Accident & Emergency: Theory into Practice is the comprehensive textbook for emergency nurses, covering the full range of emergency care issues, including trauma management and trauma care, the lifespan, psychological issues, physiology for practice, practice and professional issues. This book is about more than what a nurse should do; it is about why it should be done, leading to sustainable and safer practice. The third edition of this ever-popular text expands its horizons to include contributions from emergency care professionals in New Zealand, Australia and the Republic of Ireland, as well as the United Kingdom. Applied anatomy and physiology and how it changes in injury and ill health Treatment and management of a wide range of emergency conditions Includes emergency care across the life continuum, trauma management, psychological dimensions and practice and professional issues. ‘Transportation of the critically ill patient’ chapter outlines the nursing and operational considerations related to transportation of the acutely ill person. ‘Creating patient flow’ chapter overviews the concepts behind patient flow across the wider health system and introduces the key concept of staff and patient time. It explores some of the techniques used in manufacturing and service industries and its application to health system, illustrating how to reduce the waste of patient and staff time. ‘Managing issues of culture and power in ED’ chapter demonstrates that cultural awareness is about much more than recognising the different religious needs of patients and their families; it’s also about recognising culture, diversity, stereotyping and expressions of power. Updated to reflect the latest practice and guidelines in this fast-changing field of practice.
One of the most complex global challenges is improving wellbeing and developing strategies for promoting health or preventing ‘illbeing’ of the population. The role of designers in indirectly supporting the promotion of healthy lifestyles or in their contribution to illbeing has emerged. This means designers now need to consider, both morally and ethically, how they can ensure that they ‘do no harm’ and that they might deliberately decide to promote healthy lifestyles and therefore prevent ill health. Design for Health illustrates the history of the development of design for health, the various design disciplines and domains to which design has contributed. Through 26 case studies presented in this book, the authors reveal a plethora of design research methodologies and research methods employed in design for health. The editors also present, following a thematic analysis of the book chapters, seven challenges and seven areas of opportunity that designers are called upon to address within the context of healthcare. Furthermore, five emergent trends in design in healthcare are presented and discussed. This book will be of interest to students of design as well as designers and those working to improve the quality of healthcare.
An Essential Guide for Nurses and Health Care Professionals
Author: Suzanne Sargent
Publisher: John Wiley & Sons
Liver disease is a rapidly growing speciality, and nurses and health care professionals need to have the relevant knowledge and skills to care for patients with liver problems in a safe and effective way. Liver Diseases is a comprehensive, evidence-based, practical guide to the nursing care and management of patients with liver disease. Liver Diseases explores a range of liver conditions, including cirrhosis, portal hypertension, alcoholic liver disease, viral hepatitis, autoimmune hepatitis, Wilson’s disease and acute liver failure. It looks at the anatomy & physiology of the liver, assessment of liver function and diagnostic studies, acute and chronic liver disease, pregnancy related liver disease, liver transplantation and infectious liver diseases. For each condition the epidemiology, complications and nursing management are provided, along with illustrative case studies and further reading. Liver Diseases is an invaluable tool for all nurses and health care professionals working with people with liver disease. SPECIAL FEATURES The first UK book on care of the liver from a nursing and healthcare perspective Written by a well-respected and renowned author in the field Covers a wide spectrum of liver diseases, with relevant nursing management guidelines With case studies, further reading and illustrations throughout
