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Author: National Research Council Publisher: National Academies Press ISBN: 0309217105 Category : Social Science Languages : en Pages : 200
Book Description
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
Author: Denise L. Robinson Publisher: ISBN: Category : Medical Languages : en Pages : 1498
Book Description
A comprehensive text for students in Family Nurse Practitioner and Adult Nurse Practitioner programs offering guidelines for primary care across the lifespan. The content is divided into two parts: Part I is comprised of more than 200 common complaints and conditions, covered in-depth and organized alphabetically. Each chapter is logically formatted using the SOAPE outline (subjective and objective findings, assessment, therapeutic plan, and evaluation), which mirrors the clinical reasoning process. Lifespan content on physical findings and appropriate treatments for children, elderly, and pregnant women is integrated as appropriate within each chapter and highlighted in boldface. Diagnostic tests, differential diagnoses, and pharmaceutical treatments are organized into tables and treatment plans are accompanied by algorithms for quick visual reference. Part II covers client wellness across the lifespan and includes growth and development charts, physical examination forms, and health promotionrecommendations. The extensive Appendices include quick reference data, such as drug tables, immunization schedules, and laboratory values for clients in various age groups, making this book a valuable tool for students to use in nurse practitioners andon into practice. * Presents each condition and complaint in the SOAPE format -- Subjective findings, Objective findings, Assessment, Plan, Evaluation -- for a logical presentation of the material that mirrors clinical reasoning. * Includes additional indices that categorize each topic four different ways -- body system, clinical diagnosis, presenting symptom, and lifespan -- to assist students in organizing study needs. * Provides ICD-9 codes for diagnostic classification and for insurance reimbursement. * Includes algorithms for conditions, providing a quick overview of diagnosis and treatment options. * Presents differential diagnoses and the supporting data in a table format for quick information access. * Outlines diagnostic and lab tests available for each condition in table format, and includes test outcomes and cost ranges to enable logical decision-making on low-cost, high-yield test options. * Presents pharmaceutical treatment plans in table format, including essential information on costs, pregnancy categories, and pediatric and geriatric dosages, to facilitate treatment options. * Includes many client education materials that students may copy and incorporate in their practice.
Author: National Research Council Publisher: National Academies Press ISBN: 0309217105 Category : Social Science Languages : en Pages : 200
Book Description
During the last 25 years, life expectancy at age 50 in the United States has been rising, but at a slower pace than in many other high-income countries, such as Japan and Australia. This difference is particularly notable given that the United States spends more on health care than any other nation. Concerned about this divergence, the National Institute on Aging asked the National Research Council to examine evidence on its possible causes. According to Explaining Divergent Levels of Longevity in High-Income Countries, the nation's history of heavy smoking is a major reason why lifespans in the United States fall short of those in many other high-income nations. Evidence suggests that current obesity levels play a substantial part as well. The book reports that lack of universal access to health care in the U.S. also has increased mortality and reduced life expectancy, though this is a less significant factor for those over age 65 because of Medicare access. For the main causes of death at older ages-cancer and cardiovascular disease-available indicators do not suggest that the U.S. health care system is failing to prevent deaths that would be averted elsewhere. In fact, cancer detection and survival appear to be better in the U.S. than in most other high-income nations, and survival rates following a heart attack also are favorable. Explaining Divergent Levels of Longevity in High-Income Countries identifies many gaps in research. For instance, while lung cancer deaths are a reliable marker of the damage from smoking, no clear-cut marker exists for obesity, physical inactivity, social integration, or other risks considered in this book. Moreover, evaluation of these risk factors is based on observational studies, which-unlike randomized controlled trials-are subject to many biases.
Author: Michelle Tollefson Publisher: CRC Press ISBN: 1000472493 Category : Health & Fitness Languages : en Pages : 460
Book Description
The book is an evidence-based source of information on women’s health issues for health professionals already practicing lifestyle medicine, as well as an entry level textbook for those new to the field of lifestyle medicine. The collective expertise of each of the editors along with content provided by leaders within the American College of Lifestyle Medicine fills a much-needed void within the specialty of Lifestyle Medicine and is for providers of women’s health globally.
Author: Laura Marie Borgelt Publisher: ASHP ISBN: 1585281948 Category : Medical Languages : en Pages : 867
Book Description
Factors influencing women's health care -- Sex and gender differences -- Menstrual and ovarian conditions -- Contrceptive methods -- Pregnancy health care -- Select conditions and disorders over the lifespan -- Select infectious diseases -- Cancer in women.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309208955 Category : Medical Languages : en Pages : 700
Book Description
The Future of Nursing explores how nurses' roles, responsibilities, and education should change significantly to meet the increased demand for care that will be created by health care reform and to advance improvements in America's increasingly complex health system. At more than 3 million in number, nurses make up the single largest segment of the health care work force. They also spend the greatest amount of time in delivering patient care as a profession. Nurses therefore have valuable insights and unique abilities to contribute as partners with other health care professionals in improving the quality and safety of care as envisioned in the Affordable Care Act (ACA) enacted this year. Nurses should be fully engaged with other health professionals and assume leadership roles in redesigning care in the United States. To ensure its members are well-prepared, the profession should institute residency training for nurses, increase the percentage of nurses who attain a bachelor's degree to 80 percent by 2020, and double the number who pursue doctorates. Furthermore, regulatory and institutional obstacles-including limits on nurses' scope of practice-should be removed so that the health system can reap the full benefit of nurses' training, skills, and knowledge in patient care. In this book, the Institute of Medicine makes recommendations for an action-oriented blueprint for the future of nursing.
