Our health care system is in critical condition. Each year, fewer Americans can afford it, fewer businesses can provide it, and fewer government programs can promise it for future generations.
We need a cure, and we need it now.
Harvard Business School’s Clayton M. Christensen—whose bestselling The Innovator’s Dilemma revolutionized the business world—presents The Innovator’s Prescription, a comprehensive analysis of the strategies that will improve health care and make it affordable.
Christensen applies the principles of disruptive innovation to the broken health care system with two pioneers in the field—Dr. Jerome Grossman and Dr. Jason Hwang. Together, they examine a range of symptoms and offer proven solutions.
YOU’LL DISCOVER HOW“Precision medicine” reduces costs and makes good on the promise of personalized care Disruptive business models improve quality, accessibility, and affordability by changing the way hospitals and doctors work Patient networks enable better treatment of chronic diseases Employers can change the roles they play in health care to compete effectively in the era of globalization Insurance and regulatory reforms stimulate disruption in health care
These facts are the foundation of Clean, a myth-shattering look at drug abuse by the author of Beautiful Boy. Based on the latest research in psychology, neuroscience, and medicine, Clean is a leap beyond the traditional approaches to prevention and treatment of addiction and the mental illnesses that usually accompany it. The existing treatment system, including Twelve Step programs and rehabs, has helped some, but it has failed to help many more, and David Sheff explains why. He spent time with scores of scientists, doctors, counselors, and addicts and their families to learn how addiction works and what can effectively treat it. Clean offers clear, cogent counsel for parents and others who want to prevent drug problems and for addicts and their loved ones no matter what stage of the illness they’re in. But it is also a book for all of us — a powerful rethinking of the greatest public health challenge of our time.
In Deadly Spin, Potter takes readers behind the scenes of the insurance industry to show how a huge chunk of our absurd healthcare expenditures actually bankrolls a propaganda campaign and lobbying effort focused on protecting one thing: profits. With the unique vantage of both a whistleblower and a high-powered former insider, Potter moves beyond the healthcare crisis to show how public relations works, and how it has come to play a massive, often insidious role in our political process-and our lives.
This important and timely book tells Potter's remarkable personal story, but its larger goal is to explain how people like Potter, before his change of heart, can get the public to think and act in ways that benefit big corporations-and the Wall Street money managers who own them.
In 1998 Andrew Wakefield, a British gastroenterologist with a history of self-promotion, published a paper with a shocking allegation: the measles-mumps-rubella vaccine might cause autism. The media seized hold of the story and, in the process, helped to launch one of the most devastating health scares ever. In the years to come Wakefield would be revealed as a profiteer in league with class-action lawyers, and he would eventually lose his medical license. Meanwhile one study after another failed to find any link between childhood vaccines and autism.
Yet the myth that vaccines somehow cause developmental disorders lives on. Despite the lack of corroborating evidence, it has been popularized by media personalities such as Oprah Winfrey and Jenny McCarthy and legitimized by journalists who claim that they are just being fair to “both sides” of an issue about which there is little debate. Meanwhile millions of dollars have been diverted from potential breakthroughs in autism research, families have spent their savings on ineffective “miracle cures,” and declining vaccination rates have led to outbreaks of deadly illnesses like Hib, measles, and whooping cough. Most tragic of all is the increasing number of children dying from vaccine-preventable diseases.
In The Panic Virus Seth Mnookin draws on interviews with parents, public-health advocates, scientists, and anti-vaccine activists to tackle a fundamental question: How do we decide what the truth is? The fascinating answer helps explain everything from the persistence of conspiracy theories about 9/11 to the appeal of talk-show hosts who demand that President Obama “prove” he was born in America.
The Panic Virus is a riveting and sometimes heart-breaking medical detective story that explores the limits of rational thought. It is the ultimate cautionary tale for our time.
Through an objective examination of marijuana and alcohol, and the laws and social practices that steer people toward the latter, the authors pose a simple yet rarely considered question: Why do we punish adults who make the rational, safer choice to use marijuana instead of alcohol? For those unfamiliar with marijuana, Marijuana Is Safer provides an introduction to the cannabis plant and its effects on the user, and debunks some of the government's most frequently cited marijuana myths.
