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Delineating Organs at Risk in Radiation Therapy
by Domenico Genovesi Carlos A. Perez Giampiero Ausili CèfaroDefining organs at risk is a crucial task for radiation oncologists when aiming to optimize the benefit of radiation therapy, with delivery of the maximum dose to the tumor volume while sparing healthy tissues. This book will prove an invaluable guide to the delineation of organs at risk of toxicity in patients undergoing radiotherapy. The first and second sections address the anatomy of organs at risk, discuss the pathophysiology of radiation-induced damage, and present dose constraints and methods for target volume delineation. The third section is devoted to the radiological anatomy of organs at risk as seen on typical radiotherapy planning CT scans, with a view to assisting the radiation oncologist to recognize and delineate these organs for each anatomical region – head and neck, mediastinum, abdomen, and pelvis. The book is intended both for young radiation oncologists still in training and for their senior colleagues wishing to reduce intra-institutional variations in practice and thereby to standardize the definition of clinical target volumes.
Delinquent and Neurotic Children: A comparative study
by Ivy BennettTavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1960 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.
Delirium in Critical Care
by E. Wesley Ely Valerie PageDelirium is a common clinical problem in critical care patients, with up to 80% of patients experiencing at least one episode during their time on a critical care unit. It is associated with significantly adverse outcomes for patients, including death and long-term cognitive impairment equivalent to at least a mild dementia. This clinical handbook explains why delirium goes unrecognised in most ICUs and describes simple tools the bedside clinician can use to detect it, even in the ventilated patient. It is in an easy-to-read format and illustrated with figures, case reports and patient testimony. This book contains all you need to know in order to prevent, diagnose and manage delirium in your patients. Delirium in Critical Care is essential reading for all members of the intensive care multidisciplinary team, including senior and junior physicians, and nurses.
Delirium in Critical Care
by E. Wesley Ely Valerie PagePage (Watford General Hospital) and Ely (Vanderbilt U. School of Medicine) describe the symptoms of delirium seen in critically ill patients and explain the pathophysiology of delirium in the septic brain. Intended for physicians and nurses, the clinical handbook identifies the risk factors, provides tools for daily screening, and recommends the appropriate dose of antipsychotic drugs. Annotation ©2011 Book News, Inc. , Portland, OR (booknews. com)
Delirium in Elderly Patients
by George T. Grossberg Ahmet Turan IsikThis book provides a comprehensive, scholarly, and practical account of delirium that will be of value for all doctors and nurses involved in the care of the elderly. It not only offers a state of the art update on delirium, covering its history, epidemiology, pathophysiology, assessment, diagnosis, causes, prevention, and management, but also presents evidence-based and practical information relevant to daily clinical routine. Owing to the complex multifactorial causes of delirium, different aspects of delirium in the elderly are discussed from a variety of perspectives. The book closes by presenting a series of case vignettes, delirium assessment tools and screening scales, and a list of those drugs highly associated with delirium. Delirium is a cognitive disorder characterized by deficits in attention, arousal, consciousness, memory, orientation, perception, speech, and language. It is a common and serious problem among older persons at every healthcare interface. Although it occurs in 10-60% of the older hospitalized population, delirium remains a relatively misunderstood and misdiagnosed condition. This book will be of interest to professionals working in geriatrics, geriatric psychiatry, general psychiatry, or neurology, internists, intensive care unit specialists, and all who care for the elderly in hospitals or the community.
Delirium in critical care
by E. Wesley Ely Valerie J. PageThe fully updated second edition of this popular handbook concisely summarises all current knowledge about delirium in critically ill patients and describes simple tools the bedside clinician can use to prevent, diagnose and manage delirium. Chapters discuss new developments in assessing risk and diagnosis, crucial discoveries regarding delirium and long-term cognitive outcomes, and dangers of sedation and death. Updated management advice reflects new evidence about antipsychotics and delirium. This book explains how to minimise the risks of delirium, drugs to avoid, drugs to use and when to use them, as well as current theories regarding pathophysiology, different motoric subtypes leading to missed diagnosis, and the adverse impact of delirium on patient outcomes. While there are still unanswered questions, this edition contains all the available answers. Illustrated with real-life case reports, Delirium in Critical Care is essential reading for trainees, consultants and nurses in the ICU and emergency department.
