Your Heart Is the Size of Your Fist draws readers into the complicated, poignant, and often-overlooked daily happenings of a busy urban medical clinic for refugees.
An Iraqi journalist whose son has been been murdered develops post-traumatic stress disorder and mourns his loss of vocation. A Congolese woman refuses antiretroviral treatment for her new HIV diagnosis, and instead places her trust in Jesus. Two conservative Muslim Iraqi women are inadvertently exposed to pornography when a doctor uses Google Images to supplement a medical discussion. By turns humorous, distressing, and moving, these stories offer insight into the people seeking a new life while navigating poverty, language barriers, and neighbours who aren’t always friendly.
This riveting collection of true stories from Dr. Martina Scholtens is filled with hope and humour, and together make up a deeply moving portrait of how one doctor attempts to provide quality care and advocacy for patients while remaining culturally sensitive, even as she wrestles with guilt, awareness of her own privilege, the faith she was raised with, and vicarious trauma after hearing countless stories of brutality and suffering.
In the spirit of Louise Aronson and Atul Gawande, Scholtens’ writing is based on her personal experiences and explores the transformative moments in which a clinical doctor-patient relationship becomes a profound human-human connection.
Dr. Martina Scholtens is a clinical instructor with the Faculty of Medicine at the University of British Columbia, and worked at the province’s only refugee clinic for ten years, caring for patients from around the globe. The recipient of the Mimi Divinsky Award for History and Narrative in Family Medicine (2016), she is currently completing her residency in Public Health. Scholtens is a member of the Canadian Doctors for Refugee Care, has done extensive advocacy work around federal health insurance for refugees, and has a special interest in Narrative Medicine. For more information, visit martinascholtens.com.
A companion Website will include the fully searchable text, an image bank, an interactive question bank, and an EKG image with explanation test bank.
ìBoth editors have done a wonderful job in building upon the previous versions of this book to create an exceptionally comprehensive resource... Healthcare continues to evolve at an extremely fast pace and it is with excellent resources like this that primary care providers can continue to provide quality care." Score: 100, 5 stars--Doodyís Medical Reviews
Praise for the Second Edition:
"This textbook provides comprehensive coverage of primary care disorders in an easy-to-read format and contains invaluable step-by-step instructions for evaluating and managing primary care patients. . . [It] belongs in every NP and PA's reference library. I highly recommend this wonderful textbook."
-Maria T. Leik, MSN, FNP-BC, ANP-BC, GNP-BC
President, National ARNP Services, Inc.
"Family Practice Guidelines is an excellent resource for the busy clinician. It offers succinct, comprehensive information in an easy format that is particularly useful for quick reference. This text is useful for general practice settings as well as specialty care."
-Anne Moore, APN; WHNP/ANP-BC; FAANP
This is a comprehensive family practice resource for primary care clinicians, providing current national practice guidelines for a high-quality standard of care for patients across the life span in outpatient settings. It includes individual care guidelines for adult, child, pregnant, and geriatric patients; health promotion and dietary information; procedure guidelines; national resources; and comprehensive patient teaching guides. This third edition includes updated national treatment guidelines throughout, including the most recent cardiology guidelines (JNC 8), seven new protocols, revised procedure guidelines a new chapter on pain management guidelines for patients with opioid addiction, and patient teaching sheets in print and PDF formats.
The guide includes 268 disorder guidelines organized by body system, presented in outline format for easy access. Each disorder includes definition, incidence, pathogenesis, predisposing factors, common complaints, signs/symptoms, subjective data, physical exam and diagnostic tests, differential diagnosis, plan of care including medications, and follow-up care. Of special note are highlighted "Practice Pointers" containing critical information and "Individual Considerations" at the end of each disorder that provide specialty care points for pediatric, pregnant, and geriatric populations.
This resource includes:151 Patient Teaching Guides 19 Procedure guidelines Routine health maintenance guidelines Appendices covering special diets, normal lab values, and dental issues