Category Archives: Physician Patient

One Body: An Essay in Christian Sexual Ethics (Norte Dame - download pdf or read online

| April 22, 2018 | admin | 0

By Alexander R. Pruss

ISBN-10: 026803897X

ISBN-13: 9780268038977

this significant philosophical mirrored image on love and sexuality from a greatly Christian viewpoint is geared toward philosophers, theologians, and knowledgeable Christian readers. Alexander R. Pruss makes a speciality of foundational questions about the character of romantic love and on debatable questions in sexual ethics at the foundation of the basic concept that romantic love pursues union of 2 people as one physique. One physique starts with an account, encouraged through St. Thomas Aquinas, of the final nature of affection as constituted through elements of goodwill, appreciation, and unitiveness. assorted different types of love, resembling parental, collegial, filial, pleasant, fraternal, or romantic, Pruss argues, fluctuate basically no longer by way of goodwill or appreciation yet by way of the type of union that's sought. Pruss examines romantic love as distinct from other forms of affection through a spotlight on a specific type of union, a deep union as one physique completed in the course of the joint organic striving of the type occupied with replica. Taking the account of the union that romantic love seeks as a beginning, the booklet considers the character of marriage and applies its account to arguable moral questions, akin to the relationship among love, intercourse, and dedication and the ethical matters related to birth control, same-sex job, and reproductive expertise. With philosophical rigor and class, Pruss offers conscientiously argued solutions to arguable questions in Christian sexual ethics.

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Handbuch Trauerbegegnung und -begleitung: Theorie und Praxis by Monika Müller,Sylvia Brathuhn,Matthias Schnegg,Christine PDF

| April 22, 2018 | admin | 0

By Monika Müller,Sylvia Brathuhn,Matthias Schnegg,Christine Fleck-Bohaumilitzky,Felix Grützner,Martina Kern,David Pfister,Dennis Klass,Rita Rosner,Sabine Zwierlein-Rockenfeller,Thorsten Adelt,Friedemann Nauck,Theo Breidbach,Bianca Papendell,Martin Weber

ISBN-10: 3525451881

ISBN-13: 9783525451885

Palliativmedizin und Hospizarbeit haben sich in den vergangenen Jahren in vielfältiger Weise entwickelt. Das hat auch dazu geführt, dass Sterben, Tod und Trauer in der Gesellschaft intensiver wahrgenommen und diskutiert werden. In der Begegnung und Begleitung von schwerkranken und sterbenden Menschen einschließlich ihres Umfelds sind Themen wie Schmerz, körperliche Symptome, psychosoziale Probleme, Erfahrungen von Leid, Abschied, Tod und Trauer allgegenwärtig. Eine wesentliche Aufgabe der im palliativen und hospizlichen Bereich Tätigen ist der Umgang mit Trauer. Das Handbuch klärt auf über die Möglichkeiten und Grenzen von Trauerbegegnung und Trauerbegleitung und gibt Antworten auf die zahlreichen Fragen zum Phänomen Trauer. Neben der Vermittlung theoretischen Grundwissens zum Verständnis von Trauer werden praktische Wege und Strategien zum Umgang mit Trauer gezeigt wie auch immer wieder auftauchende Fragen von Schuld, Verzweiflung, Sinnsuche und Sehnsucht besprochen.

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Read e-book online Blood, Sweat & Tears - Becoming a Better Surgeon PDF

| April 22, 2018 | admin | 0

By Philip F. Stahel,Marty Makary M.D.

ISBN-10: 1910079278

ISBN-13: 9781910079270

All surgeons are looking to be larger surgeons... They work flat out to be revered by way of their friends, liked by means of their sufferers, and valued by means of their groups. many of the envisioned 2 hundred million surgical procedures played world wide each year cross as expected, with confident sufferer results. even if, the variety of surgical issues and preventable clinical mistakes nonetheless is still unacceptably excessive. Why are skilled surgeons nonetheless developing such a lot of adversarial occasions? extra importantly, what can surgeons do to raised deal with the placement? Blood, Sweat and Tears — turning into a greater health practitioner seeks to reply to those questions. The publication offers pragmatic examples on how reliable surgeons can develop from being technically great to turning into empathetic and able to supplying secure, compassionate, and more desirable sufferer care.

