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Dimensions of Long-Term Care Management: An Introduction, Second Edition (Gateway to Healthcare Management)
by Mary Helen McSweeney-FeldInstructor Resources: Test bank, presentation PowerPoint slides, answers to end-of-chapter and case study questions, a sample course syllabus, and a transition guide to the new edition. The field of long-term care is experiencing significant growth and near-constant change. Older adults and people with disabilities today make up a larger segment of society than ever before, and with this shift in demographics comes an increased demand for long-term services and supports. Technological advancements and evolving consumer preferences are reshaping the services that people want and need, and new models of care reflect a shift in emphasis from institutional to community-based settings. The Affordable Care Act (ACA) and other reform efforts have introduced new regulations, requirements, and pressures for long-term care providers; however, they have also brought new opportunities. This introductory book examines the various dimensions of long-term care and explores the facets of management essential to success in this rapidly changing environment. The first part of the book provides an overview of key definitions, settings, policy issues, and trends in the delivery of long-term services and supports. The second part relates aspects of management—including leadership, human resources, marketing, facility management, regulatory and legal issues, and financing—to long-term care. Significantly revised and updated, this edition includes four new chapters, addressing the following topics: Delivery of long-term services and supports under the ACA Transitions between acute care, residential long-term care, and home and community-based care settings The implications of global trends in long-term care policies and services Quality improvement tools and reform-driven requirements for safety and transparency Additional updates for this edition focus on specialized care for individuals with chronic and disabling conditions, new technologies that maintain patients’ health information and enhance communication, and the challenges in assembling and retaining an effective direct care workforce.
Disabilities and the Disabled in the Roman World: A Social And Cultural History
by Christian LaesAlmost fifteen per cent of the world's population today experiences some form of mental or physical disability and society tries to accommodate their needs. But what was the situation in the Roman world? Was there a concept of disability? How were the disabled treated? How did they manage in their daily lives? What answers did medical doctors, philosophers and patristic writers give for their problems? <P><P>This book, the first monograph on the subject in English, explores the medical and material contexts for disability in the ancient world, and discusses the chances of survival for those who were born with a handicap. It covers the various sorts of disability: mental problems, blindness, deafness and deaf-muteness, speech impairment and mobility impairment, and includes discussions of famous instances of disability from the ancient world, such as the madness of Emperor Caligula, the stuttering of Emperor Claudius and the blindness of Homer.<P> The first scholarly study of the subject in English.<P> Comprehensively engages with literary sources, legal texts, epigraphy and papyrology, as well as with material evidence such as iconography.<P> Adopts an explicitly comparative approach which constantly seeks dialogue with new approaches and studies concerning other periods.
Disaster Health Management: A Primer for Students and Practitioners
by Gerry FitzGerald Mike Tarrant Peter Aitken Marie FredriksenDisaster health is an emerging field that focuses on developing prevention, preparation, response and recovery systems for dealing with health problems that result from a disaster. As disasters worldwide differ in their nature, scope and cultural context, a thorough understanding of the fundamental tenets of sound disaster health management is essential for both students and practitioners to participate confidently and effectively in the field. Disaster Health Management is the first comprehensive textbook to provide a standard guide to terminology and management systems across the entire spectrum of disaster health. Authored by experienced educators, researchers and practitioners in disaster health management, this textbook provides an authoritative overview of: The conceptual basis for disaster management Systems and structures for disaster management Managing disasters through the continuum of preparedness, response and recovery The variations associated with both natural and technological disasters The strategic considerations associated with leadership, research, education and future directions. Using Australasian systems and structures as examples of generic principles which will find application globally, Disaster Health Management is an essential text for both undergraduate and postgraduate students, as well as for professionals involved in all aspects of disaster management.
Discussing Migraine With Your Patients
by Dawn A. Marcus Duren Michael ReadyThis engaging and highly practical title is designed to support healthcare professionals in providing the best possible care for their patients with migraine. Developed by two leading authorities in the field who bring wit and warmth to their writing, the book combines the valuable wisdom of their clinical expertise with cutting edge scientific synthesis and helpful clinical pearls. Replete with a plethora of instructional aids and clinical tools (such as patient handouts, questionnaires, checklists, video clips, and quick-reference boxes), Discussing Migraine with Your Patients: A Common Sense Guide for Clinicians reviews migraine treatment in an evidence-based manner -- according to the empirical data and FDA and consensus-based guidelines. Discussion topics include acute and preventive pharmacotherapy, medical interventions and devices, behavioral and psychological nonpharmacologic therapies, education, trigger management, healthy lifestyle practices, stress management, neutraceuticals, and alternative medicine offerings. In addition, this easy-to-read title covers genetics and pathophysiology, symptoms and comorbidities, and a range of essential clinical skills that are useful in achieving the best possible outcomes with patients. In invaluable addition to the literature, this title will serve as the ultimate go-to resource for primary care clinicians and trainees. Headache specialists, too, will find value in this work.
