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This text is one of the first comprehensive resources on understanding and working with families in the intensive care unit. The text provides a conceptual overview of the Family ICU Syndrome, a constellation of physical morbidity, psychopathology, cognitive deficits, and conflict. Outlining its mechanisms, the book presents a guide to combating the syndrome with an interdisciplinary team. The text represents the full array of the interdisciplinary team by also spotlighting administrative considerations for health care management and approaches to training different members of the health care team. Family voices are featured prominently in the text as well. The book also addresses the complete trajectory of needs of care, including survivorship and end-of-life care. Written by experts in the field, Families in the Intensive Care Unit: A Guide to Understanding, Engaging and Supporting at the Bedside is a state-of-the-art reference for all clinicians who work with families in the ICU.
Provides coverage of the issues surrounding geriatric critical care, emphasising assessment and treatment.
This book serves as the primary reference for precision medicine in the fields of pulmonary, critical care and sleep medicine by documenting principles written by experts in several aspects of precision medicine. It combines fundamental concepts of the field with state-of-the-art studies and how they translate into individual preventive, diagnostic and therapeutic plans. Precision medicine is focused on the integration of individual variability with disease prevention and treatment principles derived from population studies. This concept has risen to prominence in recent years in parallel with advances in genetics, molecular diagnostics and novel target-specific therapies. This fundamental s...
Brain dysfunction is a major clinical problem in intensive care, with potentially debilitating long-term consequences for post-ICU patients of any age. The resulting extended length of stay in the ICU and post-discharge cognitive dysfunction are now recognized as major healthcare burdens. This comprehensive clinical text provides intensivists and neurologists with a practical review of the pathophysiology of brain dysfunction and a thorough account of the diagnostic and therapeutic options available. Initial sections review the epidemiology, outcomes, relevant behavioral neurology and biological mechanisms of brain dysfunction. Subsequent sections evaluate the available diagnostic options and preventative and therapeutic interventions, with a final section on clinical encephalopathy syndromes encountered in the ICU. Each chapter is rich in illustrations, with an executive summary and a helpful glossary of terms. Brain Disorders in Critical Illness is a seminal reference for all physicians and neuroscientists interested in the care and outcome of severely ill patients.
For decades heavily sedated ICU patients were assumed to be asleep. However, in the past 20 years, physiologic and epidemiologic studies have established sleep is frequently disrupted in the ICU. The inter-relationship between ICU sleep, delirium, and survivorship has come to the forefront of ICU practice. We now routinely aim for lighter sedation, delirium assessment has become standardized, and knowledge regarding the ICU factors leading to Post- Intensive Care Syndrome (PICS) has evolved. The importance of sleep in routine ICU management was codified for the first time in SCCM’s 2018 PADIS guidelines. This state of the art book summarizes current knowledge regarding sleep during critica...
This book locates #MeToo’s traction among elites with “womenomics” theories that attribute feminized poverty, welfare dependency, and sexual violence to traditional femininity and toxic masculinity. Such neoliberal anti-sexual violence policies seek to empower women through paid work and reform men through fatherhood. This volume shows that men’s movements and conservative concerns about “fatherless families” developed toxic masculinity discourse before popular feminism incorporated it. It analyses how discourse on #MeToo issues in the workplace reveals a shift away from representations of women as traumatized victims in need of empowerment toward a focus on men as both problem a...
A longtime teacher and Harvard researcher presents the latest science on the benefits of T’ai Chi as well as a practical daily program for practitioners of all ages Conventional medical science on the Chinese art of T’ai Chi now shows what T’ai Chi masters have known for centuries: regular practice leads to more vigor and flexibility, better balance and mobility, and a sense of well-being. Cutting-edge research from Harvard Medical School also supports the long-standing claims that T’ai Chi also has a beneficial impact on the health of the heart, bones, nerves and muscles, immune system, and the mind. This research provides fascinating insight into the underlying physiological mechan...
"Over the next ten years, 40 to 60 million people in this country will be admitted to the ICU. Most of these hospitalizations will be sudden, unexpected, and harrowing, experiences that can alter patients and their families physically and emotionally, with effects that endure for years. Every Deep-Drawn Breath is a rich blend of science, medical history, profoundly humane patient stories, and personal reflection. Dr. Wes Ely's mission is to prevent patients from being inadvertently harmed by the technology that is keeping them alive. Readers will experience the world of critical care through the eyes of this physician who drastically changed his clinical practice, and through cutting-edge re...
Birdville School opened in 1922 on the corner of two dirt roads at the edge of a fallow farm. Over the next 67 school years it witnessed, and influenced, the unfolding story of the town that grew up around it, amid flood, brushfire, blizzard, tornado, and earthquake; poverty and prosperity; war, peace, and cold war; and even the collapse of the earth beneath its foundations. Its auditorium and cafeteria hosted PTA meetings, plays, movies, concerts, basketball tournaments, holiday parties, Girl Scout and Boy Scout meetings, polio vaccination clinics, and war-time rationing registrations and scrap-collection drives. Local sand-lot softball, baseball, and football teams competed in the same sur...
In this issue of Clinics in Chest Medicine, Guest Editors Harold R Collard, Luca Richeldi, and Kerri A. Johannson bring their considerable expertise to the topic of Next-generation Interstitial Lung Disease. - Provides concise and comprehensive coverage of the issues physicians face every day. - Presents the latest information on a timely, focused topic under the leadership of experienced editors in the field.