More importantly, for the millions of Americans who want to advance the cause of marijuana policy reform--or simply want to defend their own personal, safer choice--this book provides the talking points and detailed information needed to make persuasive arguments to friends, family, coworkers, elected officials and, of course, future voters.
Public Health 101: Healthy People--Healthy Populations provides a big-picture, population perspective on the determinants of health and disease and the tools available to protect and promote health. It examines the full range of options for intervention including use of the healthcare system, the public health system, and society-wide systems such as laws and taxation.
Through case studies, vignettes, and extensive examples, readers will come away with a clear understanding of how public health affects them in their everyday lives. They will learn and apply frameworks for thinking about the issues of public health and gain a deeper understanding about the health news they are exposed to each day.
Public Health 101 fully implements the curriculum framework, learning objectives, and "enduring understandings" of undergraduate public health education as recommended by the Association of American Colleges and Universities (AAC&U)* and the Association for Prevention Teaching and Research (APTR).
Frameworks for thinking, checklists, and step-by-step examples provide students with hands-on practice.
Case studies, vignettes, and extensive illustrations reinforce the materials and provide interactive exercises for classroom discussions, homework, and examinations.
A full package of instructor resources is available online at http://publichealth.jbpub.com/essential/riegelman.
* To learn more about the AAC&U initiative, The Educated Citizen and Public Health, or to download the curriculum guide, log on to: www.aacu.org/public_health.
Looking for more real-life evidence? Check out Essential Case Studies in Public Health, Putting Public Health into Practice.
Separate chapters on disease outbreak investigation and disaster management describe the nurse's role in surveilling public health and managing these types of threats to public health.
Separate unit on the public/community health nurse's role describes the different roles and functions of the public/community health nurse within the community.
Levels of Prevention boxes show how community/public health nurses deliver health care interventions at the primary, secondary, and tertiary levels of prevention.
What Do You Think?, Did You Know?, and How To? boxes use practical examples and critical thinking exercises to illustrate chapter content.
The Cutting Edge highlights significant issues and new approaches to community-oriented nursing practice.
Practice Application provides case studies with critical thinking questions.
Separate chapters on community health initiatives thoroughly describe different approaches to promoting health among populations. Appendixes offer additional resources and key information, such as screening and assessment tools and clinical practice guidelines.Linking Content to Practice boxes provide real-life applications for chapter content.
NEW! Healthy People 2020 feature boxes highlight the goals and objectives for promoting health and wellness over the next decade.
NEW! The Nurse in Forensics chapter focuses on the unique role of forensic nurses in public health and safety, interpersonal violence, mass violence, and disasters. NEW! Genomics in Public Health Nursing chapter includes a history of genetics and genomics and their impact on public/community health nursing care.
Hoping for the stability he needs to start a family, Jauhar accepts a position at a massive teaching hospital on the outskirts of Queens. With a decade's worth of elite medical training behind him, he is eager to settle down and reap the rewards of countless sleepless nights. Instead, he is confronted with sobering truths. Doctors' morale is low and getting lower. Blatant cronyism determines patient referrals, corporate ties distort medical decisions, and unnecessary tests are routinely performed in order to generate income. Meanwhile, a single patient in Jauhar's hospital might see fifteen specialists in one stay and still fail to receive a full picture of his actual condition.
Provoked by his unsettling experiences, Jauhar has written an introspective memoir that is also an impassioned plea for reform. With American medicine at a crossroads, Doctored is the important work of a writer unafraid to challenge the establishment and incite controversy.
In conjunction with its supplement, The Licensing Exam Review Guide for Nursing Home Administration, this text has helped thousands of students become licensed nursing home administrators.
