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.
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.
The definitive evidence-based introduction to patient history-takingNOW IN FULL COLORA Doody's Core Title for 2017!For medical students and other health professions students, an accurate differential diagnosis starts with The Patient History. The ideal companion to major textbooks on the physical examination, this trusted guide is widely acclaimed for its skill-building, and evidence based approach to the medical history.Now in full color, The Patient History defines best practices for the patient interview, explaining how to effectively elicit information from the patient in order to generate an accurate differential diagnosis. The second edition features all-new chapters, case scenarios, and a wealth of diagnostic algorithms. Introductory chapters articulate the fundamental principles of medical interviewing. The book employs a rigorous evidenced-based approach, reviewing and highlighting relevant citations from the literature throughout each chapter.FeaturesNEW! Case scenarios introduce each chapter and place history-taking principles in clinical contextNEW! Self-assessment multiple choice Q&A conclude each chapter―an ideal review for students seeking to assess their retention of chapter materialNEW! Full-color presentationEssential chapter on red eye, pruritus, and hair lossSymptom-based chapters covering 59 common symptoms and clinical presentationsDiagnostic approach section after each chapter featuring color algorithms and several multiple-choice questions Hundreds of practical, high-yield questions to guide the history, ranging from basic queries to those appropriate for more experienced clinicians
Bladder Cancer: A Patient-Friendly Guide to Understanding Your Diagnosis and Treatment Options resulted from a unique collaboration between doctors and patients. It started when David Pulver was diagnosed with bladder cancer in 2007 and got a second opinion from Mark Schoenberg, MD, an internationally acknowledged authority on bladder cancer. They formed a partnership—not only to treat David's bladder cancer but also to write a patient-friendly book for other patients diagnosed with this disease. The book combines expert medical information with a clear writing style that organizes and presents the information in the most patient-friendly way.When you are diagnosed with bladder cancer or have a recurrence of your disease, many questions start running through your mind. What does my diagnosis mean? What are my treatment options? How serious is my disease? Can I be cured?To grapple with these questions, you need to understand your diagnosis and learn about your treatment options— so you can get the best possible outcomes for your disease. The mission of this book is to educate you about bladder cancer so you can understand your diagnosis and make informed decisions regarding your treatment and care. The book will help you be a proactive patient, have better conversations with your doctor, and become your own advocate in fighting your disease.What You Will Learn from This BookThis book is organized into 14 chapters and 4 appendixes.You should first read Chapters 1–5, which provide information all patients with bladder cancer need to know. Topics include how to become a proactive patient, the anatomy and functions of the urinary system, how bladder cancer is diagnosed, and what you need to know to understand your diagnosis.The next step is to read the specific chapter or chapters that discuss the treatment options for your specific diagnosis. Chapters 6–13 include detailed information about the treatment options for the different types and stages of bladder cancer.Chapter 14 discusses the challenges bladder cancer survivors face as they transition from active treatment to follow-up care. In addition, there are 4 appendixes, including a glossary of bladder cancer terms and a list of bladder cancer resources for patients and their families.This book addresses the questions, concerns, and challenges that confront people diagnosed with bladder cancer and those who love and support them.
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.
Prepare your students for safe, collaborative clinical practice. Focusing on the most important nursing care plans for practice, this updated edition of Carpenito’s practical resource helps students learn how to create nursing care plans, effectively document care, and build clinical reasoning and decision-making skills. To help achieve quality outcomes and prevent adverse events, care plans identify individuals who are at high risk for falls, pressure ulcers, and infection and prepare the individual/family for transition to home or another facility. A user-friendly organization splits Collaborative Problems and Nursing Diagnosis in each chapter and organizes care plans by Medical Conditions, Surgical Procedures, and Diagnostic and Therapeutic Procedures. KEY FEATURESUPDATED! All nursing diagnoses reflect today’s best practices.NEW! Up-to-date content enriches the presentation, including new techniques on increasing a patient’s motivation to learn self-care and new discussions in a new Appendix C on how to teach individuals with low health literacy.Evidence-based rationales and guidelines help students understand how research informs practice.Clinical Alerts advise students of serious events that require immediate action and need to be reported in a timely and sometimes urgent fashion.An evidence-based model, STAR (Stop, Think, Act, Review), shows students how to assess a situation prior to intervening and how to evaluate the response after acting.A SBAR (Situation, Background, Assessment, Recommendation) framework facilitates clear, consistent, and succinct communication of pertinent information among health care professionals.
The 10th edition of the Nursing Diagnosis Handbook makes formulating nursing diagnoses and creating individualized care plans a breeze. Updated with the most recent NANDA-I approved nursing diagnoses, this convenient reference shows you how to build customized care plans in three easy steps: assess, diagnose, plan. Authors Elizabeth Ackley and Gail Ladwig use Nursing Outcomes Classification (NOC) and Nursing Interventions Classification (NIC) to guide you in creating care plans that include desired outcomes, interventions, patient teaching, and evidence-based rationales. Unique! Care Plan Constructor on the companion Evolve website offers hands-on practice creating customized plans of care. Alphabetical thumb tabs allow quick access to specific symptoms and nursing diagnoses.Suggested NIC interventions and NOC outcomes in each care plan. Recent and classic research examples promote evidence-based interventions and rationales. NEW! 4 Color textNEW! Includes updated 2012-2014 NANDA-I approved nursing diagnosesNEW! Provides the latest NIC/NOC, interventions, and rationales for every care plan.NEW! QSEN Safety interventions and rationalesNEW! 100 NCLEX exam-style review questions are available on the companion Evolve website.NEW! Root Causing Thinking and Motivational Interviewing appendixes on the companion Evolve website.
Visual Diagnosis and Care of the Patient with Special Needsprovides a thorough review of the eye and vision care needs of patients with special needs. This book gives you a better understanding of the most frequently encountered developmental and acquired disabilities seen in the eye care practitioner’s office. These disabilities include patients with autism, brain injury, Fragile X syndrome and Down syndrome, as well as those with psychiatric illness, dual diagnosis, and more. The text discusses, in great detail, the visual issues inherent in these populations and their possible treatment. A group of authors with approximately 500 years of experience in the field of eye care and special populations have been brought together to develop this comprehensive reference. It may appear that this book is written primarily for eye care practitioners such as optometrists and ophthalmologists, while vision is the overriding topic, this book serves as an excellent resource for a multitude of professions including those engaged in occupational therapy, physical therapy, speech and language therapy, physiatry, social work, pediatric medicine, and special education.“There is literally no other book that covers this very important subject area. It is structured by common conditions that lead to special needs so that the reader can easily access areas they need more information in. The writing style and tone of the book are very clear and simple. This text could also be easily read by lay person carers of special needs patients. This area of work within eye health in the world is very much neglected. It is a groundbreaking piece of work to help the most disabled of people in our modern society. In addition they have done a great job of a most complex task.” — BMA Medical Book Award reviewer, 2013 BMA Medical Book Awards
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.