This book provides a multidisciplinary compendium of research pertaining to aging among diverse racial and ethnic populations in the United States. It focuses on paramount public health, social, behavioral, and biological concerns as they relate to the needs of older minorities. The book is divided into four parts covering psychology, public health/biology, social work, and sociology of minority gang. The book focuses on the needs of four major race and ethnic groups: Asian/Pacific Islander, Hispanic/Latino, black/African American, and Native American. It also includes both inter- and intra-race and ethnic group research for insights regarding minority aging. The chapters focus on an array of subject areas that are recognized as being critical to understanding the well-being of minority elders. These include psychology (cognition, stress, mental health, personality, sexuality, religion, neuroscience, discrimination); medicine/nursing/public health (mortality and morbidity, disability, health disparities, long-term care, genetics, nutritional status, health interventions, physical functioning); social work (aging, caregiving, housing, social services, end-of-life care); and sociology (Medicare, socioeconomic status (SES), work and retirement, social networks, context/neighborhood, ethnography, gender, demographics).
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Forensic Social Work, 2nd Edition:Psychosocial and Legal Issues Across Diverse Populations and Settings
The growing public awareness of bias and discrimination and the disproportionate involvement of minority populations, especially based on race, class, and gender, have affected the social work profession with a call to fulfill its long-forgotten mission to respond and advocate for justice reform and health and public safety. Forensic social workers practice far and wide where issues of justice and fairness are found. This book emphasizes on the diversity of populations and settings, social workers would best serve their clients adding a forensic or legal lens to their practice. It targets the important and emerging practice specialization of forensic social work, a practice specialization that speaks to the heart, head, and hands (i.e., knowledge, values, and skills) of social work using a human rights and social justice approach integrated with a forensic lens. The book defines forensic social work to include not only a narrow group of people who are victims or convicted of crimes and subsequently involved in the juvenile justice and criminal justice settings, but broadly all the individuals and families involved with family and social services, education, child welfare, mental health, and behavioral health or other programs, in which they are affected by human rights and social justice issues, or federal and state laws and policies. Practitioners who read this book will learn and apply a human rights legal framework and social justice and empowerment theories to guide multilevel prevention, psychosocial assessments, and interventions with historically underserved individuals, families, and communities, especially using the life course systems power analysis strategy and family televisiting. The book fills a critical gap in the knowledge, values, and skills for human rights and social justice–focused social work education and training.
This book guides readers through the process of developing a policy analysis. It illustrates questions to be addressed by using general policy issues as well as childhood obesity as a specific example. The book discusses specific areas of politics, policy, health, policy analysis, data, and analytical studies that will be important as readers work their way through the text. The statement of the policy issue is a very precise statement that narrows the focus of their area of concern to a specific area and geopolitical unit. The book deals with the importance of understanding the role of values in the political process. It explains the importance of coalitions, advocacy, and compromise in the political process and deals with the criteria for success, laying the foundation for policy evaluation and developing specific and measurable goals for their policy to achieve. The book further covers the systematic review of policy options within the framework. It discusses the various issues that readers will confront in evaluating one alternative versus another. It discusses the strengths and weaknesses of incrementalism and the role of evidence-based policy. Finally, the book deals with two different parts of the framework: recommendation and strategies. The most important element in terms of strategy is to gain a sense from policy makers how much political capital they are willing to expend to make this proposal a reality.
This book provides a state-of-the-art overview of the principles of cancer care and best practices for restoring function and quality of life to cancer survivors. Cancer rehabilitation interventions including physical, occupational, or speech therapy; exercise training; psychosocial and cognitive interventions; and physician-directed diagnostic imaging, injections, and pharmacologic symptom management have the potential to treat many impairments from cancer treatment, thereby improving functioning and quality of life. Multimodal rehabilitation interventions have also been shown to improve return to work compared to usual care. The chapters of the book review the latest evidence about which interventions should be used to treat specific impairments thereby constituting the most comprehensive and up-to-date reference on this topic. The book is organized into nine parts comprising 90 chapters. Part one presents history of cancer rehabilitation, cancer statistics, and principles of cancer care. Part two discusses various cancer types, which includes breast cancer, gastrointestinal malignancies, head and neck cancer, pediatric cancers, and primary bone tumors and their assessment and management. Parts three through six describe cancer pain, medical complications, neurological and neuromuscular complications, and musculoskeletal complications of cancer such as radiculopathy, plexopathy, autonomic dysfunction, and bone metastases and their management. Part seven discusses general topics related to cancer rehabilitation, which includes physical and occupational therapy, therapeutic modalities in cancer, therapeutic exercise in cancer, nutritional care of the cancer patient, sexuality issues, and distress and other psychiatric considerations in cancer rehabilitation. Part eight thoroughly explores the identification, evaluation, and treatment of specific impairments and disabilities that result from cancer and the treatment of cancer such as balance and gait dysfunction, cancer related fatigue, radiation fibrosis syndrome, and bowel dysfunction. Part nine discusses functional measurement in patients with cancer, health maintenance and screening in cancer survivors, research issues, barriers to accessing cancer rehabilitation, and building a cancer rehabilitation program.
Many social service leaders with only a focus on promoting social justice had become increasingly aware that to grow, they needed to incorporate more financial and business management practices into their nonprofit organizations. Leaders in the for-profit world are becoming more concerned about the need for social responsibility and promoting programs that not only made a profit but also reflected a social justice perspective. This book explicitly integrates social justice principles into the management of a nonprofit organization. The book discusses the history of the development of nonprofit management up to the present day. It addresses legal and ethical considerations, organizational planning and staff management, finance, public relations, fundraising, public advocacy and volunteerism, program design and grant development, governance and board development, developing an international nonprofit, information technology, career development, and creating a nonprofit/social entrepreneurship organization. Additional chapters address quality improvement, mentoring, and proposal writing. The text is ideal for students and faculty in social service administration, human service leadership, social work management, public and community health, public administration, and health care administration and management.
This book helps social workers ensure they maintain the highest professional standards by raising awareness of both the strengths and challenges of the immigrant community. The book first explores the changing demographics of immigrant newcomers and legal classifications of immigrants. It seeks to help social workers better understand the legal meaning of terms such as nonimmigrant, immigrant, Green Card holder, and citizen. Then, the book explores theories of cultural competency and social work practice and describes the intersection of immigration and health, mental health, criminal justice issues, and employment. Issues of particular interest to immigrant communities, such as the exploitation of immigrant workers (and appropriate legal remedies), immigrant access to health services and public benefits, the triple mental health trauma many refugees and asylees face, and the issue of newcomers as victims of crime as well as the immigration consequences of criminal conviction are discussed. The book also deals with family groups, which, although inherently strong, are made vulnerable because of their immigrant status in the United States. It concludes by urging practitioners to expand their strategies and advocate not only for individual clients (at the micro level), but to advocate as well for change at the organizational/agency level (mezzo level), and at the federal, state, and local levels (macro level).
This book is intended to introduce the exciting, challenging, stimulating, and inspiring world of behavioral intervention research. It is about the science and state-of-the-art practices in designing, evaluating, and then translating, implementing, and disseminating novel behavioral interventions for maximum impact on the health and well-being of individuals, families, and their communities. Each chapter tackles critical considerations in behavioral intervention research. The approach is to be as broad and inclusive as possible of the many nuances, intricacies, and issues in this form of inquiry. The book covers a wide range of topics including examining the heart of the matter or strategies for developing behavioral interventions including the pipeline for advancing interventions, the role of theory, intervention delivery characteristics, standardizing treatments, and use of technology. This is followed by evaluative considerations including selecting control groups; identifying recruitment, retention, and fidelity strategies; using mixed methodologies; and ethical challenges. Then the book examines outcome measures and analytic considerations including economic evaluations for maximizing the yield of trial data, and how implementation science can inform the development and advancement of behavioral interventions. Finally, the book explores a host of professional issues unique to this form of inquiry including challenges in staffing behavioral interventionist studies, how to obtain funding for developing and evaluating an intervention, and what, when, and where to publish. Case examples from successful behavioral intervention trials are used throughout each chapter to illustrate key concepts.
This book provides leaders and managers of nonprofit organizations with theoretical and conceptual frameworks, approaches, and strategies that will enable them to manage organizations that are financially sustainable. The book aims to equip students and nonprofit leaders with the information and conceptual frameworks needed to do financial analyses, manage budgets, and conduct various operations for organizational and financial sustainability. People have a tendency to think of financial sustainability almost exclusively in financial terms. The book argues that financial sustainability involves both financial and nonfinancial facets. To that end it provides a systemic conceptual framework. The chapters are articulated around four sections. The first part introduces the concepts of nonprofit organizations and financial sustainability. The second part is about key aspects of organization and planning for sustainability in a nonprofit organization. The third part discusses issues that are vital to the financial sustainability of a nonprofit organization. The last part emphasizes the contributions of management and leadership practices to the financial sustainability of nonprofit organizations. The book may serve as an introductory textbook for future leaders of nonprofit organizations, as well as students in schools or programs of nonprofit leadership, human service leadership, social work, public and community health, organization management, public administration, education, and other similar fields.
This book concentrates on board-related concepts in the field of Rehabilitation Medicine. It will appeal to medical students, residents, and practicing physiatrists. Residents will find the book essential in preparing for Part I and Part II of the Physical Medicine and Rehabilitation (PM&R) Board Certification because it is one of the only books of its kind with major focus on board-related material giving a synopsis of up-to-date PM&R orthopedic, neurologic, and general medical information all in one place. Over 500 diagrams simplify material that is board pertinent. The topics are divided into major subspecialty areas such as stroke, traumatic brain injury, musculoskeletal medicine, electrodiagnostic medicine, prosthetics and orthotics, spinal cord injuries, physical modalities, pulmonary, cardiac, and cancer rehabilitation, pediatric rehabilitation, and pain medicine. All chapters are authored by physicians with special interests and clinical expertise in the respective subjects. Board pearls are highlighted with an open-book icon throughout the text. These pearls are aimed at stressing the clinical and board-eligible aspects of the topics. The content is modeled after the topic selection of the American Academy of Physical Medicine and Rehabilitation Self-Assessment Examination for Residents (SAE-R) Content Outline. This was done specifically to help all residents, post graduates in yearly preparation and carryover from the SAE preparation to board exam preparation. Practicing physiatrists should also find this book helpful in preparation for the recertifying exam.
Social work has a long-standing commitment to healthcare and the recognition of the inextricable link to quality of life and well-being across the lifespan. This book emphasizes the critical importance of health for all members of society and the significant role of social work in the field. It presents essential information about health and social work critical to understanding today’s complex health care systems and policies. The book is intended as a core text for masters of social work (MSW) and advanced bachelor of social work (BSW) courses on health and social work, social work and health care, health and wellness, social work practice in health care, and integrative behavioral health taught in social work, public health, and gerontology. The book is organized into three parts containing 18 chapters. The first chapter describes the role of social work in healthcare. The second chapter discusses ethics and values in healthcare social work. The next three chapters present social determinants of health, intersectionality, and social work assessment. Chapter six discusses health promotion and public health. Chapter seven presents integrated behavioral healthcare. Chapter eight describes substance misuse, abuse, and substance-related disorders. Chapters nine and ten discuss palliative care, end-of-life care, correctional healthcare, and psychosocial care. Chapter 11 describes children and family health. Chapter 12 explores healthcare and work with older adults and their caregivers. Chapters 13 to 15 delve on immigrants and refugee health, health and HIV/AIDS, and LGBTQ health. Chapters 16 and 17 describe healthcare and disability, and healthcare and serving veterans. The final chapter discusses future direction of healthcare and social work.
While there are several comprehensive textbooks on movement disorders, all are lengthy, thick, hardbound books and thus are less useful for the busy, practicing clinician who often needs a quick guide on the diagnostic approach and therapy for various movement disorders. There are a few practical, therapeutic handbooks on Parkinson disease but there are none for other types of movement disorders (chorea, dystonia, myoclonus, ataxia, etc). The ever busy clinician will also benefit from a “primer” on
DBS—its new device types, indications, identification of ideal and non-ideal candidates, and trouble-shooting. This third edition is a practical yet authoritative guide to the diagnosis and work up, and the pharmacological, non-pharmacological and surgical treatments of all types of movement disorders for the clinician-intraining and the practicing clinician. The authors used an “expanded outline bullet point” format, with liberal use of flow charts, algorithms and tables, with emphasis on clinical presentation, work-up and management, rather than pathophysiology and disease mechanism. In summary, this book should provide a comprehensive and practical approach to the neurological, behavioral, and surgical treatment of movement disorders. Because the authors anticipate that clinicians may be reading this book comprehensively, from start to finish; or, using it “on demand” by quickly surveying specific chapters related to the phenomenology of a challenging patient—content overlap has been intentional, to emphasize concepts and principles in diagnosis and management. Several movement disorders can present with different phenomenologies, thus several disorders will reappear in various chapters. From the first to this latest edition, the authors aim has always been to empower the modern clinician with the necessary skills in making the evaluation of movement disorders less intimidating and more rewarding.
The practice of Pediatric Rehabilitation Medicine (
PM&R) is diverse from one country to another, one region to another, one medical center to another and one provider to another. This book covers these diverse areas of practice, whether the care is provided to patients in a large metropolitan tertiary care center, a smaller medical referral center in a less-populated city, or a truly rural practice where the pediatric physiatrist is often the first specialty physician to encounter the child with a disability. The textbook is intended for use by medical providers of all types and especially students, residents, fellows, and busy practicing clinicians within or in close quarters of our specialty of PM&R. The sixth edition of the book provides eight new chapters devoted to Brachial Plexus Palsy, Oncology, Robotics, Genetics, Spasticity Management, Rheumatology, Burns, and Advocacy and significantly expanded coverage of Acquired Brain Injury. These chapters reflect the growth and expansion of the field as medical science evolves, new diagnoses appear, and technology advances at an astounding pace. The thought of powered orthotics and exoskeletons with robotic arms and legs would have been almost impossible to conceive even a decade ago. The book brings in new ideas, many new authors and chapters, and updated material to reflect current evidence-based thinking and practice.
