Choice and equity of access to primary and secondary health care services is a priority within all aspects of the NHS, however it must be recognised that for some people access to health care can pose difficulties. For various reasons people with learning disabilities can present a range of challenges for the people around them, during times of ill health any difficulties will become ever more apparent. For the health professional working in mainstream primary and secondary care settings, these challenges can be difficult to overcome when attempting to identify health needs and deliver holistic care that is responsive to their individual needs. Health Care Provision and People with Learning Disabilities – A Guide for Health Professionals provides clear information that will assist mainstream health care providers in gaining greater understanding of people with learning disabilities and managing their health needs. Each chapter gives the reader information and guidance on dealing with a variety of situations found in health care settings. Examples of good practice are explained using case examples and experiences of people with learning disabilities and their carers. The book describes what is expected from the various health care teams and offers solutions to potential challenges and barriers they may be faced with. It includes information regarding specialist support services that can offer assistance to the individual and to the mainstream staff teams, while ideas are also offered on how to present information in a format people who have communication difficulties can understand. The evidence base for Health Care Provision and People with Learning Disabilities – A Guide for Health Professionals has been drawn from extensive research, personal experience, policy guidance, as well as some of the current legislation that is applicable to this diverse group of people. The information shared will prove useful for those working in health settings as well as those undertaking studies in health care.
This edition has been extensively rewritten in order to reflect the changes in clinical practice and learning methods which have taken place since the 5th edition was published. The seventeen chapters are divided into three sections: normal voice, descriptions of the various types of voice disorders, and the methods of treating abnormal voice. A profile summary of each voice disorder is provided for easy reference and comparison, and tables are used throughout the text. New laryngeal images and electroglottographic interpretations have also been included. The current emphasis on evidence-based practice is addressed in the review and descriptions of intervention strategies used in voice therapy.
Minor Surgical Procedures for Nurses and Allied Healthcare Professionals is a comprehensive guide, outlining the correct procedures for the assessment and performance of minor surgical procedures. Highlighting significant issues and discussing practice limitations it defines and explores the most common applications within the boundaries of clinical practice, nursing administration and outcomes, in what has become a rapidly evolving field. With contributions from multi-disciplinary professionals, all experts in their field, fifteen accessible and well-illustrated chapters examine the key themes of Anatomy Making an Assessment Medicolegal Local Anaesthesia Surgical Techniques Training and Education Future Developments Minor Surgical Procedures for Nurses and Allied Healthcare Professionals provides invaluable information on new role developments, the many challenges in 'getting started' along with topical issues such as informed patient consent and an overview of potential patient reactions. Ultimately it explores and advises on the fundamental skills, both communication and technical, which are key to success.
Won First Prize in the Gastroenterology category of the 2008 BMA Medical Book Competition To help you accelerate your learning curve, Dr. Cohen offers this helpful new atlas with over 900 endoscopic images. Emphasizing conditions for which NBI is particularly useful – such as finding dysplasia in Barrett’s mucosa and ulcerative colitis and detecting adenomatous colon polyps – Comprehensive Atlas of High Resolution Endoscopy and Narrowband Imaging gives you an exceptional preview of the future of endoscopy, with a broad new look at normal and abnormal findings throughout the GI tract. The book is divided into three main parts: • The Basics of NBI • Potential Applications of NBI • Atlas of 585 colour images, broken into sections on the pharynx and esophagus, stomach, small intestine, and colon, including correlating histopathology. The accompanying DVD-ROM includes: • 55 video clips containing 2 1/2 hours of annotated video to give you a complete sense of how HRE and NBI work and look in real time, including during therapeutic procedures. • The complete text with a full text and image caption search function • A database of figures from the book This spectacular new imaging modality promises to enhance endoscopic decision making in real time, facilitate therapeutic maneuvers, and make tissue sampling more precise. As a tool to guide your mastery of this advance and as a reference for you to use with your patients, colleagues and students, this atlas will find regular use on your desktop and have a noticeable impact on your practice.