Crohn's disease and colitis are frustrating, often debilitating gastrointestinal diseases that can have a severe impact on the overall health of those who suffer from them. According to the latest estimates, more than 600,000 patients in North America have Crohn's disease. Written by a physician specialising in the treatment of IBDs, Crohn's and Colitis For Dummies is a complete plain-English guide to understanding, treating, and living well with these diseases.Helps readers actively recognize symptoms of Crohn's and colitis and explains the diagnostic procedures doctors use to identify these diseases Outlines how the whole body is affected by Crohn's and colitis, and the potential hazards of letting the disease go untreated Offers expert advice and guidance on controlling Crohn's and colitis with diet and outlines the treatment options of medicines and surgery, including the various risks and benefits of each Provides practical advice for parents of children with Crohn's and colitis with insights into how children's treatment options can differ from those of adults
New to this edition: The Perspectives sections and the glossary have been updated. The book features a cutting-edge view of the health care landscape in 2013 and beyond after passage and pending implementation of the Affordable Care Act. Areas of expanded content include revised examples of financial statements for both private non-profit hospitals and investor-owned hospital management companies, changes in bad debt and charity care, the role of financial statements, the discount rate or cost of capital, lease financing section, use of cost information, budgeting, cost centers, and current forms of reimbursement Content new to this edition includes valuation of accounts receivable and the "waterfall" effect of cash collections, differences between Posting-Date and Service-Date reporting methodologies, calculation of effective annual interest rate, application of time value of money in perspectives, and Activity-Based Costing from the perspective of labor, supplies, and equipment.
Jonas and Kovner's Health Care Delivery in the United States is one of the stronger health policy texts on the market. Readers and instructors looking for an up-to-date, broad-based overview of US health policy should strongly consider using the book.--The Journal of the American Medical Association (JAMA)
This new edition brings order to the subject as well as a nuanced discussion of the systems complexities. The text is an important addition to a health professional's bookshelf.
Stephen S. Mick, PhD, FACHE
Department of Health Administration
Virginia Commonwealth University
The timing of this book is impeccable. An exceptional primer for future health care leaders and a must read for all those interested in the most talked about topic today.
Kathleen Gallo, RN, PhD, MBA
North Shore-LIJ Health System
This tenth edition of a classic textbook, updated in November 2013 with a free, downloadable chapter on the Affordable Care Act (ACA), presents the critical issues and core challenges surrounding our health care system. Designed for graduate and advanced undergraduate students, it includes the contributions of leading thinkers, educators, and practitioners who provide an in-depth and objective appraisal of why and how we organize health care the way we do; the enormous impact of health-related behaviors on the structure, function, and cost of the health care delivery system; and other emerging and recurrent issues in health policy, health care management, and public health. To update this book with the rapid changes that have occurred in health care through November 2013, a separate chapter, the Affordable Care Act (ACA) Supplement, is available to students and instructors as a downloadable PDF.
This text is divided into five sections, in order to provide some coherence to this broad terrain. Part I, The Current U.S. Health Care System, addresses major characteristics and issues, including reform, financing, and comparative health care systems. This section now includes multiple new charts and tables providing concrete health care data. Part II, Population Health, focuses on health behavior, including health care models, public health policy and practice, risk factors, facilitating healthy lifestyle practices, and access to care. Part III, Medical Care Delivery, addresses integrated health models, delivering high-quality health care, health care costs and value, and comparative effectiveness. Part IV, Support for Medical Care Delivery, concerns governance and management issues, including accountability, the health workforce, and information technology. Part V, The Future of Health Care Delivery in the United States, includes a new 5-year trend forecast.
Includes major provisions of the Patient Protection and Affordable Health Care Act of 2010 Each chapter includes these special features: key concepts; extensive mapping resources; key words; learning objectives; discussion questions; and case studies Covers the newest models of care, such as Accountable Care Organizations and Integrated Delivery Systems Examines new ways of conceptualizing and assessing health care, including comparative effectiveness research Features contributions by leading scholars and key figures within the U.S. health care system, including John Billings, JD; Carolyn M. Clancy, MD; C. Tracy Orleans, PhD; and Michael S. Sparer, PhD, JD Contains new coverage of health reform, developing countries, population health, public health and catastrophic events, and a broadened discussion of the health care workforce Affordable Care Act (ACA) Supplement available to students and instructors as a downloadable PDF
Available to Instructors:
Instructor's Guide (updated to reflect content from ACA supplement) PowerPoint Presentations Image Bank Test Bank (updated to reflect content from ACA supplement)"
The 7th edition of this leading text has been revised and updated to include a greater focus on the global analysis of industry and competition; and analysis of the internal environment.