The ambulatory practice is the backbone of the United States health care system. Ambulatory practices exist in many forms – from solo, private, family medicine practices to the multispecialty, outpatient clinic enterprise of a large health system. The ambulatory practice offers many opportunities to enhance the care delivery process. Two of the more fundamental opportunities, which in the current environment are of import for future healthcare leaders, include cost and convenience. An ambulatory practice can be structured to provide high quality healthcare services with much reduced overhead from the traditional inpatient setting. The ambulatory practice setting is cost-effective, aligning well with one of the Triple Aim’s goal of lowering per capita expenditures, thus, creating an opportunity for societal benefit. Ambulatory care provides patients with choice and convenience given the ability to locate services proximate to patient demand. These qualities of the ambulatory practice among the others described in the book require a fundamentally different approach to management compared to the inpatient setting. As value-based reimbursement propels services to the lowest cost settings and patients’ expectations for convenient, accessible, affordable healthcare rise, a well-managed ambulatory practice is a necessary and vital component of an effective and efficient healthcare delivery system. This book provides current and future leaders with a thorough understanding of the foundations of a well-managed ambulatory practice. Commencing with the storied history of ambulatory care in the United States, The Well-Managed Ambulatory Practice takes readers on an evidence-informed journey designed to expand their knowledge about the unique aspects of ambulatory practice personnel; finances; quality, safety, and experience; organization; strategy; and operations. With the accelerating pace of ambulatory practice development and complexity, the book serves as an excellent source of contemporary knowledge and skills specific to leading and managing in the ambulatory setting.
Death and Dying courses in social work; nursing; counseling psychology; and medicine traditionally focused on topics such as the experience of dying; the delivery of health care during the end of life; and the experience of mourning after a death. The book includes neurobiological aspects of development and grieving for the students to understand these aspects of biology if they are to claim a bio-psycho-social-spiritual perspective in the 21st century. It talks about the spiritual development in each life phase and also on the special considerations in risk and resilience to describe aspects of marginalization that may affect development. The book explains the factors that promote resilience; maintaining our strengths-based approach to all of this material. It continues with the identification of maturational losses; incorporating these non-death losses into a section renamed living losses found in each life phase chapter. The book defines the chapters by developmental tasks that are tackled at more or less predictable ages to which the chapters are loosely bound. It reviews research on specific responses to loss situations and discuss intervention strategies supported by practice wisdom and empirical research. The book has ancillary materials available to qualified instructors that include outlines; PowerPoint; and activities for each chapter as well as the readings from the earlier editions. This edition of the book will help each reader feel prepared to help grievers of all ages and types.
Botulinum toxin (
BoNT) therapy involves as much art as it does science. Prescription and injection of a BoNTproduct requires that clinicians be familiar with the unique properties of each product, including its dosage range for a seemingly ever-expanding list of approved or published medical indications. This quick reference guide provides detailed dosage information for the four BoNTproducts available in the USA(abobotulinumtoxinA, incobotulinumtoxinA, onabotulinumtoxinA, and rimabotulinumtoxinB) which are approved for both cosmetic and medical indications. Included in this abbreviated manual are updated regulatory agency approved medical indications for both adults and children and recommended dosage ranges in the USA(Food and Drug Administration), Canada (Health Canada), the United Kingdom (Medicines & Healthcare products Regulatory Agency), and the European Union (European Medicines Agency). Detailed BoNTdosage information for each of these BoNTproducts is presented in an easy-to-navigate table format. The tables are organized by clinical indication along with each agency-approved dosage where available and the published dosage ranges per treatment session and per structure injected. Providing this information in a single reference manual allows clinicians to quickly calculate the dosage of a given BoNTproduct for a given indication and/or structure. The anatomical illustrations provided in this manual serve as a reference guide for clinicians to enhance the localization of muscles and other target structures during the injection planning process. The authors hope this information will be useful for clinicians and for the patients to whom they provide care.
Bone stress injury (
BSI) represent an overuse injury to bone seen in athletes and active individuals. Despite being a common injury seen in clinical practice, there exists confusion on multiple aspects of this injury, including appropriate terminology. For example, “stress fracture” is often used interchangeably with “stress reaction” or “stress response”. Recent scientific discoveries on the topic of bone stress injury have advanced our understanding of risk factors for injury. Rarely can the injury be attributed solely to training errors. While training volume, intensity, and frequency do influence bone remodeling, most BSIare multifactorial and involve a combination of biological, anatomical, and biomechanical risk factors for injury. Recognizing risk factors for BSImay help to develop a comprehensive treatment plan to address each injury. Further, the goal of treating the injury should focus on methods to optimize bone health and develop strategies for future injury prevention. This book is organized to address aspects of clinical diagnosis, rehabilitation, and prevention. The authors invited experts across a range of topics to provide a more complete understanding of the full spectrum in BSItreatment. Initial chapters focus on evaluating injury, including the role of the clinical examination and imaging to guide treatment. Recognition of risk factors for BSIare separated into biological and biomechanical risk factors, including gender, age, and anatomical location. The book reviews methods to optimize treatment in each section by anatomical location, and reviews strategies for refractory injuries in designated chapters on medications, emerging technologies, and interventions. Further, the authors identify what is known about future injury prevention and methods to optimize bone strength. The goal of this book is to provide a comprehensive understanding of BSIthat improves clinical outcomes and provides a patient-centered treatment program.
Assisted Living Administration and Management, 2nd Edition:Effective Practices and Model Programs in Elder Care
This book makes a timely and essential contribution to professional training and is a welcome resource for those dedicated to improving long-term care services for older adults. It reflects the way society views the growing elderly population and the implications of this demographic trend for the field of long-term care. Long-term care continues to be the fastest growing segment of the healthcare industry; there is a critical need to educate and train a core of professional personnel with the knowledge and skills to address the complex issues in aging, health, and human services. The book aims to provide a useful reference of content information, effective practices, and model programs in elder care related to assisted living/residential care (
AL/ RC) administration. Similar to the first edition, this book is based on the core competencies required to operate assisted living communities. It contains five parts; each part focuses on a core competency in assisted living administration such as organizational management, human resources management, business and financial management, environmental management, and resident care management. The book embraces chapter features such as useful learning objectives, case studies, effective practices, and model programs in elder care that are relevant to assisted living communities. New chapters in this edition address topics such as inter-professional practice; home- and community-based services; information and communication technology; LGBTQand other diverse groups; memory care; and palliative and hospice care. Importantly, the book is based on core competencies required to operate assisted living communities, and each of its five parts focuses on a core competency (i.e., domain of practice). The book serves as a useful reference for professionals who are associated with AL/ RCorganizations. It can also function as a primary textbook for undergraduate and graduate courses in gerontology, health administration, and long-term care administration that focus on assisted living/residential care administration.
Multicultural Perspectives in Working With Families, 4th Edition:A Handbook for the Helping Professions
This book differs greatly from earlier versions because of two main changes. The first is the adoption of an intersectional approach in working with families. It underlines the importance of an intersectional approach to working with families that, in addition to culture and ethnicity, also considers socioeconomic class, gender, age, religion, immigration status, and sexual orientation as important factors. Additionally, the text expands its direct-practice view with the addition of four new chapters written by psychologists, plus a new chapter on health issues in multicultural families and access to health services. The book is updated with the latest knowledge and research, along with new and revised case vignettes demonstrating culturally competent practice. It provides a new intersectional approach to assessment and treatment and adds the perspectives of psychologists in four completely new chapters. The book includes a new chapter on the Diagnostic and Statistical Manual of Mental Disorders, fifth edition from a multicultural perspective, plus new chapters on health and access to health services and offer the most up-to-date knowledge and research. It provides new and updated case vignettes and reflects changes in the family unit over the last quarter century and how it impacts treatment. The book addresses distinct sociopolitical issues affecting immigrants and undocumented families and focuses on the most important emerging issues of multicultural families. It covers multicultural mental health across the lifespan and encompasses the distinct perspectives of different ethnic and racial groups, and those of lesbian, gay, bisexual, and transgender families. The book also discusses domestic violence and substance abuse in regard to multicultural families and delineates the most effective treatment methods. It examines the culturagram as a useful assessment and treatment planning modality and addresses ethical issues including the National Association of Social Workers code of ethics.
This book provides the ultimate resource for all students and practitioners seeking the professional credential and committed to lifelong learning and career growth in public health. Chapters are organized by all ten core competency domain areas, beginning with Evidence-Based Approaches to Public Health and including chapters on Communication, Leadership, Law and Ethics, Public Health Biology and Human Disease Risk, Collaboration and Partnerships, Program Planning and Evaluation, Program Management, and Policy in Public Health, before concluding with Health Equity and Social Justice. Covering over 150 topic areas, each chapter introduces the core objectives of each domain area to frame the goals of the
CPHexam and highlight the complete content outline featured on the exam. Chapters include the fundamental information public health professionals must learn to be effective workers in the field followed by approximately 600 practice questions with detailed rationales for correct answers at the end of each chapter. Using this method, the number of practice questions are divided equally among each domain area for comprehensive study and exam preparation. Written by a CPHcertified educational leader in public health and containing over three exams’ worth of questions, this book is the most useful and thorough exam review resource on the market, great for on-the-go study and preparation.
This book describes the function of planning and why it is important to decision making in healthcare organizations. It explains the origins of planning, application to healthcare, and types of plans, and reviews the practical advantages and disadvantages of planning. The book provides an overview of the strategic planning process, including fundamental steps in the process, the influence of leadership, and the impact of quality improvement. It describes each of the steps in the strategic planning process, organizational purpose and the importance of an organization's mission to its planning and operational activities. The book also introduces the importance of a situational analysis to inform future direction and plans and describes the importance of setting objectives and why there might be resistance to setting organizational objectives. It explains how to accomplish objectives through the development and implementation of strategies and operational plans. The book also presents the relationship of strategies to objectives, methods for evaluating an organization's products and services, and the role of budgeting. It describes the feedback loop in the strategic planning processs—evaluation and control. The book finally discusses the importance of viewing strategic planning as a continuous process and common tools that are used to evaluate and improve plans.
Assisted Living Administration and Management Review:Practice Questions for
An aging population is one where the number and proportion of older people increases over time. This is referred to as demographic aging or population aging. Demographic changes since the second half of the last century have led to a global aging population resulting in important economic and social concerns worldwide. The main causes of aging populations are declining fertility rates and increasing life expectancy. This review book compares and contrasts the five domains of practice to the four domains identified in the National Association of Long Term Care Administrator Boards (
NAB) criteria effective 2022. Except for NAB'srealignment from five to four domains of practice, the content information, knowledge base and tasks are equivalent. Each of the five parts of this Review Book focuses sequentially on the five domains of practice resulting from this comparative analysis. It is evident that this Review Book has retained the initial knowledge areas or domains of practice; the Review Book also reflects the Second Edition of Assisted Living Administration and Management: Effective Practices and Model Programs in Elder Care upon which it is based. Part One covers Domain of Practice 1, organizational management; Part Two explores Domain of Practice 2, human resources management; Part Three focuses on Domain of Practice 3, business and financial management; Part Four includes Domain of Practice 4, Environmental management; and Part Five involves Domain of practice 5, Resident care management. Aspiring residential care/assisted living administrators must identify a particular path to fulfill their professional goal and obtain a career in long-term care administration. While there are different options for students and practitioners, the review book explores possible steps to becoming a residential care/assisted living administrator.
The Changing Face of Health Care Social Work, 4th Edition:Opportunities and Challenges for Professional Practice
This fourth edition of the book covers basic and advanced concepts related to the delivery of social work services in health care settings. When health care is responsive to those in need, the provision of services must be equitable, safe, timely, efficient, effective, evidence-based, and patient-centered while simultaneously exemplifying best practices for all. As pressure for quality services continues to increase, however, the equitable distribution and availability of affordable health care has changed. This has left many providers and patients alike filled with expectation and speculation as to what constitutes essential health care service delivery. The book advocates a proactive stance for health care social workers and is designed to serve as a practical guide for understanding and addressing the philosophy of practice in our current health care environment. Suggestions are made for achieving ethical time-limited, evidence-based social work practice in these settings. At the end of each chapter, a “Summary and Future Directions” section is provided that will help social workers to understand what can be expected and how to prepare for the practice changes needed in order to remain viable clinical practitioners. The book is designed as a practical guide to help social workers understand the roots of social work practice, stressing the importance of the person-in-environment and person-in-situation while utilizing strength’s perspective employing this information as a foundation for embracing the changes to come. As a skilled professional, the incorporation of evidence-based social work practice will need to serve as the cornerstone of all we do while always taking into account the uniqueness and situation-based strategy needed to help each individual patient/client/consumer.
Considering the various comments the authors received from a variety of readers of the past editions, it was clear that this text needed to keep the format and hold the place in the sports medicine review category of thorough, yet succinct, texts. This third edition has kept true to the sports medicine board examination content outline in order to cover all topics testable on the examination. Even the length of each chapter is designed according to how much that topic is weighted on the examination. The authors have also kept the easy-to-read outline format as well as the reference lists at the end of each chapter, which can be used for more in-depth study of the topics. The book is divided into three primary sections: General Topics; Health Promotion and Injury Prevention; and Diagnosis and Treatment of Sports Injuries and Conditions. The third section is divided into the following four subsections: Musculoskeletal Injuries and Conditions; Medical, Neurological, and Psychological Conditions; Special Populations; and Hot Topics in Sports Medicine. The authors have added a new chapter to the Hot Topics subsection on exercise as medicine to supplement existing chapters on sports ultrasound and regenerative medicine. For this third edition, they have added rationales with detailed explanations of why one answer is correct and the others are not. The book is meant to be used as a study guide for primary care sports medicine physicians (family medicine, emergency medicine, internal medicine, pediatrics, and physical medicine and rehabilitation) and orthopedic sports medicine physicians preparing to take the sports medicine subspecialty examination for initial certification or recertification. It also can serve as a sports medicine reference for other medical professionals such as athletic trainers, physical therapists, chiropractors, advanced practice providers, physicians in training (i.e., interns, residents, and fellows), and other physicians interested in sports medicine.
