert clinical advice, enabling nurses and students to deliver clinically effective patient-focused care. The ninth edition of this essential, definitive guide, written especially for pre-registration nursing students, now includes a range of new learning features throughout each chapter that have been designed to support student nurses to support learning in clinical practice. Providing essential information on over 200 procedures, this manual contains all the skills and changes in practice that reflect modern acute nursing care.

Handbook of Nutrition and Diet in Palliative Care, Second Edition

Handbook of Nutrition and Diet in Palliative Care, Second Edition
A Book

by Victor R. Preedy

  • Publisher : CRC Press
  • Release : 2019-07-01
  • Pages : 428
  • ISBN : 1351662961
  • Language : En, Es, Fr & De
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Handbook of Nutrition and Diet in Palliative Care, Second Edition, is a comprehensive guide, providing exhaustive information on nutrition and diet in terminal and palliative care. It covers physical, cultural and ethical aspects, bridging the intellectual divide in being suitable for novices and experts alike. Following in the tradition of its predecessor, chapters contain practical methods, techniques, and guidelines along with a section on applications to other areas of palliative care. Each chapter features key facts highlighting important areas, summary points, and ethical issues. FEATURES • Use of cannabinoids in palliative nutrition care • Pain control in palliative care • Communications in palliative/end-of-life care: aspects of bad news • Anorexia in cancer: appetite, physiology, and beyond • Palliative care in severe and enduring eating disorders • Linking food supplementation and palliative care in HIV • Eating-related distress in terminally ill cancer patients and their family members • Palliative care of gastroparesis • Preoperative nutrition assessment and optimization in the cancer patient • Childhood leukemia, malnutrition, and mortality as components of palliative care • End-of-life decisions in persons with neurodevelopmental disorders • Resources: listing web sites, journals, books and organizations

Nursing Care of the Pediatric Surgical Patient

Nursing Care of the Pediatric Surgical Patient
A Book

by Nancy Tkacz Browne

  • Publisher : Jones & Bartlett Publishers
  • Release : 2012-04-15
  • Pages : 549
  • ISBN : 0763799939
  • Language : En, Es, Fr & De
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Published in partnership with American Pediatric Surgical Nurses Association (APSNA), Nursing Care of the Pediatric Surgical Patient, Third Edition is the must-have resource for all healthcare providers involved in the care of the general pediatric surgical patient. Representing the educational mission of APSNA to improve the nursing care of pediatric surgical patients, this textbook includes information on pre- and post-operative care, minimally invasive surgery, innovative therapies, surgically treated congenital anomalies, pediatric solid tumors, and care of tubes, drains, wounds, and ostomies. This text teaches readers how to be technologically savvy, clinically competent, and able to tend to emotional and psychosocial needs of the child and family. Completely updated and revised, this new edition includes an expanded focus on topics such as organ transplantation, pain, bowel management, and fluid and electrolytes.

Handbook of Nutrition in the Aged, Fourth Edition

Handbook of Nutrition in the Aged, Fourth Edition
A Book

by Ronald Ross Watson

  • Publisher : CRC Press
  • Release : 2008-10-20
  • Pages : 368
  • ISBN : 9781420059724
  • Language : En, Es, Fr & De
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Detailed Review of Nutritional Therapies Used to Combat Elderly Health Issues The combination of the aging baby-boomer generation and their increased longevity has been fortunately met with increased research and greater understanding of health promotion and disease prevention in the elderly. Handbook of Nutrition in the Aged: Fourth Edition shares these groundbreaking insights and serves as a guide to better understand health problems that occur in aging adults and the nutritional therapies that are proven to fight and prevent them. Addresses Requirements for Optimum Health of Aging Physiological Systems This sharply focused work recognizes the special nutrition hurdles associated with the aged, particularly the decline of nutrient intake that compromises health. As a globally relevant text, this fourth edition is extensively revised, updated, and expanded to reflect the latest research in nutrition and aging. New chapters to this edition include information on: Arthritis Cognition Nutrition and the geriatric surgery patient Nutrition supplementation in fracture care Coffee and hypertension Asian medicine This book is a valuable tool not only for geriatricians and gerontologists, but also for dieticians, nutritionists, and aging researchers. It provides all the necessary information for assisting the growing aging population in maintaining a healthy quality of life.