It provides guidance on strategic planning, analysis of the health services environment (both internal and external) and lessons on implementation. It also looks at organizational capability, sustainability, CSR and the sources of organizational inertia and competency traps.
Last Best Gifts offers a fresh perspective on this ethical dilemma by examining the social organization of blood and organ donation in Europe and the United States. Gifts of blood and organs are not given everywhere in the same way or to the same extent—contrasts that allow Kieran Healy to uncover the pivotal role that institutions play in fashioning the contexts for donations. Procurement organizations, he shows, sustain altruism by providing opportunities to give and by producing public accounts of what giving means. In the end, Healy suggests, successful systems rest on the fairness of the exchange, rather than the purity of a donor’s altruism or the size of a financial incentive.
Over the past half century, deaths from heart disease, stroke, and so many other killers have fallen dramatically. But cancer continues to kill with abandon. In 2013, despite a four-decade “war” against the disease that has cost hundreds of billions of dollars, more than 1.6 million Americans will be diagnosed with cancer and nearly six hundred thousand will die from it.
A decade ago, Clifton Leaf, a celebrated journalist and a cancer survivor himself, began to investigate why we had made such limited progress fighting this terrifying disease. The result is a gripping narrative that reveals why the public’s immense investment in research has been badly misspent, why scientists seldom collaborate and share their data, why new drugs are so expensive yet routinely fail, and why our best hope for progress—brilliant young scientists—are now abandoning the search for a cure. “Through flowing prose Leaf delivers, alongside facts and data, stories on personalities involved in research, the fascinating process of solving an unusual and highly deadly cancer in Africa, and the heartbreaking realities of cancer treatment in children today. Leaf’s extensively investigated treatise will resonate with researchers and patients frustrated by the bureaucratic woes he delineates. Public policy makers, grant reviewers, and pharmaceutical researchers alike must consider Leaf’s indictment and proposed solutions” (Publishers Weekly). The Truth in Small Doses is that rare tale that will both outrage readers and inspire conversation and change.
Chase’s account alternates between a fiercely loyal and honest memoir and rigorous scientific exploration. He finds scientific answers to deeply personal questions about the course of his brother’s illness. He describes psychiatric practice from the 1950s—when electroconvulsive shock therapy was common and the use of antipsychotic medications was in its infancy—to the development of newer treatments in the 1990s. Current medical and scientific research increases our understanding of genetic and environmental causes of the disease.
Chase also explores the stigma of mental illness, the evolution of schizophrenia, the paradox of its persistence despite low reproduction rates in persons with the disease, and the human stories behind death statistics. With the author’s intimate knowledge of the suffering caused by this disease, Schizophrenia emphasizes research strategies, the importance of sound scientific approaches, and the challenges that remain.-- Andrew Shaner, M.D., author of Overcoming Addictions: Skills Training for People with SchizophreniaAkira Sawa, M.D., Ph.D., Director and Professor, Johns Hopkins Schizophrenia Center, Department of Psychiatry, Johns Hopkins Medicine
This important resource provides an in-depth, analytical, and practical approach to building, sustaining, and nurturing these complex organizations.
Author Frances Dunn Butterfoss includes all the tools for success in collaborative work from a research and practice-based stance. The book contains useful approaches to the issues, recommendations for action, resources for further study, and examples from actual coalition work.
Coalitions and Partnerships in Community Health exploresHistorical foundations of coalitions and partnerships Principles of collaboration and partnering Benefits and challenges of a coalition approach Coalition frameworks and models Cultivating coalition leadership Roles and responsibilities of coalition staff, leaders, and members Communication, decision-making, and problem-solving methods Vision, mission, and bylaws Effective marketing Planning for sustainability Approaches to assessment Developing strategic and action plans Implementing coalition strategies in the community Media advocacy, strategies, and tips Participatory coalition evaluation
Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America.
Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers:
A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems.
Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Deaton describes vast innovations and wrenching setbacks: the successes of antibiotics, pest control, vaccinations, and clean water on the one hand, and disastrous famines and the HIV/AIDS epidemic on the other. He examines the United States, a nation that has prospered but is today experiencing slower growth and increasing inequality. He also considers how economic growth in India and China has improved the lives of more than a billion people. Deaton argues that international aid has been ineffective and even harmful. He suggests alternative efforts--including reforming incentives to drug companies and lifting trade restrictions--that will allow the developing world to bring about its own Great Escape.
Demonstrating how changes in health and living standards have transformed our lives, The Great Escape is a powerful guide to addressing the well-being of all nations.
Complete and up-to-date, this book describes safer sex practices, testing protocols, and symptoms, and details commonly known treatments as well as significant recent medical advances—including new testing for the herpes virus, the vaccine against the human papilloma virus (HPV), and new discoveries about the effectiveness of spermicides and condoms. For each disease, Dr. Marr offers the latest Sexually Transmitted Disease Treatment Guidelines from the Centers for Disease Control and Prevention.
Forthright, compassionate, and practical, this guide is a trusted source of advice for anyone who is sexually active.
This thoroughly expanded Third Edition provides an easily accessible introduction to the logistic regression (LR) model and highlights the power of this model by examining the relationship between a dichotomous outcome and a set of covariables.
Applied Logistic Regression, Third Edition emphasizes applications in the health sciences and handpicks topics that best suit the use of modern statistical software. The book provides readers with state-of-the-art techniques for building, interpreting, and assessing the performance of LR models. New and updated features include:A chapter on the analysis of correlated outcome data A wealth of additional material for topics ranging from Bayesian methods to assessing model fit Rich data sets from real-world studies that demonstrate each method under discussion Detailed examples and interpretation of the presented results as well as exercises throughout
Applied Logistic Regression, Third Edition is a must-have guide for professionals and researchers who need to model nominal or ordinal scaled outcome variables in public health, medicine, and the social sciences as well as a wide range of other fields and disciplines.
Now, world-renowned addiction expert Stanton Peele demystifies addiction and offers a groundbreaking program that puts at your disposal what does work in treatment and recovery. For four decades, Dr. Peele has challenged our understanding of addiction and recovery. He has developed approaches that break the cycle of addiction and empower us to take control of our lives--including understanding that we are able to direct our own brains to change. In Recover! Dr. Peele's PERFECT Program takes you through the key concepts of mindfulness--that is, your ability to detach from your addictive experience and to see that it is not who you are--combined with the Buddhist idea of loving kindness, or self-acceptance. It's an easily grasped, yet multifaceted program that allows your true self to overcome your addictive urges.
Instead of focusing on what's wrong with you, the PERFECT Program will help you discover, embrace, and build your recovery on what's already right about you. Combining the best evidence-based treatments with the mindful use of meditation, Recover! presents a life-transforming philosophy for freeing yourself from addiction forever.
The Growing Importance of Management to Institutional, Patient, and Community Health
Stages in health services management
Public health period: into the 1920s
Physician period: 1930s into 1960s
Hospital period: 1960s into 1990s
Framework for a strategic management role to improve patient outcomes and community health
Health and the Health System
Inputs to health
The health system
Personal health care system
Environmental Pressures from Cost Controls and Consolidation
Are health care costs too high?
Why are costs rising?
Who pays and how do they try to control costs and quality?
How are physicians paid?
How are hospitals paid?
How do payers control costs and quality of care?
Future prospects for cost controls
Implications of cost control on management of health services
Consolidation of health services
Investor-owned health systems
Are horizontal, vertical, and for-profit consolidations beneficial?
Implications of consolidation on management of health services
PART II STRATEGIC MANAGEMENT
Strategic Management Defined
The concept of ultrastable equilibrium
The strategic management process
The major components of the strategic management process
The role of the strategic manager
Determining the mission, goals and objectives
The SWOT analysis
The strategy plan
Changing Roles of the Chief Executive Officer with Special Emphasis on the Evaluation/Control Process
Role models--an overview
PART III HEALTH SERVICES ORGANIZATION ISSUES
Organizational Arrangements of Health Services Delivery Systems
Health service functions and the patient care systems
Governance of Health Services Organizations
Functions of governing boards
Structural characteristics of a governing board
Who really controls hospitals and health services?