This book addresses new treatment pathways, outcomes, and economics of spasticity care within the larger context of the rapidly changing health care environment. Divided into four sections, the book is intended to provide both clinicians and researchers up-to-date access on the latest comprehensive treatment of spasticity. The first part of the book includes a general overview with four chapters highlighting why spasticity is important, epidemiology of spasticity and other signs of the upper motor neuron syndrome, and finally ancillary findings associated with caring for the patient with spasticity. The second part of the book focuses on the assessment tools in diagnosis and management of spasticity. It includes an outline of general overview measurement tools, specific techniques and scales, assessment of the upper and lower extremity, and setting realistic goals for treatment. The third part of the book explains the role of the physical and occupational therapist in spasticity management, the use of ultrasound in guidance of botulinum toxin management, and emerging technologies in the treatment of spasticity. The final part of the book is devoted to individual diseases involving spasticity and treatment within the context of these conditions. In addition to updated chapters on evaluation, genetics, and spasticity in adults and children with spinal cord injury, multiple sclerosis, stroke, traumatic brain injury, and cerebral palsy, the book include new chapters on more specialized areas including spasticity in patients with cancer, treatment of spasticity in patients in long-term care facilities, and the economics of spasticity treatment.
This book introduces emerging research methods that will assist community health researchers interested in effectively addressing the complex health issues faced by communities today. It also introduces readers to several research methods particularly appropriate for addressing the context of health issues, translating research into action, and engaging community and relevant stakeholders. Use of these methods will lead to advancements in the field of community health and ultimately to improvements in community health. The book illustrates how community health researchers must move beyond the rigid distinction between qualitative and quantitative methods to adopt new integrated research methods to understand health as a community system. Within the discipline of public health, community health is an important and evolving subdiscipline that specifically emphasizes disease prevention and early intervention for members of a given community. The book includes spatial analysis, agent-based models, community-network analysis and realist reviews and addresses system dynamics, concept mapping, visual voices and media analysis. Integration of qualitative and quantitative data is key to generating unique insights into the mechanisms linking complex community health issues and to providing critical guidance regarding the pathways toward effective intervention and prevention. Institutional pilot funding, often available to researchers based at academic institutions, is a good option to garner support for innovative community health research projects. Partnering with other researchers and community members to learn and apply new and innovative research methods is a necessary steps toward more effectively addressing and improving the health of communities.
This book addresses key health literacy issues as they affect the health and well-being of the aging population. It emphasizes increasing health literacy among older adults through the use of technological tools and features, the most current research, and evidence-based programs and practices. It provides expansive coverage of the intersection of technology and health literacy, highlighting innovative approaches and discussing how to use technology with resource-limited groups. The book focuses on rural, impoverished, culturally diverse, and low literacy elders and presents gold standard intervention programs and models. Individual chapters discuss interpretation of lab results, how the family physician can explain the diagnosis and treatment regimen to older patients, how the Explanatory Model can facilitate communication between the physical therapist and the patient and how health literacy fits into the public health domain. Occupational therapy (OT) professionals advocate for the well-being of the clients they serve and promote higher levels of independence among older adults. The book also has a chapter explaining the different modalities located within the radiology department and what can be expected as part of the examination process for the geriatric patient population.
This book addresses strategies for community-oriented health services, including those that arise from systemic influences such as environmental and social injustices. It seeks to present an imperative transdisciplinary shift in thinking about health services toward understanding communities as resources for their own health improvement. Applying a transdisciplinary approach, this book seeks to bridge the discourses between environmental justice, public health, community well-being, and service development, which are rarely considered together in spite of their mutual interdependence. The book is intended for use by senior undergraduate and graduate students in public or population health sciences, including rehabilitation counseling, community psychology, counseling psychology, public health, medical anthropology, social policy, and related disciplines. Health policy and service providers in the private and public sectors and international aid agencies will find the book an invaluable resource for their health promotion and development programs in global communities. The individual chapters of the book aim to present as comprehensive a coverage of the specific themes as possible. Each chapter addresses community-oriented health from a variety of health conditions and traditions. Each chapter also addresses pertinent health policy aspects in the context of national, federal, or international conventions to highlight the importance of the community-oriented health concepts being discussed.
This book presents a research-driven, competency-based approach for the health and human service professionals who work with older rural residents. It discusses both the problems facing older adults and their families and evidence-based solutions regarding policy and best practices. The book contains 13 chapters, organized into five parts. The first part provides an introduction to aging in rural places, including the overwhelming task of defining what is meant by “rural” and presenting demographics, descriptions, and the diversity of rural communities. It offers a picture of persons aging in rural areas, including their challenges and strengths, with special consideration for social and ethnic minorities within this population. Whereas the second part focuses on the health status and the specific health and human service needs and opportunities of rural older adults and their focuses on needs and opportunities, the third part moves toward addressing these issues with health and human services available to rural older adults and their families. The fourth part examines the role of health and human service professionals who work with rural older adults and their families in these programs and services, with attention to interdisciplinary practice and professional competency. In addition to the aforementioned content, the book offers several unique features, including the following: case examples, professional competencies, useful websites, suggested activities and exercises, discussion questions, PowerPoint slides, and instructors manual with test question bank.
Long-term care (LTC) involves a continuum of care required to meet the differential needs of older adults. This book provides multifaceted insights to address the ever-changing world of the LTC industry, and contains effective practices and quality programs in eldercare. It provides the necessary tools and tips to maximize the quality of care and quality of life for older adults living in LTC communities. The book covers the most crucial aspects of management, including federal and/or state regulations overseeing the operation of LTC facilities. It offers advice on care at home, naturally occurring retirement communities, and continuing-care retirement communities; client care, staff retention, preventing elder abuse and neglect, and anticipating and managing litigation and arbitration in LTC; aging and human diversity, Alzheimer’s disease, palliative care, and care transitions; and much more. This book consists of 3 parts and 18 chapters. Each chapter includes helpful pedagogical features such as learning objectives, an introduction, case studies, effective practices, and/or model programs in eldercare that are useful in the administration of LTC communities, as well as a chapter summary and references. Figures and/or tables are used when warranted. The book will serve as a helpful reference for professionals who are associated with Leading Age California, the American College of Healthcare Administrators, the American Society of Aging, the Association for Gerontology in Higher Education, the Gerontological Society of America, and other aging and LTC administration organizations.
This book describes the public health system in broad strokes in order to focus the reader on basic public health goals, principles, structures, and practices. Public health shares with the clinical professions a fundamental caring for humanity through concern for health. For these reasons, public health is sometimes viewed as a type of clinical profession. Primary prevention intends to prevent the development of disease and the occurrence of injury, and thus, to reduce their incidence in the population. The central focus of clinical professions is to restore health or prevent exacerbation of health problems. The health care system undoubtedly has its smallest impact on primary prevention, once again that group of interventions that focus on preventing disease, illness, and injury from occurring. The control of an infectious disease outbreak is an example of the promise of public health collective action that prevents the occurrence of disease, disability, and premature death by assuring conditions in which people can be healthy. Among the programs administered by the National Center for Chronic Disease Prevention and Health Promotion is the Preventive Health and Health Services Block Grant program, which provides funds to state-level agencies to support both public health agency capacity development and chronic disease prevention programs. The Agency for Healthcare Research and Quality (AHRQ) is the lead federal agency charged with improving the quality, safety, efficiency, and effectiveness of health care for all Americans. Unintentional injuries are a leading cause of death in the United States among all age, race, and ethnic groups, and motor vehicle accidents are the foremost cause of unintentional injuries. Good leadership is essential for the well-being of any organization, including public health.
This book for undergraduate and graduate survey courses encompasses a wide range of key issues in occupational health psychology (OHP) from a North American perspective. It draws from the domains of psychology, public health, preventive medicine, nursing, industrial engineering, law, and epidemiology to focus on the theory and practice of protecting and promoting the health, well-being, and safety of individuals in the workplace and improving the quality of work life. The book addresses key psychosocial work issues that are often related to mental and physical health problems, including psychological distress, burnout, depression, accidental injury, obesity, and cardiovascular disease. It examines leadership styles as they impact organizational culture and provides specific recommendations for reducing employee-related stress through improved leader practices. Also addressed is the relationship between adverse psychosocial working conditions and harmful health behaviors, along with interventions aimed at improving the work environment and maximizing effectiveness. Additionally, the book discusses how scientists and practitioners in OHP conduct research and other important concerns such as workplace violence, work/life balance, and safety.
This book serves as a practical resource to physiatrists who are providing daily inpatient care or who are sharing call on inpatients. It focuses on the most common medical complications for major rehabilitation diagnoses in adults who we see in a large rehabilitation hospital. The book covers the major topics including musculoskeletal disorders, spinal cord injury, multiple trauma and burns, stroke, traumatic brain injury, neurological and rheumatological disorders, cancer rehabilitation, and amputations written by physiatrists. It discusses the diagnosis and management of the majority of medical complications written by acute care specialists. The book also focuses on total hip arthroplasty (THA) and knee arthroplasty (TKA), and discusses any differences the practitioner might encounter while treating these patients after surgery in the inpatient unit. TKA goals are to facilitate the rapid recovery of the knee range of motion (ROM), strengthen the knee and hip musculature, and return to functional independence. Medical complications are common among patients undergoing inpatient rehabilitation, so the rehabilitation specialists need to be aware of them, know their treatments and prevention strategies. The complications can be direct or indirect. Those that might require transfer would more likely be as a result of indirect complications such as pneumonia, DVT with pulmonary embolism (PE), urinary tract infections (UTIs) that become systemic, hip fracture from fall, and gastrointestinal (GI) ulcer. Rehabilitation inpatient facilities host a heterogeneous group of patients. The age of such patients varies widely as does the range of their conditions, which includes neuromuscular diseases, brain injuries, stroke, spinal cord injuries, burns, fractures, prosthetic joint replacement, organ transplants, and conditioning following long-term hospitalizations. Special considerations are required in the evaluation of fevers since different patient groups may exhibit atypical symptoms of infection and the etiology of fever includes noninfectious causes.
This book is a guide to the values and traits, knowledge, and competencies needed by public health professionals to mobilize people, organizations, and communities to effectively tackle tough public health challenges. This competency-based leadership book is designed specifically for students and practitioners in public health, highlighting those aspects of leadership unique to this field. The book is divided into four parts. The first part of the book deals with the call for public health leadership. It introduces a framework for the book based on the values, traits, knowledge base, and competencies of effective public health leaders. The framework builds on four complementary perspectives on leadership: servant leadership, complexity leadership, integrative leadership, and adaptive leadership. The second part is devoted to preparing for public health leadership. Chapters here survey the values, traits, and knowledge base of effective public health leaders. Seven values of public health leaders are particularly critical for their effectiveness: social justice, reliance on evidence, interdependence, respect, community self-determination, transparency, and the requisite role of government. Along with behavioural skills, these values, traits, and knowledge base are the foundation for mastering the competencies. The competencies for public health leadership are discussed in Part III. The five competency sets are invigorating bold(er) pursuit of population health; engaging diverse others; effectively wielding power; preparing for surprise; and driving for execution and continuous improvement. Each chapter highlights the public health leadership values, traits, and knowledge that contribute particularly to effective performance of the competency set. Then, each of the five competencies in the competency set is examined in turn. The last part of the book provides guidance for intentional actions to improve leadership competencies and to sustain effectiveness.
This book focuses on the full spectrum of long-term care settings ranging from family and community based care through supportive housing options to a variety of institutional long-term care alternatives. Integrating theory and practice, the book features the perspectives of diverse fields regarding current long-term care options and new directions for the future. The book is organized in five parts: the context of long-term care, community-based long-term care, transitional long-term care, facility-based long-term care, and contemporary issues in long-term care. It describes ethical considerations in the provision of long-term care and decision-making in long-term care. It also explains fluidity and transitions in long-term care. The book further presents case studies as exemplars of three very different long-term care situations: a fairly typical family-supported trajectory of community-based care, the care of a person with Down syndrome, and the story of an increasingly common scenario of caregiving from a distance. The three vignettes provide a context for defining long-term care, explanation of the demographic processes that have resulted in the current situation of demand for long-term care, and description of the general characteristics of persons requiring long-term care and those who care for them.
Modern-day research has tapped into a deeper and more complex understanding of cytokine- and cell-based regeneration theory that translates well into the clinical paradigm of regenerative medicine. Regenerative medicine is fundamentally a modern-day method of enhancing the human capabilities of healing. Today’s standard treatment options in orthopedics and sports medicine are being replaced by regenerative medicine interventions. This book presents nonsurgical treatment options offering a new paradigm that enhances the natural healing of injuries and degenerative pathologies such as meniscal and rotator cuff tears. It is intended as a working reference for practitioners, offering a concise, evidence-based rationale for regenerative medicine in the world of sports medicine. The book is divided into fourteen chapters. The first chapter focuses on current concepts in the pathophysiology of orthopedic conditions affecting treatment. The second chapter introduces the reader to common terminology used in regenerative medicine. The third chapter deals with regulatory issues regarding the clinical use of regenerative treatments. Chapter 4 discusses the clinical and administrative considerations in performing regenerative procedures. Chapter 5 explores regenerative medicine in the canine. Chapters 6 and 7 present the principles of Platelet-Rich Plasma (PRP) and stem cells, and scientific evidence of PRP for orthopedic conditions. Chapter 8 reviews the application of PRP to enhance the outcomes of various orthopedic surgical procedures. Chapter 9 review several emerging areas in regenerative medicine for orthopedic conditions: amniotic and umbilical cord products, interleukin-1 receptor antagonist protein, and alpha-2 macro-globulin. Chapter 10 describes the setup and procedures for performing PRP injections. Chapter 11 presents the basic science and rationale for using stem cells for orthopedic conditions. Chapters 12 and 13 describe harvesting techniques of bone marrow and adipose for stem cell procedures, and techniques for performing regenerative procedures for orthopedic conditions. The final chapter presents physical therapy considerations following regenerative medicine interventions.