Familiarize yourself with the acute care environment with this essential guide to physical therapy practice in an acute care setting. Acute Care Handbook for Physical Therapists, 4th Edition helps you understand and interpret hospital protocol, safety, medical-surgical ‘lingo’, and the many aspects of patient are from the emergency department to the intensive care unit to the general ward. This restructured new edition streamlines the text into four parts— Introduction, Systems, Diagnoses, and Interventions to make the book even easier to use as a quick reference. Intervention algorithms, updated illustrations, and language consistent with the ICF model all help you digest new information and become familiar with new terminology. This comprehensive resource is just what you need to better manage the specific needs of your patients in the complex acute care environment. Intervention algorithms, tables, boxes, and clinical tips highlight key information about the acute care environment in a format that makes finding and digesting information easy. The major body system chapters provide the evidence-based information you need to understand the complex issues of patients in the acute care environment so you can optimally manage the needs of your patients. Current information on medications, laboratory tests, diagnostics, and intervention methods relevant to patients in the acute care environment illustrates how the acute care environment can impact these elements. Clinical tips highlight key points and provide access to the tips and tricks accumulated over a career by an experienced clinician. Language consistent with the Guide to Physical Therapist Practice, 2nd Edition offers common linguistic ground through the use of Guide standards. Lay-flat pages and uncluttered design make the book easier to use as a quick reference. NEW! Restructured table of contents helps you quickly locate information. NEW! Language from the International Classification of Functioning, Disability, and Health (ICF) model adopted by the American Physical Therapy Association increases your familiarity with terminology. NEW! New intervention algorithms along with existing algorithms break clinical decision-making into individual steps and sharpens your on-the-spot critical-thinking skills. NEW! A quick-reference appendix covering abbreviations commonly found in the acute care environment supplies the translation tools you need, while flagging any abbreviations that may be harmful to the patient.
Author: Marilyn Winterton Edmunds,Maren Stewart Mayhew
Publisher: Elsevier Health Sciences
Written by and for nurse practitioners, this practical textbook focuses on what primary care providers need to learn and practice drug therapy. With an overall emphasis on patient teaching and health promotion, you will learn how to provide effective patient teaching about medications and how to gain patient compliance. Drug coverage focuses on “key drugs rather than “prototype drugs, so you can find important information about the most commonly used drugs rather than the first drug in each class. You will also find discussions on the legal and professional issues unique to nurse practitioners and other primary care providers. The 3rd edition also features an expanded emphasis on established clinical practice guidelines and evidence-based practice, plus two new chapters that cover drugs for ADHD and drugs for dementia. UNIQUE! Written specifically for nurse practitioners with an overall emphasis on patient teaching and health promotion. UNIQUE! Covers specific topics such as prescriptive authority, role implementation, and writing prescriptions. Presents comprehensive coverage of the drugs most commonly prescribed in – and the issues most relevant to – primary care practice. UNIQUE! Identifies the Top 200 drugs in chapter openers with a special icon and covers them in-depth to familiarize you with the most important, need-to-know drug information. Uses a consistent heading scheme for each prototype drug discussion to make it easier to learn and understand key concepts. Includes an introductory chapter on “Design and Implementation of Patient Education that highlights content on patient teaching and compliance. Includes specific “Patient Education sections in each drug chapter. Provides extensive coverage of drug therapy for special populations to alert you to special considerations based on age, pregnancy, race and other factors. A separate chapter on “Complementary and Alternative Therapies discusses the available complementary and alternative modalities, including detailed information on actions, uses, and interactions of commonly used herbs. Drug Overview tables at the beginning of each chapter outline the classifications of drugs discussed and provide a handy reference of drug classes and subclasses, generic names, and trade names. Clinical Alerts highlight essential information that primary care providers must remember in order to avoid serious problems, including cautions for prescribing, information about drug interactions, or warnings about particularly ominous adverse effects. An entire unit covers drugs for health promotion to introduce you to drugs commonly seen in outpatient primary care settings and to prepare you for practice in a society increasingly focused on health promotion and disease prevention. Includes separate chapters on Immunizations and Biologicals, Weight Management, Smoking Cessation, Vitamins and Minerals, Over-the-Counter Medications, and Complementary and Alternative Therapies.