Delirium: Acute Brain Dysfunction in the Critically Ill (Core Critical Care Ser.)
by E. Wesley Ely Christopher G. Hughes Pratik P. PandharipandeThis text provides a comprehensive, state-of-the-art overview of acute brain dysfunction in the critically ill. The book covers the basic pathophysiology of delirium, epidemiology, risk factors, outcomes associated with delirium, prevention and treatment of delirium, and challenges and techniques for improving delirium awareness. Written by experts in the field, Delirium: Acute Brain Dysfunction in the Critically Ill is a valuable resource for clinicians and practitioners that will help guide patient management and stimulate investigative efforts in this field.
Deliver Me from Pain: Anesthesia and Birth in America
by Jacqueline H. WolfDespite today's historically low maternal and infant mortality rates in the United States, labor continues to evoke fear among American women. Rather than embrace the natural childbirth methods promoted in the 1970s, most women welcome epidural anesthesia and even Cesarean deliveries. In Deliver Me from Pain, Jacqueline H. Wolf asks how a treatment such as obstetric anesthesia, even when it historically posed serious risk to mothers and newborns, paradoxically came to assuage women's anxiety about birth.Each chapter begins with the story of a birth, dramatically illustrating the unique practices of the era being examined. Deliver Me from Pain covers the development and use of anesthesia from ether and chloroform in the mid-nineteenth century; to amnesiacs, barbiturates, narcotics, opioids, tranquilizers, saddle blocks, spinals, and gas during the mid-twentieth century; to epidural anesthesia today.Labor pain is not merely a physiological response, but a phenomenon that mothers and physicians perceive through a historical, social, and cultural lens. Wolf examines these influences and argues that medical and lay views of labor pain and the concomitant acceptance of obstetric anesthesia have had a ripple effect, creating the conditions for acceptance of other, often unnecessary, and sometimes risky obstetric treatments: forceps, the chemical induction and augmentation of labor, episiotomy, electronic fetal monitoring, and Cesarean section.As American women make decisions about anesthesia today, Deliver Me from Pain offers them insight into how women made this choice in the past and why each generation of mothers has made dramatically different decisions.
Deliver Me: A Gripping And Heartstopping Thriller That Will Keep You In Suspense!
by Karen ColeTHE NIGHT SHE DOESN'T REMEMBER WILL BE THE ONE SHE CAN'T FORGETWhen Abby's doctor tells her she's two months pregnant she doesn't believe him. She can't be - she hasn't had sex for over a year. But to her astonishment and dismay, multiple tests confirm it's true.Desperately searching for an explanation, Abby recalls New Year's Day - the terrible hangover, the hole in her memory where the night before should have been and the inexplicable sense of unease - and realizes that this baby must have been conceived at her best friend Danny's NYE party. Horrified that someone would have taken advantage of her intoxicated state, Abby enlists the help of Danny to find out which of the party guests assaulted her. But, when she starts to receive anonymous messages, it seems that while she has been looking into the father of her baby, someone has been watching her... A gripping psychological thriller, perfect for fans of Liane Moriarty's Big Little Lies and Darcy Bell's A Simple Favor.
Deliver Me: An absolutely gripping thriller with an unbelievable twist!
by Karen ColeTHE NIGHT SHE DOESN'T REMEMBER WILL BE THE ONE SHE CAN'T FORGETWhen Abby's doctor tells her she's two months pregnant she doesn't believe him. She can't be - she hasn't had sex for over a year. But to her astonishment and dismay, multiple tests confirm it's true.Desperately searching for an explanation, Abby recalls New Year's Day - the terrible hangover, the hole in her memory where the night before should have been and the inexplicable sense of unease - and realises that this baby must have been conceived at her best friend Danny's NYE party. Horrified that someone would have taken advantage of her intoxicated state, Abby enlists the help of Danny to find out which of the party guests assaulted her. But when she starts to receive anonymous messages it seems that while she has been looking into the father of her baby, someone has been watching her... A gripping psychological thriller, perfect for fans of Teresa Driscoll's I Am Watching You and C.L. Taylor's The Fear. (P)2018 Quercus Editions Limited
Deliver Me: An absolutely gripping thriller with the best twist of 2020!
