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What I Say: Conversations That Improve the Physician-Patient Relationship
by Jack Parker Robert OsherPhysicians of all disciplines know (or quickly learn the hard way) that effective and compassionate communication is arguably the single most important determinant of patient satisfaction. For cataract surgeons, the words said before, after, and even during the operation are often more important to the patient’s happiness than the objective quality of the surgical result.What I Say: Conversations that Improve the Physician-Patient Relationship is designed to help cataract surgeons to hone their verbal interactions to be as sharp as their surgical skills. Muddled, clumsy, or impromptu explanations diminish the doctor-patient relationship and could prevent patients from receiving the surgery they need or appreciating the results they get. Knowing in advance which words to use in difficult situations is analogous to knowing how to manage a complication before it occurs. The results are inevitably better when a physician has considered every possible outcome instead of attempting to come up with exactly the right solution on the spot. Rather than figure out the right words by trial and error, however, What I Say has recommendations on exactly what to say to build strong and trusting patient relationships. Drs. Robert Osher and Jack Parker have compiled conversational scripts from Dr. Osher’s 40-year career in ophthalmology, as well as contributions from over a dozen international mavens of bedside manner into a strategy guide through even the most difficult patient conversations that inevitably surround cataract surgery.Topics include: Lowering Expectations for Spectacle-Free Vision The Torn Posterior Capsule Postoperative Refractive Surprise The Dropped Nucleus The Unhappy Patient Despite a Good Result Containing examples of conversations with cataract surgery patients where informing and reassuring take top priority, What I Say: Conversations that Improve the Physician-Patient Relationship was created to aid cataract surgeons in their pre-operative, intra-operative, and post-operative interactions with patients. With the advice contained inside, surgeons will be able to motivate patients, calibrate expectations, and diffuse frustrations in every possible scenario.
What is Health?
by Ruth CrossWhat is health? What does health mean to people? How do we make sense of health and experience it? There are no simple answers to these questions. Health is complex, subjective and varied. Drawing on theory, research and contemporary debates, Ruth Cross explores the nature of health in depth and challenges our thinking about it. Moving beyond taken-for-granted assumptions, she gives the meaning of ‘health’ its due attention, exploring everyday perspectives as well as ‘expert’ medical, academic and policy understandings and approaches. In doing so, the book brings together different knowledge and expertise on health, also considering the inextricable links between human and planetary health. This book is important for all those working in the health field, or training to do so, seeking a broad understanding about health and all its complexity.
What is Health?: Allostasis and the Evolution of Human Design
by Peter SterlingAn argument that health is optimal responsiveness and is often best treated at the system level. Medical education centers on the venerable “no-fault” concept of homeostasis, whereby local mechanisms impose constancy by correcting errors, and the brain serves mainly for emergencies. Yet, it turns out that most parameters are not constant; moreover, despite the importance of local mechanisms, the brain is definitely in charge. In this book, the eminent neuroscientist Peter Sterling describes a broader concept: allostasis (coined by Sterling and Joseph Eyer in the 1980s), whereby the brain anticipates needs and efficiently mobilizes supplies to prevent errors. Allostasis evolved early, Sterling explains, to optimize energy efficiency, relying heavily on brain circuits that deliver a brief reward for each positive surprise. Modern life so reduces the opportunities for surprise that we are driven to seek it in consumption: bigger burgers, more opioids, and innumerable activities that involve higher carbon emissions. The consequences include addiction, obesity, type 2 diabetes, and climate change. Sterling concludes that solutions must go beyond the merely technical to restore possibilities for daily small rewards and revivify the capacities for egalitarianism that were hard-wired into our nature. Sterling explains that allostasis offers what is not found in any medical textbook: principled definitions of health and disease: health as the capacity for adaptive variation and disease as shrinkage of that capacity. Sterling argues that since health is optimal responsiveness, many significant conditions are best treated at the system level.