Image-guided interventions for pain management have evolved since being performed with palpation guidance. The utilization of fluoroscopic guided interventions for pain management has emerged in treating painful spinal conditions. During residency or fellowship, the trainee often has limited experience in standard of care and broad interventional pain management techniques. The goal of this book is to provide a rapid and accurate reference for interventional pain management physicians, allow dynamic teaching of interventional procedures, and understanding and visualizing interventional techniques for commonly performed interventional pain management procedures. It also describes etiology, physical examination techniques, and treatment plans of common painful conditions treated by an interventional pain management physician. The book consists of 9 chapters. The first chapter discusses the anatomy of spine and spinal cord for pain procedures. The second chapter provides an overview of C-arm and covers radiation safety, biologic effects of x-rays, radiographic contrast agents, needle anatomy and techniques of C-arm. The third chapter discusses pharmacotherapy in pain management. The fourth, fifth and sixth chapter describes disorders and commonly performed procedures of cervical spine, thoracic spine and lumbar spine. The seventh chapter discusses sympathetic blocks such as stellate ganglion block, celiac plexus block, lumbar sympathetic block, superior hypogastric block, ganglion impar block, and complex regional pain syndrome. The eighth chapter describes the mechanism of action, indications, screening, equipment, procedure planning, trial technique, and complications of spinal cord stimulation. It also presents current companies offering spinal cord stimulation. The final chapter lists common pain diagnosis and ICD codes.
This book provides an up-to-date practical clinical guide to evidence-based stroke recovery and rehabilitation built on a foundation of basic neurophysiology, neuroscience, and psychological science. It provides in-depth information on the assessment and management of all acute and long-term stroke-related impairments and complications including cognitive dysfunctions, musculoskeletal pain, and psychological issues. The book examines risk factors, epidemiology, prevention, and neurophysiology as well as complementary and alternative therapies, functional assessments, care systems, ethical issues, and community and psychosocial reintegration. It features expanded coverage of key issues such as the role of robotics and virtual reality in rehabilitation. Chapters have been incorporated to cover fields of recent exploration including transcranial magnetic stimulation, biomarkers, and genetics of recovery as well as essentials like the use of medication and the survivor’s perspective. The up-to-date presentation of scientific underpinnings and multi-specialty clinical perspectives from physical medicine and rehabilitation, neurology, physical therapy, occupational therapy, speech and language pathology, and nursing ensures that the book will continue to serve as an invaluable reference for every health care professional working to restore function and help stroke survivors achieve their maximum potential.
This book establishes a standard in practice, education, and training with the introduction of a coordinated competency-based approach to shape the future of physiatric patient care. It is divided into two parts. In Part I, foundations for the core competencies are provided with some basic principles for application toward competency-centric practice entwined with professional education strategies. Part II focuses on the major physiatric areas of practice with information specific to each area organized in the context of the six Accreditation Council of Graduate Medical Education (ACGME)/American Board of Medical Specialties (ABMS) core competencies and quality metrics. Each practice chapter includes goals and objectives for the six competencies, a case study with open-ended discussion questions, and self-examination questions and answers for self-assessment. The physiatric areas of practice covered in the second part include extremity limb loss and amputation, cardiopulmonary and cancer rehabilitation, stroke, traumatic brain injuries, spinal cord injury, Parkinson’s disease and multiple sclerosis, neuromuscular and musculoskeletal diseases, osteoarthritis and rheumatoid arthritis, and lumbar spine disorders. In addition, pediatric traumatic brain injury and juvenile idiopathic arthritis are also discussed. The book can be used independently to build essential skills for patient-centered care or as part of a physical medicine and rehabilitation resident training curriculum as a useful adjunct during clinical rotations.
The use of high frequency ultrasound as an imaging modality for the musculoskeletal system has expanded dramatically in the past decade. Despite its growth, standardized training for use of this modality is not yet available in the majority of residency training programs. This book illustrates and teaches the basic components of many of the skills and knowledge needed to begin incorporating the use of ultrasound in a musculoskeletal practice. The goal is provide a simplified approach for those getting started in musculoskeletal ultrasound. This includes developing understanding in use of the controls and function of the ultrasound machine, commonly used terminology, obtaining and optimizing the image, and proper scanning technique and the ergonomics involved. The book is also designed to instruct in the recognition of the appearance of various musculoskeletal tissue, commonly seen artifacts, foreign bodies and masses, and understanding basics of interventional ultrasound. It also provides an understanding of the basic physics used in ultrasound. Principles of further advancement of skills and initiating a practice are discussed. Doppler imaging helps to identify certain vascular structures, gives an indication of vascular flow, and can also be used to assess for increased vascularity in pathologic conditions. Separate chapters cover imaging of tendons, muscles, and nerves. Ultrasound allows visualization of both the needle and soft tissue target in real time. This improves accuracy of needle placement for both injection and aspiration procedures.
Home Exercise Programs for Musculoskeletal and Sports Injuries:The Evidence-Based Guide for Practitioners
This book is designed to assist and guide healthcare professionals in prescribing home exercise programs in an efficient and easy to follow format. With patient handouts that are comprehensive and customizable, this manual is intended for the busy practitioner in any medical specialty who prescribes exercise for musculoskeletal injuries and conditions.
The most central aspect of any therapeutic exercise program is the patient’s ability to perform the exercises effectively and routinely at home. This book is organized by major body regions from neck to foot and covers the breadth of home exercises for problems in each area based on the current literature. Each chapter begins with a brief introduction to the rehabilitation issues surrounding the types of injuries that can occur and general exercise objectives with desired outcomes, followed by a concise review of the specific conditions and a list of recommended exercises. The remainder of the chapter is a visual presentation of the exercises with high-quality photographs and step-by-step instructions for performing them accurately. The most fundamental exercises to the rehabilitation of each specific region are presented first as the essential building blocks, followed then by condition-specific exercises that advance throughout the chapter. Using this section, the healthcare practitioner can provide patients with handouts that require little to no explanation and can customize the program and modify instructions to fit individual patient needs and abilities—with confidence the handouts will be a valuable tool to help patients recover successfully from musculoskeletal and sports injuries.
This book seeks to launch a new field of equity in health, as a new global approach to inequities in health. The goal is to shift the discourse toward a focus on moving from InEquity in Health to Equity In Health and spur a global movement in response to the major civil rights issue of the twenty-first century involving injustice in health. The book is intended for policy makers, funders, providers, researchers, interventionists, educators, and community members. It identifies the forces driving and embodied within a new field of equity in health while also identifying these as the thirteen guiding principles for the new field. The book is organized into eight parts. Part I introduces new theory, paradigms, and perspectives, starting with challenges in eliminating health disparities. Part II introduces new procedures and policies deemed vital for a new field of equity in health, specifying some of the implications for funders, researchers, and policy makers. Part III reviews the legacy and role of racism in contributing to disparities, while also discussing the implications and recommendations for research and practice. Part IV covers the key role of collaborations, partnerships, and community-based participatory research in the field of equity in health. Part V presents new Internet technology for use in achieving wide dissemination of health information, interventions, and training that attains a global reach. Part VI covers the training of community health workers and peer educators, suggesting how they play a vital role in the field of equity in health. Part VII, attention is turned to other special populations also considered the most vulnerable and what it will take to close gaps in health. The final part covers the task of closing the education and health gaps by addressing these dual inter-related disparities through effective engagement.
This book is intended for public health practitioners, researchers, students, and other professionals who work in rural settings or who are interested in learning more about the unique aspects of public health in rural areas. It first presents some of the best-established challenges in rural public health, including medical care barriers, workforce issues, and ethics, followed by some of the specific rural-focused solutions that have been developed through faith-based initiatives and integrated care efforts. By recognizing the socioeconomic and cultural factors unique to rural areas as not only contributing to health disparities (e.g., higher smoking rates) but also as providing avenues for addressing them (e.g., faith-based initiatives), rural public health practitioners can begin to make long-needed progress in protecting the health of one fifth of the U.S. population. The book then discusses both the scope and state of prevention for specific health issues in rural settings, including mental health, substance abuse, heart disease, obesity, diabetes, HIV, environmental health, minority health, migrant farmworker health, and elderly health. The book then concludes with a summary of the future directions in rural public health to serve as a road map for moving forward.
The purpose of this book is to make R readily accessible, on a hands-on level, to all future epidemiologists for research, data processing, and presentation. The book is essentially about learning R with an emphasis on applications to epidemiology, public health, and preventive medicine. The book is systematically organized into seven chapters, each with a number of main sections covering the spectrum of applicable R codes for biostatistical applications in epidemiology and public health. It first introduces interactional relationships among medicine, preventive medicine, public health, epidemiology, and biostatistics in general, as well as special concepts that have been (and are being) developed to address quantitative problems in epidemiology and public health in particular. A review of the basic elements in the theory of probability is presented to introduce or reinforce readers’ ability to handle this important basic concept. Then, the book covers simple data handling using R programming and presents the graphics capabilities available in R. Following these initial forays into R, the book gives an overview of the theory of probability and mathematical statistics, which is necessary because both of these areas have become integral parts of biostatistical applications in epidemiology. Finally, the book shows how R may be effectively used to handle classical problems in case-control studies and cohort investigations in epidemiology. Similarly, survival analysis, the backbone of much epidemiologic research, finds excellent support in the R environment.
The field of senior care is changing in a variety of ways predicated by demographic shifts, consumer preferences, available resources, government policies and other factors. In the senior care space, the National Association of Long-Term Care Administrator Boards (
NAB) conducts a professional practice analysis about every five to seven years to determine the knowledge and skills a person should possess to lead a senior care organization, referred to as its “Domains of Practice”. NAB’s “Health Services Executive™” ( HSE) qualification is a credential that allows individuals to practice along the continuum of health services and supports and enhances the portability of their administrator license. This book provides a comprehensive and practical study tool for all students and professionals seeking HSE™ qualification. It helps an individual assess his or her knowledge and competency in a variety of established areas and across the post-acute continuum of care and services. Divided into two parts, this resource allows readers to test their knowledge in each area covered by the HSE™ exam established by the NAB. Part One features multiple choice, single-best answer questions grouped by domain of practice with rationales accompanying each “best” answer. Part Two simulates the Core Knowledge Exam, offering a separate exam for the core content and each of the three lines of service – Nursing Home Administration, Residential Care/Assisted Living, and Home- and Community-Based Service. These exams are structured to model the current content blueprint of the NABlicensure exams, and include best answer rationales to enhance self-assessment and further learning. This Q&Areview is one of the most authoritative and comprehensive available. It contains over 470 questions with best-answer rationales. It is a “must-have” supplemental resource for leaders in the field, whether taking their initial licensure exams or completing the remaining lines of service exams.
Sports medicine practitioners' primary responsibility is to provide optimal medical care for athletes on and off the field. The care continuum for the athlete includes injury/illness prevention, diagnosis, treatment, rehabilitation, and return to sport. Prompt evaluation of an injured athlete on the field can expedite the diagnostic process, management, rehabilitation, and return to sport, frequently the most important outcome measure. The understanding of basic concepts related to sports coverage will help the practitioner provide high level care. This handbook provides a unified resource that covers the knowledge gaps that may be present when providing sports coverage. It is divided into several sections. The Introductory section covers common topics that apply to all sports medicine practitioners providing sideline or event coverage independent of level of experience. For example: the role of the team medical provider; what to have in the medical bag; factors to consider when traveling with a team; medicolegal issues specific to the medical team member; how to assess and manage common medical emergencies; nutrition and hydration recommendations for pre-, during, and post-training or competition; preparticipation physicals; general concepts of adaptive sports; and lastly, general concepts of doping in sports. The further sections dive into sport-specific coverage divided by contact, limited-contact, or no-ncontact sport classification. The book also covers summer and winter Olympic sports and other popular sports that are practiced worldwide. It provides information on the history, participants, rules and regulations, equipment needed and/or required, medical coverage logistics, emergencies, medical bag essentials, epidemiology, and a brief discussion of common injuries for each individual sport. The book will serve as an excellent resource for physicians in training or seasoned veterans from all specialties, athletic trainers, physical therapists, and any other healthcare providers who want to provide on-field, sideline, or event sports coverage.
Neuromuscular Disorders, 4th Edition:A Symptoms and Signs Approach to Differential Diagnosis and Treatment
This book is a novel and valuable resource for both neurologists and generalists. It is intended for medical students, mid-level practitioners, residents, and fellows in neuromuscular medicine. Chapters of the book are divided into global presentations that should be familiar to neurologists and other healthcare providers. It provides guidance well beyond the spectrum of neuromuscular disorders. Signs, for instance, are examined from the perspective of both central and peripheral nervous system causes, with etiologies succinctly outlined for quick review by the provider. Clinical pearls are offered to refine both history-taking and examination skills. Key features of neuromuscular disorders that present with the symptoms and signs discussed earlier in each chapter are summarized in tables, at times with guidance on laboratory testing to help narrow the differential diagnosis. Finally, there are brief overviews of treatment and management. The book is divided into nine chapters. The first chapter is devoted to interpretation of diagnostic testing used in neuromuscular disorders. The next three chapters discuss acute generalized weakness, subacutely developing weakness, and chronically developing weakness. The fifth chapter presents the different ways that episodic weakness and exercise intolerance might manifest, as well as which findings on the physical, electro diagnostic, and other assessments can point to different etiologies. The sixth chapter discusses the symptoms and signs of ocular and bulbar muscle weakness in the context of disorders of the peripheral nervous system. The seventh chapter covers the presenting complaints and physical examination findings in patients with neuromuscular respiratory failure as well as diagnostic studies commonly used in the workup of such patients. The penultimate chapter concentrates on sensory loss and neuropathic pain. The final chapter addresses limb pain, a common complaint evaluated by neurologists.