Hospital performance seems to relate to accountability
How does consumerism relate to governance?
Board decision processes
Barriers to physician/management relationships
Who are physicians?
Who become physicians?
What is the conditioning process of medical education?
The physician surplus
Hospital medical staff organization
Corporate integration of physician services
Management and physicians
Nursing in transition
Issues in nursing
Implications for management
PART IV MANAGERIAL FUNCTIONS AND ISSUES
Other Health Professionals and Programs
Other health professionals
Management of professional services to patients
Computer systems--medical and management information systems--decision support systems
Human resources management
Public relations and volunteer services
Factors that might improve effectiveness of functional specialists
Management of Access: an Epidemiological Approach to Marketing
Marketing and demarketing health services
An epidemiological approach to marketing
Managing access to care: balancing community and institutional health needs
Management of Quality and Costs
Forces for more attention to quality
Approaches to evaluating quality of care
Methods for managing quality of physicians’ services
Management of quality or cost?
The bottom line and the rational manager
The Management of Human Resources
The nature of the human resources function
Management’s human resources tools
Managing Conflict and Labor Management Relations
The nature of conflict
The status factor
Mitigation of conflict
Action program for mitigation of conflict
Changing philosophies regarding unions
Employees, managers, and unions
Collective bargaining process
PART V FUTURE CHALLENGES, STRATEGIES, AND ETHICS
Managerial Performance and Ethics for Hospitals and Health Services into the Twenty-first Century
Organization and management strategies for meeting future challenges to management
Diseases of health services management
Management of organizational decline
An ethical framework for health services management
Personal approaches to management
To patients, the healthcare system is a black box. Doctors and hospitals are unaccountable, and the lack of transparency leaves both bad doctors and systemic flaws unchecked. Patients need to know more of what healthcare workers know, so they can make informed choices. Accountability in healthcare would expose dangerous doctors, reward good performance, and force positive change nationally, using the power of the free market. Unaccountable is a powerful, no-nonsense, non-partisan diagnosis for healing our hospitals and reforming our broken healthcare system.
At first, that sounds like a stupid question. Aging is such an intrinsic aspect to the human condition we tend to take for granted it . . . just . . . happens.
But we live in a world of cause and effect. Aging is an effect, so what is the cause?
The common way of thinking about this is from the perspective our bodies are physical, and everything else that's physical eventually wears out or breaks down, such as our cars, our houses, and even our computers.
That's known as the "wear and tear" theory of aging.
But our bodies are different from such items because they're alive and, in optimum conditions of health, regenerate themselves if at all possible.
Cuts heal over, broken bones knit, and so on.
Indeed, every day millions of our cells die in the course of performing their functions. They're simply replaced by new cells. Our bodies can even work around permanently damaged tissue, even including the brain itself.
However, at a certain point, our bodies become less able to repair and regenerate. About age 40 we stop totally repairing and processing all the protein from our dead and damaged cells. Like a declining city running out of tax revenue, services such as street repair and garbage collection get farther and farther behind.
The fear of death and the desire to live (youthfully) forever have obsessed humanity since the dawn of our species.
In one way or another, we have searched for the Fountain of Youth, to become immortal -- eternally young.
In the last hundred to hundred-fifty years or so, the average life span of people -- especially in the developed world -- has increased dramatically. Credit for that goes principly to improved sanitation, antibiotics, improved care of infants and small children, and an increase in the food supply.
So we've removed or dramatically reduced many of the causes of childhood through adulthood death.
We're living longer because more of us reach old age. Once there, however, the main causes of death are heart disease, cancer, and strokes.
The medical establishment has created heroic measures to help people with these and related problems.
But what if we could avoid them altogether? What if we could "cure" the "disease" of old age?
How long would we live?
Isn't that a better question?
