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With hospital medicine growing rapidly in both scale and complexity, the learning curve for students is steeper, while experienced physicians are often called upon to act as mentors and caregivers in areas outside their primary fields of expertise. Becoming a Consummate Clinician, an exciting new book in the series Hospital Medicine: Current Concepts, describes in practical terms how clinicians and students can think more critically and act more insightfully in this era of information expansion and time compression. Developed for hospital-based clinicians and physicians-in-training, the book provides a road map for navigating key challenges in real-life medical practice related to assessing, integrating, and presenting clinical information. Clearly formatted and easily accessible, the book: Fully integrates and emphasizes error avoidance and reduction Highlights uses and limitations of algorithmic and evidence-based medicine in medical decision-making Details effective strategies for looking and “re-looking” at biomedical data Explains essential do’s and don’ts of medicalpractice, from patient history and exam to differential diagnoses Describes best practices and pitfalls of gathering, processing, and communicating medical information Presents strategies for attending physicians to develop the critical thinking skills of their trainees Featuring real-world clinical examples, this concise, down-to-earth text is written to help both practitioners and students improve their overall clinical performance, and learn to communicate effectively with members of the caregiving team.
With hospital medicine growing rapidly in both scale and complexity, the learning curve for students is steeper, while experienced physicians are often called upon to act as mentors and caregivers in areas outside their primary fields of expertise. Becoming a Consummate Clinician, an exciting new book in the series Hospital Medicine: Current Concepts, describes in practical terms how clinicians and students can think more critically and act more insightfully in this era of information expansion and time compression. Developed for hospital-based clinicians and physicians-in-training, the book provides a road map for navigating key challenges in real-life medical practice related to assessing, integrating, and presenting clinical information. Clearly formatted and easily accessible, the book: Fully integrates and emphasizes error avoidance and reduction Highlights uses and limitations of algorithmic and evidence-based medicine in medical decision-making Details effective strategies for looking and “re-looking” at biomedical data Explains essential do’s and don’ts of medicalpractice, from patient history and exam to differential diagnoses Describes best practices and pitfalls of gathering, processing, and communicating medical information Presents strategies for attending physicians to develop the critical thinking skills of their trainees Featuring real-world clinical examples, this concise, down-to-earth text is written to help both practitioners and students improve their overall clinical performance, and learn to communicate effectively with members of the caregiving team.
The first comprehensive, clinically focused guide to help hospitalists and other hospital-based clinicians provide quality palliative care in the inpatient setting. Written for practicing clinicians by a team of experts in the field of palliative care and hospital care, Hospital-Based Palliative Medicine: A Practical, Evidence-Based Approach offers: Comprehensive content over three domains of inpatient palliative care: symptom management, communication and decision making, and practical skills, Detailed information on assessment and management of symptoms commonly experienced by seriously ill patients, Advise on the use of specific communication techniques to address sensitive topics such as prognosis, goals of care, code status, advance care planning, and family meetings in a patient- and family-centered manner, Targeted content for specific scenarios, including palliative care emergencies, care at the end of life, and an overview of post-hospital palliative care options, Self-care strategies for resilience and clinician wellness which can be used to help maintain an empathic, engaged, workforce and high quality patient care, A consistent chapter format with highlighted clinical pearls and pitfalls, ensuring the material is easily accessible to the busy hospitalist and associated hospital staff. This title will be of use to all hospital clinicians who care for seriously ill patients and their families. Specialist-trained palliative care clinicians will also find this title useful by outlining a framework for the delivery of palliative care by the patient’s front-line hospital providers. Also available in the in the Hospital-Based Medicine: Current Concepts series: Inpatient Anticoagulation Margaret C. Fang, Editor, 2011 Hospital Images: A Clinical Atlas Paul B. Aronowitz, Editor, 2012 Becoming a Consummate Clinician: What Every Student, House Officer, and Hospital Practitioner Needs to Know Ary L. Goldberger and Zachary D. Goldberger, Editors, 2012 Perioperative Medicine: Medical Consultation and Co-Management Amir K. Jaffer and Paul J. Grant, Editors, 2012 Clinical Care Conundrums: Challenging Diagnoses in Hospital Medicine James C. Pile, Thomas E. Baudendistel, and Brian J. Harte, Editors, 2013 Inpatient Cardiovascular Medicine Brahmajee K. Nallamothu and Timir S. Baman, Editors 2013