This book provides a practical and concise text for electromyography (
EMG) rotations and is a great companion to the larger reference texts that successful electrodiagnosticians also need. It provides more of the practical information on EMGsthat made the first edition so successful. In addition, it includes pictures, text, clinical pearls, questions, and tables and provided novel chapters such as the use of ultrasound in electrodiagnostics. These chapters are written by some of the foremost and experienced authorities in the field. This book includes 35 chapters. These chapters are organized into six sections. Section I consists of Chapters 1–3. It provides introduction to electrodiagnosis, instrumentation and systematic approach to learning and performing nerve conduction studies. Section II consists of Chapters 4–9. It discusses motor and sensory studies of upper limb and lower limb. Section II also discusses the F-waves and H-reflexes. Section III consists of Chapters 10–13. It provides basic approach to EMGtechnique and waveform recognition. Section III also describes motor unit action potential analysis and recruitment. Section IV consists of Chapters 14–17. It discusses orthodromic and antidromic nerve conduction studies; temporal dispersion and phase cancellation; interpreting studies; and common anomalies. Section V consists of Chapters 18–33. It discusses carpal tunnel syndrome; neuropathy of ulnar and radial; anterior interosseous nerve lesion; fibular and tibial neuropathy; lumbosacral and cervical radiculopathy; facial nerve and blink studies; repetitive stimulation and neuromuscular junction disorders; peripheral neuropathy; brachial plexopathy; motor neuron disease; myopathy; and the use of ultrasound with electrodiagnosis. Section VI includes Chapters 34 and 35 which include study checklists and the answers to the multiple choice questions located within the chapters.
This is a comprehensive textbook that illustrates existing conditions of health disparities across a range of populations in the United States, positions those disparities within the broader sociopolitical framework that leads to their existence, and most importantly presents specific ways in which health equity solutions can be designed and implemented. Presenting current theoretical foundations, cultural context, and evidence-based models and interventions all in one, this textbook provides students with the basis to achieve greater health equity in their communities. Edited by award-winning authors and featuring contributions from diverse experts in public health, sociology, psychology, and medicine, this groundbreaking text goes beyond a traditional approach to risk factors and disparities and emphasizes the central role health equity initiatives must play in public health research and practice. The book is divided into three sections. Section one focuses on providing the context of health equity research and practice. Chapters are structured in a way that both new and experienced students in the field will develop a deeper understanding of topics such as prejudice and discrimination; frameworks and theories; and research and collaboration approaches. Section two addresses current knowledge about specific populations impacted by issues related to health equity, including African American, Latino and Hispanic, Asian, American Indian and Alaska Native, Native Hawaiian and Pacific Islander,
LGBTQ, Veteran, People with Disabilities, and many more. The chapters summarize how health disparities impact the group, ongoing population-specific models of disparities and equity, and emerging programs for achieving health equity and covers the most relevant aspects of intersectionality. Section three highlights the role of cultural humility in achieving health equity. With its solutions-focused and community-affirming approach, the book provides graduate and undergraduate students of public health with evidence-based models to help advance health through diversity, inclusion, and social justice.
The goal of the electromyographer is to localize lesions and to characterize them. In order to accomplish these goals, a minimum core of knowledge in neuroscience is required. This book discusses that core of neuroscientific knowledge as a stepping stone to lesion localization and characterization. Following this, it demonstrates how this information is actually utilized in the electromyography (
EMG) laboratory using a case study approach. Although several excellent EMGcase study-based textbooks are available, the book is unique in that it offers a step-by-step analysis of the nerve conduction studies ( NCS) and needle EMGstudies as they are collected, including a discussion of the initial studies required based on the presenting clinical features, an interpretation of those initial studies, and the indications for subsequent studies based on that interpretation. This step-by-step analysis continues until the lesion has been fully localized and characterized. The book is extensive and explains the important principles and concepts underlying electrodiagnosis ( EDX) medicine. It reviews the anatomy and physiology of the peripheral neuromuscular system, basic principles of NCS, specific concepts pertinent to each type of NCS(motor, sensory, and mixed NCS, as well as repetitive nerve stimulation studies), and the basic principles of needle EMG. Following this, it discusses the NCSand needle EMGmeasurements made, their meaning, and the EDXmanifestations of the various neuromuscular disorders. It also includes a discussion of the various types of nerve injuries and a review of reinnervation. It focuses on lesion localization and the characterization of the lesion, including its pathology, pathophysiology, severity, and temporal features. The book demonstrates the application of the principles and concepts through 60 EDXcase studies collected from the authors' EMGlaboratories using a step-by-step analysis format.
Few would disagree that the past 25 years have been transformative in the lives of gender and sexual minority (GSM) people living in the United States. The lesbian, gay, bisexual, and transgender (LGBT) community is diverse yet united, in need yet strong, and oppressed yet resilient. This book will serve simultaneously as a reference, a call to action, and a guide for change in addressing the multitude of health challenges described in here. The book is organized into four sections containing twenty-three chapters. The first section gives an overview of the history, current status, and terminology associated with the health of gender and sexual minority groups, as well as discussion of some overarching themes that are relevant to health topics such as sociocultural and systemic barriers to health and health risk behaviors. The second section explores a multitude of individual health outcomes such as obesity, cancer, chronic illness, reproductive health, intimate partner violence, mental health, suicide and self-injury, substance use, and HIV and other sexually transmitted infections in GSM groups. It also describes what is currently known, what remains to be discovered, and what avenues there are to improve the outcome. The third section examines the specific factors impacting the health of particular GSM groups, such as gender minority populations and GSM veterans. The final section concludes with a discussion of evidence-based interventions for improving GSM health, recommendations for health care providers for providing competent care to GSM Individuals, and future directions for GSM health research.
Leading Systems Change in Public Health is the first resource written by public health professionals for public health professionals on how to improve public health by utilizing a systems change lens. Edited by leaders from the de Beaumont Foundation and the University of Illinois Chicago School of Public Health with chapters written by a diverse array of public health leaders, the book provides an evidence-based framework with practical strategies, processes, and tools for enacting meaningful change. It provides a common language for practitioners to discuss systems thinking and leading systems change and offers key principles for systems change leadership and delivers a framework for individuals and organizations who want to lead systems change. The book also includes public health examples and practical exercises, practices, and tools to engage in leading systems change. The book’s chapters are organized into four sections. Section I shows how to place racial justice and power-sharing at the heart of any systems change leadership work. Section II begins with an overview of the different levels of systems change work on which to focus to ensure the best possible community-based work and community and population outcomes. It also presents a process to develop meaningful interpersonal relationships. Section III addresses the important role of community partnership in leading systems changes and describes the process for identifying the root challenges associated with the complex public health challenges. It considers issues related to planning for systems change, managing the implementation of the change, and building in a process to learn and adapt. Section IV provides real-world examples and a strong sense of the range of systems change leadership actions at national, state, local, and community levels.
This book provides the reader a unique opportunity to learn the complex anatomy of the human brain in the context of multiple different neuroimaging modalities. In medical school, human brain anatomy is first taught through dissection labs and lectures. The book presents the color enhanced medical illustrations and virtually all of the cutting edge imaging modalities currently used to visualize the human brain. This includes standard computed tomography (CT), including multiplanar reformatted CT images and 3D volume rendered CT imaging, standard magnetic resonance imaging (MRI) images, diffusion tensor MR imaging (DTI), MR spectroscopy (MRS), functional MRI (fMRI), vascular imaging using magnetic resonance angiography (MRA), CT angiography (CTA), conventional 2D catheter angiography, 3D rotational catheter angiography, and ultrasound of the neonatal brain. The book considers cadaver dissections with the brain removed from the cranial vault with preservation of the cisternal segments of the CN and their relationships to the dural surfaces and skull base foramina. The original cross-sectional images from the MRI were loaded into the scene as background references to ensure accuracy at every step. The cortical surface model was adjusted and refined, the skull model was modified to fit the MRI derived brain, and models of the midbrain and cerebellum were painstakingly handsculpted. The cranial nerve illustrations were derived from the hand-sculpted models using Boolean operators to segment the midbrain into slices at multiple levels. The cranial nerve nuclei were then modeled and placed into their appropriate locations after comparison with microscopic atlases. The book demonstrates targeted, focused imaging of a variety of interesting, and important anatomic sites that are of particular clinical relevance. Sites of illustrated anatomy includes pituitary gland, orbits, liliequist’s membrane, hippocampal formation, H-shaped orbital frontal sulci, insular anatomy, subthalamic nucleus, subcallosal region, internal auditory canals (IAC) and virchow-robin spaces.
This book examines how health care managers can initiate and direct the process of system transformation by understanding and using a greater "person focus" in their decision making. It helps to develop specific rules for improving the experience of care through better managerial decision making. Case studies with discussion questions facilitate creative problem solving based on sound decision making. A first fundamental component of patient-centered or person-focused care is the ability to take the patient perspective. Individual chapters provide a physician perspective of how the intensive care unit (ICU) can be transformed into a venue for physicians to interact with patients, explore how the physician-patient relationship affects patient engagement and perspectives of the patient and resident in long-term care, explain the relationship between health care payment systems and quality of care and consider how regulatory compliance in a health care environment impacts the entire enterprise. Other chapters separately explore how supply chain management typically contributes to the larger, system-wide "institutionalization" of care, help the readers to understand the importance of patient fears and discuss prevention of medical errors. Human factors have been identified as a root cause of medical errors, particularly diagnostic errors.
Clostridium Botulinum is a spore-forming gram-positive rod that is commonly found in soil and water. It produces a toxin called botulinum neurotoxin (
BoNT) which is one of the most potent toxins known to mankind. Christian Andreas Justinus Kerner published the first case of botulism in 1817 and called it “sausage poison”. He noted that it paralyzed the skeletal muscle function and the parasympathetic nervous system and proposed its use as a therapeutic agent in neurological diseases characterized by involuntary movements. This book is intended to be used as a quick and accessible reference for injectors during the course of their clinical practice. As practitioners of chemodenervation themselves, the authors have been looking for an up-to-date, uniform resource in a convenient format which is ultimately what lead them to writing this pocketbook. The inclusion of visual and textual information for executing injection localization and suggested dosing for the four commercially-available toxins makes this book a unique, one-stop resource. The author’s goal is that both novice and experienced injectors may use this pocketbook as a practical and evidence-based tool in the course of planning and executing injections As educators, this book will serve as a visual adjunct to bedside teaching. The authors of this book are all directly involved in educating medical trainees in the evaluation and management of spasticity. Despite a robust spasticity curriculum and hands-on experience, we still felt a need for a physical resource to help residents and fellows during the course of their training and as they started their careers. For novice injectors and medical trainees, performing botulinum toxin injections can seem daunting. The authors hope is, that with the use of this book, knowledge can be consolidated into an accessible format, allowing providers to reinforce and sharpen previously learned skills.
This book provides the experienced clinician and the novice the information needed to provide outstanding clinical care to the person who has limb loss. It addresses the needs of a wide range of clinicians and trainees, including physicians, prosthetists, and therapists. The book is divided into five parts. Part I provides the reader with the anatomy of the lower extremity and the kinesiology of human gait, surgical principles of amputation, patient assessment, and rehabilitation. Subsequent chapters address the design and function of lower extremity prosthetic sockets and components and the various types of prostheses. Specific chapters are devoted to prosthetic management of the various levels of limb loss from partial foot to hip disarticulation. Part II is similar to Part I and is devoted to the less common and often more challenging case of an upper extremity amputation and prosthetic restoration. Chapters in the third part address several topics such as the psychosocial impact of limb loss, sexuality, sports, and recreation as well as return to the community. The third part also addresses the complications an individual may face that are unique to his or her disability and a part of everyday life. Pain management, skin problems, and musculoskeletal problems are addressed. Individuals with special needs such as a person with multiple limb loss, children, aging adults, and cancer patients are given special attention in Part IV. The final portion of the book looks into the future of what prosthetic and robotic research might hold for the person with limb loss including upper extremity limb loss.
This book delivers the practical insights and expert tips necessary for successful clinical research design, analysis, and implementation. It first covers the basics of research design: the variety of ways in which studies can be organized to address questions of association or causation; the appropriate sequencing of studies in a particular area to move most efficiently from demonstration of concept to a definitive and rigorous trial; methods and appropriate rigor of control conditions; retrospective and prospective trials; qualitative and quantitative analyses; and methods for summarizing, evaluating, and reporting clinical research in a particular area. Then, the book presents a discussion of selecting the correct statistical approach and when to consult a statistician. It reviews the varieties of data types; descriptive and inferential statistics; methods for demonstrating associations, hypothesis testing, and prediction; specialized methods, such as survival modeling; and specialized methods for epidemiological studies and measure construction. Further, the book includes a number of chapters on developing successful grant applications from planning and seeking consumer input to developing specific sections of research grant proposals, the project budget, and ancillary materials. The final chapters of the book cover the nuts and bolts of the timely and successful completion of the research project; developing procedural manuals and case report forms; collecting, managing, and securing data; operational structure and ongoing monitoring and evaluation of the project; and ethical and regulatory concerns in research with human subjects.
This book provides an evidence-based review of how sex differences affect the risk of injury, presentation, and clinical course of sports-related injuries. It covers nutrition, hormones, concussion, pain, sports cardiology and pulmonology, and the particular care of adolescent and geriatric patients. The role of hormones on the central and peripheral nervous system is less understood when compared to joints, ligaments, muscle, and tendon. Receptors for estrogen, progesterone, testosterone, and relaxin have been found in multiple locations of the musculoskeletal system involved in ACL injury, including ligaments, tendon, muscle, and the nervous system. Knowledge of how all forms of sex hormones affect the neuromusculoskeletal system is critical to the understanding of the sex disparity in ACL injury, as well as other forms of sports-related injury. Concussion is a common and important injury for a variety of sports participants at every level of play. Symptoms and cognitive function are two important components of the multimodal assessment of concussion. After sustaining a concussion, there have been reported balance and postural deficits. These deficits represent the complex interdependent relationship of the sensory and motor systems that make up our vestibular system that can be tested by vestibulo-ocular reflex, the vestibulospinal reflex and the vestibulocollic reflex techniques. A study of high school- and college-aged athletes in non-helmeted sports showed females were more than twice as likely as males to demonstrate cognitive dysfunction on neuropsychological testing post-concussion.