That's the purpose of this short report -- to tell you about the Nobel winning medical research on telomeres and telomerase which may hold the key to an extra long lifespan, and the supplement which is available right now to help you live longer.
It's not for everybody, and it may not be for you. And you'll also learn additional ways to maintain good health far into advanced old age.
Now we have additional scientific evidence showing moderate exercise, a noninflammatory diet, controlling stress, and antioxidants really do help you live not only better, but longer.
This is a short report -- around 10,000 words -- on the amazing health and anti-aging benefits available right now to seniors who wish to postpone old age and death as long as possible.
Therefore, scroll up, and download it right away.
Military medical personnel provide outstanding health support to those who serve in harm’s way. As war hasevolved, so has our medical support to those who fight. Today, American service members face a new terrain of mobile urbanconflict.
Despite advances in personal and force protection, our forces remain vulnerable to blast wounds, burns, and multiplepenetrating injuries not usually or routinely encountered in civilian settings. This publication expertly addresses the appropriate medicalmanagement of these and other battle and nonbattle injuries.
This updated resource provides state-of-the-art principles and practices of forward trauma surgery practiced by the US military medical personnel.
Five features of this book that make it distinctive are:Most current “How to” book on leading a food safety department from the perspective of a respected national brandProvides the proper organization and methods to manage the work necessary to ensure food safety within the organization Provides the means to utilize risk-based decisions linked to business practices that accommodate a business analysis model Demonstrates step-by-step examples that can be used for continuous improvement in sustaining food safety responsibilities Provides examples on how to gain influence and obtain resources to support food safety responsibilities
In Sierra Leone, one in 21 fifteen-year-old women will die in her fertile years of a maternal-related cause; in Italy, the figure is one in 17,100; but in the United States, which spends more on healthcare than any other country in the world, it is one in 1,800. Why?
Dramatic differences in health are not a simple matter of rich and poor; poverty alone doesn't drive ill health, but inequality does. Indeed, suicide, heart disease, lung disease, obesity, and diabetes, for example, are all linked to social disadvantage. In every country, people at relative social disadvantage suffer health disadvantage and shorter lives. Within countries, the higher the social status of individuals, the better their health. These health inequalities defy the usual explanations. Conventional approaches to improving health have emphasized access to technical solutions and changes in the behavior of individuals, but these methods only go so far. What really makes a difference is creating the conditions for people to have control over their lives, to have the power to live as they want. Empowerment is the key to reducing health inequality and thereby improving the health of everyone. Marmot emphasizes that the rate of illness of a society as a whole determines how well it functions; the greater the health inequity, the greater the dysfunction.
Marmot underscores that we have the tools and resources materially to improve levels of health for individuals and societies around the world, and that to not do so would be a form of injustice. Citing powerful examples and startling statistics ("young men in the U.S. have less chance of surviving to sixty than young men in forty-nine other countries†?), The Health Gap presents compelling evidence for a radical change in the way we think about health and indeed society, and inspires us to address the societal imbalances in power, money, and resources that work against health equity.
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.
In the first book of its kind, journalist Donna Jackson Nakazawa examines nearly 100 debilitating autoimmune diseases—such as multiple sclerosis, lupus, Crohn’s disease, type 1 diabetes, and rheumatoid arthritis—that cause the body to destroy itself, mistakenly attacking healthy cells as the immune system fights off bacteria, viruses, and other invaders. As Nakazawa share the vivid, heartbreaking stories, including her own, of people living with these mysterious, chronic, and often hard-to-diagnose illnesses, she explores the alarming and unexpected connection between this deadly crisis and the countless environmental triggers we’re exposed to every day: heavy metals, toxins, pesticides, viruses, chemicals in the foods we eat, and more.
With the help of leading experts, Nakazawa explores revolutionary preventions, treatments, and cures emerging around the world and offers practical advice for protecting your immune system and reducing your risk of autoimmune disease in the future.