by Karen ColeTHE NIGHT SHE DOESN'T REMEMBER WILL BE THE ONE SHE CAN'T FORGETTHE KINDLE TOP TEN BESTSELLERWhen Abby's doctor tells her she's two months pregnant she doesn't believe him. She can't be - she hasn't had sex for over a year. But to her astonishment and dismay, multiple tests confirm it's true.Desperately searching for an explanation, Abby recalls New Year's Day - the terrible hangover, the hole in her memory where the night before should have been and the inexplicable sense of unease - and realises that this baby must have been conceived at her best friend Danny's NYE party. Horrified that someone would have taken advantage of her intoxicated state, Abby enlists the help of Danny to find out which of the party guests assaulted her. But, when she starts to receive anonymous messages, it seems that while she has been looking into the father of her baby, someone has been watching her... A gripping psychological thriller, perfect for fans of Lisa Jewell's Watching You and Lesley Kara's The Rumour. SEE WHAT EVERYONE IS SAYING ABOUT KAREN COLE, THE HOTTEST NEW NAME IN PSYCHOLOGICAL THRILLERS!'This is one of the best books I've ever read. Gripped me from page one' Sue, Amazon reviewer'If you like Karin Slaughter you will love this!'Cath, Amazon reviewer'Oh my word, what a book!! I thought I knew what happened to Abby but Karen Cole proved me wrong'Adele, Amazon reviewer'Even though my heart was pounding throughout and the whole read gave me spine-chilling Goosebumps, I just couldn't put it down! And that reveal?!? I was constantly guessing throughout and I still didn't see that ending coming even though the clues are there!'Chanel, Amazon reviewer'This book is stunning - I was completely hooked from start to finish'Donna, Amazon reviewerDECEIVE ME, THE SECOND PSYCHOLOGICAL THRILLER FROM KAREN COLE, IS AVAILABLE TO PREORDER NOW!
Delivered by Midwives: African American Midwifery in the Twentieth-Century South
by Jenny M. LukeWinner of the 2019 American Association for the History of Nursing Lavinia L. Dock Award for Exemplary Historical Research and Writing in a Book“Catchin’ babies” was merely one aspect of the broad role of African American midwives in the twentieth-century South. Yet, little has been written about the type of care they provided or how midwifery and maternity care evolved under the increasing presence of local and federal health care structures.Using evidence from nursing, medical, and public health journals of the era; primary sources from state and county departments of health; and personal accounts from varied practitioners, Delivered by Midwives: African American Midwifery in the Twentieth-Century South provides a new perspective on the childbirth experience of African American women and their maternity care providers. Author Jenny M. Luke moves beyond the usual racial dichotomies to expose a more complex shift in childbirth culture, revealing the changing expectations and agency of African American women in their rejection of a two-tier maternity care system and their demands to be part of an inclusive, desegregated society.Moreover, Luke illuminates valuable aspects of a maternity care model previously discarded in the name of progress. High maternal and infant mortality rates led to the passage of the Sheppard-Towner Maternity and Infancy Protection Act in 1921. This marked the first attempt by the federal government to improve the welfare of mothers and babies. Almost a century later, concern about maternal mortality and persistent racial disparities have forced a reassessment. Elements of the long-abandoned care model are being reincorporated into modern practice, answering current health care dilemmas by heeding lessons from the past.
Delivering Affordable Cancer Care in the 21st Century
by Erin BaloghRising health care costs are a central fiscal challenge confronting the United States. National spending on health care currently accounts for 18 percent of gross domestic product (GDP), but is anticipated to increase to 25 percent of GDP by 2037. The Bipartisan Policy Center argues that "this rapid growth in health expenditures creates an unsustainable burden on America's economy, with far-reaching consequences. " These consequences include crowding out many national priorities, including investments in education, infrastructure, and research; stagnation of employee wages; and decreased international competitiveness. In spite of health care costs that far exceed those of other countries, health outcomes in the United States are not considerably better. With the goal of ensuring that patients have access to high-quality, affordable cancer care, the Institute of Medicine's (IOM's) National Cancer Policy Forum convened a public workshop, Delivering Affordable Cancer Care in the 21st Century, October 8-9, 2012, in Washington, DC. Delivering Affordable Cancer Care in the 21st Century summarizes the workshop.
Delivering Cancer and Palliative Care Education
by Lorna Foyle Janis HostadThe quality of cancer and palliative care is going through unprecedented change and development as a result of policy initiatives. The impact of these policies on education is unparalleled and it is essential that clinicians and educationalists are aware of the policy formation processes and educational strategies that meet the demands of these changing times. This book takes a holistic approach to patient care and draws on the diverse experience in hospices and highlights best practice to present a comprehensive and practical guide. However, it does more. New topics are given an educational perspective; those with limited educational experience are given sound advice; the implication of policy change is outlined. This is an important book and one which should be read by all clinicians, educators and managers responsible for improving services in cancer and palliative care.
