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The Profession and Practice of Horticultural Therapy
by Rebecca L. Haller Christine L. Capra Karen L. KennedyThe Profession and Practice of Horticultural Therapy is a comprehensive guide to the theories that horticultural therapists use as a foundation for their practice and provides wide-ranging illustrative models of programming. This book aims to enhance understanding and provide insight into the profession for both new and experienced practitioners. It is directed to students in the field, along with health care and human service professionals, to successfully develop and manage horticultural therapy programming. The book is organized into four sections: an overview of the horticultural therapy profession, theories supporting horticultural therapy use, models for programs, and tools for the therapist. Areas of focus include: Overview of the profession, including the knowledge, skills, and abilities needed to practice Discussion of related people-plant endeavors and theories supporting horticultural therapy Issues within the profession of horticultural therapy, including employment models, professionalism and ethics, and credentials Characteristics and implementation of therapeutic, vocational, and wellness program models Accommodations and adaptive techniques to best serve the needs of all participants Strategies for assessment and documentation for horticultural therapy intervention Issues for managing programs including how horticultural therapy programs collaborate with other disciplines, determining program costs and budget, managing staff and growing spaces, and conducting program evaluations Horticultural therapy serves the needs of the whole individual when practitioners have a broad and deep comprehension of the theories, techniques, and strategies for effective program development and management. The Profession and Practice of Horticultural Therapy provides relevant and current information on the field with the intent to inspire best practices and creative, effective programs.
The Profession of Orientation and Mobility in the 1980s: The AFB Competency Study
by Mark M. Uslan Everett W. Hill Alec F. PeckThis book is a report of two national studies to compile descriptive statistical information about the demographic trends that will influence the future of the O&M profession--one conducted in 1983 and the other in 1985.
The Professional Guinea Pig: Big Pharma and the Risky World of Human Subjects
by Roberto AbadieThe Professional Guinea Pig documents the emergence of the professional research subject in Phase I clinical trials testing the safety of drugs in development. Until the mid-1970s Phase I trials were conducted on prisoners. After that practice was outlawed, the pharmaceutical industry needed a replacement population and began to aggressively recruit healthy, paid subjects, some of whom came to depend on the income, earning their living by continuously taking part in these trials. Drawing on ethnographic research among self-identified "professional guinea pigs" in Philadelphia, Roberto Abadie examines their experiences and views on the conduct of the trials and the risks they assume by participating. Some of the research subjects he met had taken part in more than eighty Phase I trials. While the professional guinea pigs tended to believe that most clinical trials pose only a moderate health risk, Abadie contends that the hazards presented by continuous participation, such as exposure to potentially dangerous drug interactions, are discounted or ignored by research subjects in need of money. The risks to professional guinea pigs are also disregarded by the pharmaceutical industry, which has become dependent on the routine participation of experienced research subjects. Arguing that financial incentives compromise the ethical imperative for informed consent to be freely given by clinical-trials subjects, Abadie confirms the need to reform policies regulating the participation of paid subjects in Phase I clinical trials.
The Prognosis of Metastatic Gastrointestinal Cancer
by Giuseppe A. Colloca Antonella VenturinoSurvival of patients with metastatic cancer has increased over the past two decades as a result of a progressive improvement of regional and systemic therapies. However, oncologists' estimates of patients' predicted overall survival in metastatic cancer are imprecise. The purpose of this book is to systematize the evidence regarding the prognostic factors of metastatic gastrointestinal tumors, separating the findings with the highest level of evidence among those available for each disease by selecting studies with the highest scientific evidence level.
The Program for Research in Military Nursing: Progress and Future Direction
by Committee on Military Nursing ResearchHigh-quality nursing care is essential to obtaining favorable patient outcomes, no less so in military than in civilian settings. Military nursing research focuses on enhancing health care delivery systems and processes to improve clinical outcomes, to advance the practice of military nursing in support of mission readiness and deployment, and to improve the health status and quality of life of military personnel and their beneficiaries.This volume reviews the military nursing research program of the TriService Nursing Research Program in terms of its management, funding, allocation of resources, and identification of program goals. The book also contains the results of that study and the committee's recommendations.