If you’re someone who has begun to doubt you will ever reach your ideal weight, help and hope are here. State of Slim is broken down into three phases to help you reignite, rebuild, and reinforce your body’s fat-burning engines so you develop a Mile-High Metabolism—one that’s keenly responsive to shifts in activity and diet. In the reignite and rebuild phases, you’ll learn the diet and exercise strategies that will help you drop up to 20 pounds in just 8 weeks. In the reinforce phase, you’ll continue to lose weight and solidify your new lifestyle.
Along the way, you’ll discover how to make changes in your environment and your mind-set so they support, rather than thwart, your success. With State of Slim as your guide, you won’t just lose weight, you’ll actually change your body so it’s primed to stay in a state of slim for good.
What makes a healthy community? And how can nurses and midwives support community health and wellbeing?
In Community Health and Wellness, 4th Edition: Primary health care in practice, authors Anne McMurray and Jill Clendon advance the discussion of health as a product of the interaction between people and their environment.
Engagingly written and based on extensive research, this valuable nursing textbook is ideal for nursing students as well as those working in the field.
Issues such a gender and cultural inclusiveness provide essential backdrops to evidence-based policy, research and the provision of equitable health care for all.
The Miller Family case study
This new edition of Community Health and Wellness features a common family case study running throughout the text.
The Miller family crosses Australia and New Zealand; providing examples of primary health care issues in both countries.
These include child health services, accessing care, adolescent health, contemporary family issues, ageing, cultural support and inclusive health care.• global insights with a focus on primary health care practice in Australia and New Zealand
• promotion of community health care across the lifespan
• a unique socio-ecological approach to community health
• the Ottawa Charter, the Jakarta Declaration and the Bangkok Charter are included as contemporary health promotion guidelines for practice
• extensive references providing current, specific source information
• an emphasis on health literacy, intervention and health promotion
• an evolving case study in each chapter, with links to reflective activities
• a focus on learning outcomes to facilitate the integration of policy, research and practice
• exploration of Australian and New Zealand nursing and midwifery roles in primary health care practice
• strong pedagogy to increase engagement and emphasise key community health issues
• reflective exercises and action points encouraging readers to consider key issues, their implications and next steps
• research studies exemplifying each chapter’s central theme and promoting evidence-based practice
The text clearly outlines the fundamental principles behind the method while applying it to practice. Problems of resistance and lack of motivation are explored and practical strategies to manage them are suggested. The patient is at the centre throughout. Short case examples and dilemmas from clinical settings ground the method in the reality of practice.
Well accepted method.
Reflects professionals' current concerns with health promotion and effective use of time.
Highly respected authors.
Genuine international market.
Particularly relevant to US practice.
US spellings throughout.
text revised and updated throughout to reflect developments in the field e.g. new studies that have been conducted since 1e published
improved appearance with addition of a second colour and more modern page design to increase appeal
chapter summaries added to aid assimilation
more material relating to obesity
Fast Facts for the School Nurse is a virtual compendium of situations that school nurses encounter in their practice. It will direct school nurses to the answers for many questions and to wiser counsel when a dilemma seems unsolvable. It is a reference for school nurses authored by a school nurse of publically acclaimed distinction who brings a lifetime of experience to these pages.
Lucille A. Joel, RN, EdD, FAAN
Rutgers, College of Nursing
This concise handbook provides quick access to all of the information that new and more experienced school nurses need to perform their duties competently and efficiently. Organized for ease of use, it offers guidelines for the range of daily tasks, nursing responsibilities, and clinical protocols needed for safe management of common childhood illnesses, accidents, and emergencies.
The book covers legal and ethical issues, documentation requirements, guidelines for managing acute and chronic conditions, behavior problems, gender issues, disaster planning, infectious disease control, delivery of culturally appropriate care, drug abuse, and teen parenting. A key asset for the busy school nurse is the prioritization of tasks and responsibilities. This handy reference is designed for new nurses entering the field or transitioning from a hospital setting, as well as experienced school nurses.Key Features:
Presents guidelines and management protocols for commonly occurring childhood disorders, accidents, and emergency situations Prioritizes tasks and responsibilities Alerts the school nurse to high risk legal issues and includes requirements of the Individuals with Disabilities Act Includes a "Special Health Issues" section focusing on today's most prevalent health situations