Blood, Sweat and Tears — turning into a greater general practitioner follows trauma health practitioner Philip Stahel's 20-year trip from his 'rookie years' in internship and residency, to his improvement as a world sufferer protection recommend, popular academician and instructor, and compassionate physician. The ebook touches on why our present sufferer defense protocols and checklists fail to maintain sufferers secure and the way a physician-driven initiative with credible management is required to construct a sustainable 'culture of sufferer safety.' Written for a large viewers and in accordance with the paradigm that “good judgment comes from adventure which comes from terrible judgment”, Blood, Sweat and Tears — turning into a greater healthcare professional offers in-depth insurance of the entire severe and well timed parts of secure surgical care, relates sensible information for bettering the standard of partnerships among surgeons and sufferers, and gives a pragmatic consultant on the way to decrease the educational curve to changing into a greater general practitioner.

“I applaud Dr. Stahel for offering a wealthy compilation of his sincere and noteworthy first-hand studies and the collective paintings of medical professionals and overall healthiness care leaders to minimize the endemic version in clinical caliber that contributes to the #3 explanation for dying within the U.S. at the present time — therapy itself.” Marty Makary MD, writer of the recent York occasions bestseller, Unaccountable

Blood, Sweat & Tears is a smart booklet, unique, and destined to be a clinical vintage. What makes the ebook remarkable is the narrative a few tough human pastime, usually performed imperfectly, by means of people who've been advised they need to be ‘perfect’. This vital paradox is why this publication is a pragmatic tale approximately existence and may most likely be of curiosity and delight to many outdoors the area of medicine.” Wade Smith MD, Co-founding Editor, sufferer safeguard in Surgery

“Blood, Sweat & Tears: the right way to develop into a greater health care provider is a impressive ebook that emphasizes empathy and conversation, provocatively authored through a general practitioner. even if, because the reader will quickly become aware of, Philip Stahel isn't your traditional doctor. I strongly suggest each general practitioner learn this booklet. I additional suggest this publication be necessary interpreting each year for each scientific pupil, intern, resident and fellow-in-training, so much particularly chapters three and four, which epitomize William Osler's suggestion, "Listen to the sufferer - he's telling you the diagnosis". In those 20 chapters, the numerous different insightful costs by myself are well worth the buy price.” Jerome M.Buckley, MD, Retired CEO/Chairman, COPIC businesses, affiliate medical Professor, collage of Colorado university of Medicine

“As a veteran Registered Nurse i believe that this booklet is a needs to learn for someone in overall healthiness care! Dr. Philip Stahel has a really all the way down to Earth writing variety and compassionate method of sufferer care. examining this ebook has reinvigorated my love of nursing and keenness for sufferer care.” Kerry Olson, RN

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Download PDF by Alec J. Howie: Handbook of Renal Biopsy Pathology

| April 22, 2018 | admin | 0

By Alec J. Howie

ISBN-10: 0387746048

ISBN-13: 9780387746043

ISBN-10: 0792368940

ISBN-13: 9780792368946

1 This ebook is intended to be a realistic advisor to interpretation of renal biopsy specimens. issues persist with. First, the booklet has less textual content than such a lot on renal pathology, simply because just a little is related approximately pathogenesis and different concerns in some way correct to interpretation, nor are ailments pointed out that aren't investigated by way of biopsy equivalent to many developmental problems, neither is there a lot on infrequent con­ ditions. huge and finished textbooks will be consulted the place valuable. the second one factor is this publication has a special technique from regular texts in pathology. those examine every one sickness individually as pointed out, recognized, outlined entities. this is often very good if a pathologist is aware what to name the sickness in a specific specimen and desires to substantiate the analysis or discover extra approximately it, yet is little use if the pathologist has no inspiration concerning the analysis. such a lot pathologists have adventure of the quest via many descriptions of ailments in textbooks to attempt to discover the identify that turns out the main acceptable for the abnormalities in a specimen. This ebook can be visible as a advisor into the normal texts that could be used as references for extra details as soon as a prognosis has been made. This ebook attempts to aid the pathologist by way of principles, universal issues are universal and illnesses found in attribute medical methods. The ebook is prepared through scientific presentation instead of via ailments and concentrates on universal conditions.