The new 6th edition of Core Review for Critical Care Nursing helps readers assess and build their knowledge of critical care nursing as they prepare for the certification exam. The book consists of three 200-question sample examinations that provide extensive practice and review key content. An in-depth rationale, complete with references, is included for each question. Written under the authority of the American Association for Critical-Care Nurses (AACN), this book is an ideal study tool to facilitate preparation for critical care nursing certification. This title includes additional digital media when purchased in print format. For this digital book edition, media content is not included. Based on Core Curriculum for Critical Care Nursing, 6th Edition, the review is designed to follow along with the core text. Three separate sample examinations each address the complete range of important areas in critical care nursing and challenge readers' mastery of the essential knowledge base in the specialty. Answers are provided for each question, accompanied by rationales and references, to assist readers in building their knowledge. Each examination mirrors the certification examination content, multiple-choice question format, and content distribution, giving readers realistic practice for the examination. Contains a review of the synergy model, including Professional Care and Ethical Practice. Contains a review of the AHRQ and JCAHO evidence-based practice guidelines that are incorporated in Core Curriculum for Critical Care Nursing, 6th Ed.
This comprehensive textbook serves both as a reference for the practicing acute care pediatric nurse practitioners and as a resource for the acute care pediatric nurse practitioner in training. Further, it provides guidelines for the management of a pediatric patient in the emergent care and inpatient settings. Ideally targeted at either the master's or doctorate level, it functions as a primary textbook in the nursing practice pediatric nurse practitioner acute care curriculum. Also included are formatted Standardized Procedures/Practice Protocols for the acute care practice setting that can
Long respected as the most comprehensive nurse anesthesia resource available, this new edition continues the tradition of bringing together leading experts to create a balanced reference that applies scientific principles to today’s clinical anesthesia practice. Inside you’ll find a solid introduction to the equipment and patient care techniques unique to nurse anesthesia side-by-side with the cutting-edge research and application of evidence necessary to prepare you for tomorrow. Over 700 tables and boxes highlight the most essential information in a quick, easy-to-reference format. An easy-to-use organization with basic principles covered first, followed by individual chapters for each surgical specialty, ensures you have the information you need to build your knowledge. Over 650 figures of anatomy, nurse anesthesia procedures, and equipment enhance your understanding of complex information. Expert CRNA authors provide the most up-to-date and relevant clinical information you’ll use in daily practice. The latest pharmacology information on pharmacokinetics, drug delivery systems, opiate antagonists, and key induction drugs to keep you up-to-date. Thoroughly updated references make finding the latest and most important research in the field quick and simple. New chapters address legal issues, neonatal anesthesia, anesthesia education, clinical monitoring, regional anesthesia, unexpected complications, and more. Expanded coverage of chemistry and physics as well as immunology makes these difficult fundamental topics easier to understand and apply to everyday practice. Over 100 new images enhance your understanding of difficult anesthesia concepts.
PRACTICE GUIDELINES FOR ACUTE CARE NURSE PRACTITIONERS, 2nd Edition is the only comprehensive clinical reference tailored to the needs of advance practice nurses. With discussions of more than 230 of the most common conditions experienced by adult patients in acute care, this reference includes everything you need on a day-to-day basis. Plus, quick reference is easy with a spiral binding and content organized by body system. Each condition lists a concise outline of defining terms, incidence/predisposing factors, subject and physical examination findings, diagnostic tests, and management strategies so you can find everything you need to know quickly. Includes discussion of body systems, nutritional considerations, fluid/electrolyte imbalances, shock, trauma, gerontological concerns, professional issues, and trends in advanced practice. Nursing guidelines for more than 230 of the most common conditions experienced by adult patients in acute care serve as an invaluable resource in the field. Conditions are organized by body system for quick reference when treating patients. Each condition lists defining terms, incidence/predisposing factors, subjective and physical examination findings, diagnostic tests, and management strategies to provide help every step of the way. Coverage also includes discussion of body systems, nutritional considerations, fluid/electrolyte imbalances, shock, and trauma for a complete look at patient care and diagnosis. An entire chapter dedicated to congestive heart failure gives you a deeper look at the disease. Specific content, as well as online references, for diseases such as SARS and West Nile Virus give you the most current information available on these evolving diseases. New chapters on admission, pre-op and post-op orders prepare you for every step of the patient treatment process. Addition of ICD-9 codes within the chapters makes classifying diseases with ICD codes easy. New content on Parkinson's disease, gout, testicular cancer, multiple sclerosis, bite management (including spider, snake, animal, and human) better prepare you for these situations. Updated and expanded content reflects changes in current guidelines and evidence-based practice, an important part of working in the field. Updated and expanded content on coronary artery disease and inclusion of the new JNC 7 national hypertension guidelines features more information on these common diseases. Expanded and updated coverage of postmenopausal women and hormone replacement therapy.