Primary Care E-Book

Primary Care E-Book
A Collaborative Practice

by Terry Mahan Buttaro,Patricia Polgar-Bailey,Joanne Sandberg-Cook,JoAnn Trybulski

  • Publisher : Elsevier Health Sciences
  • Release : 2019-11-04
  • Pages : 1512
  • ISBN : 0323594573
  • Language : En, Es, Fr & De
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There’s no better preparation for Nurse Practitioners and others in the adult primary care field! Primary Care: Interprofessional Collaborative Practice, 6th Edition provides the concise yet thorough information that you need in today's fast-paced, interprofessional, collaborative environment. With authorship reflecting both academic and clinical expertise, this comprehensive, evidence-based primary care text/reference shows you how to deliver effective, truly interdisciplinary health care. It covers every major adult disorder seen in the outpatient office setting and features a unique interprofessional collaborative approach with referral/consultation highlights and more. New to this edition is an increased emphasis on rationales for recommendations, pharmacotherapeutics and drug decision-making, and diagnostic direction providing guidance in management, prescribing medications, and ordering diagnostic tests. Comprehensive, evidence-based, accurate, and current content focused on the needs of adult primary care providers. UNIQUE! Interprofessional collaborative approach with referral/consultation highlights. UNIQUE! Initial Diagnostics boxes provide quick reference to key decision-making content. NEW and UPDATED! Increased emphasis on rationales for treatment recommendations, pharmacotherapeutics and drug decision-making, and diagnostic direction. NEW and UPDATED! Revamped and new introductory chapters: NEW and UNIQUE! Patient/Family Education and Health Literacy chapter. NEW and UNIQUE! New Human Trafficking chapter. NEW chapters covering wellness, risk management, and LGBTQ patient care highlight risks, disparities in healthcare, and information to increase the well-being and care for all patients. Interprofessional Collaborative Practice: Where We Are Today chapter now includes content on the importance of interprofessional collaboration to underscore the significance of this paradigm shift and stress that NPs and other adult primary care providers must increasingly view themselves as part of a team, especially in management of patients with multiple co-morbidities. Translating Research into Clinical Practice chapter refocused to emphasize DNP scholarly projects and quality improvement projects. UNIQUE! Patient/Family Education and Health Literacy chapter. Genetic Considerations in Primary Care chapter refocused on the graduate-level primary care genetics competencies. Palliative Care chapter refocused on pain management with special sensitivity to the opioid epidemic. NEW! Red Flag features highlight issues not to be missed. NEW! Consistent chapter format and features reflect the systematic approach used in adult primary care practice to promote improved clinical reasoning skills, facilitate learning, and foster quick clinical reference. UPDATED! Content on routine health screenings and immunizations converted to tables for quick reference.

Evidence-Based Geriatric Nursing Protocols for Best Practice

Evidence-Based Geriatric Nursing Protocols for Best Practice
A Book

by Marie Boltz, PhD, RN, GNP-BC, FGSA, FAAN,Elizabeth Capezuti, PhD, RN, FAAN,DeAnne Zwicker, DrNP, APRN, BC,Terry T. Fulmer, PhD, RN, FAAN

  • Publisher : Springer Publishing Company
  • Release : 2020-03-31
  • Pages : 775
  • ISBN : 0826188265
  • Language : En, Es, Fr & De
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Note to Readers: Publisher does not guarantee quality or access to any included digital components if book is purchased through a third-party seller. AJN Book of the Year 2016 First-Place Winner in Gerontological Nursing! “The evidence-based protocols are designed as a primary reference and are useful, substantive, and timely....The broader contributions of useful format and succinct review of the evidence make it likely that this text will continue to be the leading resource in nursing education and practice.” —The Gerontologist “As a gerontological clinical educator/research nurse, I will often use this as a reference. The format and the content are good, and the explanations of how to best use the evidence simplify the process of sifting through mountains of information to figure the best practice.” Score: 97,**** —Doody’s The newest edition of this distinguished reference in geriatric nursing delivers updated guidelines, new illustrative case studies, and the latest evidence-based protocols developed by leading researchers, educators, and practitioners in each topic area. The sixth edition includes new approaches devoted to supporting LGBTQ+ elders, persons living with dementia and their families, and older adults living with HIV. New operational strategies provide guidance in using the electronic health record, implementing improved person-centered care approaches, and maintaining age-friendly atmospheres. Using evidence derived from all levels of care, this text offers developed guidelines for improving both quality and outcomes when caring for older adults in multiple disciplines, including interprofessional team members, long-term care and other staff educators, social workers, dietitians, and physicians. Chapters provide assessment and management principles, clinical interventions, specialty practice, and models of care. They consistently feature chapter objectives, annotated references, evidence ratings for each protocol, and resources for further investigation. Each protocol is embedded within the chapter content to provide context and detailed evidence. The protocols consistently include an overview, evidence-based assessment, intervention strategies, and a supporting case study with discussion. PowerPoint presentations and a test bank are available as instructor’s resources. New Chapters: Informational Technology: Embedding CPGs Organizational Approaches to Promote Person-Centered Care Environmental Approaches to Support Aging-Friendly Care HIV Prevention and Care for the Older Adult LGBTQ+ Perspectives Key Features: Best practices for in-patient, in-home, and long-term care settings Case studies with discussions in each chapter to illustrate application of clinical practice and related Nursing Standard of Practice Protocol The AGREE systematic method was used to evaluate each protocol and validate this book’s content Instructor’s resources including PowerPoints and a Test Bank Purchase includes digital access for use on most mobile devices and computers

