This wide-ranging guide to dry mouth, or xerostomia, is intended to meet the needs of dentists by providing information on all clinically relevant aspects. After introductory discussion of salivary secretion and function, the potential causes of dry mouth, including diseases affecting saliva production, drugs and irradiation, are examined. Symptoms and signs such as altered taste, bacterial changes and infection are discussed and impacts on quality of life, described. Diagnostic issues are fully explored, covering the use of clinical scoring scales, difficulties in assessment, detection of early signs and the role of salivary biomarkers. The full range of treatment options and preventive measures is then described, including the use of intensity-modulated radiotherapy to spare salivary function, the value of artificial salivas and the beneficial effects of regular chewing. The book closes by considering future treatment avenues and the potential for salivary gland regeneration.
Xerostomia, more commonly called dry mouth, affects anestimated 20 percent of adults worldwide and can severelydiminish one’s quality of life. Dry Mouth, theMalevolent Symptom: A Clinical Guide relies on evidence-basedresearch to provide an introductory primer on oral dryness and themodalities available to treat it. The book describes thevaried etiology of the disease, but emphasizes clinicalprotocols and step-by-step procedures for diagnosis and treatmentplanning. Dry Mouth is a user-friendly manual guiding cliniciansthrough identifying and managing this common condition. Causesincluding radiotherapy, chemotherapy, systemic diseases,polypharmacy, and the natural progression of aging are discussed inconjunction with the clinical symptoms and signs associated witheach one. Multiple avenues for treatment are presented,highlighting salivary stimulation and supplementation techniques,pharmacologic aids, and critically required oral therapy. Althoughintended primarily for the professionals that treat those affectedby xerostomia, Dry Mouth may also be of interest tosufferers of this condition.
This book provides a wide-ranging update on the associations between oral infections and general health. Detailed consideration is given to the underlying mechanisms or pathways linking oral infections to general health, including metastatic spread of infection from the oral cavity as a result of transient bacteremia, metastatic injury from the effects of circulating oral microbial toxins, and metastatic inflammation caused by immunological dysfunction induced by oral microorganisms. The book also reviews the complex structure and development of oral biofilms in health and disease, and the molecular tools that are currently available for their analysis. The advantages and limitations of such techniques, as well as their impact on the future of diagnostics, prevention and patient management, are discussed.
Two key challenges face mental health practitioners: making the correct psychiatric diagnosis and choosing the most appropriate treatment option. This book aims to help with both. Clinical Guide to the Diagnosis and Treatment of Mental Disorders – Second Edition combines clinically–relevant information about each of theDSM–IV–TR diagnoses with clear, detailed information on treatment options, giving full clinical management advice. Once again, the editors, both leading psychiatrists, have condensed the chapters on Disorders from Tasman et al s acclaimed two volume textbook of Psychiatry (now in its Third Edition), retaining only the content they deem particularly relevant to the clinician for ease of use. Each disorder is discussed under the headings of Diagnosis (including Assessment Issues, Comorbidity, Course, and Differential Diagnosis, giving diagnostic decision trees where relevant) and Treatment (listing all therapeutic options, giving practical advice for patient management, summarising treatment specifics with tables and treatment flowcharts). The original edition established itself as the first point of reference for any clinician or mental health practitioner needing expert advice on therapeutic options for any psychiatric disorder. This edition features an additional chapter on the psychiatric interview and assessment of mental status to increase its utility. It echoes the progress in psychiatry regarding the establishment of an evidenced–based model of taxonomy, diagnosis, etiology, and treatment. Indeed, from a psychologist′s perspective, the equal consideration provided to empirically supported psychosocial treatments versus somatic treatment is a significant development in the field of psychiatry. Jonathan Weinand in PsycCritiques, the American Psychological Association Review of Books
"This is an excellent resource for nurses practicing in critical care units, emergency departments, and trauma units, as well as for midlevel providers who manage these patients.--Doody's Medical Reviews "Compact ClinicalGuide to Critical Care,Trauma, and EmergencyPain Management is aconcise, easy-to-readresource for nurses whowant to reinforce theirfoundational knowledgein this area."--Critical Care Nurse This addition to Springer Publishingís Compact Clinical Guide to Pain Management Series presents evidence-based national guidelines and treatment algorithms for managing pain in patients in the critical care, trauma, and emergency room settings. Such patients often present with co-morbid and complex conditions which often make accurate pain assessment and treatment a challenge. In an easy-to-use, bulleted format, the book provides the most current information on assessing and managing pain in a variety of critical conditions. Both pharmacological management therapies and non-pharmacologic interventions are included along with information about pain assessment screening tools for special populations. Topics covered include the basics of pain physiology in critical, emergency, and operative care patients, assessing pain in the critically ill, medications and advanced pain management techniques useful with this population, and commonly occurring conditions in the various care environments. Also addressed are the management of particularly challenging patients (elderly, obese) and conditions (chronic pain, renal failure, chemically dependent patients, and burn patients). The book contains tables that efficiently summarize information and figures to illustrate key concepts. Pain rating scales and a helpful equi-analgesic conversion table are included in the Appendix. Key Features: Provides evidence-based information on treating pain in critical care, trauma, and emergency room patients for all practice levels Organized for quick access to pertinent clinical information on treatment options and pain types Provides cross-referenced indexing and easy-to-use assessment and screening tools Includes information for treating especially challenging and difficult to manage patient pain scenarios
An overview of Sjèogren's Syndrome, a debilitating autoimmune and rheumatological disorder, provides a look at its symptoms, treatments, and coping techniques and offers advice on creating a personal treatment program.