Timothy L. Kauffman,Ronald W. Scott,John O. Barr,Michael L. Moran
Author: Timothy L. Kauffman,Ronald W. Scott,John O. Barr,Michael L. Moran
Publisher: Elsevier Health Sciences
Now in its third edition, this trusted clinical guide enables both the busy practitioner and student to review or to learn about a range of pathologies, conditions, examinations, diagnostic procedures, and interventions that can be effectively used in the physical rehabilitation of older people. It presents a broad overview of age-related physiological changes as well as specific professional discipline perspectives. Organized into eleven distinct and interrelated units, the first unit begins with key anatomical and physiological considerations seen with aging which have significant impact on the older person. The second and third units go on to review important aging-related conditions and disorders of the musculoskeletal and neuromuscular/neurological systems respectively. Neoplasms commonly encountered in older people are the focus of the fourth unit; while aging-related conditions of the cardiovascular, pulmonary, integumentary and sensory systems are presented in units five through seven. Unit eight highlights a range of specific clinical problems and conditions commonly encountered with older patients. Critically, all of these units emphasize important examination and diagnostic procedures needed for a thorough evaluation and stress interventions that can be of significant benefit to the older patient. The ninth unit presents select physical therapeutic interventions that are especially important in managing rehabilitative care. Key societal issues related to aging are discussed in the tenth unit. Finally, the concluding eleventh unit focuses on the successful rehabilitation team that includes both professional and non-professional caregiver members. A trusted guide to the conditions and problems faced when evaluating and treating geriatric patients Extensive coverage over 84 chapters, each written by an expert in the field Includes imaging, vision and the aging ear Cross-referenced - providing the complexity and inter-relatedness of co-morbidities common to aging patients Collaborative international perspective Chapters on the aging spine; frailty; safe pilates for bone health; health care for older people Additional renowned editor - Ronald W. Scott Revised title to reflect the comprehensive scope of content covered (previously entitled Geriatric Rehabilitation Manual)
Regarded as the premiere clinical reference in its field, Pain Management, 2nd Edition, edited by noted pain authority Dr. Steven Waldman, provides comprehensive, practical, highly visual guidance to help you effectively apply the most recent evidence-based advances in pain management. This popular text has been updated with 13 new chapters that include the latest information on interventional and ultrasound-guided techniques, acute regional pain nerve blocks, and more. A user-friendly format with lavish illustrations enables you to access trusted guidance quickly...and apply the information easily...to bring effective pain relief to your patients. Tap into the experience of the book’s editor, Dr. Steven D. Waldman—author of numerous groundbreaking pain management references—and a diverse collection of leading international experts, many of whom are new to this edition. Effectively diagnose and manage any type of pain by implementing the latest, evidence-based approaches including interventional and ultrasound-guided techniques, and acute regional pain nerve blocks. Keep up with the most essential and latest topics with fully revised chapters and 13 new chapters that include information on central pain modulation, ultrasound-guided procedures, myelopathy, and more. Find the critical answers you need quickly and easily thanks to a templated format, with all content solely reviewed by Dr. Waldman to insure consistency throughout. Make more accurate diagnoses and perform nerve blocks successfully with unmatched guidance from 1100 full-color, large-scale illustrations.