What Is Health Insurance (Good) For?
by Robert D. LieberthalThis informative volume synthesizes the literatures on health economics, risk management, and health services into a concise guide to the financial and social basics of health insurance with an eye to its wide-scale upgrade. Its scope takes in concepts of health capital, strengths and limitations of insurance models, the effectiveness of coverage and services, and the roles of healthcare providers and government agencies in the equation. Coverage surveys the current state of group and public policies, most notably the effects of the Affordable Care Act on insurers and consumers and the current interest in universal coverage and single-payer plans. Throughout, the author provides systemic reasons to explain why today s health insurance fails so many consumers, concluding with reality-based recommendations for making insurance more valuable to both today s market and consumer well-being. Included among the topics: . Defining health insurance and healthcare finance. . Consuming and investing in health. . The scope of health insurance and its constraints. . Matching health insurance supply and demand. . The role of government in health insurance. . Ongoing challenges and the future of health insurance. Bringing a needed degree of objectivity to often highly subjective material, "What Is Health Insurance (Good) For?" is a call to reform to be read by health insurance researchers (including risk management insurance and health services research), professionals, practitioners, and policymakers. "
What Is Life and How Might It Be Sustained?: Reflections in a Pandemic
by Jim LynchHow did the universe and life begin and what are the threats to people and the environment in a pandemic? This book is for anybody with interest in protecting life on the planet. Studies on the origin of life and scientific contributions to safeguarding the planet are examined in light of current thinking on climate change. A major focus is the spread of microbes, put in the context of environmental assessment and management, including descriptions of microbiomes and a consideration of the risks of genetic modifications. Professor Lynch shows how failure to control disease can lead to the collapse of any biotic population. To avoid this, the ethics of management of disease by biological control and by vaccination are discussed, at the practical level and in a moral theological context.
What Is Medicine? Western and Eastern Approaches to Healing
by Paul U. Unschuld Karen ReimersThis book depicts the fascinating development of medical thought in West and East. It shows the close bond between medical thought and the prevailing social and economic conditions governing man's living environment.
What is Nursing?: Exploring Theory and Practice (Transforming Nursing Practice)
by Carol Hall Dawn RitchieThis book helps new nursing students, and those thinking of entering the profession, understand what it is to be a nurse in today's rapidly changing healthcare environments. The new edition includes a new first chapter on becoming a nursing student, with insights from students themselves. The book also explains the process of nursing and systems of care delivery which underpin actual practice. A chapter on international working is included for those working or studying abroad. Finally, it explores what nursing is really like when you qualify through interviews with registered nurses in each of the main nursing fields of practice.
What is Nursing? Exploring Theory and Practice
by Carol Hall Dawn RitchieThis book helps new nursing students, and those thinking of entering the profession, understand what it is to be a nurse in today's rapidly changing healthcare environments. The new edition includes a new first chapter on becoming a nursing student, with insights from students themselves. The book also explains the process of nursing and systems of care delivery which underpin actual practice. A chapter on international working is included for those working or studying abroad. Finally, it explores what nursing is really like when you qualify through interviews with registered nurses in each of the main nursing fields of practice.
What Is Psychoanalysis?
by Coriat, Isador HFirst Published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.
What Is Public Trust in the Health System?: Insights into Health Data Use
by Felix GilleEPDF and EPUB available Open Access under CC-BY-ND licence. This book explores the concept of public trust in health systems. In the context of recent events, including public response to interventions to tackle the COVID-19 pandemic, vaccination uptake and the use of health data and digital health, this important book uses empirical evidence to address why public trust is vital to a well-functioning health system. In doing so, it provides a comprehensive contemporary explanation of public trust, how it affects health systems and how it can be nurtured and maintained as an integral component of health system governance.
What is Science?: Myths and Reality
by Jordanka ZlatanovaIn a multitude of ways, science affects the life of almost every person on earth. From medicine and nutrition to communication and transportation, the products of scientific research have changed human life. These changes have mostly taken place in the last two centuries, so rapidly that the average person is unable to keep informed. A consequence of this "information gap" has been the increasing suspicion of science and scientists. The lack of true understanding of science, especially of "fundamental" research, motivates this effort to narrow this gap by explaining scientific endeavor and the data-driven worldviews of scientists. Key Features Fills an existing void in the understanding of science among the general population Is written in a nontechnical language to facilitate understanding Covers a wide range of science-related subjects: The value of "basic research" How scientists work by sharing results and ideas How science is funded by governments and private entities Addresses the possible dangers of research and how society deals with such risks Expresses the viewpoint of an author with extensive experience working in laboratories all over the world
What is the Future for a Primary Care-Led NHS?
by Robert BoydTax planning can lead to considerable efficiencies, but few GPs have been trained as businessmen. This book in "The Business Side of General Practice" series, provides a guide to the regulations, identifies the pitfalls and opportunities and shows how to maximize the income retained by the practice. John Dean is known for his writing on financial management in general practice and has also written "Making Sense of Practice Finance" (Radcliff).