Disease Control Priorities, Third Edition: Injury Prevention and Environmental Health (Volume #7)
by Charles N. Mock Rachel Nugent Olive Kobusingye SmithThe substantial burden of death and disability that results from interpersonal violence, road traffic injuries, unintentional injuries, occupational health risks, air pollution, climate change, and inadequate water and sanitation falls disproportionally on low- and middle-income countries. Injury Prevention and Environmental Health addresses the risk factors and presents updated data on the burden, as well as economic analyses of platforms and packages for delivering cost-effective and feasible interventions in these settings. The volume's contributors demonstrate that implementation of a range of prevention strategies-presented in an essential package of interventions and policies-could achieve a convergence in death and disability rates that would avert more than 7.5 million deaths a year.
Disordered Vertebral and Rib Morphology in Pudgy Mice
by Frederic ShapiroThis book presents results obtained from the whole mount preparations, radiological, and histological studies of 60 pu/pu and pu/+ mice from late embryo until 3 months of age. Most mice were in the embryo to 6 week age group where vertebral developmental changes are most marked. Although vertebral abnormalities have been identified as due to mutations in the delta-like 3 (Dll3) gene, it is evident that each mouse has differing structural abnormalities. The disorder is analogous to human congenital scoliosis, a common variant of which is spondylocostal dysplasia. The histological studies presented in this book include plastic embedded sections which allow for high level resolution not only of vertebrae, intervertebral discs, and ribs but also of associated spinal cord, nerve roots and ganglia. In addition an overview of embryo and neonatal development in mouse, chick and human vertebrae is provided to better assess how and where deviant pathoanatomy occurs. The book discusses the possible variables involved in creating final deformity beyond the gene abnormality itself.
Disrupting the Status Quo: Northwell Health's Mission to Reshape the Future of Health Care
by Charles KenneyWe are in the midst of what may well be the most confusing, turbulent period in the history of modern medicine. This book seeks to cut through the fog and confusion that enshrouds the health care industry to provide clarity on where the industry stands today and where it is headed. The book defines the major challenges in health care through the journey of Northwell Health, one of the largest provider organizations in the country. The central issues in what is nearly one-fifth of the United States economy are played out daily within this not-for-profit organization. Northwell is New York state’s largest workers, and $11 billion in annual revenue. The book candidly portrays key leaders within Northwell on the most vexing challenges in health care: How to provide primary and specialty care spending; how to create and sustain an internal system of continuous learning to enable employees at all levels to stay current in an industry that is changing at warp speed; how to provide emergency services in a world where natural disasters and acts of terrorism are inevitable; how to identify new revenue streams to offset reductions from Medicare and Medicaid; and how to push outside the walls of hospitals and clinics to improve the overall health of individuals and communities by working on determinants of health beyond the typical medical practice. The book exists at the intersection of medicine, business, social and public policy. Harvard’s Michael Porter has written widely on health care arguing that it is time "for a fundamentally new strategy," but what, exactly? Where is the industry headed? What do the changes and the turbulence mean for patients, doctors, nurses? This book is the product of a learning journey both humbling and rewarding. Over time, lessons learned, improvements made, innovations conceived, have advanced Northwell Health in ways that, some years ago, might not have seemed possible. Northwell has become a national leader not because it is perfect, but because it remains steadfast in its journey to remain humble enough to know that whatever success may be achieved, the journey is about continuous learning and improvement. The goal of the book is to provide a deeper, clearer understanding of what is happening in health care and why; to help illuminate a pathway forward for patients and caregivers most of all, but also for policy-makers and the employers and others who pay for care.