This essential guide is designed for mental health practitioners and primary care providers without advanced training in geriatric psychiatry. Leading physician and educator Gary J. Kennedy sets forth a clear framework for understanding the interplay of medical, psychological, and social factors in frequently encountered problems among older adults. Clear guidelines are delineated for assessing and treating such conditions as depression and anxiety, dementia, psychosis and mania, sleep disturbances, personality and somatoform disorders, substance abuse, and suicidality. Throughout, Kennedy focuses on ways to sustain seniors' independence and overall quality of life while enhancing their adaptive capacities. Psychopharmacological principles are presented with an emphasis on safety, simplicity, and effectiveness, and the beneficial applications of individual, marital, family, and group psychotherapies are also addressed. Other topics covered include sexuality in old age, problems of elder abuse and neglect, collaborating with family members and other caregivers in medical and nonmedical settings, and legal and ethical issues in treatment.
Author: Marilyn Winterton Edmunds,Maren Stewart Mayhew
Publisher: Elsevier Health Sciences
Written by and for nurse practitioners, and also suitable for physician’s assistants, Pharmacology for the Primary Care Provider, 4th Edition focuses on what you need to know to safely and effectively prescribe drugs for primary care. An emphasis on patient teaching helps you gain patient adherence to prescribed drug regimens, and guidelines for health promotion help in maintaining and improving your patients’ health. Now in full color, this edition expands the book's emphasis on the QSEN priorities of safety and evidence-based practice, and adds coverage of new drugs, new drug classes, and new therapeutic drug uses. Written by leading nurse practitioner authorities Marilyn Winterton Edmunds and Maren Stewart Mayhew, Pharmacology for the Primary Care Provider teaches principles of pharmacotherapeutics using today’s most commonly used drugs. A Key Drugs focus highlights the most commonly used and most representative drugs of each major drug class — with particular emphasis on the top 100 most commonly prescribed drugs. Emphasis on patient teaching helps you communicate with patients and family caregivers to promote adherence to the drug regimen. Emphasis on health promotion describes how to help patients stay well and improve their health, including coverage of immunizations and biologicals, vitamins, weight management, and smoking cessation. Evidence-Based Decision-Making and Treatment Guidelines chapter (11) provides practical guidelines for using the best current research evidence to make decisions about the care of individual patients. Extensive coverage of drug therapy for special populations such as geriatric and pediatric patients includes considerations related to age, pregnancy, race, and other factors. UNIQUE! Coverage of prescriptive practice includes topics such as prescriptive authority, role implementation, and the role of nurses (NPs, CNMs, CRNAs, and CNSs) and physician assistants in writing prescriptions. NEW! Full-color design and illustrations highlight the most important content. DRUG UPDATES reflect the latest FDA-approved drugs, drug classes, and therapeutic uses. Expanded emphasis on the QSEN priorities of safety and evidence-based practice helps you eliminate drug prescribing errors with color-highlighted Safety Alerts! and NEW Clinical Practice Alerts! NEW section on male hormone replacement therapies adds coverage of men to that for women. Updated evidence-based prescribing information reflects the latest national clinical practice guidelines and evidence-based treatment guidelines, including the latest clinical treatment guidelines for diabetes. NEW! Complementary and Alternative Products tables highlight interactions with drugs, and are emphasized with a distinctive icon. Updated Drug Overview tables are enhanced with color as well as Top 100 icons that highlight the most commonly prescribed drugs.