The first book developed specifically for hospitalists managing the growing number of patients with cardiovascular disorders Cardiovascular disease is a major cause of hospitalization and mortality worldwide, and will account for approximately twenty million deaths in 2015. Due to this growing problem, many patients are being managed by non-cardiovascular physicians in the inpatient setting. As a result, hospitalists and other inpatient physicians without specialized training in cardiology are faced with uncertainty when contemplating the proper management of these patients. This book focuses on inpatient cardiovascular medicine in a highly algorithmic and evidence-based approach, so that users will be able to care for their hospitalized patients directly, using the best contemporary evidence available. It emphasizes the practical, immediate application of principles and treatment recommendations into everyday clinical inpatient practice, while simplifying the approach to these patients by utilizing visual aids such as carefully designed charts, illustrations, and diagrams. Inpatient Cardiovascular Medicine features thoughtful, comprehensive coverage by top experts in the field. Topics include: Cardiovascular History and Physical Examination Introduction to Electrocardiography Non-invasive Cardiac Imaging Cardiac Stress Testing and the Evaluation of Chest Pain Perioperative Cardiac Evaluation Cardiac Resuscitation Acute Coronary Syndromes: Unstable Angina and Non-ST Elevation Myocardial Infarction Acute ST-Elevation Myocardial Infarction Chronic Coronary Artery Disease Peripheral Arterial Disease Thoracic Aortic Disease Systolic Heart Failure Diastolic Heart Failure Dilated and Restrictive Cardiomyopathy Hypertrophic Cardiomyopathy Heart Transplantation and Left Ventricular Assist Devices Syncope Approach to the Patient with a Narrow Complex Tachycardia Approach to the Patient with a Wide Complex Tachycardia Atrial Fibrillation and Atrial Flutter Antiarrhythmic Drug Therapy Cardiac Pacemakers and Implantable Defibrillators Valvular Heart Disease Infective Endocarditis Pericardial Diseases Pulmonary Hypertension Cardiac Tumors
The first book designed specifically for hospitalists and other hospital-based staff who need concise, evidence-based guidance on the vital topic of caring for older hospitalized patients Hospitalists' Guide to the Care of Older Patients is an up-to-date, practical reference in geriatric medicine for hospitalists, as well as other physicians and nurses working in the hospital setting. The book uses numerous tables, figures, and images to highlight the areas of geriatric medicine that are most relevant to hospitalists. Written by nationally recognized experts, chapters broadly follow the course of hospitalization, from admission through daily care and active management of the transition to post-hospital settings, providing practical, evidence-based guidance at each point. Contents include: A systematic approach to the care of older patients, emphasizing clinical skills and daily activities that can be implemented in today's hospital environment Techniques for effective communication with patients and their caregivers Tools and "pearls" for quickly and accurately assessing the whole patient, including risk for in-hospital complications, function, decision-making capacity, and home support Best practices for prevention and management of the complications of hospitalization, including delirium, falls, pressure ulcers, and hip fractures Specific recommendations in areas with wide practice variation, such as psychopharmacology and nutrition in older hospitalized patients Practical guidance on complex issues, such as establishing goals of care, managing patients who lack decision-making capacity, and managing the discharge transition Methods to improve the daily work and communication of the whole hospital team, including physicians, nurses, and other healthcare providers As the population ages, hospitalists are caring for an increasing number of older patients. This book helps hospitalists expand their knowledge, incorporate key clinical skills into daily practice, build more efficient patient care teams, and teach more effectively in today's fast-paced, complex hospital environment.