The Project Manager's Guide to Health Information Technology Implementation: The Project Manager's Guide To Health Information Technology Implementation (HIMSS Book Series)
by Susan M. HoustonThis book focuses on providing information on project management specific for software implementations within the healthcare industry. It can be used as a guide for beginners as well as a reference for current project managers who might be new to software implementations. Utilizing the Project Management Institute’s (PMI) methodology, the defined process groups and knowledge areas will be defined related to implementing custom and commercial off-the-shelf (COTS) software. The Software Development Life Cycle (SDLC) is a standard for developing custom software but can also be followed for implementing COTS applications as well. How will the system be set-up from an architecture and hardware standpoint? What environments will be needed and why? How are changes managed throughout the project and after? These questions and more will be reviewed. The differences between types of testing are defined as well as when each are utilized. Planning for the activation and measuring the success of the project and how well the strategic need has been met are key activities that are often not given the time and effort to plan as the other parts of the implementation project. This new edition updates the current content to better align with the newest version of the PMI’s Project Management Body of Knowledge (PMBOK), the latest technology and concepts. In addition, this new edition includes additional chapters on agile management, stakeholder management, and choosing the right methodology.
The Promise of Welfare Reform: Political Rhetoric and the Reality of Poverty in the Twenty-First Century
by Elizabeth SegalFind out how-and why-legislation has made economic rights more important than human rightsSince 1996, politicians and public officials in the United States have celebrated the "success" of welfare reform legislation despite little, if any, evidence to support their claims. The Promise of Welfare Reform: Political
The Promise: An Introduction to the History of Medicine
by Kourosh NazariFor centuries, one principle has stood above all others in the medical field: First, do no harm. But has our basic healthcare lost this vital philosophy in its pursuit of advancement and profit? Follow the journey of medicine from its earliest beginnings at the dawn of humanity to the incredible technological advances of the 21st century. By examining key figures and events, this book’s focus on the rationales of pioneering practitioners and the philosophies behind major discoveries sets it apart from current medical and historical literature for both providers and consumers of healthcare.In the age of unprecedented advancements, the evolution of medicine and its underlying philosophies has been cast aside for the pursuit of the next, best development. In the search to provide the best care, human history has had great triumphs but also great horrors. It is important in our healthcare pursuits, both as patient and practitioner, to remember that history and examine how today’s medicine fits within its historical progression.
The Prostate Cancer Dilemma
by Nelson N. Stone E. David CrawfordThis text provides a comprehensive, state-of-the art review of this field, and will serve as a valuable resource for clinicians, surgeons and researchers with an interest in early prostate cancer. The book reviews new data about genetic markers, transperineal mapping biopsy and mpMRI, how to apply each of these technologies in patients with elevated PSA, when a prior prostate biopsy performed by the standard TRUS method is negative and in cases where low risk disease is already diagnosed, how to differentiate those men who might harbor more aggressive disease from those who do not. Over 75% of newly diagnosed prostate cancer meets the criteria for low risk disease which has created a dilemma for both patients and clinicians. Active surveillance programs have been initiated and are reviewed. How the new technologies impact surveillance programs is addressed. Clinical stage designation is updated and a new intra-prostatic staging system is discussed. Prostate biopsy techniques utilizing transrectal ultrasound, transperineal mapping, elastography and mpMRI are compared. Finally, utilization of this new technology in the application of focal therapy is reviewed. The Prostate Cancer Dilemma will serve as a very useful resource for physicians and researchers dealing with, and interested in this challenging malignancy. Chapters are written by experts in their fields and include the most up to date scientific and clinical information as well as links to procedural video content.
The Protocol
by April ChristoffersonJennifer has to prove that Dr. Fielding funded his biotech firm by dealing in illegally obtained human organs - including her husband's -- for transplant into the bodies of people who could pay almost any price to extend their lives. But that's not the worst of Sherwood Fielding's trangressions against nature, as Jennifer soon finds out.Working on the cutting edge of a lucrative field like genetics is risky - and Jennifer finds herself in a maelstrom of murder, industrial espionage, deceit and personal betrayal. Embroiled in a plot of unimaginable medical perversion, Jennifer must fight for the truth about the science being done at the firm. Especially as it leads her to the truth of how and why her husband died.At the Publisher's request, this title is being sold without Digital Rights Management Software (DRM) applied.
The Provider
by David ShobinUniversity Hospital is a gleaming showplace of modern medicine. But a string of tragic deaths has struck the neonatal unit-- each young fatality marked by a bizarre pathology. No one understands what could be causing the senseless deaths-- and no one is trying to find out.But one young doctor is determined to uncover the truth. As Dr. Brad Hawkins follows the twisted corridors and the shrouded secrets of University Hospital, he begins to uncover an unthinkable conspiracy of evil and greed. And as the tiniest victims continue to perish, Brad is racing against time, to catch a murderer who operates with startling brutality-- and save himself from ending up in the hospital morgue...