Delivering Compassionate Care: A Mindfulness Curriculum for Interdisciplinary Healthcare Professionals
by Sarah Ellen Braun Patricia Anne KinserThis textbook is an evidenced-based course for interdisciplinary healthcare professionals for improving resilience and reducing stress and burnout. This curriculum improves patient-centered care by providing training in compassion and attention. It is a structured skills-based manual complete with resources for full implementation and dissemination of this evidence-based course. This textbook addresses the gaps existing in other mindfulness-based interventions.It is a unique manual that can be followed in a linear fashion or can be used modularly to suit the needs of specific settings. The curriculum contains didactic content and specific examples of practices; hence, it is easily adaptable for use by groups and classes of various sizes and structure. The authors have conducted several research studies with findings to support its use to prevent and treat burnout. Results demonstrate the curriculum’s feasibility and acceptability in healthcare professionals and students as well as efficacy in stress and burnout reduction with increases in dispositional mindfulness.
Delivering Effective College Mental Health Services
by Lee KeyesAn essential guide to organizing and offering mental health services on campus.Stressed by increasing student demand for mental health services, campus counseling centers across the country are grappling with how best to deliver ethical, effective, and efficient service. Hampered by limited budgets, most centers find it deeply challenging to address growing college mental health service needs. Yet little conceptual training is provided to student affairs, higher education, health, and mental health professionals who deliver campus mental health services.In Delivering Effective College Mental Health Services, psychologist Lee Keyes aims to change that. He offers sound, field-tested advice for creating a congruent, cross-division, and service-oriented college counseling enterprise that best fits its campus culture and students. This useful handbook for administering counseling services• poses questions and offers practical advice to help college counseling centers form a consistent philosophical model• lays out conceptual groundwork for constructing college counseling services, from training activities to counseling/psychotherapy processes• takes into account the pressures (time related, economic, political, cultural) that strain universities• explains how to cultivate an accurate and empathic response to each individual, their entire history and context, and their possible life trajectoryWritten by a leading provider of college mental health services, Delivering Effective College Mental Health Services is an essential guide to organizing and offering mental health services on university and college campuses.
Delivering Health Care in America
by Leiyu Shi Douglas SinghDelivering Health Care in America, Sixth Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system--from its historical origins and resources, to its individual services, cost, and quality. Using a unique "systems" approach, the text brings together an extraordinary breadth of information into a highly accessible, easy-to-read resource that clarifies the complexities of health care organization and finance while presenting a solid overview of how the various components fit together. While the book maintains its basic structure and layout, the Sixth Edition is nonetheless the most substantive revision ever of this unique text. Because of its far-reaching scope, different aspects of the Affordable Care Act (ACA) are woven throughout all 14 chapters. The reader will find a gradual unfolding of this complex and cumbersome law so it can be slowly digested. Additionally, as U.S. health care can no longer remain isolated from globalization, the authors have added new global perspectives, which the readers will encounter in several chapters. Key Features: - Comprehensive coverage of the ACA and its impact on each aspect of the U.S. health care system woven throughout the book - New "ACA Takeaway" section in each chapter as well as a new Topical Reference Guide to the ACA at the front of the book - Updated tables and figures, current research findings, data from the 2010 census, updates on Healthy People 2020, and more - Detailed coverage of the U.S. health care system in straightforward, reader-friendly language that is appropriate for graduate and undergraduate courses alike
Delivering Health Care in America: A Systems Approach, Sixth Edition
by Leiyu Shi Douglas A. SinghDelivering Health Care in America, Sixth Edition is the most current and comprehensive overview of the basic structures and operations of the U.S. health system--from its historical origins and resources, to its individual services, cost, and quality.