This book brings together important information about complementary therapies and how they are used in diabetes care. It addresses the benefits and risks of complementary therapies and takes an evidence-based approach. Complementary Therapies and the Management of Diabetes and Vascular Disease: A Matter of Balance provides health professionals with appropriate information about complementary therapies so they can discuss these therapies with their patients and help them make informed decisions about their diabetes care. Managing diabetes depends on achieving life balance, not just metabolic control. This is the first book devoted exclusively to complementary therapies and diabetes, and it has several key features: It is an informative evidence-based text that will help health professionals understand complementary therapies commonly used by people with diabetes, their potential benefits, possible adverse events and how these could be minimised or prevented. It describes clinical practice guidelines for the safe combination of complementary and conventional therapies in diabetes management. It suggests appropriate advice to give people with diabetes and vascular disease about complementary therapies. Written by experts in the various fields, this book makes important reading for all health professionals managing patients with diabetes and associated vascular disease, including nurses, doctors, dietitians and podiatrists.
How to conduct clinical trials in an ethical and scientifically responsible manner This book presents a methodology for clinical trials that produces improved health outcomes for patients while obtaining sound and unambiguous scientific data. It centers around a real-world test case–involving a treatment for hypertension after open heart surgery–and explains how to use Bayesian methods to accommodate both ethical and scientific imperatives. The book grew out of the direct involvement in the project by a diverse group of experts in medicine, statistics, philosophy, and the law. Not only do they contribute essays on the scientific, technological, legal, and ethical aspects of clinical trials, but they also critique and debate each other's opinions, creating an interesting, personalized text. Bayesian Methods and Ethics in a Clinical Trial Design * Answers commonly raised questions about Bayesian methods * Describes the advantages and disadvantages of this method compared with other methods * Applies current ethical theory to a particular class of design for clinical trials * Discusses issues of informed consent and how to serve a patient's best interest while still obtaining uncontaminated scientific data * Shows how to use Bayesian probabilistic methods to create computer models from elicited prior opinions of medical experts on the best treatment for a type of patient * Contains several chapters on the process, results, and computational aspects of the test case in question * Explores American law and the legal ramifications of using human subjects For statisticians and biostatisticians, and for anyone involved with medicine and public health, this book provides both a practical guide and a unique perspective on the connection between technological developments, human factors, and some of the larger ethical issues of our times.
Infants, children and adolescents with congenital heart disease (CHD) are a challenge to manage and an ever-increasing number are reaching adulthood. CHD is one of the most important topics in cardiology today, yet this book is the only clinically-orientated monograph devoted exclusively to ventricular function and blood flow as it relates to CHD. Written by a distinguished panel of cardiologists, bioengineers, physiologists, and clinical investigators, Ventricular Function and Blood Flow in Congenital Heart Disease is an extensive and comprehensive presentation of the key aspects of this branch of CHD.
This brief guide to visual diagnosis helps the novice develop – and the veteran refresh – crucial skills that can spare the patient unnecessary testing and bring the physician one step closer to an accurate diagnosis. Dr Saksena draws on his years of experience in teaching and training to show you the physical signs of cardiovascular disease that can be spotted by visual examination. For each sign, a color photograph is paired with explanatory text that: describes the significant features of the sign explains its use in diagnosis identifies the likeliest causes The book provides corroboration of physical signs and other diagnostic information whenever possible and offers extensive references for further study. After an opening chapter on general observations, the author describes signs that can be found in the face, ear, mouth and nose, neck, hand, upper extremity, thorax and back, abdomen, and lower extremity. An appendix covers rarer syndromes associated with cardiovascular disease. Whether you are just developing your diagnostic skills or want to be better able to identify signs of cardiovascular disease, you can count on this atlas for dependable advice.
The methods by which a student becomes a speech and language therapist have developed since the 1970s and have been influenced by different models of higher and professional education. Although it is comparatively easy to change an aspect of course content, for example to increase the number of learning hours on autism, the means by which the student learns to become a competent professional in practice are more complex. This text discusses some of the exciting ways we are examining issues in professional education. It covers actual content (for example the introduction of dysphagia to the curriculum), new methods for learning (problem-based learning and information technology developments), how speech and language therapists develop competence and what is critical in the transition to becoming a qualified therapist. The longstanding placement problem is addressed by innovative work using different professional learning models, such as peer placements and school-based placements. The reader is provided with detailed practical advice about how to approach these models. The book represents some of the current work in universities and speech and language services in the UK and reveals the creativity and commitment to an expanding subject area.
This thoroughly revised and updated second edition of The Strategic Application of Information Technology in Health Care Organizations offers health care executives and managers a balanced analysis of health care information systems. Written by John Glaser-a renowned expert in the field of health care information technology-this important resource shows health care professionals how to use IT to reduce costs, respond to the demands of managed care, develop a continuum of care, and manage and improve the quality of service to patients, payers, and physicians.