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This manual helps clinicians easily to find the best available evidence to facilitate sound medical decisions. It is the first published compilation of highly relevant InfoPOEMs that the editors believe has the potential to change a clinician's practice. The editors have selected over 300 of the most influential, compelling POEMs, and organized them by topic for easy reference. Each POEM contains: Clinical Question: Poses a question that the study seeks to answer. Bottom line: Summarizes the findings of the research and places these findings into the context with the known information on the topic. The bottom line also is designed to help readers understand how to apply the results. LOE: Eac...
Have you ever wanted to calculate the predicted peak flow for one of your asthmatic patients without spending valuable minutes searching for that confounded little slide rule gizmo? Wouldn’t it be great if you could somehow remember all Mrs. Jones’ medications when the nursing home calls to see if it’s OK to treat her acutely elevated blood pressure with some atenolol? Handheld computers are emerging as the stethoscopes of the twenty-first century, and no clinician should be without this essential tool. These small, easy-to-use devices are now powerful enough to help clinicians manage information and make medical decisions at the point of care. This comprehensive how-to guide targets a...
This anthology of essays presents a sample of studies from recent philosophy of medicine addressing issues which attempt to answer very general (interdependent) questions: (a) what is a disease and what is health? (b) How do we (causally) explain diseases? (c) And how do we distinguish diseases, i.e. define classes of diseases and recognize that an instance X of disease belongs to a given class B? (d) How do we assess and choose cure/ therapy? The book is divided into three sections: classification, disease and evidence. In general, attention is focused on statistics in medicine and epidemiology, issues in psychiatry and connecting medicine with evolutionary biology and genetics. Many author...
Written at the clerkship level, this book is a comprehensive introduction to family medicine. It is organized into three sections—principles of family medicine, preventive care, and common problems—and includes chapters on evidence-based medicine and complementary therapies. The text has a user-friendly writing style, focuses on common clinical problems, and uses case studies to show practical applications of key concepts. This edition features an updated art program, more illustrations, summaries, consistent headings, greater emphasis on evidence-based care, and more diverse family physician profiles representing varied practice settings. A companion Website offers the fully searchable text, 75 study questions, and an ExamKit of more than 300 questions with which faculty can generate tests.
Scientific, evidence-based medicine is increasingly seen as fundamental to providing effective healthcare, but narrative-based medicine sheds light on social and interpersonal aspects of the practitioner-patient interaction which can also greatly affect healthcare outcomes. The philosophies underlying these two approaches seem to contrast, yet those who can integrate both into their practice are among the most successful medical professionals. Integrating Narrative Medicine and Evidence-based Medicine provides answers to the key question of how medical practitioners can best put both approaches into practice. It anticipates a future where evidence-based practice will be expected of all medic...
A thoroughly researched explanation for the failures of end-of-life communication and decision-making in the United States. The book explores the reasons why physicians, patients, and families struggle to have the conversations necessary to provide seriously ill and dying patients with medical care consistent with patient preferences.
Despite sustained debate and progress the evolving thing that is evidence based nursing or practice (EBP) continues to dangle a variety of conceptual and practical loose threads. Moreover, when we think about what is being asked of students and registered or licenced practitioners in terms of EBP, it is difficult not to concede that this ‘ask’ is in many instances quite large and, occasionally, it may be unachievable. EBP has and continues to improve patient, client and user care. Yet significant questions concerning its most basic elements remain unresolved and, if nurses are to contribute to the resolution or reconfiguration of these questions then, as a first step, we must acknowledge...
While advances in medical science and disease treatments are always welcome, real transformation of healthcare requires us to focus on whole persons, not just maladies. Our responsibilities to ill people, and frail elders, including those with dementia, are not merely obligations, but also response-abilities. Beyond relieving suffering and meeting their basic biological needs, we can nurture each individual as a whole person and promote his or her wellbeing. The benefits are tangible and mutual. Helping professionals are rewarded through the deep and meaningful connections they form with the remarkable people they serve. In Return of Compassion to Healthcare the Tellis-Nayaks offer blueprint...
The only full-scale history of continuing medical education and its future
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