Download Fundamentals of Clinical Practice: A Textbook on the by Mark B. Mengel, Warren L. Holleman PDF

By Mark B. Mengel, Warren L. Holleman

Basics of scientific perform is an introductory textbook targeting the sufferer­ doctor courting. previously closeted in the back of closed doorways, this such a lot intimate of therapeutic relationships is coming below expanding medical scrutiny. Physicians and different healthcare prone are commencing to comprehend the serious value of this relation­ send to the wellbeing and fitness of sufferers, in addition to to bigger societal relationships, structures, and values. To facilitate the reader's exploration of the patient-physician courting, all chap­ ters contain a number of illustrative situations and finish with situations for dialogue that permit small teams of inexperienced persons to take on those tough matters. Our speculation is that via dialogue a deeper figuring out of the dynamics of the patient-physician courting will let clinical scholars and different destiny healthcare prone to shape better healing relationships with their sufferers. half I of this textbook, "The Patient," explores the connection throughout the patient's viewpoint, with chapters on human future health and illness and person and kinfolk devel­ opment. figuring out the patient's viewpoint is necessary to setting up a valid thera­ peutic courting. The day while a doctor may possibly keep exclusively a sickness or techno­ logical viewpoint is fading quick lower than the load of sufferer feedback, relatively in basic care fields. sufferers pass judgement on one of these sickness or technological standpoint as much less humane and regularly vote with their toes, discovering different physicians who're far better capable of stability the worrying points of drugs with the curing.

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Additional info for Fundamentals of Clinical Practice: A Textbook on the Patient, Doctor, and Society

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In our frenetic world, many problems that patients bring to the physician are expressions of disequilibrium, anxiety, or the cumulative effects of physical, psychological, and social stress (McEwen, 1998). We are most effective in restoring balance and relieving suffering when we use tools such as empathy and concern, when we listen and support rather than probe and test. The child lay on the gurney, seemingly intact, but mute after having fallen off her bicycle. The pediatric emergency room physician did his best to find some remediable cause of the child’s coma, but it was clear that she had a severe closed-head injury, with little chance of recovery.

The goal is not ultimate success—just as with the life cycle of individuals, the art is in the process as opposed to the product. Medicine is a rewarding struggle, but a struggle nonetheless. CASES FOR DISCUSSION Mrs. O ’Callahan is a 48-year-old clerical worker who lives alone after a painful divorce 3 years ago. Since then she has had a succession of physical problems, including headaches, reflux, insomnia, and foot pain. She comes in to see you now because she has been having twinges of chest pain for about 2 weeks, getting worse particularly in the last 3 days.

This may sound ludicrous when talking about something as cut-and-dried as a fractured ankle, upper respiratory infection, or metastatic breast cancer. But in each of these cases the family structure—in all of its variation—is important both in the etiology of the disease and in our ability to help the patient overcome the problem. The patient with a broken ankle may have suffered the injury on the ski slopes, but his ability to use crutches while the injury heals depends to a certain extent on both the physical and social environments of the family.

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