The Province of Affliction: Illness and the Making of Early New England (American Beginnings, 1500-1900)
by Ben MutschlerIn The Province of Affliction, Ben Mutschler explores the surprising roles that illness played in shaping the foundations of New England society and government from the late seventeenth century through the early nineteenth century. Considered healthier than people in many other regions of early America, and yet still riddled with disease, New Englanders grappled steadily with what could be expected of the sick and what allowances were made to them and their providers. Mutschler integrates the history of disease into the narrative of early American social and political development, illuminating the fragility of autonomy, individualism, and advancement . Each sickness in early New England created its own web of interdependent social relations that could both enable survival and set off a long bureaucratic struggle to determine responsibility for the misfortune. From families and households to townships, colonies, and states, illness both defined and strained the institutions of the day, bringing people together in the face of calamity, yet also driving them apart when the cost of persevering grew overwhelming. In the process, domestic turmoil circulated through the social and political world to permeate the very bedrock of early American civic life.
The Province of Affliction: Illness and the Making of Early New England (American Beginnings, 1500-1900)
by Ben MutschlerIn The Province of Affliction, Ben Mutschler explores the surprising roles that illness played in shaping the foundations of New England society and government from the late seventeenth century through the early nineteenth century. Considered healthier than people in many other regions of early America, and yet still riddled with disease, New Englanders grappled steadily with what could be expected of the sick and what allowances were made to them and their providers. Mutschler integrates the history of disease into the narrative of early American social and political development, illuminating the fragility of autonomy, individualism, and advancement . Each sickness in early New England created its own web of interdependent social relations that could both enable survival and set off a long bureaucratic struggle to determine responsibility for the misfortune. From families and households to townships, colonies, and states, illness both defined and strained the institutions of the day, bringing people together in the face of calamity, yet also driving them apart when the cost of persevering grew overwhelming. In the process, domestic turmoil circulated through the social and political world to permeate the very bedrock of early American civic life.
The Psoas Solution: The Practitioner's Guide to Rehabilitation, Corrective Exercise, and Training for Improved Function
by Evan OsarThe first book to comprehensively discuss the function of the psoas in posture, movement, and exercise, The Psoas Solution identifies the functional anatomy, biomechanics, and motor control of the psoas and its role in core and hip stabilization. Integrating research with clinical experience, Evan Osar identifies the psoas's role on the hip, pelvis, and low back and demonstrates how to incorporate the psoas into functional movement patterns including squatting, lunging, and bending. The Psoas Solution includes corrective and functional exercise progressions for improving and integrating the psoas into daily activities. Health and fitness professionals will find this a valuable resource full of applicable strategies and exercises to incorporate into current rehabilitation or training programs. Abundantly illustrated with full-color images throughout, this book also provides most complete review on the relevant research on the psoas available.For years the psoas has been a muscle mired in controversy. It has been linked to common postural and movement dysfunction including anterior pelvic tilt, hyperlordosis of the lumbar spine, and low back pain. Strategies to improve posture and reduce pain have primarily involved stretching the psoas and strengthening its antagonist, the glutes. However, recent clinical research has revealed that the psoas is much more than a simple hip flexor and plays an integral role in both posture and movement. This professional treatment manual for health care practitioners and students gives an overview of the ways that non-optimal use of the psoas can affect breathing, posture, and movement. It outlines specific treatment strategies that enable patients to develop awareness and utilization of the psoas muscle to achieve three-dimensional breathing and improve balance and body mechanics.
The Psychedelic Reawakening: How Psilocybin, MDMA, Ketamine, LSD, and DMT Are Changing Lives
by Anton Gomez-Escolar• Examines the contemporary psychedelic phenomenon, including the history of criminalization and legalization, psychedelics&’ effects on the brain, recent clinical research, and new therapeutic potentials• Explores substances like psilocybin, LSD, DMT, ayahuasca, ketamine, and MDMA, including scientific evidence for psychedelics&’ potential to treat addiction, depression, anxiety, trauma, and neurodegenerative diseases• Includes extensive practical information on safety, risk, and harm reduction for both laypeople and mental health practitionersPresenting a comprehensive guide to the exciting new landscape around psychedelics, psychopharmacologist Anton Gomez-Escolar examines the long history of criminalizing and (slowly) legalizing these substances and their increasingly demonstrable positive effects on body, mind, and spirit.Exploring psilocybin, LSD, DMT, ayahuasca, ketamine, MDMA, and other substances, Gomez-Escolar looks at the multitude of scientific studies providing critical evidence for psychedelics&’ ability to treat addiction, depression, anxiety, and trauma as well as their potential to treat neurodegenerative diseases such as Alzheimer&’s. He provides key information for therapists and other health practitioners as well as explores the potential benefits and limitations of microdosing and how psychedelics could help with various neurological and mental health issues, including those related to the COVID-19 pandemic. Breaking down substances by type, the author looks at the main risks of each psychedelic and its benefits, best harm-reduction strategies, and the neural pathways each affects. Gomez-Escolar also includes a large selection of resources for people seeking to engage personally with psychedelics for healing.
