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In recent years, relations between patients and physicians in America have undergone a dramatic change. The growing acceptance of natural childbirth, support groups for patients with serious illnesses, health maintenance organizations, and hospices for a "happy death" among family and friends is part of a redefinition of medical practice and reformulation of the field of medical power. No longer is medical practice confined to "taming the beast" of death and fighting the diseases observable in the human body. The modern practitioner is now a manager of the living, taking an ecological view of the patient as a "whole person" in a network of relationships. Medicine and the Management of Living questions how it has been possible for the patient to change from a silenced specimen observed in the clinic to a person whose subjective experience of illness is important to medical practice and discourse. Arney and Bergen ask, What incited the demand that medicine take the whole person, including the patient's presentation of his or her illness, into consideration? And in whose terms are patients speaking about themselves? The authors argue that the inclusion of patients' experiences in medical discourse that has come about since the 1950s is not so much a result of a "patient rebellion" as an activity preciptated by the medical establishment itself. Drawing inspiration from the work of Michel Foucault, Arney and Bergen examine the structure of medical power, contending that new social technologies like support groups make the patient's subjectivity available for medical evaluation, judgment, and manipulation. Throughout this sensitively written discussion, the authors vivify the issues they raise with excerpts from many sources—the writings of a poet dying of cancer, the comments of doctors pondering their own fatal illnesses, and excerpts from popular magazines, medical journals, and sociological studies. They examine the changing role of the medical profession through history, using a modern advertising image and woodcuts from Vesalius's Renaissance anatomy text to show the symbolic portrayal of health and medicine. Their wide-ranging concerns lead the reader through such topics as teenage pregnancy; the historical treatment of medical anomalies like hermaphrodites and the "elephant man" (John Merrick); and literary representations of illness in Sartre, Chekhov, and Brian Clark's recent Broadway drama, "Whose Life Is It Anyway?" In a provocative yet thoughtful way, Medicine and the Management of Living points the way for a radical reassessment of medical power and the medical establishment.
Drawing on input from people with long-term ailments, this book points the way to achieving the best possible life under the circumstances.
Named a 2013 Doody's Essential Purchase! "Since there are few books available on this topic that are this comprehensive and well-organized, this book should be of value to anyone interested in the topic of assisted living facilities in the U.S." Score: 98, 5 stars.óDoodyís Medical Reviews "This book is much needed. It offers a practical approach to key issues in the management of an assisted living facility... It is especially pleasing to see the long needed collaboration between nursing, social services, and education that is reflected by the training of the authors. This book is an important milestone for the field of aging and assisted living administration." From the Foreword byRobert Newcomer, PhD, Department of Social and Behavioral Sciences University of California-San Francisco Assisted Living Administration and Management contains all the essentials for students new to the field, as well as nuanced information for professionals looking to fine-tune their skills. This comprehensive resource provides deeper insights to address the ever-changing world of the assisted living community, containing effective best practices and model programs in elder care. The authors provide the necessary tools and tips to maximize the overall health, safety, and comfort of residents. This landmark reference, for assisted living and senior housing administrators as well as graduate students, contains the most practical guidelines for operating assisted living facilities. It offers advice on hiring and training staff, architecture and space management, and more. This multidisciplinary book is conveniently organized to cover the most crucial aspects of management, including organization; human resources; business and finance; environment; and resident care. Key Features: Highlights the most effective practices and model programs in elder care that are currently used by facilities throughout the United States Contains useful details on business and financial management, including guidelines for marketing, legal issues and terms, and public policy issues Includes chapters on environmental management, with information on accessibility, physical plant maintenance, and disaster preparedness Emphasizes the importance of holistic, resident care management, by examining the biological, psychological, and social aspects of aging Enables students to evaluate, analyze, and synthesize information on how to operate assisted living facilities
Designated a Doody's Core Title! "Caring for the older adult population is a challenge and the goal of nursing practice is to help preserve or restore an older adult's function and maximize their well-being and quality of life. This book is a wonderful resource for assisted living clinicians and nurses who wish to serve this population. It is well written, easy to read, and well organized so it can be used as a textbook for nursing students in geriatric nursing." Score: 94, 4 stars --Doody's "This book, written by and for nurses across the spectrum of nurse providers (advanced practice nurses, delegating nurses, and the direct care workforce), covers all aspects of management as well as the many common clinical problems and syndromes we encounter among older adults. Further, this book proposes wonderful assessment and intervention material that will help the entire health care team keep residents within their AL communities through early recognition and management of acute illnesses. Kudos to our nursing colleagues for editing this publication and may it serve as the useful guide for AL residents across the country." --John B. Murphy, MD President, American Geriatrics Society Professor of Medicine and Family Medicine Warren Alpert Medical School of Brown University This book provides a comprehensive overview of both management activities and clinical competencies for assisted living nurses. The authors provide practical guidelines and decision-making models to help nurses address both the large- and small-scale challenges of their daily practice. With Assisted Living Nursing, readers can gain the essential problem-solving and task management skills critical to their daily work. The contributors cover a wide range of topics, including: Management Ethics in nursing practice Regulatory oversight and reimbursement Organizational culture Leadership theories and styles Conflict resolution Finance and budget management Risk assessment Clinical Practice Admission-transfer-discharge assessment Infection Control Cultural aspects of care Geriatric clinical syndromes and disorders Palliative and hospice care principles Rehabilitation/restorative nursing Theories of aging Ultimately, this book serves as the definitive, one-stop resource, addressing virtually every topic of interest to assisted living nurses.