Disruptive Cooperation in Digital Health
by Jody RanckThis clear-sighted volume introduces the concept of "disruptive cooperation"-- transformative partnerships between the health and technology sectors to eliminate widespread healthcare problems such as inequities, waste, and inappropriate care. Emphasizing the most pressing issues of a world growing older with long-term chronic illness, it unveils a new framework for personalized, integrative service based in mobile technologies. Coverage analyzes social aspects of illness and health, clinically robust uses of health data, and wireless and wearable applications in intervention, prevention, and health promotion. And case studies from digital health innovators illustrate opportunities for coordinating the service delivery, business, research/science, and policy sectors to promote healthier aging worldwide. Included among the topics: Cooperation in aging services technologies The quantified self, wearables, and the tracking revolution Smart healthy cities: public-private partnerships Beyond silos to data analytics for population health Cooperation for building secure standards for health data Peer-to-peer platforms for physicians in underserved areas: a human rights approach to social media in medicine Disruptive Cooperation in Digital Health will energize digital health and healthcare professionals in both non-profit and for-profit settings. Policymakers and public health professionals with an interest in innovation policy should find it an inspiring ideabook.
Distracted: How Regulations Are Destroying the Practice of Medicine and Preventing True Health-Care Reform
by Matthew HahnAfter the many bureaucratic changes that followed the passing of the Affordable Care Act (Obamacare) and other legislation, patient care has become secondary to satisfying the whims of government and giant insurance company administrators, who are in total control. The result is a web of complicated rules and misguided programs whose chief effect has been to distract doctors and nurses from their proper focus on patient care. Access to health care now depends on the ability of patients, doctors, and nurses to navigate in and around this cumbersome and ever-changing system.Written by a practicing doctor and based on years of real-life experience, Distracted takes the unique view that it is not the American health care system that is broken—the problem lies in the administration of health care. The solution is simplicity where there is complexity. The solution is an elegant use of health information technology to foster improved care. It is putting control of health care decisions back with those who know best, patients and their health care teams.The solution is caring for patients with fewer distractions.
Distracted Doctoring
by Peter J. Papadakos Stephen BertmanExamining-room computers require doctors to record detailed data about their patients, yet reduce the time clinicians can spend listening attentively to the very people they are trying to help. This book presents original essays by distinguished experts in their fields, addressing this critical problem and making an urgent case for reform, because while electronic technology has revolutionized the practice of medicine, it also poses a unique challenge to health care. Smartphones in the hands of doctors and nurses have become dangerously seductive devices that can endanger their patients. Distracted Doctoring is written for anesthesiologists and surgeons, as well as general practitioners, nurses, and healthcare administrators, chapters include Medicine Enters the Computer Age, Electronic Addiction, Electronic Distraction and Physician Empathy, and the Impact of Computer Use on Physician-patient Communication.
Diverse Perspectives on Aging in a Changing World (Routledge Studies in Health and Social Welfare)
by Gillian JosephFocusing on under-researched aspects of social, economic and political change, this volume offers fresh insights into aging, older people and their families. It combines an international and interdisciplinary approach. Chapters explore the contexts in which family roles, institutional practices, public policies and social and cultural discourses evolve, connecting analyses of aging issues and policy development with sound research practices, as well as previously-ignored gaps in professional practice. Topics covered include politics and policy, health and social care, culture and migration, urban and rural sociology, gender studies, technology and economics. The book will be of particular interest to students and researchers in gerontology, community development, geography and population studies, along with researchers and professionals in physiotherapy, nursing and social work.
A DIY Guide to Telemedicine for Clinicians
by S. B. BhattacharyyaThis book is a do-it-yourself guide for clinicians who wish to set up and run a telemedicine facility of their own. The contents are largely based on the understanding and experience gained by the author as a practising physician, management post-graduate (capstone thesis was on telemedicine) and as a business architect for digital health systems over more than thirty years. Full of management techniques, tricks and tips written in an easy-to-follow manner, this book provides sufficient information to clinicians looking to leverage telemedicine to augment their range of service offerings that would lead to increased levels of patient satisfaction. Various aspects related to definitions, technology, infrastructure, methodologies and legal issues for setting up and running telemedicine services have been dealt with to sufficient depths for the readers to help grasp the issues involved. Sections on privacy, confidentiality and data integrity have been provided to help allay the many concerns the readers might have in those regards. Additionally, financial evaluations based on realistic-enough figures have been used to demonstrate that telemedicine is a viable option financially. Although meant primarily for medical doctors, any care provider including institutional will be able to use the contents to plan, design, set up and run telemedicine services that they feel would benefit those who receive their care.
DNA: The Story of the Genetic Revolution
by Andrew Berry James D. Watson Kevin DaviesThe definitive insider's history of the genetic revolution--significantly updated to reflect the discoveries of the last decade. James D. Watson, the Nobel laureate whose pioneering work helped unlock the mystery of DNA's structure, charts the greatest scientific journey of our time, from the discovery of the double helix to today's controversies to what the future may hold. Updated to include new findings in gene editing, epigenetics, agricultural chemistry, as well as two entirely new chapters on personal genomics and cancer research. This is the most comprehensive and authoritative exploration of DNA's impact--practical, social, and ethical--on our society and our world.