Author: Institute of Medicine Publisher: National Academies Press ISBN: 0309175690 Category : Medical Languages : en Pages : 411
Book Description
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Author: Jill Clendon Publisher: Elsevier Health Sciences ISBN: 0729588882 Category : Health promotion Languages : en Pages : 302
Book Description
With the majority of graduate nurses going on to work in primary health, Community Health and Wellness provides the reader with the knowledge and tools they need to practise competently and safely in the community. The book provides an overview of primary healthcare principles and how to apply them, enabling a deep understanding of the role of the community health nurse in providing holistic individual and community care within an interdisciplinary healthcare environment. Continuous real-world case studies throughout enable the reader to understand how the social determinants of health influence each family member's life, their communities and the challenges they face. This seventh edition has been written by nursing experts Dr Jill Clendon and Dr Ailsa Munns, and incorporates feedback from students, users and practising community health nurses to ensure it meets the needs of today's students as they embark on their career beyond academia. Takes a unique socio-ecological approach to community health - including health promotion, health literacy and a range of health interventions Key points and information boxes allow easy navigation Case studies link theory and principles to practice Templates and tools to conduct community assessments Links to resources for further reflection An eBook included in all print purchases Additional resources on Evolve: eBook on VitalSource Instructor resources: Power Points Tutorial Activities Image Library Critical Thinking Questions and Answers Student resources: Online Care Plans Online Material - Chapter 10 Research Guide: from question to solution Weblinks Significant updates throughout More content on public health and infectious disease management, including current pandemics and epidemics Improved content on cultural safety and care planning
Author: Sampath Wijesinghe, DHSc, MS, MPAS, PA-C, AAHIVS Publisher: Springer Publishing Company ISBN: 0826182739 Category : Medical Languages : en Pages : 844
Book Description
Real-life primary care case studies* from more than 50 primary care providers, including physician assistants, nurse practitioners, and physicians! 101 Primary Care Case Studies offers real-life patient scenarios and critical thinking exercises to help you work through a patient’s chief complaint. Through narrative case studies, you will determine how best to diagnose, treat, and manage your patient based on the history of present illness, review of systems, relevant history, and physical examination findings. This workbook will ask probing questions to help you determine differential and most likely diagnoses, diagnostic tests to order, and appropriate patient management strategies using relevant and timely references to support your decisions. The organization of each case study simulates the patient care journey from chief complaint to outcome. Serving as a virtual clinical preceptor, this workbook can be used independently or in a classroom setting. It is accompanied by a robust online student supplement that provides answers to all questions, real outcomes of the cases, and valuable personal insights from the authors on how the patient was successfully managed. Not only will this workbook help you work through patient cases clinically, it will also share important, but often overlooked, bedside manner skills needed to successfully communicate with and care for your patients. Covering conditions across all organ systems and across the lifespan, this workbook is organized by chief complaint, providing an authentic perspective on what to expect in the patient care environment. It even includes information on pathophysiology and how to use ICD-10 and CPT (E/M) codes in your documentation. The book uniquely weaves together both the science and art of medicine by including personal insights into quality and compassionate care. Key Features Provides real-life patient cases from an interprofessional author team of physician assistants, nurse practitioners, and physicians Uses a templated case study design and critical thinking exercises to help you methodically work through various patient scenarios Teaches clinical and bedside manner skills imperative for delivering quality patient care Covers patients across the lifespan, including pediatric, adolescent, adult, and geriatric populations Offers additional insight on patient education, medical and legal concerns, and interprofessional collaboration Includes a robust online student supplement with valuable insights from the authors on how they successfully managed the cases Provides instructors with a table of contents that is filterable by chief complaint, diagnosis, patient population, and organ system *Details changed to protect patient information.
Author: National Academies of Sciences Engineering and Medicine Publisher: ISBN: 9780309685061 Category : Languages : en Pages :
Book Description
The decade ahead will test the nation's nearly 4 million nurses in new and complex ways. Nurses live and work at the intersection of health, education, and communities. Nurses work in a wide array of settings and practice at a range of professional levels. They are often the first and most frequent line of contact with people of all backgrounds and experiences seeking care and they represent the largest of the health care professions. A nation cannot fully thrive until everyone - no matter who they are, where they live, or how much money they make - can live their healthiest possible life, and helping people live their healthiest life is and has always been the essential role of nurses. Nurses have a critical role to play in achieving the goal of health equity, but they need robust education, supportive work environments, and autonomy. Accordingly, at the request of the Robert Wood Johnson Foundation, on behalf of the National Academy of Medicine, an ad hoc committee under the auspices of the National Academies of Sciences, Engineering, and Medicine conducted a study aimed at envisioning and charting a path forward for the nursing profession to help reduce inequities in people's ability to achieve their full health potential. The ultimate goal is the achievement of health equity in the United States built on strengthened nursing capacity and expertise. By leveraging these attributes, nursing will help to create and contribute comprehensively to equitable public health and health care systems that are designed to work for everyone. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity explores how nurses can work to reduce health disparities and promote equity, while keeping costs at bay, utilizing technology, and maintaining patient and family-focused care into 2030. This work builds on the foundation set out by The Future of Nursing: Leading Change, Advancing Health (2011) report.
Author: National Research Council
Author: Denise L. Robinson
Author: National Research Council
Author: Michelle Tollefson
Author: Laura Marie Borgelt
Author: Institute of Medicine
Author: Karl D. Yordy
Author: Institute of Medicine
Author: Jill Clendon
Author: Sampath Wijesinghe, DHSc, MS, MPAS, PA-C, AAHIVS
Author: National Academies of Sciences Engineering and Medicine