This book shows the continuity and advancements in our understanding of human life-span development. It helps understand the many reasons people are aging more successfully. The book provides the vocabulary to understand the aging process and how it affects our physiological systems. It also describes effects on quality of life, memory, mental health, and personality. Successful aging depends not only on medical care, but is also influenced by successful coping with stress, social support, and adherence to a healthy lifestyle. The book helps to interpret contemporary research and offers a solid foundation for exploring the art and science of successful aging. The book also presents an instructor’s manual. This supplement includes basic constructs and definitions, problems for additional classroom discussion, PowerPoints for use by the instructor, and examination questions. The book’s purpose is to provide an interdisciplinary understanding of the factors that affect aging. It proposes that many theories and studies of aging can be understood under the rubric of aging accelerators and decelerators-factors that increase and those that decrease the rate at which we age. The book is organized into four sections. Section I provides a general overview of demographic, theoretical, and methodological issues such as demography and theories of aging, and understanding change in aging research. Section II examines the aging of the skin and musculoskeletal system, cardiovascular system, respiratory system, gastrointestinal system, renal/urinary system, sensory system, nervous system, endocrine system, and immune system. Section III, centers on the psychosocial factors that affect physical health such as mental health, stress, coping, social support, morbidity, mortality, and caregiving. The final Section examines the sociostructural contexts that influence aging, and reviews theories of optimal aging. The book serves as a bridge between the biological and psychosocial gerontology communities and promotes a more holistic understanding of the aging process.
The goals of this book are: to establish elder abuse as a public health problem, stressing that primary, secondary, and tertiary preventions of the problem are well within the scope of work performed by public health professionals; to address major public policy/public health initiatives because they relate to elder mistreatment and abuse; to frame elder abuse as a global and human rights issue; and to provide a text that supports the development of core competencies for public health work to prevent elder abuse and mistreatment. The book comprises of nine chapters, which frame elder abuse as a public health problem, situate elder abuse and mistreatment within the core functions of public health, and explain elder abuse and the role of public health law and health services administration. It explores elder abuse in the context of topical issues and groups addressed by public health (e.g., intimate partner violence, Native American tribes) and suggest alliances with nontraditional partners. The book highlights successful campaigns and model programs that have intersections with public health as well as how elder abuse and public health can and should work on the global stage. It makes the argument that public health brings unique and important competencies to address the problem of elder mistreatment. The book serves as a useful and reliable resource for those studying and teaching and for those involved in healthcare and public health and human and social services programs. Similarly, practitioners, policy and decision makers, advocates, community leaders families, and older adults themselves may benefit from the book.
This book is intended for physiatrists, sports physicians, orthopedists, rheumatologists, and primary care physicians. Although there are comprehensive textbooks and abundant literature reviews devoted to musculoskeletal (MSK) medicine, gaps still exist regarding optimal outpatient management for many MSK disorders due to the relative paucity of information on the clinical decision-making process and differential diagnosis and treatment in the practice setting. The book tries to address these gaps by using a uniform approach to the diagnosis of MSK disorders in different anatomic locations and emphasizing the nonoperative management options applicable to the outpatient clinic. It provides a patho-anatomic approach based on the location of pain. This approach can be efficient and intuitive with sound knowledge of MSK anatomy, particularly in the peripheral MSK systems such as the hand and the foot. The book describes concise physical examinations for each anatomic region and the reader is encouraged to cultivate essential physical examination skills using other available resources and visual demonstration. Ultrasonography (US) has been increasingly available in the outpatient MSK clinic and has proven to be an important tool both in diagnosis and treatment. The book incorporates point-of-care ultrasound, defined as US performed and interpreted by the clinician at the bedside in the clinical decision-making process. It helps in framing a context for developing an initial management plan using flowcharts and providing quality nonoperative care, and fosters an approach to common MSK complaints that can be applied and adapted to the specifics of individual cases. It is up to each clinician to determine the most appropriate treatment for the patient.
This book arises from two core beliefs: (1) law is one of the most significant determinants of health; and, (2) a basic understanding of law—as the foundation for public health practice and as an interventional tool—is vital for the effective practice of public health in the 21st century. There is no public health without the law. The book makes law less scary and empowers students, public health practitioners, and researchers to see law as simply another tool in their toolbox—just like epidemiology, surveillance, biostatistics, and other traditional public health tools. It addresses major topics in public health law and provides a diversity of learners (from beginners to experienced public health practitioners and researchers) with a practice-based overview of the field. The book also provides students and public health professionals with context and essential concepts in law across a selection of public health topics. It can help students, practitioners, and researchers develop the vocabulary and savvy necessary to engage in productive conversations with their peers, the public, policymakers, partners, and lawyers about laws impacting individual wellbeing and public health. The book is organized into three parts. Part I covers key legal concepts undergirding the practice of public health and discusses the origins and nature of the law as it relates to public health. Part II features chapters focused on topics most prevalent in academic public health program areas and many that are addressed in national public health strategies. Part III has five chapters exploring the transdisciplinary and multi-sectoral nature of the practice and implementation of public health law and includes discussions of law and public health decision-making, law as a social determinant of health, health in all policies, and legal epidemiology.
Multiple Sclerosis and Related Disorders, 2nd Edition:Clinical Guide to Diagnosis, Medical Management, and Rehabilitation
This book focuses on key elements a healthcare practitioner needs to know to evaluate and manage multiple sclerosis (MS)and related neuroimmunological disorders. Information on disease history, pathophysiology, and biology are included to provide clinicians with a framework for understanding current diagnosis, monitoring, and treatment strategies for these disorders. In addition to reviewing disease-modifying treatments, the book focuses on frequent symptoms of MS and their treatment options. Assessment tools and treatment options for symptom management and rehabilitation have also evolved and become increasingly complex. Wellness promotion and patient-centered care are among the growing care strategies than can and should be applied to the management of MS. The goal of the book is to put together in one readily readable volume the core information that guides day-to-day care in an MS center. Each chapter is an amalgam of evidence-based data with experience-based guidance, combining the science and art of MS and related disease management. The authors present the approaches to care that they use in their centers. Where applicable, the authors provide lists of “Key Points” for clinicians as well as “Key Points” for patients and families. These highlights make the “gist” of each chapter clear and immediately available, and also provide a short summary that can be shared with patients. Critical-to-know information and management pearls are pulled out from the text and boxed for quick reference throughout the book. Illustrative cases are included in chapters where appropriate to amplify clinical recommendations. The authors made every effort to update the most recent medication changes, recognizing that this is a very fast changing field and we anticipate new medications in the near future. With this edition they have completed revised chapters on disease-modifying therapies, since there has been tremendous progress in this area.
This book discusses important topics that have come to the forefront of medical rehabilitation and disability, covering disabling conditions and disorders not only from clinical but also functional and psychological perspectives. It provides comprehensive guides on what to expect and how to manage each medical issue, discussing the causative agents, classification, pain management, psychological factors, and much more. The book is divided into three parts. Part I presents an introduction to key topics and issues. The second part offers discussions on several disabling conditions and disorders. The medical conditions/disorders discussed include AIDS and HIV infection, Alzheimer’s disease, traumatic brain injury, burn injuries, cancer, cardiovascular disorders, chronic pain syndromes, diabetes, epilepsy, hematological disorders, developmental disabilities, neuromuscular disorders, neuromuscular disorders, musculoskeletal disorders, pediatric disorders including cerebral palsy, and limb deficiency. Part III presents some special topics such as adult medical speech-language pathology, social work, telerehabilitation, and assistive technology.
This book is a clinically relevant reference guide for health care trainees, medical providers, and active allied health professionals who work with patients and clients suffering from all aspects of insults to the brain. Not limited to traumatic brain injuries, the book provides easy-to-follow formatting by providing information involving all aspects of acquired injuries to the brain and related clinical outcomes. Each chapter provides an overview of a subtype of brain injury, accompanied by history, pathophysiology, etiology, epidemiology, clinical presentation, other diagnostic considerations, treatment, prognosis, and clinical synopsis. Stroke is an enormous public health problem as it is one of the leading causes of both death and disability worldwide. Stroke symptoms, with very few exceptions, begin with the sudden onset of focal neurological deficits, which are confined to a vascular territory. Treatment of stroke can generally be divided into three categories: acute stroke management, rehabilitation, and secondary stroke prevention. Acquired brain injury (ABI), at any age, is a significant public health concern. It is particularly problematic in the elderly considering the increased rates of mortality and morbidity following ABI in this population. Optimal rehabilitation of ABI requires a multidisciplinary approach of trained rehabilitation specialists at appropriate timing and with appropriate intensity. Brain injury rehabilitation requires a comprehensive treatment program to reduce impairments and to restore function, participation, and quality of life. Useful case studies are also provided for most conditions described in the book.
Physical medicine and rehabilitation (
PM&R) is one of the broadest and most challenging specialties in medicine. Physiatrists see patients of all age groups with impairments of every organ system and must have a keen understanding of anatomy, biomechanics, ergonomics, exercise physiology, kinesiology, neurophysiology, pharmacology, and psychology. They not only prescribe medications and perform procedures, but also prescribe prosthetics, orthotics, splints, and complex medical equipment. They lead interdisciplinary teams that address the holistic bio-psycho-social and spiritual needs of people with disabling conditions. In PM&R, board certification has three components: The first component, Part I, is a written examination testing medical knowledge; the second component, Part II, is an oral examination that tests clinical practice skills. The third component, Part III, is maintenance of certification. The Accreditation Committee for Graduate Medical Education defined six core competencies for physicians: medical knowledge, clinical care, practice-based learning, communication, professionalism, and systems-based practice. Part I tests the first of these competencies, while Part II tests the remainder. This workbook is an additional tool, unique in its format. It walks the reader through cases in an interactive format. The cases are structured in a similar format to The American Board of Physical Medicine and Rehabilitation ( ABPMR) Part II. The content mirrors the exam outline, which is available on the ABPMRwebsite. The exam consists of questions about case vignettes. Each vignette fits into one or more diagnostic categories, and each may focus on one or more evaluation or management skills. Each case tests five clinical skills: data acquisition, problem-solving, patient management, system-based practice, and interpersonal and communication skills. While the text is intended as a board review workbook to be used in preparation for the Part II exam, other audiences will find it helpful as well.
The Health Services Executive (HSE™):Tools for Leading Long-Term Care and Senior Living Organizations
The long-term care administrative profession has not received the attention that it requires to train future leaders for what likely lies ahead, and that needs to change. This book comes at a critical moment when demographics are changing rapidly. Millions of Americans are turning 75 years old every year, and many will need care, services, and supports. Skilled nursing facilities have become small hospitals. Assisted living communities are offering services more like the nursing homes of the past. The multitude of community and home-based services has grown exponentially, making it possible for older adults to remain in their homes longer. The book provides basic tools for successfully leading senior living organizations with a purposeful emphasis on the importance of exercising sound executive judgment and using the right tools for the job. It follows the National Association of Long Term Care Administrator Boards’ (
NAB) current approach in describing the knowledge and skills covered. The book is divided into three sections. Section one provides an overview of the senior living field today. Section two addresses the nuts and bolts of operating the nonclinical support systems. Section three spreads the final NABdomain over the rest of the chapters, tying together theory and practical application with an intentional emphasis on leadership. Inserted throughout the chapters are relevant insights and recommendations shared by many of the profession’s most highly respected and accomplished leaders. The authors intend for this book to serve as much more than a study guide for preparing to pass a licensure examination. The chief goal of the book is to provide relevant guidance to both those entering the field and those wishing to strengthen their credentials and career options, to equip them with tools for remaining nimble in a field that is becoming more complex at increasing speed.
The goal of this book is to develop competencies in the use of quantitative and qualitative analysis as well as 3D Maps—all within Excel! This book works through real-world examples based on healthcare datasets. Developed from the standpoint of active learning and engagement in the real world, this textbook includes supplementary health datasets such as, Hospital Compare Assessment of Healthcare Providers and Systems (
HCAHPS), historical and current National Health Expenditure, and Community Health Rankings. In addition, the book also includes a select list of categorized sources of healthcare data. This categorized list was developed as part of a Digital Humanities Seed Grant Through the Center for Faculty Development at Seton Hall University. Since tests of hypotheses are based on sample data, a brief overview of sampling and research design is included. In a first of its kind, this book provides a hands-on approach to analyzing hypothetical qualitative hospital review comments through the MeaningCloud Add-in. This qualitative analysis includes text categorization, sentiment analysis, and topic extraction. The book uses a competency-based, application-oriented approach through a conversational style. Each chapter starts with a short vignette to motivate the content and uses screen captures together with step-by-step commentary to explain the procedures undertaken in Excel. There is minimal use of statistical formulae and jargon and no appendices in this book—since the focus is on application and interpretation. To make the most of this book, make sure to use the supplementary datasets to work along with the examples in the text and complete the practice problems found at the end of specific chapters.
This book provides the reader, with the practical guidance required to design, deliver, and evaluate physical activity (PA) interventions across a range of settings and populations. The book is divided into four parts. The book reviews the state of the evidence around PA and chronic disease. It explores the different methods for measuring PA along with their strengths and weaknesses, and the important milestones in the field including the evolution of PA guidelines. The book looks at how to increase the value of PA for different stakeholders. It examines what needs to happen before one launches an intervention. The book explores the steps taken to develop policy and environmental interventions. It examines how to build and maintain a coalition. No one is the expert in everything. Coalitions support the bringing together of people with similar goals but different jobs and expertise to create a comprehensive campaign. The book details the process of developing a PA plan. It examines how policies actually move into action. The book examines implementing interventions in specific communities and populations. There are important considerations in developing interventions across diverse areas and varied populations. Settings explored in this part include worksites, faith based organizations, healthcare, schools, out-of-school areas, and parks and recreation. Populations examined include families, older adults, individuals with disabilities, and urban and rural populations. The book has chapters devoted to evaluating interventions. It explores implementation monitoring and describes outcome and impact evaluation as well as cost effectiveness. The book helps to answer questions such as: Did your intervention work? Did it actually change health? How much did it cost relative to how effective it was?