DNA Nanoscience: From Prebiotic Origins to Emerging Nanotechnology
by Kenneth DouglasDNA Nanoscience: From Prebiotic Origins to Emerging Nanotechnology melds two tales of DNA. One is a look at the first 35 years of DNA nanotechnology to better appreciate what lies ahead in this emerging field. The other story looks back 4 billion years to the possible origins of DNA which are shrouded in mystery. The book is divided into three parts comprised of 15 chapters and two Brief Interludes. Part I includes subjects underpinning the book such as a primer on DNA, the broader discipline of nanoscience, and experimental tools used by the principals in the narrative. Part II examines the field of structural DNA nanotechnology, founded by biochemist/crystallographer Nadrian Seeman, that uses DNA as a construction material for nanoscale structures and devices, rather than as a genetic material. Part III looks at the work of physicists Noel Clark and Tommaso Bellini who found that short DNA (nanoDNA) forms liquid crystals that act as a structural gatekeeper, orchestrating a series of self-assembly processes using nanoDNA. This led to an explanation of the polymeric structure of DNA and of how life may have emerged from the prebiotic clutter.
Doctor and Protector
by Meredith WebberDr. Cassie Carew can't believe the mysterious letters are significant. But the police take them seriously enough to bring in surgeon-turned-criminologist Dr. Henry McCall to protect her. And, worst of all, he's posing as her lover! Over a few hectic days, Cassie has to cope with a threat to her life and a flood of medical emergencies. But it's her unwanted, much-needed bodyguard and his oh-so-convincing romantic pretense that's always on her mind…. Police Surgeons — love, life and medicine — on the beat!
The Doctor and the Princess: The Doctor And The Princess Miracle For The Neurosurgeon Engaged To The Doctor Sheikh
by Scarlet WilsonHer very own Mr. Darcy As a rule, Gabrielle Cartier prefers the title "Dr." to "Princess." And when sexy surgeon Sullivan Darcy joins her humanitarian mission in the jungle, she's desperate to explore their chemistry. Until sudden news of her brother's abdication means Gabrielle must return home to rule! Sullivan longs to offer Gabrielle the support she needs but the pain of loss haunts him. Yet she stirs long-dormant feelings in him, feelings that give him the courage to confront his demons...and the determination to win his princess!
Doctor You: Revealing the science of self-healing
by Jeremy Howick'Read this breakthrough book!' Deepak ChopraThrow away your statins, painkillers and antidepressants and pick up this book to find out how you can harness the body's natural powers to heal itself.Doctor You contains the first hard scientific evidence to show that some so-called alternative or natural treatments are not only cheaper than industrially produced drugs and lacking the harmful side effects, they are also equally effective.Written using the latest, high quality, conventional evidence Doctor You arms you with knowledge that will empower you to make the right choices about what drugs to take, what drugs to give your children, and when you should let your body do its thing.
Doctor You: Revealing the science of self-healing
by Jeremy Howick'Read this breakthrough book!' Deepak ChopraThrow away your statins, painkillers and antidepressants and pick up this book to find out how you can harness the body's natural powers to heal itself.Doctor You contains the first hard scientific evidence to show that some so-called alternative or natural treatments are not only cheaper than industrially produced drugs and lacking the harmful side effects, they are also equally effective.Written using the latest, high quality, conventional evidence Doctor You arms you with knowledge that will empower you to make the right choices about what drugs to take, what drugs to give your children, and when you should let your body do its thing.