An Evidence-based Approach to Musculoskeletal Care
Author: Sonya Clarke,Julie Santy-Tomlinson
Publisher: John Wiley & Sons
Orthopaedic and Trauma Nursing provides practitioners working in orthopaedic and musculoskeletal trauma settings with the essential evidence, guidance and knowledge required to underpin effective practice. This comprehensive and contemporary textbook explores the variety of adult and paediatric clinical settings where orthopaedic and trauma practitioners work, including acute wards, clinics, community hospitals, nursing homes and patients' homes. Divided into 5 sections, this book looks at: key issues in orthopaedic and musculoskeletal trauma care; specialist practice issues; common orthopaedic conditions and their care and management; musculoskeletal trauma care; and care of children and young people. Suitable for students at degree level as well as those clinicians practicing in more advanced orthopaedic and trauma care roles, Orthopaedic and Trauma Nursing is a foremost authority on orthopaedic and musculoskeletal practice for both students and practitioners. Orthopaedic and Trauma Nursing: Is strongly supported by the latest evidence, with chapters summarizing evidence, with reference to relevant and seminal research Offers practical guidance based on the relevant evidence Focuses on the perspective of the patient with patient narrative and case studies throughout Includes a section specifically dealing with children and young people
"This is a unique and needed addition to the nursing literature. Historically, the role of the nurse practitioner was focused on primary care, but as the healthcare environment has changed, so has the need for nurse practitioners in the hospital setting....This valuable resource is a wonderful guide for nurse practitioners and administrators working to successfully create this transition in their organizations." Score: 98, 5 Stars.--Doody's Medical Reviews Transitioning into Hospital Based Practice: A Guide for Nurse Practitioners & Administrators is the first text to address the mutual issues of both NPs and administrators in successfully implementing NP practice in hospitals. This book addresses the planning, implementation, and evaluation process as well as the key factors that are critical to the success of the individual NP, and incorporates practical guidance from national NP experts. The NP recruitment, orientation, mentoring, and professional development are key to the individual and collective success of both the NP and the organization's outcomes. It is the commitment to this mutual success that sets this book apart from any other texts on this subject and makes it indispensible for students, practicing NPs, and administrators alike. Key Features: Provides concrete strategies for the NP and Administrator that support the transition from clinic to hospital-based APN practice Addresses a growing need for role identification and integration of the NP role into the hospital setting Covers the planning, implementation, and evaluation process of the hospital-based NP Focuses on the improvement of patient outcomes and cost reduction Written by national NP experts
Fast access to concise, targeted information on all essential aspects of clinical skills in nursing Written by experienced nurses and packed full of up-to-the minute guidance and information An indispensable companion for practising and student nurses in a variety of care settings Patient centred, evidence-based and in line with the latest guidelines Includes practice tips and pitfalls to aid patient careIncreasingly nurses are developing and extending their clinical skills into areas that were once considered only for doctors. With the rise of post-registration clinical skills courses, advanced practitioners, and the new medical assistant roles, it is anticipated that future professional practice will involve more emphasis on clinical skills for nurses.The Oxford Handbook of Clinical Skills in Adult Nursing provides a practical, easily accessible, concise and evidence-based guide to all the essential elements of clinical skills for nursing practice in one portable format. The first section deals with the principles underlying patient assessment, and professional issues relating to clinical skills in order to help practitioners perform procedures safely and competently. This is followed by chapters on generic skills such as communication, hygiene and comfort, infection control, intravenous access, and care of the theatre patient. There are separate sections on drug administration and emergency and high dependency care. The book then takes a systems-based approach to the care of patients covering the key concepts which underpin all good nursing practice, including the social and psychological aspects of nursing. Information is included on how to relate the principles of clinical skills to different groups such as the elderly and the mentally ill, which will have relevance to practitioners whether in a hospital or community setting.A unique and comprehensive guide to clinical skills in nursing, the Oxford Handbook of Clinical Skills in Adult Nursing will help nurses and other health care workers to perform clinical skills safely and competently. Readership: Nursing students in pre-registration diploma, degree and masters level degree programmes; registered nurses at staff nurse, advanced and specialist level and charge nurse/sister level; registered nurses undertaking post-registration education programmes.