Ultrasound Evaluation of Peripheral Nerves and Focal Neuropathies, 2nd Edition:Correlation With Electrodiagnosis
A noticeable evolution of the nature of the literature and education in recent years is that the emphasis has changed from simply attempting to demonstrate that peripheral nerve sonography has value, to more intricate nuances of medical precision. With the progression of understanding, improvements have been made with peripheral nerves in terms of identification of normal anatomy of even very small nerves, diagnostic acumen in pathologic conditions, safety and efficacy of anesthetic blocks, and even improved visualization and innovation for ultrasound-guided therapeutic procedures. The importance of combining anatomic information with physiologic testing for neuromuscular disorders has become increasingly more evident and ultrasound has found its way into electrodiagnostic laboratories throughout the world. As a result, there is now widespread production of combined instrumentation with capabilities of both electrophysiologic testing and sonographic imaging. It can be argued that what was once termed electromyography and nerve conduction testing should now be considered electromyography, nerve conduction studies and ultrasound. This book adds new chapters on the evaluation of muscle and ultrasound-guided peripheral nerve procedures. Many of the existing chapters have significant additions of imaging of more challenging nerves and smaller nerve segments, which are new to this edition. The addition of ultra-high frequency sonography allows unprecedented visualization of peripheral nerves. Most of the original images in the book were replaced, and the addition of so many new normal peripheral nerve images has led to the addition of “Peripheral Nerves” to the book title. There are also over 420 videos presented for instruction in dynamic visualization. Additionally, all of the case presentations that demonstrate the clinical approach of various focal neuropathies through the use of ultrasound are new to this text.
This book focuses on a unique body of knowledge known as population health management (
PHM). Population health, an approach closely aligned with many public health strategies, enjoys strong general awareness and popularity among health professionals. Although population health books are abundant, a smaller number of population health management texts exist, and these vary considerably depending on the writers’ background, field of expertise, and perspective. It is not easy to bridge concepts from community, public, and global health, and then align them with the essential applications of health management. Combining these interrelated perspectives is the primary goal for the textbook. By melding together fundamental strategies, approaches, and tools from these diverse health-related disciplines, students learn to provide quality care, efficient health services, and produce successful outcomes that are sensitive to the needs of diverse populations. The book is divided into four sections and each section integrates a scaffolding framework that begins with PHMfundamentals and introductions to innovative strategies/tools, moves to problem-based applications, and culminates with integrated skill outcomes. Written by experts in their respective disciplines, each chapter is relatable for students from diverse health related programs such as health management, public health, social work, clinical degrees, and other health professions. As major Population Health Management transformations continue to evolve in the workplace, health management educators recognize the immediate need to design curriculums, introduce new skill-building approaches and tools, and enhance student competencies to meet the challenges and find solutions for a future healthscape that achieves the quadruple aim of access, cost, quality, and patient experience. The book provides students with the knowledge, skills, intentional mind-set to jettison the past in order to transition successfully for today and transform the future of population health management.
Improving Financial and Operations Performance: A Healthcare Leader’s Guide lies at the intersection of leadership effectiveness, performance improvement, operations efficiency, and financial management. It is the product of extensive field work in countless healthcare provider organizations with shared insight from seasoned healthcare leaders. It is based upon five key premises: leaders are accountable for the financial performance of their organizations; financial management is a significant challenge to improving organizational performance; effective financial management skills enable effective leadership and decision-making; leaders have significant influence over their organizations’ financial performance, yet are not effectively trained or given adequate resources; and healthcare is a business–a business of caring for people with growing demands on increasingly scarce resources. The primary purpose of this work is to provide a practical and applicable approach to understanding and improving financial performance through sharing effective tips, tools, and techniques based on real world challenges. The first section of this book is relatively basic and intended for newer leaders to level-set their understanding of healthcare and financial management, while the later sections are more advanced and complex in scope. The book presents key terms and concepts in easy-to-understand language. Each major topic includes a detailed illustration of a relevant scenario with step-by-step instructions for leaders to apply within their own organizations. The book is laid out with a logical and sequential flow of information with major sections that follow the four continuous phases of the Effective Financial and Operations Management Cycle: Planning, Assessing, Managing, and Monitoring. This book was written for both new and experienced healthcare leaders who want a leg-up to better understand and successfully tackle the myriad of complex challenges within their organizations.
From its initial ophthalmologic indications, the number of approved, accepted, and proposed uses for botulinum neurotoxin (
BoNT) therapy has expanded to include a large number of applications for various body systems. At the same time, developments in the field of ultrasound ( US) including high frequency linear transducers technology have led to the rapid expansion of USfor both diagnostic imaging and procedural guidance. Physicians who perform chemodenervation procedures have long recognized the limitations of standard techniques used to localize muscles or nerves. This has led an increasing numbers of physicians to explore and promote USimaging as a practical and more accurate alternative guidance technique for these procedures. Although there numerous texts and atlases specific to the subject of musculoskeletal ultrasound and for the subject of neurotoxin therapy/chemodenervation, there is limited reference material for physicians on ultrasound guidance for chemodenervation including neurotoxin therapy. The purpose of this Atlas is to provide a review of neurotoxin therapy with a strong emphasis on ultrasound technology and its applications for chemodenervation. The authors hope the material presented in this text/ DVDwill reduce at least one barrier that physicians encounter when trying to add US-guided chemodenervation procedures in the clinic. The text section of the book provides an introduction or review of UStechnology, scanning techniques and image optimization required for US-guided neurotoxin/chemodenervation. The illustrated print and DVDAtlas sections serve as a reference manual for physicians to be used during US-guided chemodenervation procedures. The authors hope the material provided in this multimedia text will serve to educate clinicians, expand their knowledge of USand chemodenervation focused on BoNTtherapy and reduce the risks inherent in these procedures and enhance patient care.
At no time in recent memory has the practice of public health leadership been more challenging. This book, and its accompanying set of diverse and accessible learning experiences (interviews with notable leaders, case studies, self-assessments, reflection exercises, and the like), provides a solid foundation for the practice of leadership in organizations focusing on such leadership topics as strategic leadership, systems thinking, team leadership, change leadership, and the development of others. Further, the book exposes readers to the challenges, actions, and lessons learned from the
COVID-19 pandemic and other public health and healthcare crises—from after-action reviews to interviews and insights from those on the front lines—culminating in the development of a leadership framework to inform leadership practice. The intended audience for this textbook includes candidates for MHA, DrPH, and MPH degrees, as well as leaders in healthcare, health administration, and public health seeking to further develop their leadership practice. Although key leadership theories will be explored and integrated, the primary focus of this book is on the practice of leadership. The key differentiating feature of the book is that it gives voice to those who practice leadership and have the credibility to discuss the popular as well as the academic literature on a topic—building on a solid foundation of theory, skills, behaviors, and lessons about the challenges leaders face and the contexts in which they must succeed. The book also provides a wide and rich array of learning experiences that incorporate lessons and insights from public health and healthcare leaders. It is organized into four parts. Part I details leadership basics. Part II focuses on key leadership theories and their application. Part III discusses the context and challenges of leadership practice. The final part focuses more specifically on the practice of leadership.
This book supports the missions of various outstanding organizations devoted to the growing field of public health nutrition to promote optimal health and well-being of communities and populations through nutrition-related services, program planning, interventions, and policy, environmental, and systems change. These include the Association of State Public Health Nutritionists, the World Public Health Nutrition Association, the Academy of Nutrition and Dietetics, the Food and Nutrition working group of the American Public Health Association, the Association of Graduate Programs in Public Health Nutrition, and the Southeastern University Consortium on Hunger, Poverty and Nutrition, among others. The book is organized into four main parts. Part one includes history and principles of public health nutrition, introduction to nutritional epidemiology, behavioral aspects of public health nutrition, and an overview of food policy. Part two includes cultural aspects of nutrition, health promotion within communities, and a focus on interprofessional practice in rural, urban, and global public health nutrition settings. Part three includes methods of community nutrition assessment, program planning, and public health nutrition intervention delivery and evaluation. Part four includes current nutrition-related health issues, professional development needs and strategies, sustainability concerns, food systems and environmental health trends, and opportunities. Each chapter provides learning objectives, key concepts, a glossary of terms, and a variety of learning resources including case studies, reflective questions, suggestions for learning activities, and resources for further study. It is the sincere hope of the editors and authors that this book will be an effective tool for training and inspiring future public health nutrition professionals to engage in transformative practice everywhere in the world to nourish the physical, emotional, and spiritual dimensions of all human beings.
The concept behind the creation of this first edition of the Handbook of Pediatric Rehabilitation Medicine stemmed from the consideration of the need to provide information about key concepts in pediatric rehabilitation more effectively to students, residents, and fellows on pediatric rehabilitation rotations. As the subspecialty of pediatric rehabilitation medicine has grown in scope, so has the need to expand the knowledge base not only within the subspecialty, but also to other subspecialties and clinicians who many times are caring for the same children that we are. This book has been created with this focused, yet broader call to convey key clinical information to all clinicians who provide care to children with complex medical and rehabilitation needs. It provides easily accessible key information that is portable. The latest information has been organized efficiently in each chapter through the combined use of text and bullet points to allow for rapid access in clinics and inpatient units, or to refer to while studying for boards. The chapters are grouped for easy reference into growth and development, central nervous system disorders, neuromuscular disorders, musculoskeletal, general, and miscellaneous sections. The book is intended for medical students; trainees in rehabilitation medicine, neurology, orthopedics, and pediatrics; practicing pediatricians, pediatric subspecialists, and primary care physicians; allied health professionals, including physical, occupational, and speech therapists; and advanced practice providers and nurse practitioners.
Nursing Home Administration, Eighth Edition, includes over 50 years of the authors’ collective experience, research, and knowledge in the nursing facility industry. This newest edition is fully updated in all areas and is organized into six parts. Part 1, “Learning How to Manage the Healthcare Organization,” introduces the reader to the concept of the nursing facility administrator being the leader of the facility. Part 2, “Understanding the Departments and Managing Human Resources,” introduces the many departments of the nursing facility and their functions, as well as how each department is dependent on the others. Part 3, “Learning to Manage the Organization’s Finances,” examines the financial role of the administrator. The nursing facility administrator must be an expert in finance, billing, budgeting, financial documents, and accounting. Part 4, “Learning the Continuum of Long-Term Care,” discusses the framework of federal, state, and local laws. The administrator must be aware of Medicare, Medicaid, and other laws to be successful. Part 5, “Building Your Resident Care Skills,” provides fundamental clinical aspects within the facility. Part 6, “Putting the Systems Together,” provides a cursory set of developed policies and procedures upon which a facility can operate. The nursing facility administrator and the director of nursing are uniquely responsible for the quality of care and quality of life of the residents/patients and staff in their facility. Successfully administering a nursing facility is one of the most complex and challenging tasks one can undertake, and one of the most rewarding professional commitments available in the healthcare field.
This book is about how to manage healthcare operations. It combines clinicians’ and administrators’ viewpoints to provide a common platform and framework for building competitive advantage through superior operations. A strategic perspective is taken by achieving excellence in the four competitive priorities of an operations strategy: quality, cost, on-time and fast delivery, and flexibility. The competitive priorities should not be pursued in isolation. They are indeed interrelated, with excellent quality laying the foundation for performance in the other competitive priorities, and with targeted improvement initiatives having synergistic effects. The book is organized in six parts, with a special emphasis on the competitive priorities. Part one covers a brief history of healthcare, the challenges it faces today, the role of operations in overcoming these challenges, and describes the process of strategy development, and addresses the concepts and techniques of project management. Part two covers methodologies, tools, and techniques central to quality improvement. Patients’ perceptions of quality (the “voice of the customer”) are translated into objective process metrics using a framework called the “house of quality”. Total quality management, Lean, and Six Sigma principles are described along with tools and statistical process control techniques to uncover problems and direct improvements. Part three deals with process analysis and design principles, and presents techniques to determine optimal capacity levels and formulate patient-centric schedules. Part four covers quantitative forecasting techniques and qualitative techniques such as the Delphi method, emphasizes the importance of selecting the right suppliers and managing relationships with them, and explores the concepts related to the costs of healthcare services. Part five explores the multiple facets of flexibility and its drivers and highlights the role of technology in facilitating the flow of consistent information, part six mentions the merits of accreditation and urges organizations to go beyond meeting the standards.
Our nation has embarked on an ambitious attempt to reshape how we go about taking care of the health concerns of our population and, with a new administration, faces scrutiny and attempts to dismantle and defund the Patient Protection and Affordable Care Act. On the one hand, there is a renewed energy to develop initiatives that focus on keeping people healthy. On the other hand, there is a great deal of experimenting with the organization of the care system that addresses the needs of people who have medical problems associated with injuries and disease. The aim of this experimentation is to improve the quality of health and medical care and to bring costs in line with what Americans can afford and want to spend on the health sector. This book lays out the evidence of what has and has not worked in health care, and where the challenges lie ahead. It helps readers become more knowledgeable about how the health system works and explains why it is so complicated to make the system work better. The book describes the current status of the U.S. health care system and explains the complicated public policy process that has so much influence on the way health care is delivered and financed in this country. It addresses both the challenge of keeping people healthy and the challenge of delivering efficient medical care that helps people recover from medical conditions that do occur. The book ends with a consideration of where the health system might be headed in the years to come and what forces will shape it over time. Each chapter provides a list of the learning objectives, a list of key words that are central to the chapter’s focus, an outline of what is to come, and a list of discussion questions.
This book describes the health care system in the United States today—the settings for health care delivery, the health care workforce, the medical products needed for diagnosis and treatment, the leadership and governance, the financing organizations and mechanisms, and the evaluation of system performance and the role of information technology. The focus of this book is the U.S. health care system, with some comparisons to certain peer industrialized countries, including Western European nations, Canada, Australia, and Japan. The book discusses the past and how it has shaped the present including values and traditions underlying the current U.S. system of health care delivery; and the history of major efforts to reform the system, particularly the most recent reform—the Affordable Care Act (
ACA) or Obamacare. Themes in the book are the significance of the private–public nature of the U.S. health care system; the importance of data as the basis of evidence-based decision-making; the difficulty of bringing about change; and the complexity of the U.S. health care system and attempts to simplify. The book discusses clinical outcomes research and evidence-based medicine, as well as the organizations that have been in the forefront of this movement to improve the quality of health care. In addition, it briefly discusses population health orientation and its indicators of health care quality. The book ends with a discussion of expectations for the future of the system.