Doctor You: Revealing the science of self-healing
by Jeremy Howick'Read this book!' - Deepak Chopra'A timely book on a timeless problem of how body and mind interact to affect our health and well-being. Beautifully written by an international expert in the field, it challenges old habits of thinking and promises new ways of exploring what it means to live an integrated life. - Mark Williams, author of Mindfulness, Professor of Clinical Psychology and former director of the Oxford Mindfulness CentreExamining the over use of modern medicine and how your body can heal itself.Twenty per cent of Americans, half of the elderly British, and two thirds of older Canadians take at least five prescription drugs per day - their lives a non-stop ritual of pill popping and trying to manage side effects. One in ten people in developed countries take antidepressants. Millions of boys who can't sit still in school are prescribed methamphetamines. Modern medicine has been overused. Skyrocketing global healthcare costs render this overuse of medicine increasingly unaffordable. The wonders of modern medicine have also obscured the body's ability to heal itself. Your body produces its own drugs that can treat pain as well as drugs, cure some joint problems as well as a surgeon, and treat most mild depression as well as a psychologist. We've all heard of endorphins, but did you know 'endorphin' literally means 'morphine made by your body'? Besides the body's self-healing abilities, latest evidence clearly show that states of mind affect our health. Relaxing, positive thinking, and comfortable social environments can all improve our health as much as blockbuster drugs.Written using the latest, high quality, conventional evidence Doctor You arms you with knowledge that will empower you to make the right choices about what drugs to take, what drugs to give your children, and when you should let your body do its thing.(P)2017 Hodder & Stoughton Limited
Doctors at War: Life and Death in a Field Hospital (The Culture and Politics of Health Care Work)
by Mark de RondDoctors at War is a candid account of a trauma surgical team based, for a tour of duty, at a field hospital in Helmand, Afghanistan. Mark de Rond tells of the highs and lows of surgical life in hard-hitting detail, bringing to life a morally ambiguous world in which good people face impossible choices and in which routines designed to normalize experience have the unintended effect of highlighting war’s absurdity. With stories that are at once comical and tragic, de Rond captures the surreal experience of being a doctor at war. He lifts the cover on a world rarely ever seen, let alone written about, and provides a poignant counterpoint to the archetypical, adrenaline-packed, macho tale of what it is like to go to war. Here the crude and visceral coexist with the tender and affectionate. The author tells of well-meaning soldiers at hospital reception, there to deliver a pair of legs in the belief that these can be reattached to their comrade, now in mid-surgery; of midsummer Christmas parties and pancake breakfasts and late-night sauna sessions; of interpersonal rivalries and banter; of caring too little or too much; of tenderness and compassion fatigue; of hell and redemption; of heroism and of playing God. While many good firsthand accounts of war by frontline soldiers exist, this is one of the first books ever to bring to life the experience of the surgical teams tasked with mending what war destroys.
A Doctor's Christmas Family
by Meredith WebberDr. Esther Shaw, called home to Australia to battle a serious medical emergency, meets the last person she expects: Dr. Bill Jackson — her ex-husband! What is he doing here? Bill was looking for Esther. But now he's managing a potentially deadly epidemic, taking care of an adorable baby — and trying to understand his beautiful, loving ex-wife and her painfully guarded heart. Can Bill persuade Esther to fall in love with him again?
The Doctor's Destiny
by Meredith WebberNurse Alana Wright finds Dr. Rory Forrester strong medicine — he thinks he knows better than her how to run a hospital ward! And yet, she is incredibly attracted to him. But their war at work is nothing compared to Rory's private battle for custody of his nephew, Jason. Only marriage will improve his chances.While he and Alana might be colleagues in conflict, the chemistry between them is intense…and Jason and Alana get along great. Rory realizes he has found an angel who can answer his prayers and be his wife — but one thing stands in their way….
The Doctor's Forbidden Temptation
by Tina Beckett"Nata...we can't do this." To Dr. Adam Cordeiro, Natália Texeira has always been off-limits. As his best friend's sister, and a cancer survivor, he's felt a duty to protect her. But the doctor he meets on her first day at Santa Cora��o Hospital is all grown-up and far too tempting... Natália has always had a crush on Adam, but he has a playboy's reputation! Nevertheless, when their forbidden passion becomes irresistible, Natália is compelled to discover what's really holding Adam back from giving his heart...
Doctors in Flight
by Meredith WebberCity girl goes bush! Dr. Hillary Green never wanted to work in the Outback. But now she's been appointed to the Flying Obs and Gynae service, taking tiny planes to little rural hospitals, along with an airsick anesthetist and a boss who hates women registrars! Well, Hillary doesn't like him, either. Even if he is a terrific doctor…and even if his touch sends needles of excitement shooting up her arm….
The Doctor's Love-Child
by Barbara HartHer secret: he's a father After a whirlwind romance in New York, Dr. Helen Blackburn is pregnant with orthopedic surgeon Andrew Henderson's child! Only, Andrew has left the city to go to Chicago for some months on urgent, private business and can't be contacted, so Helen has to manage alone. A year later, Helen is back in England, with her life sorted out. She has a beautiful baby son and a part-time job at a local hospital.Then, out of the blue, Andrew arrives to start at the same hospital…where Helen knows he'll discover her secret — his child!