Caring for the Vulnerable

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Caring for the Vulnerable Perspectives in Nursing Theory, Practice, and Research Fourth Edition explores vulnerability from the perspective of individuals, groups, communities, and populations and specifically addresses how vulnerability affects the field of nursing and its care givers..


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Urban Sprawl and Public Health: Designing, Planning, and Building for Healthy Communities

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In Urban Sprawl and Public Health, three of the nation's leading public health and urban planning experts explore an intriguing question: How does the physical environment in which we live affect our health? For decades, growth and development in our communities has been of the low-density, automobile-dependent type known as sprawl. The authors examine the direct and indirect impacts of sprawl on human health and well-being, and discuss the prospects for improving public health through alternative approaches to design, land use, and transportation. Urban Sprawl and Public Health offers a comprehensive look at the interface of urban planning, architecture, transportation, community design, and public health. It summarizes the evidence linking adverse health outcomes with sprawling development, and outlines the complex challenges of developing policy that promotes and protects public health. Anyone concerned with issues of public health, urban planning, transportation, architecture, or the environment will want to read this book..


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If Disney Ran Your Hospital: 9 1/2 Things You Would Do Differently

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Using examples from his work with Disney and as a senior-level hospital executive, author Fred Lee challenges the assumptions that have defined customer service in healthcare. In this unique book, he focuses on the similarities between Disney and hospitals - both provide an "experience," not just a service. It shows how hospitals can emulate the strategies that earn Disney the trust and loyalty of their guests and employees.

The book explains why standard service excellence initiatives in healthcare have not led to high patient satisfaction and loyalty, and it provides 9 1/2 principles that will help hospitals gain the competitive advantage that comes from being seen as "the best" by their own employees, consumers, and community.

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A Spirit of Charity

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'Any effort at health care reform must first understand the essential role of public hospitals, which is what makes A Spirit of Charity required reading for policy makers and health advocates alike.' - Otis Brawley, M.D., chief medical officer of the American Cancer Society; former director of the Georgia Cancer Center for Excellence at Grady Memorial Hospital, Atlanta

Most Americans have historically viewed the nation's great public hospitals as refuges of last resort for poor and uninsured people. But these iconic institutions, some recently closed, some renamed, others rebuilt -- have also served as a safety valve for the nation's highly profitable medical industrial complex. They are a key to understanding the evolution of America's trillion health care system, not just for the poor, but the affluent as well, argues veteran journalist Mike King. Through an examination of their unique history and an incisive analysis of policy successes and failures, A Spirit of Charity reveals the remarkable story of why public hospitals matter and why they should play a more prominent role in our public policy discussions..


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Challenging Operations: Medical Reform and Resistance in Surgery

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In 2003, in the face of errors and accidents caused by medical and surgical trainees, the American Council of Graduate Medical Education mandated a reduction in resident work hours to eighty per week. Over the course of two and a half years spent observing residents and staff surgeons trying to implement this new regulation, Katherine C. Kellogg discovered that resistance to it was both strong and successful—in fact, two of the three hospitals she studied failed to make the change. Challenging Operations takes up the apparent paradox of medical professionals resisting reforms designed to help them and their patients. Through vivid anecdotes, interviews, and incisive observation and analysis, Kellogg shows the complex ways that institutional reforms spark resistance when they challenge long-standing beliefs, roles, and systems of authority.

At a time when numerous policies have been enacted to address the nation’s soaring medical costs, uneven access to care, and shortage of primary-care physicians, Challenging Operations sheds new light on the difficulty of implementing reforms and offers concrete recommendations for effectively meeting that challenge.

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Dying Well: Peace and Possibilities at the End of Life

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A doctor who specializes in caring for the dying recounts the stories of his patients and their families in order to illustrate how good medicine can help people face death, resolve conflicts, and facilitate death with clarity and peace.On his deathbed, faced with creditors and unpaid bills, Oscar Wilde said despairingly, "I am dying beyond my means!" If only the poor, beleaguered genius had read this book! None of us gets out of here alive, but reading this book will lessen your fear of the ultimate end and give you some guidance about enjoying your life to the fullest right up until your final moment. Do people really enjoy life in the face of death? People do. The stories of individuals in Dr. Byock's book will move and inspire you to change your feelings about the end of your life, and also your feelings about your life in the present..