The Psychiatric Consult: Navigating Challenging Treatment Plans
by Janna Gordon-Elliott Alyson Gorun Anna M. Kim Christian UmfridThis book guides psychiatry trainees through some of the most common psychiatric consultation requests in the general medical hospital, using accessible, case-based narratives. Clinical case scenarios are used to demonstrate how to consider both medical and psychological factors involved in the consultation, and the approach to challenging interpersonal dynamics that may occur between the hospitalized patient and the primary medical team. Each case illustrates how to begin to think like a consultation-liaison psychiatrist in order to arrive at a diagnosis and formulate a treatment plan in complex clinical situations. Cases unfold in real time to highlight the critical role of the psychiatrist as liaison to the patient and medical team in order to guide psychiatric management and facilitate effective communication and treatment in the hospital. In addition to clinical cases, each chapter features a concise list of strategies to identify and address patient symptoms and behaviors, interpersonal dynamics, and barriers to care that arise in the hospital. The Psychiatric Consult features resident-specific recommendations and a case-based format that make it a unique, realistic, and engaging learning tool.
The Psychiatric Consult: Navigating Challenging Treatment Plans
by Alyson Gorun Anna M. Kim Christian Umfrid Janna Gordon-ElliotThis book guides psychiatry trainees through some of the most common psychiatric consultation requests in the general medical hospital, using accessible, case-based narratives. Clinical case scenarios are used to demonstrate how to consider both medical and psychological factors involved in the consultation, and the approach to challenging interpersonal dynamics that may occur between the hospitalized patient and the primary medical team. Each case illustrates how to begin to think like a consultation-liaison psychiatrist in order to arrive at a diagnosis and formulate a treatment plan in complex clinical situations. Cases unfold in real time to highlight the critical role of the psychiatrist as liaison to the patient and medical team in order to guide psychiatric management and facilitate effective communication and treatment in the hospital. In addition to clinical cases, each chapter features a concise list of strategies to identify and address patient symptoms and behaviors, interpersonal dynamics, and barriers to care that arise in the hospital. The Psychiatric Consult features resident-specific recommendations and a case-based format that make it a unique, realistic, and engaging learning tool.
The Psychiatric Interview
by Allan Tasman Robert Ursano Jerald KayWhile the ABPN has now supplied such standards for psychiatry, psychiatric interviewing instruction has not been standardized in the US or in other countries. Similarly, the few psychiatric interviewing books available are written in textbook form, often long and often from the subpecialty perspective (e.g. psychodynamic interviewing). Critically, no interviewing guides to date take a true biopsychosocial perspective. That is, they limit themselves to "interviewing" as an isolated technique divorced from full patient assessment, which for quality patient care must include the interface of psychological and social components with biological components. Similarly, few interviewing texts are fully integrated with DSM/ICD categorical diagnostic schemata, even though these descriptive diagnostic systems represent the very core of our clinical language--the lingua franca of the mental health professions. Without good descriptive diagnoses there cannot be adequate communication of clinical data among providers.The proposed book will meet this need for training in biopsychosocial assessment and diagnosis. The patient interview is at the heart of psychiatric practice. Listening and interviewing skills are the primary tools the psychiatrist uses to obtain the information needed to make an accurate diagnosis and then to plan appropriate treatment. The American Board of Psychiatry and Neurology and the Accrediting Council on Graduate Medical Education identify interviewing skills as a core competency for psychiatric residents. The Psychiatric Interview: evaluation and diagnosis is a new and modern approach to this topic that fulfills the need for training in biopsychosocial assessment and diagnosis. It makes use of both classical and new knowledge of psychiatric diagnosis, assessment, treatment planning and doctor-patient collaboration. Written by world leaders in education, the book is based on the acclaimed Psychiatry Third Edition by Tasman, Kay et al, with new chapters to address assessment in special populations and formulation. The psychiatric interview is conceptualized as integrating the patient's experience with psychological, biological, and environmental components of the illness.This is an excellent new text for psychiatry residents at all stages of their training. It is also useful for medical students interested in psychiatry and for practicing psychiatrists who may wish to refresh their interviewing skills.
