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Out of Practice
Primary care medicine, as we know and remember it, is in crisis. While policymakers, government administrators, and the health insurance industry pay lip service to the personal relationship between physician and patient, dissatisfaction and disaffection run rampant among primary care doctors, and medical students steer clear in order to pursue more lucrative specialties. Patients feel helpless, well aware that they are losing a valued close connection as health care steadily becomes more transactional than relational. The thin-margin efficiency, rapid pace, and high volume demanded by the new health care economics do not work for primary care, an inherently slower, more personal, and unique...
Out of Practice
The author uses his own experiences as a primary care physician to describe the state of his profession and argues that the health care system will collapse without a strong physician-patient relationship and that the role of the primary care physician must change to survive.
You and Your Doctor
Changes in the healthcare field have threatened the once sacred relationship between patient and physician. While much has been written for physicians and other healthcare providers on the subject of the doctor-patient relationship, information tailored for patients remains lacking. This volume offers practical information to help patients make the most of their interaction with their doctors. Among the topics are finding the right physician, gaining telephone access, ensuring good communication between health care providers, protecting personal information, seeking a second opinion, and using walk-in clinics. In-depth interviews with primary care physicians and medical specialists provide a unique perspective on issues of importance to patients, from pediatrics to geriatrics.
Industrial Relations
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Catching Critical Changes
When an adult or elderly patient presents with a change in condition, nurses must know what questions to ask the patient and what signs to look for. Then nurses must analyze that information to figure out the appropriate actions to take to ensure that patient gets the proper treatment. This book introduces a step by step process that will help nurses make these crucial nursing assessments and prevent missing critical changes in their patients. In this book, you will learn: Ways to explain what nurses do Why LPNs can't assess Changes in the nursing process Tips about writing practical nursing diagnoses and care plans 3 types of acute changes in condition nurses encounter How to avoid 10 common nursing assessment mistakes How to present a nursing assessment and recommendations A 6-step process to effective assessment To apply critical thinking skils How to assess 10 acute symptoms in adults and the elderly 9 strategies to improve physical examination skills In addition, you will get: Exercises to apply the knowledge in real life situations Template for presenting your nursing assessments Clinical Decision Diamonds to stick in your pocket as a quick reference
Legislative Power in Emerging African Democracies
A study of legislative development in Africa which explores why variations in the extent of legislative authority and performance across the continent are only partially related, if at all, to the overall level of democratization. Constraints that have retarded the development and power of legislatures across Africa, and how members of some legislatures are breaking free of those constraints, are analyzed. The impact of the legislative branch on the political process in six emerging African democracies is reviewed.
The City Record
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