Public health aspires to create a world where we can all live our healthiest possible life, to realize our full human potential. This book aims to serve as an introduction to public health for anyone who is interested in this ideal. It is designed to introduce the reader to the fundamentals that they will need either to build a career in public health, or simply to know enough about public health to inform a career in other sectors. Population health science helps us understand how health is generated in populations. Population health science is the foundation of public health practice that takes that understanding and makes populations healthier. Therefore, the book serves as an introduction to the science of population health, leading directly to the practice of public health. It starts from one fundamental premise: our health is generated throughout our lives and by the world around us. Once we understand that, we can then understand the work of public health through the study of two types of factors: eco-social perspective and life course perspective. The book is organized such that the reader is introduced to these factors in sequence, learning first about the influences across eco-social levels, and then about how health is generated throughout the life course. It then discusses the foundational concepts of public health, including the central roles of prevention, health equity, quantitative methods, how we have to think of population health as a complex system to guide intervention, and how those interventions must engage communities to be effective. The authors have recorded 15 podcasts to illustrate the key points of each chapter. These podcasts are narrated by graduate students of public health and feature case studies pertinent to the chapter themes, most of which appear in the chapter text.
This book presents information on research methods in a way that is complementary to other public health coursework. Epidemiology digs deep into specific methods for identifying distribution and determinants of health issues. An understanding of basic research methods serves as a foundation for mastery of epidemiology. Biostatistics is another component of public health preparation. The basic statistical concepts covered in research methods can supplement more advanced learning. In addition, skills such as efficiently reading and understanding research articles come in handy for many classes in undergraduate and graduate study. The book is unique in many ways. First, each chapter aligns with the Council on Education for Public Health (
CEPH) Master of Public Health Competencies. These competencies were recently revised, and accredited programs have to demonstrate how their courses prepare students to meet them. New to the competencies are skills such as budgeting and emphasis is placed on translating evidence and communicating public health information. For many public health professionals, these skills are lacking. Another unique feature of the book is its broad coverage of qualitative research. The updated CEPHcompetencies also require students to have qualitative (as well as quantitative) skills. Three chapters are dedicated to qualitative study design, data collection, and analysis. Even though the topic of each chapter could fill an entire book, the material presented is thorough, yet concise. Each chapter provides enough information for students to confidently plan and conduct a basic research project, often a requirement of research methods courses. Additional resources and examples are provided throughout the book to help guide students through their own research exploration. The chapters also include ancillary information and examples relevant to each topic.
This textbook provides a unique case study approach to public health emergencies through the combined perspective of both the 2020 10 Essential Public Health Services and the 2021 Master of Public Health Foundational Competencies. For the ease of the reader to approach learning about the roles that they may be called upon to play in addressing public health emergencies, this book is logically arranged into three parts. In the first part, “Fundamentals of Public Health Emergency Preparedness”, the reader gains an overall perspective of public health emergencies. The second part, “Lessons Learned from Actual Incidents”, is the “heart” of the book in the sense that it provides case studies that clearly demonstrate the application of the Essential Public Health Services using Foundational Competencies through activities undertaken by public health workers at different levels; namely, frontline staff, program managers and supervisors, and executive directors and leaders. By the articulation of specific activities to address disasters using the competencies needed to prepare and respond to actual public health emergencies in the case studies, the reader can gain knowledge and insights and then incorporate the lessons learned into their own learning. In the future, when they are working in public health settings and confronted with public health disasters, readers will be able to better respond knowing the vocabulary, incident command structure, and approaches best suited to the public health emergency. The third part of the book, “Special Considerations”, provides the reader with some of the cross-cutting issues confronting public health workers in disaster settings. Public health law, for example, serves as the basis for public health action and supports public health officers in issuing health officer orders for quarantine, isolation, travel restrictions, curtailment or limitation of business and restaurant operations, and vaccination prioritization all of which have been used in the COVID-19 pandemic.
This book highlights the enormity of the problems of child maltreatment and their relationship to poverty and other social ills. The first chapter introduces the reader to the issues that impact children, such as poverty, lack of education, and myriad other problems of child maltreatment including physical, emotional, and sexual abuse; physical and emotional neglect; as well as parental substance abuse and mental health problems. This is followed by a chapter that presents the private efforts to provide services to abused and neglected children that have transitioned through the years into significantly greater governmental roles. Chapter 3 addresses the fact that the majority of families known to the child welfare system live in poverty, and examines the relationship between poverty and child abuse and neglect, and the increased risk of coming into contact with child protection agencies. While the fourth chapter discusses relationship between the educational system and the child welfare system, the fifth and sixth examine the health issues of families known to child protection agencies, and children in the child welfare system and the juvenile justice system referred to as “crossover” or “dual status” youth. The court system plays a critical role in foster care. Adoption from child welfare agencies typically occurs after foster care placement when it becomes apparent that birth parents will be unable to reunite with their children. It can be extremely traumatic for birth parents to lose their children to the foster care system, and then to adoption.
Countless physicians, medical students, and therapists can describe a similar experience at one time or another during their training: a patient is behind the door in an examination room and the daily schedule has the words “shoulder pain” listed as the chief complaint. Depending on one’s experience or comfort level, many questions may immediately flood one’s mind regarding how to approach the patient: What are the various causes of shoulder pain? Is the pain really coming from the shoulder? What structures are important in the shoulder? What aspects of the physical examination will help distinguish one shoulder problem from another? The physical examination of musculoskeletal and peripheral nervous system problems is essential knowledge for broad areas of healthcare, as these problems are among the leading reasons for medical encounters. This pocket reference offers instant access to a wide array of clinical pearls to guide the physical examination and diagnosis. Whether one can choose to keep the print copy handy or use the digital version on our phone or tablet, our answer is quickly within reach. In this updated and refreshed second edition, one can search by body part or suspected diagnosis and find detailed descriptions of physical examination maneuvers, along with associated evidence of sensitivity and specificity, to help us with our diagnosis. Additionally, the reader will find all new colorized illustrations, high-resolution photos demonstrating the maneuvers, and corresponding videos that bring the examination to life. Video icons throughout chapters indicate which tests include an accompanying video. There is no substitute for excellent physical diagnosis skills. The authors hope that one will find this book useful as one develop and fine-tune their skills in order to give patients the very best care.
Physical medicine and rehabilitation (
PM&R) is the medical specialty that focuses on the diagnoses, evaluation, and management of persons of all ages with congenital or acquired physical and/or cognitive impairments, disabilities, and functional limitations. The specialty began in the late 1920s and was recognized by the American Medical Association in 1945. PM&Rphysicians, also known as physiatrists, have expertise and knowledge about the biomechanics of the human body and an extensive understanding and training on how mobility can impact quality of life. Physiatrists treat persons with a broad range of medical diagnoses related to illness, injury, or physical impairment using nonsurgical techniques. As experts in physical examination, physiatrist can design a unique treatment plan tailored to an individual’s physical impairments, goals, and needs. Treatment goals can include restoration of function, but may also be supportive, accommodative, or through adaptive means. The fourth edition of the Physical Medicine and Rehabilitation Pocketpedia outlines the common conditions that PM&Rphysicians come across in their current clinical practice. It is a collaboration of over 60 content expert chapter authors, and each submission was streamlined to create a concise yet thoughtful chapter for each topic. It includes several new chapters, including COVID-19rehabilitation, transplant rehabilitation, caring for patients with disability, orthotics/adaptive equipment, and pelvic health, which demonstrates the breadth of expertise within the field of PM&R. To make the book easier to navigate, the authors have significantly expanded the coverage of musculoskeletal rehabilitation and divided it into topic-specific sections. The book serves as a convenient and succinct resource for ongoing education and clinical practice in this field.
The field of infectious disease epidemiology has been front-and-center for the past few years. It has its own unique culture and set of tools and rules. This book offers a whole new vocabulary, from how to consider transmission—with the idea of a disease reproductive rate—to how disease is dispersed or clustered, and how to design a study. It presents the key concepts and principles underlying infectious disease epidemiology in an organized manner, and describes important activities such as disease surveillance and outbreak investigation. The book is valuable to those beginning their study of infectious disease epidemiology, as well as those working to train the next generation of prevention and control experts. It provides a unique introduction and perspective to the field of infectious disease epidemiology, utilizing a combination of intuitive case studies, popular media examples, and didactic exercises. The chapters introduce learners to major conceptual approaches in the field, as well as key factors that enable us to mitigate disease spread. Each chapter is structured to include key terms, a helpful narrative, “Heads Up” sections that help to allay conceptual confusion, highlights on a key figure in history, and a section with lessons learned from the classroom and questions to foster further investigation. The book is structured into four parts that walk learners through the world of infectious disease epidemiology, first covering disease emergence and basics, moving on to modes of transmission and types of diseases, then proceeding to infectious diseases in context, and finally disease control, eradication, and emergence. The authors hope that both the integrated approach and content of the book provide an exciting entrée into a field that is rich in its complexity, dynamicism, and multidisciplinary leanings.
This book is a “how-to” guide that describes the problem-solving method in detail. It provides an overview of the method, and step-by-step instructions, tips, tools, activities, and cases to facilitate practicing and learning the problem-solving method. The problem-solving method comprises of three phases, each of which has several steps namely how to define the problem, how to study the problem, and how to decide upon and implement the best course of action to resolve the problem. It imposes a logical thought process that builds leadership competencies in accurately and effectively defining problems, especially around very complex organizational issues that may involve multiple root causes, and supports arriving at recommendations that get implemented and actually solve the problem at hand. The book is especially useful in supporting experiential learning and coaching for students and professionals early in their careers—specifically providing a problem-solving method and tools for students, student teams, and early careerists working with healthcare organizations on consulting projects, or on projects as an administrative intern, resident, or fellow. It assists in facilitating teaching a structured approach to problem-solving and decision-making in undergraduate or graduate level case study, experiential learning, problem-solving and management decision-making courses. The book also supports teaching leadership and problem-solving skills in early careerist leadership training programs within organizations. It will be instructive for organizations that wish to enhance the problem-solving and decision making skills of its workforce more broadly. Organizations who adopt the text as part of their administrative fellowship development programs will find benefit in using the Problem-Solving Method as a structured approach to support the success of fellows in developing their ability to excel on their assigned organizational projects.
In this comprehensive and clinically directed reference for the diagnosis and treatment of persons with spinal cord injury (
SCI) and related disorders, the editors of the two leading texts on SCImedicine have joined together to develop a singular premier resource for professionals in the field. Spinal Cord Medicine, Third Edition, draws on the expertise of seasoned editors and experienced chapter authors to produce one collaborative volume with the most up-to-date medical, clinical, and rehabilitation knowledge in SCImanagement across the spectrum of care. This jointly configured third edition builds on the foundation of both prior texts to reflect the breadth and depth of the specialty. The book covers assessment, acute injury management and surgical considerations, medical management, neurological and musculoskeletal care, rehabilitation, recent research advances, system-based practice, and special topics. New and expanded content focuses on the significant changes in the epidemiology of traumatic injury, the classification of SCI, and the latest medical treatments of multiple complications, as well as new surgical considerations in acute and chronic SCIand the many advances in technology that impact rehabilitation and patients’ overall quality of life.
This book addresses a growing concern. Implementation science seeks to close the research-to-practice gap by identifying the barriers that impede the adoption, implementation, sustainability, and scale-up of evidence-based health interventions, and by identifying the best methods for overcoming those barriers. The implementation scientists’ aspiration for the field is to generate useful and usable scientific knowledge to improve the practice of implementation. The rapid growth of implementation science as a research enterprise, however, has given rise to concerns that the authors and implementation scientists share that implementation science itself will replicate the research-to-practice gap that the field was intended to address. This book represents the first systematic attempt by leading implementation researchers to “translate” implementation science for implementation practitioners by making accessible and practical the wealth of scientific knowledge and associated tools that implementation science has produced. It also addresses an unmet need. Although a growing number of colleges and universities offer courses in implementation science, there are no textbooks in implementation science geared specifically for graduate health professional students or advanced undergraduate students. Instead, instructors teaching such courses must rely on peer-reviewed articles published by implementation researchers for implementation researchers. The book is organized into 14 chapters, suitable for a semester-long course but also useful for a quarter-long course. The core of the book consists of eight chapters organized by common tasks or steps involved in planning, executing, and evaluating implementation efforts. These tasks or steps include assessing the knowledge-practice gap (also known as the know-do gap); selecting an evidence-based practice (
EBP) to reduce the gap; assessing EBPfit and adapting the EBP; assessing barriers and facilitators of implementation; engaging stakeholders; creating an implementation structure; implementing the EBP; and evaluating the implementation effort.
This book is the first comprehensive case-based text combining essential quality management knowledge with real-world scenarios. With in-depth healthcare quality management case studies, tools, activities, and discussion questions, the text will help build the competencies needed to succeed in quality management. Written in an easy-to-read style, Part One of the textbook introduces students to fundamentals of quality management, including history, culture, and different quality management philosophies, such as Lean and Six Sigma. It additionally explains the A3 problem-solving template, used to follow the Plan-Do-Study-Act (
PDSA) or Define, Measure, Analyze, Improve and Control ( DMAIC) cycles, that guide one’s completion of the problem-solving exercises found in Part Two. The bulk of the textbook includes realistic and engaging case studies featuring common quality management problems encountered in a variety of healthcare settings. The case studies feature engaging scenarios, descriptions, opinions, charts, and data, covering such contemporary topics as provider burnout, artificial intelligence, the opioid overdose epidemic, among many more. Serving as a powerful replacement to more theory-based quality management textbooks, the book provides context to challenging situations encountered by any healthcare manager, including the health administrator, nurse, physician, social worker, or allied health professional. It includes 25 realistic case studies that explore challenging process improvement, patient experience, patient safety, and performance improvement quality management scenarios set in various healthcare settings.