Surgical Technology International

Surgical Technology International
International Developments in Surgery and Surgical Research

by Zoltán Szabó,James Lewis,Gary Fantini,Raghu Savalgi

  • Publisher : Unknown Publisher
  • Release : 1998-04
  • Pages : 400
  • ISBN : 9781890131005
  • Language : En, Es, Fr & De
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Handbook of Clinical Nutrition and Aging

Handbook of Clinical Nutrition and Aging
A Book

by Connie Watkins Bales,Julie L. Locher,Edward Saltzman

  • Publisher : Springer
  • Release : 2014-11-27
  • Pages : 442
  • ISBN : 1493919296
  • Language : En, Es, Fr & De
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This is the new and fully revised third edition of the well-received text that is the benchmark book in the field of nutrition and aging. The editors (specialists in geriatric nutrition, medical sociology, and clinical nutrition, respectively) and contributors (a panel of recognized academic nutritionists, geriatricians, clinicians, and other scientists) have added a number of new chapters and have thoroughly updated the widely acclaimed second edition. This third edition provides fresh perspectives and the latest scientific and clinical developments on the interaction of nutrition with age-associated disease and provides practical, evidence-based options to enhance this at-risk population’s potential for optimal health and disease prevention. Chapters on a wide range of topics, such as the role of nutrition in physical and cognitive function, and coverage of an array of clinical conditions (obesity, diabetes, heart failure, cancer, kidney disease, osteoporosis), compliment chapters on food insecurity, anti-aging and nutritional supplements, making this third edition uniquely different from previous editions. Handbook of Clinical Nutrition and Aging, Third Edition, is a practical and comprehensive resource and an invaluable guide to nutritionists, physicians, nurses, social workers and others who provide health care for the ever-increasing aging population.

Perioperative Medicine

Perioperative Medicine
Managing Surgical Patients with Medical Problems

by Joanna Chikwe,Axel Walther,Philip Jones

  • Publisher : Oxford University Press, USA
  • Release : 2009
  • Pages : 433
  • ISBN : 0199533350
  • Language : En, Es, Fr & De
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Medical handbooks don't often tell you what to do when the patient with the medical problem is either supposed to be having an operation, or has just had one. Surgical handbooks tend to just describe conditions that need surgery, and the main problems caused by the surgery. In contrast, Peri-operative Medicine is a concise, practical text that gives junior doctors the guidance that they need to cope with medical problems in surgical patientsearly in pre-assessment clinic, the night before surgery and out-of-hours on the wards post-operatively. It is an invaluable guide to covering surgical patients, and appeals to a wide readership, all junior surgical doctors (those below consultant grade), medical doctors covering surgical acuteadmissions, members of the hospital-at-night teams and medical students interested in learning more about the practical management of patients, and all those who need to know how to sort out common, important and occasionally life threatening "non-surgical" conditions that frequently happen in surgical patients, such as heart attacks, strokes and asthma. This handbook is an updated version of the handbook published in 2000 in the Oxford Pocket Medicine series, entitledPeri-operative medicine - managing surgical patients with medical problems. This new edition is fully revised and is written as a guide for trainees in surgery (and its sub-disciplines) dealing with day-to-day medical problems arising in surgical patients. It covers all the fundamentals of the medicalcare of surgical patients, with new sections on surgical oncology, theatre etiquette, and planning lists, with most text rewritten to reflect new headings and recent guidelines.

