A riveting exploration of the most difficult and important part of what doctors do, by Yale School of Medicine physician Dr. Lisa Sanders, author of the monthly New York Times Magazine column "Diagnosis," the inspiration for the hit Fox TV series House, M.D. "The experience of being ill can be like waking up in a foreign country. Life, as you formerly knew it, is on hold while you travel through this other world as unknown as it is unexpected. When I see patients in the hospital or in my office who are suddenly, surprisingly ill, what they really want to know is, ‘What is wrong with me?’ They want a road map that will help them manage their new surroundings. The ability to give this unnerving and unfamiliar place a name, to know it–on some level–restores a measure of control, independent of whether or not that diagnosis comes attached to a cure. Because, even today, a diagnosis is frequently all a good doctor has to offer."A healthy young man suddenly loses his memory–making him unable to remember the events of each passing hour. Two patients diagnosed with Lyme disease improve after antibiotic treatment–only to have their symptoms mysteriously return. A young woman lies dying in the ICU–bleeding, jaundiced, incoherent–and none of her doctors know what is killing her. In Every Patient Tells a Story, Dr. Lisa Sanders takes us bedside to witness the process of solving these and other diagnostic dilemmas, providing a firsthand account of the expertise and intuition that lead a doctor to make the right diagnosis.Never in human history have doctors had the knowledge, the tools, and the skills that they have today to diagnose illness and disease. And yet mistakes are made, diagnoses missed, symptoms or tests misunderstood. In this high-tech world of modern medicine, Sanders shows us that knowledge, while essential, is not sufficient to unravel the complexities of illness. She presents an unflinching look inside the detective story that marks nearly every illness–the diagnosis–revealing the combination of uncertainty and intrigue that doctors face when confronting patients who are sick or dying. Through dramatic stories of patients with baffling symptoms, Sanders portrays the absolute necessity and surprising difficulties of getting the patient’s story, the challenges of the physical exam, the pitfalls of doctor-to-doctor communication, the vagaries of tests, and the near calamity of diagnostic errors. In Every Patient Tells a Story, Dr. Sanders chronicles the real-life drama of doctors solving these difficult medical mysteries that not only illustrate the art and science of diagnosis, but often save the patients’ lives.
HIT – Histamine Intolerance – is a condition that affects many people but remains largely undiagnosed. The symptoms of histamine intolerance (HIT) are caused by the inability of the body to break down histamine sufficiently. These symptoms can appear very like an allergy and can cause stomach and intestinal complaints, migraine, tiredness and skin problems, to name but a few. This is in most cases because of the reduced activity or low presence of an enzyme called diamine oxidase (DAO), which is mainly responsible for breaking down histamine and other biogenic amines ingested through food. Foods that are known culprits include: red wine, ready meals, cured meats, mature cheeses, tomatoes and aubergines. It can make people’s lives a total misery. But it CAN be brought under control with the RIGHT DIAGNOSIS and the RIGHT DIET. This book is a guide to how to achieve both. It helps both health professionals and patients gain insight. After the great success of the first edition, this second edition contains a new section on the different points of view about diagnosis as well as a second food list - a tolerance index which resulted from a survey of 800 participants who judged 109 foods according to their individual threshold - side by side with the scientifically based food list. CONTENTS Introduction Histamine Intolerance – In a nutshell How do I find out if I have HIT? Other intolerances -DAO and its closest friends and helpers What HIT is not Specially for the ladies - HIT’s favourite targets How do I find out what to eat or not? What do I need to do at home? How do I keep the family happy? How can I deal with this at work? What do I need to keep in mind when shopping? What consequences are there for my social life? Meat - the good...the bad and the ugly Fish - the good... and the ugly Milk and Dairy Products – essentials Fruit & Vegetables - the little labyrinth Bread & Baking The problem with alcohol! Pharmaceuticals, food additives, E-numbers and other culprits Food lists and supplements Short summary of therapy options Recipes The Food Diary
Based on Dr. Croibier’s everyday clinical experience, this book provides critical tools for examining patients in order to determine what the course of treatment should be. Written for manual hands-on therapy students and practitioners that include osteopaths, physical therapists, and chiropractors, the book explores in depth the osteopathic diagnosis process that aims to identify an abnormality and to discover factors that may be causing the dysfunction. Drawing a comparison between diagnosis in classical medicine and osteopathy, Dr. Croibier explains that the osteopath focuses on restoring the conditions of good health rather than simply addressing the consequences of disease. Enhanced with more than 175 full-color instructional photos and illustrations, the book describes the manual hands-on assessments and general evaluations that lead to a diagnosis. Manual assessments include objective observation, diagnostic touch, palpation of the affected areas of the body, visualization, and “listening” (a hand placed on a specific part of the body to determine tissue functionality). Based on Dr. Croibier’s recommendations, the manual therapist also performs a patient intake and interview; general evaluation that analyzes the patient’s symptoms and general state; examination of posture and equilibrium; and observation of individual characteristics, such as constitution, temperament, and body type.