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Read e-book online Das ist doch kein Leben mehr!: Warum aktive Sterbehilfe zu PDF

| April 22, 2018 | admin | 0

By Gerbert van Loenen,Marlene Müller-Haas,Bärbel Jänicke

ISBN-10: 3863211332

ISBN-13: 9783863211332

Aktive Sterbehilfe schadet der Selbstbestimmung von Kranken und Behinderten mehr als sie nutzt. In den Niederlanden hat sie zu einem gesellschaftlichen Klima geführt, in dem der Lebenswert von Kranken und Behinderten offen infrage gestellt werden kann.
Gerbert van Loenen zeigt, warum: Er erläutert die historischen Debatten zur Legalisierung aktiver Sterbehilfe in den Niederlanden und spricht über die Unmöglichkeit, sie auf einwilligungsfähige Patienten zu beschränken. Er analysiert die nachgewiesenen Fälle unverlangter Sterbehilfe, etwa bei Neugeborenen, und zeigt, dass niederländische Ärzte und Angehörige besonders rasch an der Sinnhaftigkeit lebensrettender Maßnahmen zweifeln.
Differenziert und am konkreten Beispiel belegt sein Buch, dass die Sterbehilfepraxis der Niederlande auf Abwege geführt hat - und dass andere Länder diese Erfahrung beherzigen müssen.

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Read e-book online The Rebirth of the Clinic: An Introduction to Spirituality PDF

| April 22, 2018 | admin | 0

By Daniel P. Sulmasy

ISBN-10: 1589010957

ISBN-13: 9781589010956

The Rebirth of the Clinic starts with a daring statement: the doctor-patient dating is unwell. thankfully, as this engrossing ebook demonstrates, the wear and tear isn't really irreparable. this day, sufferers voice their wants to be visible not only as our bodies, yet as complete humans. even though now not prepared to renounce medical growth and all it has to supply, they feel the necessity for extra. sufferers need a kind of drugs which could heal them in physique and soul. This stream is mirrored in scientific institution curricula, within which classes in spirituality and future health care are taught along anatomy and body structure. yet how can health and wellbeing care employees translate those thoughts into perform? How can they strike a suitable stability, integrating and declaring spirituality with out leaving behind centuries of technology or unwittingly adopting pseudoscience?

Physician and thinker Daniel Sulmasy is uniquely certified to steer readers via this terrain. on the outset of this obtainable, enticing quantity, he explores the character of sickness and therapeutic, concentrating on wellbeing and fitness care's wealthy heritage as a religious perform and at the human dignity of the sufferer. Combining sound theological mirrored image with doses of fit skepticism, he is going directly to describe empirical examine at the results of spirituality on future health, together with clinical reviews of the therapeutic energy of prayer, emphasizing that there are purposes past even promising learn information to take care of the souls of sufferers. eventually, Sulmasy devotes precise awareness and compassion to the care of individuals on the finish of lifestyles, incorporating the tales of numerous of his patients.

Throughout, the writer by no means strays from the subject matter that, for physicians, getting to the non secular wishes of sufferers shouldn't be an ethical alternative, yet an ethical legal responsibility. This booklet is a vital source for students and scholars of drugs and scientific ethics and particularly clinical scholars and health and wellbeing care professionals.

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Download e-book for iPad: Clinical Trials in Latin America: Where Ethics and Business by Nuria Homedes,Antonio Ugalde

| April 22, 2018 | admin | 0

By Nuria Homedes,Antonio Ugalde

ISBN-10: 3319013629

ISBN-13: 9783319013626

ISBN-10: 3319347004

ISBN-13: 9783319347004

The outsourcing of medical trials to Latin the US by means of the transnational cutting edge pharmaceutical all started approximately 20 years in the past. utilizing archival info and box paintings in Argentina, Brazil, Costa Rica, Mexico and Peru, the authors talk about the regulatory contexts and the moral dimensions of human experimentation within the area. greater than eighty% of all scientific trials within the area ensue in those nations, and the ecu medicinal drugs supplier has outlined them as precedence nations in Latin the United States. The authors elevate questions on the standard of information received from the rigors and the violation of human rights in the course of their implementation. Their findings are offered during this quantity, the 1st in-depth research of medical trials within the area. ​        