This book provides a comprehensive account of the relevant physiology, pathophysiology, nutritional therapy and dietetic application for each specialist dietetic area. All major specialist areas involved in the the treatment of adults are covered. The first section deals with clinical governance, for example patient-centred care, clinical decision-making and developing evidence-based practice. The second section on advanced clinical practice describes 18 clinical conditions or dietetic areas in detail. There is detailed coverage of 18 clinical conditions or dietetic areas: The control of food intake and absorption of nutrients Drug nutrient interactions Food allergy – allergy and intolerance Irritable bowel disease (IBD) and colorectal cancer Short bowel syndrome Enteral nutrition Parenteral nutrition Thermal injury Nutrition and liver disease HIV Palliative care Renal disease Diabetes Obesity Cardiovascular disease Stroke Neurological conditions Mental health. Each chapter concludes with a section on possible future developments in the specialty, providing insight into 'hot topics', making this an essential text for all working in the field of Dietetics and Clinical Nutrition. Each clinical chapter follows a standard structure: Learning objectives Key points summarise important aspects Case studies with questions and answers help link theory to practice References and further reading suggestions encourage wider research.
This new edition of Mental Health Nursing: an evidence-based approach has been fully updated to include the latest research-based guidance. A wide variety of client problems is covered with , so that students are assured that what they learn is underpinned by a sound evidence base for treatment, and qualified mental health nurses can be confident that their practice is informed by the most up-to-date research. Skills acquisition is emphasised and experiential exercises encourage connections between theory and practice. Based on up-to-date, evidence-based information Emphasises skills acquisition Puts the nurse's role central to mental health care Contributors and editors are national and international experts in their fields Uses experiential exercises to reinforce learning and encourage connections from theory to practice
This issue discusses the diagnosis and treatment of major depressive disorder (MDD) and other depressive disorders, with an emphasis on the psychosocial aspects of depression: how it affects societies, how it is affected by culture, and what the true meaning of recovery is for those suffering from MDD. The issue is divided into three section: Etiology, Diagnosis and Treatment. Authors address the evidence where biology and subjectivity meet. They discuss what is adaptive and what is pathologic and discuss population-based solutions that take into account the specificity of the individual. Authors also take into account combination treatments of psychotherapy and pharmacotherapy and weigh the treatment choices against specific patient subtypes.
From a renowned obstetrician and expert in maternal-fetal medicine comes the only comprehensive pharmaceutical guide available to help you make informed decisions while pregnant and nursing Sometimes even physicians disagree or appear confused about what medications are appropriate choices for pregnant and breastfeeding women. Tylenol? Ambien? Sudafed? A prescription medication for a chronic condition? How much is OK and when? Incomplete or misinformation, an out-dated FDA classification system, and fear all stand in the way. Which means taking care of your health during this important time of your life can feel scarier than it should. The Complete Guide to Medications During Pregnancy and Breastfeeding cuts through the confusion so that you can feel good about taking care of yourself and your baby. This essential reference combines authority and empathy with an A-to-Z directory of more than six hundred drugs to help you make the best possible decisions for you and your baby.