For a time of growing concern about living well with serious illness and getting the best possible end-of-life care, Life After the Diagnosis delivers a compassionate and sensitive guide for patients, families, and caregivers.In Life After the Diagnosis, Dr. Steven Z. Pantilat, a renowned international expert in palliative care, shares innovative approaches for dealing with serious illness, outlines the steps that patients should take, and demystifies the medical system. He makes sense of what doctors say, what they actually mean, and how to get the best information to help make the best medical decisions. Dr. Pantilat covers everything from the first steps after the diagnosis and finding the right caregiving and support, to planning your future so your loved ones don't have to. He offers advice on how to tackle the most difficult treatment decisions and discussions and shows readers how to choose treatments that help more than they hurt, stay consistent with their values and personal goals, and live as well as possible for as long as possible.
Learn to think like a nurse with the bestselling nursing care planning book on the market! Covering the most common medical-surgical nursing diagnoses and clinical problems seen in adults, Nursing Care Plans: Diagnoses, Interventions, and Outcomes, 9th Edition contains 217 care plans, each reflecting the latest best practice guidelines. This new edition specifically features three new care plans, two expanded care plans, updated content and language reflecting the most current clinical practice and professional standards, enhanced QSEN integration, a new emphasis on interprofessional collaborative practice, an improved page design, and more. It’s everything you need to create and customize effective nursing care plans!217 total care plans provide more care plans than any other book.Prioritized care planning guidance internally organizes care plans from "actual" to "risk" diagnoses, from general to specific interventions, and from independent to collaborative/interprofessional interventions, to help you select the most important, priority interventions for your particular patients.Introductory chapter explains the components of nursing care plans, NANDA-I nursing diagnoses, the NIC and NOC systems, and how to create nursing care plans.Latest NANDA-I taxonomy is integrated throughout to incorporate the very latest NANDA-I nursing diagnoses, related factors, and defining characteristics.Latest NIC and NOC labels ensure you are made aware of appropriate interventions and outcomes.70 nursing diagnosis care plans include the most common/important NANDA-I nursing diagnoses, providing the building blocks for you to create your own individualized care plans. 150 disorders care plans cover virtually every common medical-surgical condition, organized by body system.Health promotion and risk factor management care plans emphasize the importance of preventive care and teaching for self-management.Basic nursing concepts care plans focuses on concepts that apply to disorders found in multiple body systems.Nursing diagnosis care plan format includes a definition/explanation of the diagnosis, related factors, defining characteristics, expected outcomes, related NOC Outcomes and NIC Interventions, ongoing assessment, and therapeutic interventions.Disorders care plan format covers synonyms for the disorder (for ease in cross referencing), a definition, common related factors, defining characteristics, expected outcomes, NOC Outcomes and NIC Interventions, ongoing assessment, and therapeutic interventions for each relevant nursing diagnosis.Independent and collaborative/interprofessional interventions are highlighted by special icons that differentiate between independent and collaborative/interprofessional interventions.30 online care plans are hosted on the Evolve companion site in a user-friendly PDF format that allows you to cut-and-paste care plan contents to create customized care plans.NEW! Three all-new care plans include Readiness for Enhanced Decision-Making, Frail Elderly Syndrome, and Gender Dysphoria.NEW! Enhanced QSEN integration includes expanded coverage of the QSEN initiative in the opening chapter, incorporation of QSEN language across care plan rationales, and a greater overall emphasis on the four key QSEN competencies: Patient- Centered Care, Teamwork and Collaboration, Evidence-Based Practice, and Safety.NEW! Greater focus on interprofessional collaborative practice addresses the growing interest in interprofessional education and the Teamwork and Collaboration QSEN competency.NEW! Expanded rationales now include physiological and pharmacologic effects and actions, the most current nursing interventions and medical treatments, lab values, evidence-based practice, QSEN competencies, and reference to national standards (TJC, CDC, AHA, ONS), nursing standards, and other professional standards.NEW! Updated content throughout reflects the latest evidence-based assessments and interventions.NEW! Detailed table of contents lists every nursing diagnosis addressed in Chapters 4 through 14 for easier navigation.NEW! Improved design offers a more contemporary look that’s easy to use.NEW! Collaborative care map creator on the Evolve companion website helps you connect your Yoost & Crawford Fundamentals content with your care planning projects and clinical assignments. NEW! Reorganized chapters and care plans include logical combinations and divisions of topics making it easier to navigate throughout the reference.