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The Sociology of Health, Healing, and Illness (3rd Edition)

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The Sociology of Health, Healing, and Illness is a comprehensive medical sociology textbook that covers traditional topics in medical sociology, while providing significant coverage of current issues related to health, healing, and illness. This text integrates recent research in medical sociology and emphasizes the importance of race, class, and gender throughout.

 

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A Practical Guide to Recovery-Oriented Practice: Tools for Transforming Mental Health Care

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This book takes a lofty vision of "recovery" and of "a life in the community" for every adult with a serious mental illness promised by the U.S. President's 2003 New Freedom Commission on Mental Health and shows the reader what is entailed in making this vision a reality. Beginning with the historical context of the recovery movement and its recent emergence on the center stage of mental health policy around the world, the authors then clarify various definitions of mental health recovery and address the most common misconceptions of recovery held by skeptical practitioners and worried families. With this framework in place, the authors suggest fundamental principles for recovery-oriented care, a set of concrete practice guidelines developed in and for the field, a recovery guide model of practice as an alternative to clinical case management, and tools to self-assess the recovery orientation of practices and practitioners. In doing so, this volume represents the first book to go beyond the rhetoric of recovery to its implementation in everyday practice.

Much of this work was developed with the State of Connecticut's Department of Mental Health and Addiction Services, helping the state to win a #1 ranking in the recent NAMI report card on state mental health authorities. Since initial development of these principles, guidelines, and tools in Connecticut, the authors have become increasingly involved in refining and tailoring this approach for other systems of care around the globe as more and more governments, ministry leaders, system managers, practitioners, and people with serious mental illnesses and their families embrace the need to transform mental health services to promote recovery and community inclusion.

If you've wondered what all of the recent to-do has been about with the notion of "recovery" in mental health, this book explains it. In addition, it gives you an insider's view of the challenges and strategies involved in transforming to recovery and a road map to follow on the first few steps down this exciting, promising, and perhaps long overdue path.
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Advanced Medical Life Support

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Advanced Medical Life Support (AMLS) is the leading course for prehospital practitioners in advanced medical assessment and treatment of commonly encountered medical conditions. Endorsed by the National Association of EMS Physicians, the course emphasizes the use of the AMLS Assessment Pathway, a systematic assessment tool that enables EMS practitioners to diagnose medical patients with urgent accuracy. In the Second Edition of AMLS, students learn to recognize, assess, and manage common medical crises in patients. Topics covered include: respiratory disorders, cardiovascular disorders, shock, neurologic disorders, abdominal disorders, endocrine and metabolic disorders, infectious diseases, environmental-related disorders, and toxicologic emergencies. Critical thinking scenarios encourage interaction and challenge students to apply their knowledge to realistic situations. During the scenarios, students: • Are at the patient’s side from arrival on scene to delivery to the hospital. • Assess, review, and discern the possible diagnosis of the patient. • Choose the next step to take on the AMLS Assessment Pathway. • Con¬firm the final diagnosis and provide ongoing prehospital management of the patient. New to the Second Edition: • Refined AMLS Assessment Pathway. • Clear emphasis on the BLS provider and integration with ALS throughout the assessment process. • Expanded content on highly critical patients. • Expanded content on environmental-related disorders. • Expanded content on infectious diseases..


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The Patient Will See You Now: The Future of Medicine is in Your Hands

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A trip to the doctor is almost a guarantee of misery. You'll make an appointment months in advance. You'll probably wait for several hours until you hear "the doctor will see you now"—but only for fifteen minutes! Then you'll wait even longer for lab tests, the results of which you'll likely never see, unless they indicate further (and more invasive) tests, most of which will probably prove unnecessary (much like physicals themselves). And your bill will be astronomical.

In The Patient Will See You Now, Eric Topol, one of the nation’s top physicians, shows why medicine does not have to be that way. Instead, you could use your smartphone to get rapid test results from one drop of blood, monitor your vital signs both day and night, and use an artificially intelligent algorithm to receive a diagnosis without having to see a doctor, all at a small fraction of the cost imposed by our modern healthcare system.

The change is powered by what Topol calls medicine's "Gutenberg moment." Much as the printing press took learning out of the hands of a priestly class, the mobile internet is doing the same for medicine, giving us unprecedented control over our healthcare. With smartphones in hand, we are no longer beholden to an impersonal and paternalistic system in which "doctor knows best." Medicine has been digitized, Topol argues; now it will be democratized. Computers will replace physicians for many diagnostic tasks, citizen science will give rise to citizen medicine, and enormous data sets will give us new means to attack conditions that have long been incurable. Massive, open, online medicine, where diagnostics are done by Facebook-like comparisons of medical profiles, will enable real-time, real-world research on massive populations. There's no doubt the path forward will be complicated: the medical establishment will resist these changes, and digitized medicine inevitably raises serious issues surrounding privacy. Nevertheless, the result—better, cheaper, and more human health care—will be worth it.