The must-have integrative and complementary medicine reference from experts in the field This exhaustive textbook is ideal for anyone with an interest in integrative and complementary medicine in Australia; including General Practitioners, medical students, integrative clinicians and health practitioners. A Guide to Evidence-based Integrative and Complementary Medicine presents non-pharmacologic treatments for common medical practice complaints – all supported by current scientific evidence. These include Attention Deficit Hyperactivity Disorder (ADHD), asthma, insomnia, anxiety, depression and many more. This practical health resource profiles myriad approaches in integrative and complementary medicine, such as mind-body medicine, stress management techniques, dietary guidelines, exercise and sleep advice, acupuncture, nutritional medicine, herbal medicine, and advice for managing lifestyle and behavioural factors. It also looks at complementary medicines that may impact the treatment of disease. A Guide to Evidence-based Integrative and Complementary Medicine contains only proven therapies from current research, particularly Cochrane reviews, systematic reviews, randomised control trials, published cohort studies and case studies. • easy access to evidence-based clinical data on non-pharmacological treatments – including complementary medicines – for common diseases and conditions • instant advice on disease prevention, health promotion and lifestyle issues • chapter summaries based on scientific evidence using the NHMRC guidelines grading system • printable patient summary sheets at chapter end to facilitate discussion of clinical management • conveniently organised by common medical presentations
Now in its fifth edition, this best-selling, multidisciplinary textbook continues to draw on the skills of pharmacists and clinicians to present optimal drug regimens. The authors integrate an understanding of the disease processes with an appreciation of pathophysiological processes, clinical pharmacy and the evidence base. New to this edition: Stronger emphasis on understanding both the prescribing process and the clinical pharmacy process. All chapters completely revised and updated. Thirty-eight leading new authors. Features: Key points boxes at the beginning of every chapter Case study tests at the end of every chapter Chapters co-authored by pharmacists and clinicians Organised by body system Consistent, clearly signposted chapter layout ‘...a unique and valuable support for all those involved or interested in drug therapy. This is a textbook that no university or pharmacy department, particularly those with employees studying at any level, and no pharmacist trying to develop their knowledge base should be without." Dr Chris Green and John Sexton, The Pharmaceutical Journal Now in its fifth edition, this best-selling, multidisciplinary textbook continues to draw on the skills of pharmacists and clinicians to present optimal drug regimens. The authors integrate an understanding of the disease processes with an appreciation of pathophysiological processes, clinical pharmacy and the evidence base. New to this edition: Stronger emphasis on understanding both the prescribing process and the clinical pharmacy process. All chapters completely revised and updated. Thirty-eight leading new authors. Features: Key points boxes at the beginning of every chapter Case study tests at the end of every chapter Chapters co-authored by pharmacists and clinicians Organised by body system Consistent, clearly signposted chapter layout ‘...a unique and valuable support for all those involved or interested in drug therapy. This is a textbook that no university or pharmacy department, particularly those with employees studying at any level, and no pharmacist trying to develop their knowledge base should be without." Dr Chris Green and John Sexton, The Pharmaceutical Journal Stronger emphasis on understanding both the prescribing process and the clinical pharmacy process. All chapters completely revised and updated. Thirty-eight leading new authors.
Widely regarded as the standard clinical reference, this volume provides the best current knowledge about attention-deficit/hyperactivity disorder (ADHD) in children, adolescents, and adults. The field's leading authorities address all aspects of assessment, diagnosis, and treatment, including psychological therapies and pharmacotherapy. Core components of ADHD are elucidated. The volume explores the impact of the disorder across a wide range of functional domains--behavior, learning, psychological adjustment, school and vocational outcomes, and health. All chapters conclude with user-friendly Key Clinical Points. New to This Edition *Reflects significant advances in research and clinical practice. *Expanded with many new authors and new topics. *Chapters on cutting-edge interventions: social skills training, dietary management, executive function training, driving risk interventions, complementary/alternative medicine, and therapies for adults. *Chapters on the nature of the disorder: neuropsychological aspects, emotional dysregulation, peer relationships, child- and adult-specific domains of impairment, sluggish cognitive tempo, and more.