The product of six years of collaborative research, this fine biography offers new interpretations of a pioneering figure in anesthesiology, epidemiology, medical cartography, and public health. It modifies the conventional rags to riches portrait of John Snow by synthesizing fresh information about his early life from archival research and recent studies. It explores the intellectual roots of his commitments to vegetarianism, temperance, and pure drinking water, first developed when he was a medical apprentice and assistant in the north of England. The authors argue that all of Snow's later contributions are traceable to the medical paradigm he imbibed as a medical student in London and put into practice early in his career as a clinician: that medicine as a science required the incorporation of recent developments in its collateral sciences--chiefly anatomy, chemistry, and physiology--in order to understand the causes of disease. Snow's theoretical breakthroughs in anesthesia were extensions of his experimental research in respiratory physiology and the properties of inhaled gases. Shortly thereafter, his understanding of gas laws led him to reject miasmatic explanations for the spread of cholera, and to develop an alternative theory in consonance with what was then known about chemistry and the physiology of digestion. Using all of Snow's writings, the authors follow him when working in his home laboratory, visiting patients throughout London, attending medical society meetings, and conducting studies during the cholera epidemics of 1849 and 1854. The result is a book that demythologizes some overly heroic views of Snow by providing a fairer measure of his actual contributions. It will have an impact not only on the understanding of the man but also on the history of epidemiology and medical science.
Drawing on the work of the Roundtable on Evidence-Based Medicine, the 2007 IOM Annual Meeting assessed some of the rapidly occurring changes in health care related to new diagnostic and treatment tools, emerging genetic insights, the developments in information technology, and healthcare costs, and discussed the need for a stronger focus on evidence to ensure that the promise of scientific discovery and technological innovation is efficiently captured to provide the right care for the right patient at the right time. As new discoveries continue to expand the universe of medical interventions, treatments, and methods of care, the need for a more systematic approach to evidence development and application becomes increasingly critical. Without better information about the effectiveness of different treatment options, the resulting uncertainty can lead to the delivery of services that may be unnecessary, unproven, or even harmful. Improving the evidence-base for medicine holds great potential to increase the quality and efficiency of medical care. The Annual Meeting, held on October 8, 2007, brought together many of the nation's leading authorities on various aspects of the issues - both challenges and opportunities - to present their perspectives and engage in discussion with the IOM membership.
Nothing in life is safe. People assess risks and make decisions about them constantly - travel, eating, sport and health care. The BMA has produced this book of facts aout risk because risk touches every single aspect of health and welfare.
As a result of advances in modern medicine and public health, adults with neurologic disabilities are living longer and often very productive lives. Because of this increased longevity, however, these patients often have secondary medical issues related to the aging process. For example, the management of hypertension, obesity, and diabetes are quite different in spinal cord injury, brain injury, and multiple sclerosis patients than in the standard treatments for typical patients. Medical Management of Adults with Neurologic Disabilities provides a reference that busy clinicians can refer to in the daily management of the diverse medical problems faced by those living with neurologic disabilities. The chapters have been selected based on the most common medical problems and health care issues that clinicians face daily, with each covering basic information about pertinent anatomy, physiology, pathophysiology, patient assessment, and practical treatment advice. With an emphasis on algorithms, clinical pearls, and guidelines, this concise and portable book is an essential means of quick reference for all physicians managing patients aging with neurologic disabilities. Special features of this unique handbook include: Alphabetically-listed chapters, facilitating quick reference Discussion of management strategies for each medical issue, including pharmacological, non-pharmacological and surgical options Inclusion of pediatric issues where appropriate Contributions from the diverse fields of neurology, PM&R, orthopedics, psychiatry, and internal medicine An emphasis on patient education and patient safety throughout all chapters
This report illustrates the work of IOM committees in selected, major areas in recent years, followed by a description of IOM's convening and collaborative activities and fellowship programs. The last section provides a comprehensive bibliography of IOM reports published since 2007.