The Psychiatric Interview
by Daniel J. CarlatFocusing on the practical skills needed to establish rapport with patients and gain valuable clinical insights,The Psychiatric Interview, 5th Edition, offers a practical, concise approach to improving interviewing skills. Noted psychiatrist and award-winning mental health journalist Dr. Daniel J. Carlat uses a proven combination of mnemonics, specific techniques for approaching threatening topics, and phrasing examples to illustrate the nuances of the interviewing process, making this easy-to-digest text essential reading for trainees and practitioners in psychiatry, psychology, nursing, social work, and related fields.
The Psychiatric Interview (Fourth Edition)
by Daniel J. CarlatNow DSM-5 updated! Using a unique and effective combination of mnemonics, practical techniques, and phrasing examples that illustrate the nuances of the interviewing process, The Psychiatric Interview, 4th Edition helps you establish a rapport with patients and gain valuable clinical insights. Now updated to incorporate the DSM-5 and current research, this popular manual teaches you how to improve your interviewing skills, breaking down this complex area into concise information you can put to use immediately in your practice.
The Psychiatric Interview for Differential Diagnosis
by Lennart Jansson Julie NordgaardThis book offers an alternative to operational diagnostic manuals and manuals for structured interviewing as the only sources of theoretical and clinical knowledge. It provides an exposition of psychiatric interviewing that is theoretically and clinically well founded and supplies the reader with a coherent framework for performance of a thorough psychiatric examination. The goal is not to come up with yet another interview scheme but to facilitate an understanding of the basic (but, today, completely neglected) tenets of psychopathology and phenomenology. This exposition targets the disorders of subjectivity (consciousness), the second-person processes involved in converting subjective, first-person and observable data into a third person, diagnostically useful, format. In addition, the most pertinent clinical descriptions concerning the major diagnostic groups are presented and discussed.
The Psychiatric Mental Status Examination
by Robert W. Baker Paula T. TrzepaczThis comprehensive text on the Mental Status Examination (MSE)should fill a void in the teaching literature and be useful to both students first learning about the MSE, and seasoned clinicians seeking an advanced reference.
The Psychiatric Report: Principles and Practice of Forensic Writing
by Alec Buchanan Michael A. NorkoThe written report is central to the practice of psychiatry in legal settings. It is required of mental health professionals acting as expert witnesses in criminal cases, civil litigation situations, child custody proceedings and risk assessments. This book provides a theoretical background to psychiatric writing for the law and a practical guide to the preparation of the report. The first section addresses practical and ethical concerns, including the conduct of the forensic psychiatric evaluation, conflicts of interest, record keeping and confidentiality. The second section contains practical and detailed advice on preparing various types of report, including reports for use in criminal and civil litigation, civil commitment hearings and child custody proceedings. A final section covers special issues arising during report preparation including the use of psychological tests and the detection of malingering. This is an essential guide for anyone required to write a psychiatric report.
The Psychiatric-Mental Health Nurse Practitioner Certification Review Manual
by Raymond ZakhariThis review manual prepares students to successfully pass the ANCC Psychiatric-Mental Health Nurse Practitioner board certification examination. It encompasses all of the essential knowledge required, uses a succinct outline format that highlights critical detail, and systematically follows the test blueprint so that those taking the exam will be optimally prepared. The review manual begins with an overview of the certification examination, self-care, and test tips; the role of the psychiatric-mental health nurse practitioner, the scope of practice, and regulations; and the theoretical foundations of care. Other topics examined include the neuroanatomy and physiology of mental illness; psychopharmacology; physical assessment, diagnostic tests, and differential diagnosis. A wide range of psychiatric disorders, as organized in the DSM-5, are also reviewed. Each of the chapters includes learning objectives, easy-to-read outline format, and end-of-chapter review questions. The review manual concludes with a 150-question practice test. Key Features: - Reflects the latest ANCC test blueprint - Includes test-taking strategies and tips for preparing for the big day; scope of practice; and theoretical foundations of care - Covers a wide range of psychiatric disorders, as organized in the DSM-5 - Includes end-of-chapter review questions and rationales, PLUS a valuable 150-question practice test with rationales―more than 400 questions in total - Purchase includes access to the eBook for use on most mobile devices or computers