What It Means to Be Human: The Case For The Body In Public Bioethics
by O. Carter SneadA leading expert on public bioethics advocates for a new conception of human identity in American law and policy.The natural limits of the human body make us vulnerable and therefore dependent, throughout our lives, on others. Yet American law and policy disregard these stubborn facts, with statutes and judicial decisions that presume people to be autonomous, defined by their capacity to choose. As legal scholar O. Carter Snead points out, this individualistic ideology captures important truths about human freedom, but it also means that we have no obligations to each other unless we actively, voluntarily embrace them. Under such circumstances, the neediest must rely on charitable care. When it is not forthcoming, law and policy cannot adequately respond.What It Means to Be Human makes the case for a new paradigm, one that better represents the gifts and challenges of being human. Inspired by the insights of Alasdair MacIntyre and Charles Taylor, Snead proposes a vision of human identity and flourishing that supports those who are profoundly vulnerable and dependent—children, the disabled, and the elderly. To show how such a vision would affect law and policy, he addresses three complex issues in bioethics: abortion, assisted reproductive technology, and end-of-life decisions. Avoiding typical dichotomies of conservative-versus-liberal and secular-versus-religious, Snead recasts debates over these issues and situates them within his framework of embodiment and dependence. He concludes that, if the law is built on premises that reflect the fully lived reality of life, it will provide support for the vulnerable, including the unborn, mothers, families, and those nearing the end of their lives. In this way, he argues, policy can ensure that people have the care they need in order to thrive.In this provocative and consequential book, Snead rethinks how the law represents human experiences so that it might govern more wisely, justly, and humanely.
What It Takes to Be a Doctor: An Insider's Guide
by Ranjana SrivastavaIf you, or someone you know, is thinking of becoming a doctor, you can’t go past this essential guide from one of Australia’s finest doctors – and writers. What is the life of a doctor really like? Is there an end to studying? Are money and prestige guaranteed? Can a fulfilling medical career and a satisfying family life co-exist and what support can a parent or partner give? Which doctors are the happiest? What is the most important question to ask yourself before studying medicine? An insider’s calm and considered answers could determine whether you choose to pursue this high-stakes career. Becoming a doctor is a tremendous privilege and a serious responsibility. With her trademark warmth and story-telling ability, Ranjana Srivastava delves into the reality of being a doctor in the modern era of medicine. Through lived experience as a front-line clinician, prolific writer, and mother, she celebrates the highlights of being a doctor but doesn't flinch from the disappointments. Her compelling stories illustrate the hidden facets of a life in medicine. From the burden of prolonged medical training and the regret of mismatched expectations, to the humility of caring and the joy of making a difference, this book contains illuminating observations, reflection and advice that should be required reading for anyone contemplating a career as a doctor.
What It's Like to Be a Dog: And Other Adventures in Animal Neuroscience
by Gregory BernsWhat does your dog really think about you? To find out, Gregory Berns became the first neuroscientist to persuade dogs to lie in an MRI machine wide awake. Now we know more about our best friends than ever before – how varying capacities for self-control and different value systems set them apart as individuals, and how deeply they understand the words we speak to them. Berns&’ discoveries have profound implications for how we communicate with and treat these beloved animals. But he didn&’t stop there. Berns also delves into the inner lives of sea lions, bats, dolphins, and even the extinct Tasmanian tiger. His revolutionary explorations are essential reading for animal lovers of all stripes.
What Killed Jane Austen?
by George Biro Jim Leavesley Greg SmithTales of famous patients, doctors, discoveries and disasters.