Quick and convenient, this resource provides a clinical overview of a wide variety of diseases and disorders that affect the cardiovascular system and lungs and the physical therapy management of patients with them. It integrates key concepts of pathophysiology, clinical manifestations, diagnostic tests and laboratory information and findings with clinically important medical and surgical interventions and pharmacologic therapies — then applies the material to physical therapy evaluation and treatment. This edition adds an introductory chapter on the oxygen transport pathway, the effects of dysfunction along the pathway, and the implications for physical therapy. Offers a complete overview including basic cardiopulmonary anatomy and physiology, the pathophysiology of commonly encountered cardiac and pulmonary disorders, diagnostic tests and procedures, therapeutic interventions, pharmacology, physical therapy evaluation and treatment, and clinical laboratory values and profiles. Uses a bulleted format to make finding information quick and easy. Lists the latest drugs used for the treatment of cardiopulmonary disorders. Includes information on laboratory medicine and pediatrics to help you apply cardiopulmonary principles to practice. Follows the oxygen transport pathway — the delivery, uptake and, extrication of oxygen as it actually functions in a clinical setting — providing a logical framework for understanding cardiopulmonary concepts. Explains the implications of defects in the pathway — essential considerations for clinical practice. Includes a comprehensive listing of common cardiopulmonary diseases, as well as a number of other diseases that are associated with cardiopulmonary dysfunction. Provides new and updated illustrations that depict common pathologies such as the pathophysiology of left ventricular diastolic and systolic dysfunction, volume versus pressure overload, and dilated versus hypertrophies versus restrictive cardiomyophathies. Includes descriptions of important interventions such as lung volume reduction surgery and lung transplantation. Adds a new section on simple anthropometric measurements for determining obesity, with information on this demographic trend and how it impacts assessment.
Covering advanced massage therapy skills, this practical resource prepares you to work with medical professionals in a clinical setting, such as a hospital, hospice, long-term care, or other health-related practice. It discusses the many skills you need to succeed in this environment, helping you become a contributing member of an integrated team. Also covered are the essentials of clinical massage, such as indications and contraindications, review of massage methods, range of motion testing, SOAP note documentation, and a massage therapy general protocol. Case studies show how a multidisciplinary approach applies to real-world clients. By coordinating your work with other health professionals, you can enhance patient care in any clinical setting! Includes a DVD with: Two hours of video showing specific applications, featuring author Sandy Fritz. A complete general protocol for massage. State-of-the-art animations depicting biologic functions and medical procedures. 700 full-color illustrations accompany procedures, concepts, and techniques. An integrated healthcare approach covers the healthcare environment and the skills necessary to be a contributing member of an integrated healthcare team. A research-based focus emphasizes research, clinical reasoning, and outcome-based massage application — for effective massage application in conjunction with healthcare intervention. A complete general protocol provides a guide to treating disorders and maintaining wellness, with recommendations for positioning and interventions, using a step-by-step sequence that can easily be modified to meet a patient's specific needs. A palliative protocol helps you temporarily relieve a patient's symptoms of disorders or diseases. Case studies focus on outcome-based massage for individuals with multiple health issues, detailing assessment, medical intervention, justification for massage, and session documentation. Coverage of advanced massage therapy skills and decision-making skills includes specific themes for effective massage application, allowing you to consolidate massage treatment based on the main outcomes — useful when working with individuals with multiple pathologies or treatment needs. A discussion of aromatherapy provides safe recommendations for the use of essential oils in conjunction with massage, to promote healing of the body and mind. Descriptions of illness and injury include relevant anatomy/physiology/pathophysiology, as well as strategies and massage applications to use for pain management, immune support, stress management, chronic illness, and post-surgical needs. Coverage of insurance and reimbursement issues relates to you as a massage professional. Strategies for general conditions such as substance abuse, mental health, orthopedic injury, and cardiovascular disorders help you specialize in clinical massage. Expert authors provide knowledge in research, massage therapy in healthcare, and manual therapies. Learning resources include chapter outlines, chapter learning objectives, key terms, and workbook-style exercises. A companion Evolve website includes: PubMed links to research supporting best practices and justification for massage application. More information on topics such as insurance, pharmacology, and nutrition. More information on anatomy and physiology and other subjects. A comprehensive glossary with key terms and some audio pronunciations.
Kumar & Clark’s Clinical Medicine 8 builds on the prize-winning formula that won the first prize in the BMA Book Awards Medicine Category in 2010 (7th edition) and 2006 (6th edition). ‘This book is comprehensive, student friendly (if still intimidating in size!) and covers such a vast breadth of knowledge. It still remains the primary ‘must-have’ text book of any budding doctor, or qualified one at that. This book is stunning in its breadth and in its ease of use. It still remains as the ‘gold-standard’ thorough guide to clinical medicine its forefathers were.’ BMA Judges 2010 'This is one of a select few books that deserves to be in most doctors' personal possession and it's as simple as that. ...’ Dr Harry Brown. New to this edition: New chapter on palliative medicine. Five times the number of margin clinical photos. New echocardiography images. Double the number of dermatological images; including all the major lesion morphologies covered in a single page. 16 new authors. New sections on protein synthesis, energy production and stem cells. New members of the International Advisory Board from India, South Africa, Poland and the Middle East. 7 new online chapters from the International Advisory Board. Key online features: 30 extra short chapters online, written by members of the International Advisory Board to cover key international issues, such as malaria, envenoming and HIV. Animated practical procedures, including lumbar puncture, central venous and bladder catheterization, arterial cannulation etc. heart and lung sounds, and interactive surface anatomy available online. Full text online through StudentConsult. Add your own notes and bookmarks. Search across all the StudentConsult resources you own online in one place. New to this edition: New chapter on palliative medicine. Five times the number of margin clinical photos. New echocardiography images. Double the number of dermatological images; including all the major lesion morphologies covered in a single page. 16 new authors. New sections on protein synthesis, energy production and stem cells. New members of the International Advisory Board from India, South Africa, Poland and the Middle East. 7 new online chapters from the International Advisory Board.