Delivering Health: Midwifery and Development in Mexico (Policy to Practice)
by Lydia Z. DixonMaternal health outcomes are a key focus of global health initiatives. In Delivering Health, author Lydia Z. Dixon uncovers the ways such outcomes have been shaped by broader historical, political, and social factors in Mexico, through the perspectives of those who are at the front lines fighting for change: midwives. Midwives have long been marginalized in Mexico as remnants of the country's precolonial past, yet Dixon shows how they are now strategically positioning themselves as agents of modernity and development. Midwifery education programs have popped up across Mexico, each with their own critique of the health care system and vision for how midwifery can help. Delivering Health ethnographically examines three such schools with very different educational approaches and professional goals. From San Miguel de Allende to Oaxaca to Michoacán and points between, Dixon takes us into the classrooms, clinics, and conferences where questions of what it means to provide good reproductive health care are being taught, challenged, and implemented. Through interviews, observational data, and even student artwork, we are shown how underlying inequality manifests in poor care for many Mexican women. The midwives in this book argue that they can improve care while also addressing this inequality. Ultimately, Delivering Health asks us to consider the possibility that marginalized actors like midwives may hold the solution to widespread concerns in health.
Delivering High-Quality Cancer Care
by Institute of Medicine Board on Health Care Services Patricia A. Ganz Erin Balogh Sharyl Nass Committee on Improving the Quality of Cancer Care: Addressing the Challenges of an Aging Population Laura LevitIn the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine--having increased to $125 billion in 2010 from $72 billion in 2004--and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older--the group most susceptible to cancer--is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis.
Delivering Motherhood: Maternal Ideologies and Practices in the 19th and 20th Centuries (Routledge Revivals)
by Ruth Roach Pierson Katherine Arnup Andrée LévesqueIn the course of the nineteenth and twentieth centuries, motherhood in Canada, as elsewhere in the western world, became contested terrain. Male medical practitioners vied with midwives, and midwives with nurses, while reform-minded middle-class women joined with the eugenically minded state officials in efforts to control the quantity and quality of the population. As reproduction gained in importance as a political as well as a religious issue, motherhood became the centre of debate over public health and welfare policies and formed the cornerstone of feminist and anti-feminist, as well as nationalist and pacifist ideologies.Originally published in 1990, Delivering Motherhood (now with a new preface by Katherine Arnup) is the first comprehensive study on the history of this complex development in Canada, where control over the different stages of reproduction, from conception, to delivery, to childcare, shifted from the central figure of the mother to experts and professionals. The contributions range from the treatment of single mothers in Montreal in the Depression to La Leche League in the 1960s, 70s, and 80s.This book will be an essential read for students and researchers of women’s studies, feminist studies, women’s history, and sociology.
Delivering Person-Centred Care in Nursing (Transforming Nursing Practice Series)
by Bob PriceDelivering effective and responsive person-centred care is a key requirement of nurses’ professional practice and a core skill nurses must develop throughout their degree. This book explains and demonstrates how nurses can transform the ideals of person-centred care into reality for patients throughout their healthcare journey, in a variety of settings. Through the use of varied case studies, this book applies this practice to all fields of nursing, allowing students on any course, at any point in their degree to find useful guidance within its pages.
Delivering Person-Centred Care in Nursing (Transforming Nursing Practice Series)
by Bob PriceDelivering effective and responsive person-centred care is a key requirement of nurses’ professional practice and a core skill nurses must develop throughout their degree. This book explains and demonstrates how nurses can transform the ideals of person-centred care into reality for patients throughout their healthcare journey, in a variety of settings. Through the use of varied case studies, this book applies this practice to all fields of nursing, allowing students on any course, at any point in their degree to find useful guidance within its pages.
Delivering Person-Centred Care in Nursing (Transforming Nursing Practice Series)
by Bob PriceDelivering holistic, person-centred care is at the heart of the nursing role. This book will develop your understanding of what person-centred care actually means and how to apply it to assessment and the planning, delivery and management of care, enhancing all aspects of your practice. Key features · Each chapter is mapped to the NMC Standards (2018) · Two parts take you from the underpinning theory and philosophy through to practical application and person-centred care in action. · Case studies and activities encourage you to reflect on your own experiences and how the themes of person-centred care are applied in practice.
Delivering Person-Centred Care in Nursing (Transforming Nursing Practice Series)
by Bob PriceDelivering holistic, person-centred care is at the heart of the nursing role. This book will develop your understanding of what person-centred care actually means and how to apply it to assessment and the planning, delivery and management of care, enhancing all aspects of your practice. Key features · Each chapter is mapped to the NMC Standards (2018) · Two parts take you from the underpinning theory and philosophy through to practical application and person-centred care in action. · Case studies and activities encourage you to reflect on your own experiences and how the themes of person-centred care are applied in practice.