Reichel's Care of the Elderly

Reichel's Care of the Elderly
Clinical Aspects of Aging

by Joseph J. Gallo,William Reichel

  • Publisher : Lippincott Williams & Wilkins
  • Release : 1999
  • Pages : 856
  • ISBN : 9780683301694
  • Language : En, Es, Fr & De
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Geared specifically for the family practitioner, this text provides clinical approaches to the whole geriatric patient. Topics covered in this fifth edition include behavioural disturbances in dementia, driving and the older adult, and clinical practice guidelines in the elderly.

Trauma Nursing

Trauma Nursing
From Resuscitation Through Rehabilitation

by Karen A. McQuillan,Mary Beth Flynn,Robbi Lynn Hartsock,Kathryn T. Von Rueden,Eileen Whalen

  • Publisher : Mosby
  • Release : 2002
  • Pages : 881
  • ISBN : 9876543210XXX
  • Language : En, Es, Fr & De
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Now with updated diagnostic and treatment methods, this book offers more complete and detailed coverage than any other trauma nursing text. Chapters provide detailed instruction on the best ways to respond during all phases of the cycle of trauma from prevention and resuscitation through critical care and rehabilitation. A team of expert contributors guides readers through specific injuries and their treatments. They identify and describe the nursing skills necessary to provide the best care for your clients. Updated content reflects new research-based findings, includes expanded content on pain management, and three new chapters on performance improvement in trauma care, injury prevention, and prehospital care. Critical Care Nursing Quarterly says the new 3rd edition continues to be the comprehensive resource for trauma nursing. - Comprehensive and in-depth coverage of trauma nursing issues. - The cycle of trauma provides the format that defines the issues unique to each phase of care - from the time of injury through the resuscitation, operative, critical, intermediate, and rehabilitation phases of care - Generously illustrated to clarify difficult issues and present information in a clear, concise manner. - Unique Patient Populations section reviews the special care considerations and needs of unique patient groups including elderly, pediatric, pregnant, substance abusive, burned, and organ donors. - Separate chapters address specific issues that effect all patients regardless of their injury (e.g. mechanism of injury, traumatic shock, patient/family psychosocial responses to trauma, pain, wound healing, nutrition). -- New chapter on performance improvement in trauma car - New chapter on injury prevention - New chapter focusing on prehospital care of trauma patient - All content updated to reflect current research-based findings - Nearly 100 new illustrations

Handbook of Neurological Rehabilitation

Handbook of Neurological Rehabilitation
A Book

by Richard J. Greenwood,Thomas M. McMillan,Michael P. Barnes,Professor of Neurological Rehabilitation Michael P Barnes,Christopher D. Ward

  • Publisher : Psychology Press
  • Release : 2005-08-16
  • Pages : 760
  • ISBN : 1135471266
  • Language : En, Es, Fr & De
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Changes in the focus of neurological practice worldwide have led to the need for new standard texts that reflect the current state of this expanding area of clinical expertise. The second edition of the Handbook of Neurological Rehabilitation is a major reference source that fulfils this need, providing an invaluable resource for all professions that work with patients suffering from neurological disorders. It brings restorative neurology to the bedside and shows how a reiterative, goal-oriented, problem-solving training programme can benefit patients, sometimes on a scale not achieved by pharmacological or surgical interventions. The book is divided into three sections all of which have been updated. Section One explores the clinical and biological principles underpinning rehabilitation practice in the context of neurological disablement. Section Two describes the assessment, treatment, and management of the major physical, cognitive and behavioural impairments, and the resulting functional deficits that may follow or accompany neurological disease. The final section explores in more detail these problems and their management in relation to the more common specific disorders of the nervous system. The text emphasises the fact that rehabilitation is an ongoing process involving multidisciplinary problem-solving, goal-setting and education; in which organised care is more effective than unorganised care; and the breakdown of professional barriers within rehabilitation, to facilitate the use of combined treatment techniques, improves outcome. It describes the contribution made by neural reorganisation and compensatory mechanisms to recovery of function, focuses on the avoidance of secondary deficit, and explores the physical, cognitive, affective and behavioural problems that may occur after neurological damage. At a time when new medical technologies threaten to fragment the integrity of medical care at individual and societal levels, it is crucial that all those involved in the management of chronic neurological disease have a working knowledge of the contents of this book. Their perspective on clinical practice will then be truly integrated and holistic and their patients will benefit accordingly.