Widely recognized as the world’s leading dermatology manual, the new edition of Habif’s Clinical Dermatology has been exhaustively updated to reflect today’s best practices. A wealth of new features makes it easier, than any other resource, to identify, treat, and manage the full range of skin diseases. Presents outstanding photographs for virtually every common skin disorder. Organizes disease information with a Disorders Index on the inside front cover, allowing for quick access to specific guidance, and a brand new Regional Diagnosis Atlas in chapter 1. Uses a consistent format in every chapter to present information in a logical, easy-reference fashion. Features extensive revisions throughout that highlight the newest developments in diagnosis and treatment, giving you the absolute latest on virtually every skin disorder. Over 1000 full color photographs, incorporating 500 brand-new, never-before-published images for enhanced visual diagnostic guidance. Offers expanded material on non-white skin that prepares you to diagnose and treat different patient populations. Provides coverage of tropical diseases to help you treat patients who have been traveling abroad.
A thorough knowledge of pharmacological and therapeutic principles is vital if drugs are to be used safely and effectively for increasingly informed patients. Those who clearly understand how drugs get into the body, how they produce their effects, what happens to them in the body, and how evidence of their therapeutic effect is assessed, will choose drugs more skilfully, and use them more safely and successfully than those who do not. Now in a fully revised 11th edition, Clinical Pharmacology is essential reading for undergraduate medical students, junior doctors and anyone concerned with evidence-based drug therapy. Introductory first three sections cover general principle of clinical pharmacology; five subsequent sections cover drug treatment of disease organised by body system. Retains approachable style set by the original author, Professor Laurence. Emphasis throughout is on evidence-based and safe drug prescribing. Indian Advisory Board will ensure content reflects the needs of the devloping world.
Low mood, motivation and depression are endemic, and on the increase. About 40% of all GP visits are for people feeling depressed. In America recent figures show that one in ten have been prescribed anti-depressants. The recession has fuelled the need for the feel good factor. This book, written by leading nutrition expert and psychologist delivers highly effective ways - nutritional and psychological, with practical lifestyle and life management techniques - that really make a difference to how you feel. If you eat the right foods, avoid the wrong ones, your mood will improve dramaticaly - and quickly. Patrick Holford's approach is supported by substantial research, and backed up by poignant and motivating case histories. It also includes case histories of those at the suicidal end of depression who failed to get better with conventional approaches, and recovered completely on Holford's regime. The book would be supported by further in-depth analysis relating to mood and diet taken from Holford's 100% Health survey which was completed by over 55,000 people..
The last twenty-five years have witnessed an explosion of knowledge about the influence of brain biochemistry on mood and behavior and about pharmacological approaches to treating mental and emotional disorders. A substantial portion of patients seen in clinical practice are taking some medication or might usefully be advised to do so. But many clinical psychologists, social workers, and counselors need additional information in order to better treat patients already on medication, know when and to whom to refer new patients for psychiatric consultation, and work collaboratively with psychiatrists when appropriate. Michael J. Gitlin's indispensable first edition of The Psychotherapists Guide to Psychopharmacology has now been updated and revised -- this new second edition now reflects major changes that have influenced the clinical arena in the last five years such as the recent release of DSM-IV and the domination of the psychopharmacological field by the selective serotonin reuptake inhibitors, such as fluoxetine (Prozac). The Psychotherapists Guide to Psychopharmacology, Second Edition also now includes coverage of attention deficit/hyperactivity disorder and contains updated sections on the new antipsychotics for schizophrenia and the increased use of anticonvulsant mood stabilizers for bipolar disorder. The book also includes other significant changes that have influenced the field over the last few years, such as brain imaging studies, research in obsessive compulsive disorder and social phobia, and such prominent topics in women's health as pregnancy, PMS, postpartum disorders, and breast feeding. This revision of an already established guide will again be an essential reference for all nonmedical professionals involved in treating mental and emotional disorders.