Provocative and engrossing, The Patient Will See You Now is essential reading for anyone who thinks they deserve better health care. That is, for all of us.

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Becoming a Health Care Professional

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Becoming a Health Care Professional La revue

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This is the eBook of the printed book and may not include any media, website access codes, or print supplements that may come packaged with the bound book.

BECOMING A HEALTH CARE PROFESSIONAL is the ideal text for every student who is interested in exploring, planning, and preparing for a career in health care. Its information and supplemental resources apply to all health occupations and settings, including hospitals, outpatient clinics, physician offices, dental practices, nursing homes, rehabilitation facilities, and biotechnology research and development labs. Comprehensive, informative, inspiring, and timely, it presents real-world insights emphasizing both the challenges and rewards of a health career. It helps future workers understand what it takes to develop and maintain the reputation of a health care professional. Content stresses the importance of a professional image, a strong work ethic, good character, teamwork, cultural competence, and effective communication with coworkers, patients, and physicians. Readers will find expert, up-to-date insights into identifying the right health occupation, legal and ethical responsibilities, clinical internships, credentialing requirements, personal wellness, workplace safety, and much more.

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Malignant: How Cancer Becomes Us

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Malignant: How Cancer Becomes Us Info

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Nearly half of all Americans will be diagnosed with an invasive cancer—an all-too ordinary aspect of daily life. Through a powerful combination of cultural analysis and memoir, this stunningly original book explores why cancer remains so confounding, despite the billions of dollars spent in the search for a cure. Amidst furious debates over its causes and treatments, scientists generate reams of data—information that ultimately obscures as much as it clarifies. Award-winning anthropologist S. Lochlann Jain deftly unscrambles the high stakes of the resulting confusion. Expertly reading across a range of material that includes history, oncology, law, economics, and literature, Jain explains how a national culture that simultaneously aims to deny, profit from, and cure cancer entraps us in a state of paradox—one that makes the world of cancer virtually impossible to navigate for doctors, patients, caretakers, and policy makers alike. This chronicle, burning with urgency and substance leavened with brio and wit, offers a lucid guide to understanding and navigating the quicksand of uncertainty at the heart of cancer. Malignant vitally shifts the terms of an epic battle we have been losing for decades: the war on cancer.

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Clinical Informatics Study Guide: Text and Review (Health Informatics)

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Clinical Informatics Study Guide: Text and Review (Health Informatics) Info

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This books provides content that arms clinicians with the core knowledge and competencies necessary to be effective informatics leaders in health care organizations. The content is drawn from the areas recognized by the American Council on Graduate Medical Education (ACGME) as necessary to prepare physicians to become Board Certified in Clinical Informatics. Clinical informaticians transform health care by analyzing, designing, selecting, implementing, managing, and evaluating information and communication technologies (ICT) that enhance individual and population health outcomes, improve patient care processes, and strengthen the clinician-patient relationship. As the specialty grows, the content in this book covers areas useful to nurses, pharmacists, and information science graduate students in clinical/health informatics programs. These core competencies for clinical informatics are needed by all those who lead and manage ICT in health organizations, and there are likely to be future professional certifications that require the content in this text.​.


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Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, and Flawless Healthcare

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Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, and Flawless Healthcare Description

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DELIVER FASTER, BETTER, AND CHEAPER HEALTHCARE IN AS FEW AS FIVE DAYS

A Doody's Core Title for 2015!

"The main purpose is to present simple steps to help hospitals start getting faster, better, and cheaper in five days or less while achieving the goal of fast, affordable, and flawless healthcare. Healthcare has many opportunities for improvement and the use of Lean Six Sigma concepts can make a dramatic impact. This book provides the basic information to do that."--Doody's Review Service

Lean Six Sigma for Hospitals: Simple Steps to Fast, Affordable, Flawless Healthcare explains how to use tested Lean Six Sigma methods and tools to rapidly improve hospital operations and quality of care and reduce costs. These proven strategies follow the patient from the front door of the hospital or emergency room all the way through discharge, examining key aspects of patient flow and quality. The trail of billing and collections is also followed to discover and eliminate cash flow leaks. This practical guide emphasizes both the clinical and operational sides to reduce the "three demons of quality"--delay, defects, and deviation. Real-world case studies from major hospitals illustrate successful implementations of Lean Six Sigma.