For nearly 25 years, Ferri's concise, pocket-sized resource has served as the go-to reference for practical, clinical information among students, residents, and other medical professionals. Formerly known as Practical Guide to the Care of the Medical Patient, this volume continues to provide a fast, effective, and efficient way to identify the important clinical, laboratory, and diagnostic imaging information you need to get through your internal medicine clerkship or residency. "...informative and detailed ...useful for those planning an elective or clinical work in the USA...". Reviewed by: Jacob F de Wolff, on behalf of British Journal of Hospital Medicine Date: October 2014Benefit from the expert guidance of Dr. Fred Ferri, a leading teacher, clinician, and author.Confidently manage patients with the latest clinical information, drug therapies, and lab tests.Apply the latest knowledge and techniques with this updated and streamlined title, which still stays true to the Ferri name. Quickly find important information with content organized into three major sections: Section I, titled "Surviving the Wards," contains information on charting, laboratory evaluation and formulary; Section II provides the differential diagnosis of common signs and symptoms likely to be encountered in the acute care setting; Section III has been completely revised and subdivided into 11 specialty specific diseases and disorders.Carry just the sections you need, add personalized materials, and keep everything together and safe with an improved ring binder and design.Access the full text and procedural videos online at Expert Consult.Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued. Registration and use of the web site is subject to the terms of the non-transferable, limited license under which access to the site and its content is granted by Elsevier. Access to the site by individuals is limited to the first retail purchaser and may not be transferred to another party by resale, lending or other means.
Ackley’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care, 11th Edition helps practicing nurses and nursing students select appropriate nursing diagnoses and write care plans with ease and confidence. This convenient handbook shows you how to correlate nursing diagnoses with known information about clients on the basis of assessment findings, established medical or psychiatric diagnoses, and the current treatment plan. Extensively revised and updated with the new 2015-2017 NANDA-I approved nursing diagnoses, it integrates the NIC and NOC taxonomies, evidence-based nursing interventions, and adult, pediatric, geriatric, multicultural, home care, and client/family teaching and discharge planning considerations to guide you in creating unique, individualized care plans.Comprehensive, up-to-date information on all the 2015-2017 NANDA-I nursing diagnoses so you stay in the know. UNIQUE! Provides care plans for every NANDA-I approved nursing diagnosis plus two unique care plans for Hearing Loss and Vision Loss.Includes pediatric, geriatric, multicultural, client/family teaching and discharge planning, home care, and safety interventions as necessary for plans of care. Presents examples of and suggested NIC interventions and NOC outcomes in each care plan. UNIQUE! Care Plan Constructor on the companion Evolve website offers hands-on practice creating customized plans of care.150 NCLEX exam-style review questions are available on Evolve.Promotes evidence-based interventions and rationales by including recent or classic research that supports the use of each intervention. Classic evidence-based references promote evidence-based interventions and rationales.Clear, concise interventions are usually only a sentence or two long and use no more than two references. Safety content emphasizes what must be considered to provide safe patient care. Step-by-step instructions show you how to use the Guide to Nursing Diagnoses and Guide to Planning Care sections to create a unique, individualized plan of care. List of Nursing Diagnosis Index in back inside cover of book for quick reference. Three-column index is easy to use. Easy-to-follow sections I and II guide you through the nursing process and selecting appropriate nursing diagnoses.Alphabetical thumb tabs allow quick access to specific symptoms and nursing diagnoses.NEW! Includes the new 2015-2017 NANDA-I approved nursing diagnoses, compete with 26 new diagnoses.NEW and UPDATED! Provides the latest NIC/NOC, interventions, and rationales for every care plan.EXPANDED! Additional information on concept based nursing and major nursing theories provides you with the knowledge you need for clinical success. EXPANDED! New content on QSEN, safety, and risk for infection keeps you up to date. NEW! In-depth coverage of wellness and primary prevention stresses the importance of health and wellness. NEW! Appendixes in the text provide you with valuable information in an easy-to-access location. NEW! Revised references in APA style.
A supernatural force brings together two lost souls undergoing radical treatment at an experimental drug-testing facility. When the facility is locked down for the weekend and the drugs take effect, the human guinea pigs experience sinister hallucinations pointing to a horrific double murder. Unsure of where reality stops, they see the apparitions become more and more threatening until the only way to leave the facility alive is to solve the haunting secret.
This text provides students and practitioners with the essential diagnostic information for clinical problems as well as a system for differentiation of diseases that have similar signs, symptoms, and radiographic appearance. Pathogenesis, clinical, radiographic, laboratory, and histopathological features are presented with discussion developed especially to highlight distinguishing features and helpful hints in generating a differential diagnosis for each lesion.A Brandon Hill Title.Spanish version also available, ISBN: 84-8174-293-7.