Provides a comprehensive evidence-based guide to the management of the growing population of patients who require perioperative care Perioperative Medicine: Medical Consultation and Co-Management is the first comprehensive reference text developed specifically for hospitalists but envisioned also to help internists, anesthesiologists, allied health professionals, fellows, residents, and medical students manage various aspects of the medical care of the surgical patient. The book features both the preoperative and postoperative medical management of the surgical patient. It focuses on systems, operations, quality of perioperative care, and preoperative assessment of the patient, all in consideration with system-specific risk and evidence-based strategies that minimize risk. It places special emphasis on care of the older hospitalized surgical patient and offers a thorough discussion of post-operative conditions and their management. Chapters cover vital topics such as: Hospitalist as a Medical Consultant Co-Management of the Surgical Patient Preoperative Evaluation Improving the Quality and Outcomes of Perioperative Care Developing, Implementing, and Operating a Preoperative Clinic Assessing and Managing Risk of Major Organ Systems Assessing and Managing Disorders for Surgery Postoperative Care and Co-Management by Surgery Type Managing Common Postoperative Conditions With the core responsibilities of perioperative care falling more and more on the shoulders of hospitalists, internists, and allied health professionals, Perioperative Medicine is a much-needed guide for managing the clinical and operational issues associated with caring for hospitalized surgical patients.
Presents a collection of first person accounts of what life is like in the medical field.
It is particularly gratifying to prepare a second edition of a book, because there is the necessary impli cation that the first edition was well received. Moreover, now an opportunity is provided to correct the problems or limitations that existed in the first edition as well as to address recent developments in the field. Thus, we are grateful to our friends, colleagues, and students, as well as to the reviewers who have expressed their approval of the first edition and who have given us valuable input on how the revision could best be structured. Perhaps the first thing that the reader will notice about the second edition is that it is more extensive than the first. The volume currently has 41 chapters, in contrast to the 31 chapters that comprised the earlier version. Chapters 3, 9, 29, and 30 of the first edition either have been dropped or were combined, whereas 14 new chapters have been added. In effect, we are gratified in being able to reflect the continued growth of behavior therapy in the 1980s. Behavior therapists have addressed an ever-increasing number of disorders and behavioral dysfunctions in an increasing range of populations. The most notable advances are taking place in such areas as cognitive approaches, geriatrics, and behavioral medicine, and also in the treatment of childhood disorders.
Diabetic nephropathy is a tragic illness. Its often insidious onset in the insulin dependent (type I) diabetic, typically a young adult, heralds the last act in the course of a disease that will increasingly become the dominant preoccupation in the patient's shortened life. For most type II diabetics, the beginning of clinical renal insufficiency is but a phase in a continuous deterioration that affects the integrity ofjob, marriage, and family. The nephropathic diabetic is hypertensive, has worsening retinopathy, and more often than not, is also plagued by peripheral vascular insufficiency, heart disease, gastrointestinal malfunction, and deepening depression. Until the 1980's, few type I diabetics who became uremic (because ofdiabetic nephropathy) lived for more than two years. Hardly any attained true rehabilitation. This dismal prognosis is changing substantially for the better. Research in diabetes has resulted in striking advances at both ends of the type I diabetic's natural history. In one exciting clinical trial now underway in London, Ontario, halfofchildhood diabetics treated with cyclosporine within six weeks of onset evince"permanent" disappearanceofhyperglycemia and the need for insulin. At the otherendofthe natural historyofdiabetes for the nephropathic patientwith worsening eye disease (renal-retinal syndrome), who receives a kidney transplant, patient and graft survival, two years after cadaveric kidney transplantation in type I diabetics is now equal to that of the nondiabetic.
Teaches symptom-oriented approaches to the most common problems facing trainee neurologists, emphasising patient history and integrating evidence-based and experience-based strategies.