Coverage Includes:

• Achieving a faster, better hospital in five days--emergency department, door-to-balloon time, operating room, medical imaging, lab, nursing unit, clinical staff, pharmacy, order accuracy, diagnosis, ICU
• Lean for accelerated patient flow
• Reducing medical errors with Six Sigma
• Creating a more profitable hospital in five days by reducing denied, rejected, and appealed claims
• Six Sigma for hospitals
• Excel power tools for Lean Six Sigma
• Identifying improvement projects through data mining and analysis
• Sustaining improvement using control charts
• Laser-focused process innovation
• Statistical tools for Lean Six Sigma
• Implementing Lean Six Sigma

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Moving Politics: Emotion and ACT UP's Fight against AIDS

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In the late 1980s, after a decade spent engaged in more routine interest-group politics, thousands of lesbians and gay men responded to the AIDS crisis by defiantly and dramatically taking to the streets. But by the early 1990s, the organization they founded, ACT UP, was no more—even as the AIDS epidemic raged on. Weaving together interviews with activists, extensive research, and reflections on the author’s time as a member of the organization, Moving Politics is the first book to chronicle the rise and fall of ACT UP, highlighting a key factor in its trajectory: emotion.

Surprisingly overlooked by many scholars of social movements, emotion, Gould argues, plays a fundamental role in political activism. From anger to hope, pride to shame, and solidarity to despair, feelings played a significant part in ACT UP’s provocative style of protest, which included raucous demonstrations, die-ins, and other kinds of street theater. Detailing the movement’s public triumphs and private setbacks, Moving Politics is the definitive account of ACT UP’s origin, development, and decline as well as a searching look at the role of emotion in contentious politics.

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Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care

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"This book is a tour de force, and no one but John Nance could have written it. He, alone, masters in one mind the fields of aviation, health care safety, medical malpractice law, organizational sociology, media communication, and, as if that were not enough, the art of fine writing. Only he could have made sophisticated, scientifically disciplined instruction about the nature and roots of safety into a page-turner. Medical care has a ton yet to learn from the decades of progress that have brought aviation to unprecedented levels of safety, and, in instructing us all about those lessons, John Nance is not just a bridge-builder - he is the bridge. This book should be required reading for anyone willing to face the facts about what it will take for health care to be as safe as it truly can be." Donald M. Berwick, MD, MPP President and CEO Institute for Healthcare Improvement (IHI).


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Malignant: How Cancer Becomes Us

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Malignant: How Cancer Becomes Us Info

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Nearly half of all Americans will be diagnosed with an invasive cancer—an all-too ordinary aspect of daily life. Through a powerful combination of cultural analysis and memoir, this stunningly original book explores why cancer remains so confounding, despite the billions of dollars spent in the search for a cure. Amidst furious debates over its causes and treatments, scientists generate reams of data—information that ultimately obscures as much as it clarifies. Award-winning anthropologist S. Lochlann Jain deftly unscrambles the high stakes of the resulting confusion. Expertly reading across a range of material that includes history, oncology, law, economics, and literature, Jain explains how a national culture that simultaneously aims to deny, profit from, and cure cancer entraps us in a state of paradox—one that makes the world of cancer virtually impossible to navigate for doctors, patients, caretakers, and policy makers alike. This chronicle, burning with urgency and substance leavened with brio and wit, offers a lucid guide to understanding and navigating the quicksand of uncertainty at the heart of cancer. Malignant vitally shifts the terms of an epic battle we have been losing for decades: the war on cancer.

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Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care

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Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care Description

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"This book is a tour de force, and no one but John Nance could have written it. He, alone, masters in one mind the fields of aviation, health care safety, medical malpractice law, organizational sociology, media communication, and, as if that were not enough, the art of fine writing. Only he could have made sophisticated, scientifically disciplined instruction about the nature and roots of safety into a page-turner. Medical care has a ton yet to learn from the decades of progress that have brought aviation to unprecedented levels of safety, and, in instructing us all about those lessons, John Nance is not just a bridge-builder - he is the bridge. This book should be required reading for anyone willing to face the facts about what it will take for health care to be as safe as it truly can be." Donald M. Berwick, MD, MPP President and CEO Institute for Healthcare Improvement (IHI).


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