What Lies Behind
by J. T. EllisonCritically acclaimed New York Times bestselling author J. T. Ellison delivers another riveting novel featuring the incomparable Dr. Samantha Owens Waking to sirens in the night is hardly unusual for Samantha Owens. No longer a medical examiner, she doesn't lose sleep over them, but a routine police investigation in her neighborhood has her curious. When her homicide detective friend, Darren Fletcher, invites her to look over the evidence, she jumps at the chance and immediately realizes the crime scene has been staged. What seems to be a clear case of murder/suicide-a crime of passion-is anything but. The discovery of toxic substances in hidden vials indicates that something much more sinister is at play... As Fletch and Sam try to understand what and who they are dealing with, they are summoned to a meeting at the State Department. High-level officials are interested in what they know and seem to be keeping secrets of their own. It's up to Sam and Fletch to uncover what lies behind the deception as the threat of bioterrorism is exposed, and her boyfriend, Xander Whitfield, may be in the line of fire. Unsure who to trust, Sam and Fletch find themselves up against very powerful people at every stage in the investigation. No one is who they appear to be and with every minute that passes, the danger escalates. It's Sam's most complex case yet and the terrifying reality is beyond anything she could have imagined.
What Lies Behind: When Shadows Fall What Lies Behind (A Samantha Owens Novel #4)
by J. T. EllisonThe fourth riveting novel featuring the incomparable Dr. Samantha Owens, by critically acclaimed New York Times bestselling author J.T. Ellison “WHAT LIES BEHIND grabs you by the throat and doesn’t let go. Ellison is a great talent—enjoy.” —Catherine Coulter, # 1 New York Times bestselling authorWaking to sirens in the night is hardly unusual for Sam Owens. No longer a medical examiner, she doesn’t lose sleep over them, but a routine police investigation in her neighborhood has her curious. When her homicide detective friend, Darren Fletcher, invites her to look over the evidence, she immediately realizes the crime scene has been staged. What would seem to be a clear case of murder/suicide is anything but. The discovery of toxic substances in hidden vials indicates that something much more sinister is at play… As Fletch and Sam try to understand what and who they are dealing with, they are summoned to a meeting at the State Department. High-level officials are interested in what they know and, as the threat of bioterrorism is exposed, seem to be keeping secrets of their own. Unsure who to trust, Sam and Fletch find themselves up against very powerful people at every stage in the investigation. It’s Sam’s most complex case yet, and the terrifying reality is beyond anything she could have imagined.Originally published in 2015
What Made Maddy Run: The Secret Struggles and Tragic Death of an All-American Teen
by Kate FaganFrom noted ESPN commentator and journalist Kate Fagan, the heartbreaking and vital story of college athlete Madison Holleran, whose death by suicide rocked the University of Pennsylvania campus and whose life reveals with haunting detail and uncommon understanding the struggle of young people suffering from mental illness todayIf you scrolled through the Instagram feed of 19-year-old Maddy Holleran, you would see a perfect life: a freshman at an Ivy League school, recruited for the track team, who was also beautiful, popular, and fiercely intelligent. This was a girl who succeeded at everything she tried, and who was only getting started. But when Maddy began her long-awaited college career, her parents noticed something changed. Previously indefatigable Maddy became withdrawn, and her thoughts centered on how she could change her life. In spite of thousands of hours of practice and study, she contemplated transferring from the school that had once been her dream. When Maddy's dad, Jim, dropped her off for the first day of spring semester, she held him a second longer than usual. That would be the last time Jim would see his daughter.WHAT MADE MADDY RUN began as a piece that Kate Fagan, a columnist for espnW, wrote about Maddy's life. What started as a profile of a successful young athlete whose life ended in suicide became so much larger when Fagan started to hear from other college athletes also struggling with mental illness. This is the story of Maddy Holleran's life, and her struggle with depression, which also reveals the mounting pressures young people, and college athletes in particular, face to be perfect, especially in an age of relentless connectivity and social media saturation.
What Makes a Good Healthcare System?: Comparisons, Values, Drivers
by Alan GilliesFirst Published in 2018. Routledge is an imprint of Taylor & Francis, an Informa company. What Makes a Good Health Care System? Examines the various assumptions that underpin the different views of what makes a good health care system. The national systems in the UK, Australia and Canada are thoroughly examined. Each country has a different view of what a good health care system is trying to achieve, and the book elucidates these by highlighting key policy documents and comments from key stakeholders. Case studies emphasise the diverse needs and expectations of individuals, examining and comparing concepts of health needs, quality as a measure of 'good-ness' and the various ideas on Gold Standards. This book will be valuable reading for all healthcare managers and clinicians with management responsibilities, as well as policy makers and shapers and all those with a general interest in health.