Author: Susan R. James,Kristine Nelson,Jean Ashwill
Publisher: Elsevier Health Sciences
Master the art of caring for children with most effective, efficient, and affordable title on pediatric nursing care. Taking on a family focus, this student-friendly text teaches growth, development, and information on the major body system alterations. Plus, dramatically streamlined content and new learning tools make this new edition even more tailored to your learning needs. Expert reviews of chapter content ensure all chapters include current practices, terms, and updated information. Health Promotion boxes summarize information from the American Academy of Pediatrics to teach you how to perform a comprehensive assessment of well infants and children at various ages. Illustrated Procedure boxes include step-by-step instructions for common nursing tasks. Pathophysiology boxes explain changes in physiology that occur in a variety of diseases and disorders in children. Nursing process highlighted in nursing care plans and in-text discussions. Clinical Reference pages provide students with easy-to-find reference sections, including basic anatomy and physiology, pediatric differences, related laboratory and diagnostic tests, and commonly prescribed medications. Safety Alert boxes highlight patient safety as part of the QSEN initiative for better outcomes of nursing care. Updated Evidence-Based Practice boxes (formerly Using Research to Improve Practice) assist you in determining best practices in your future care of children. Patient-Centered Care boxes guide you in teaching the parents and child about self-care in the home and follow-up care in community-based health care settings. Streamlined Nursing Care Plans have been reformatted to make them easier to read and use. Updated photos throughout the book keep the text up-to-date and visually appealing. Key concepts are highlighted in the book and their definitions are provided in a glossary.
nurse for life – electronic access only Get to all of the high-quality content from Elsevier faster than ever! Your favourite textbooks are now available as e-books through nurse for life, allowing you to: Electronically search the book Create and share notes and highlights Save time with automatic referencing Load it up and change the way you learn! What do I get? You will be emailed a PIN code that will give you perpetual access to the electronic version of the book through nurse for life. Book description This title is directed primarily towards health care professionals outside of the United States. Covering the full age and specialty spectrum this text brings together for the first time, individual chapters from among the most respected children's nurses. This textbook is rooted in child-centred health care within a family context and draws upon best contemporary practice throughout the UK and further afield. This innovative text harnesses new design parameters in enquiry-based/problem-based learning, providing up-to-date information on a wide range of topics. In an exciting addition each chapter offers readers additional material on an Evolve website. Full Microsoft PowerPoint presentations augment the written chapters and provide extra information that includes case studies, moving image, photographs and text. Each chapter offers readers additional material on an Evolve website. Full Microsoft PowerPoint presentations augment the written chapters and provide extra information that includes case studies, moving image, photographs and text. Aims, objectives, learning outcomes, a summary box in each chapter and key points assist learning and understanding Professional conversation boxes enliven the text on the page and make it more interesting to dip into Suggestions for seminar discussion topics to help teachers Case studies help to relate theory to practice Prompts to promote reflective practice Activity boxes/suggested visits Evidence based practice boxes which highlight key research studies, annotated bibliographies including details of web-sites and full contemporary references to the evidence base Resource lists including recommended web-site addresses
Now, more than ever, Family Medicine is alive and well in the United States. The base of this medical specialty has traditionally been in the smaller cities, suburban communities, and rural areas of this country. Over the past decade, however, there has been a resurgence of interest in primary care in our major metropolitan areas as a solution to the high tech subspecialty pace of the tertiary care environment. A rebirth of urban family medicine has accompanied these pioneering efforts. To date, the accomplishments are substantial and the prospects are bright. There is still a long way to go and there are a significant number of hurdles to cross. Although diseases are generally the same wherever you are, their effects as illness on the individual and the family are strongly influenced by the environment and social milieu. Urban families have distinctive and diverse problems-cultural, economic, and ethnic. Training pro grams situated in the large cities must recognize these issues and include special emphasis on the situations that the family physician is likely to encounter during and after his training. There is very little research literature on the background and nature of special urban problems and these areas are the subject of several chapters of this long overdue volume devoted specifically to urban family medicine. Dr. Birrer has persuaded true experts to share their knowledge with the reader.