What Makes a Good Nurse
by Derek SellmanIn recent years, the human values at the heart of the nursing profession seem to have become side-lined by an increased focus on managerialist approaches to health care provision. Nursing's values are in danger of becoming marginalised further precisely because that which nursing does best - providing care and helping individuals through the human trauma of illness - is difficult to measure, and therefore plays little, if any, part in official accounts of outcome measures. Derek Sellman sets out the case for re-establishing the primacy of the virtues that underpin the practice of nursing in order to address the question: what makes a good nurse? He provides those in the caring professions with both a rationale and a practical understanding of the importance that particular character traits, including justice, courage, honesty, trustworthiness and open-mindedness, play in the practice of nursing, and explains why and how nurses should strive to cultivate these virtues, as well as the implications of this for practice. This original and thought-provoking book will be essential reading for nurses and nursing students, care workers, care commissioners, and many others who work in the caring professions.
What Makes a Person?: Secrets of our first 1,000 days
by Mark Hanson Lucy GreenEver wondered why your life and health can sometimes be so hard to control? Or why it seems so easy for other people? Mark Hanson and Lucy Green draw on their years of experience as scientists and educators to cut through the usual information on genetics and lifestyle to reveal the secrets of early development which start to make each of us unique, during our first 1,000 days from the moment of conception. Some surprising discoveries, based on little-known new research, show how events during our first 1,000 days make each of us who we are and explain how we control our bodies, processes that go way beyond just the genes which we inherited. Provoking new ways of thinking about being parents, this book empowers individuals and society to give the next generation the gift of a good start to life and future health.
What Matters in Medicine: Lessons from a Life in Primary Care
by David LoxterkampPrimary care has come into the limelight with the passage of the Patient Protection and Affordable Care Act, the unchecked and unsustainable rise in American health care expenditures, and the crest of Baby Boomers who are now Medicare-eligible and entering the most health care-intensive period of their lives. Yet how much is really known about primary care? What Matters in Medicine: Lessons from a Life in Primary Care is a look at the past, present, and future of general practice, which is not only the predecessor to the modern primary care movement, but its foundation. Through memoir and conversation, Dr. David Loxterkamp reflects on the heroes and role models who drew him to family medicine and on his many years in family practice in a rural Maine community, and provides a prescription for change in the way that doctors and patients approach their shared contract for good health and a happy life. This book will be useful to those on both sides of primary care, doctors and patients alike.
What Next, Doctor? (The Dr Clifford Chronicles)
by Dr Robert CliffordWhat Next Doctor? is the third book in the hilarious Dr Clifford Chronicles, true-life experiences as G.P. in a West Country practice. This instalment commences when Dr Clifford and his bride wake up to a bizarre confrontation on the first day of their honeymoon - and promptly prescribe themselves champagne as a cure! The patients passing through his life are by turns comic and courageous, lovable and tragic. There's the long-married couple whose recipe for happiness is a row twice a week; the accident- prone ex- miner whose collection of injuries and ailments makes him a medical curiosity; and the elderly couple who turn out to be mother and son - the son is eighty-one!Dr Clifford presents us with an immensely entertaining slice of life- the tragedies and triumphs of ordinary people caught up in the human drama of survival in a world of sickness and ill health. And he tells his tale with all warmth and humour that makes his books a real delight to read.
What Next, Doctor?
by Robert CliffordWhat Next Doctor? is the third book in the hilarious Dr Clifford Chronicles, true-life experiences as G.P. in a West Country practice. This instalment commences when Dr Clifford and his bride wake up to a bizarre confrontation on the first day of their honeymoon - and promptly prescribe themselves champagne as a cure! The patients passing through his life are by turns comic and courageous, lovable and tragic. There's the long-married couple whose recipe for happiness is a row twice a week; the accident- prone ex- miner whose collection of injuries and ailments makes him a medical curiosity; and the elderly couple who turn out to be mother and son - the son is eighty-one! Dr Clifford presents us with an immensely entertaining slice of life- the tragedies and triumphs of ordinary people caught up in the human drama of survival in a world of sickness and ill health. And he tells his tale with all warmth and humour that makes his books a real delight to read.