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Autonomie und Vertrauen: Schlüsselbegriffe der modernen by Holmer Steinfath,Claudia Wiesemann,Reiner Anselm,Gunnar PDF

| April 22, 2018 | admin | 0

By Holmer Steinfath,Claudia Wiesemann,Reiner Anselm,Gunnar Duttge,Volker Lipp,Friedemann Nauck,Silke Schicktanz

ISBN-10: 3658110732

ISBN-13: 9783658110734

Die Selbstbestimmung des Patienten wird in liberalen und individualisierten Gesellschaften zu Recht hochgehalten. Doch die Handlungsfreiheit des Einzelnen in einer hochkomplexen, von wissenschaftlich-technischen Rationalitäten durchstrukturierten Welt wächst nur in dem Maße, wie Personen- und Systemvertrauen ermöglicht wird. Denn mit den Handlungsmöglichkeiten der modernen Medizin wachsen auch Verletzlichkeit und Verunsicherung der Akteure. Die Beiträge dieses Bandes aus den Bereichen Philosophie, Medizinrecht, Theologie, Medizinethik und Medizin untersuchen, inwiefern interpersonelles Vertrauen bzw. Systemvertrauen und Selbstbestimmungspraktiken zusammenhängen. Ein besonderes Augenmerk gilt dabei Institutionen wie dem Krankenhaus sowie Kollektivakteuren wie Familien oder Patientengruppen.

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Get New Models in the Patient-Centered Medical Home: Incentives, PDF

| April 22, 2018 | admin | 0

By Jay Drigger,Barbara Haasis,Geralyn Prosswimmer,George Roksvaag,Jane Salmon,Patricia Donovan,Jessica Papay,Jackie Lyons

ISBN-10: 1937229904

ISBN-13: 9781937229900

The patient-centered scientific domestic (PCMH) is not just a confirmed pathway to sufferer pride but in addition a sound stepping stone to an responsible care association (ACO).

Fifty-two percentage of 2012 HIN survey respondents* have validated scientific domestic courses for his or her populations; fifty nine percentage of those are actually or quickly could be a part of an ACO.

To organize for this eventuality, scientific houses are fortifying the version with a framework of IT and infrastructure and indoctrinating medical professionals within the scientific home's twin priorities of care coordination and healthcare quality.

Those are a few of the hallmarks of the clinical domestic projects profiled in New versions within the Patient-Centered scientific domestic: Incentives, Infrastructure and IT to aid dependable Care.

Beginning with an outline of 2012 PCMH tendencies, this 57-page specified file bargains snapshots of thriving clinical domestic tasks and their specific quarter of focus:

Florida Blue's statewide scientific domestic version, and classes realized from the 2011 rollout that transitioned the payor from a pay for functionality emphasis to a scientific domestic version. Barbara Haasis, RN, CCRN, senior medical lead, caliber present and popularity courses at Florida Blue, describes the transition, presents information at the following areas:

-The standards for which healthcare professional practices have been chosen to take part within the program;
-The shared discounts technique during which practices may be reimbursed;
-The function of a nurse educator in supporting the practices transform;
-Reporting perform effects to force additional improvement;
-Results in overall fee of care from physicians initially enrolled within the pay-for-performance software, now within the first sector of the PCMH.
-A four-pronged procedure via Horizon Blue go Blue guard of latest Jersey's shopper engagement staff to extra heavily contain shoppers and well-being plan contributors in its clinical domestic application, first introduced in 2008. Jay Driggers, director of client event and engagement at Horizon BCBSNJ, stocks how Horizon ways engagement, including:

-Seven key purchaser engagement objectives;
-The influence of stand-alone pilots on purchaser engagement, from iPhone apps to telemonitoring;
-A top perform method of riding information and schooling of the patient-centered scientific domestic to construct a connection among a sufferer and a convention, together with using a sufferer touchpoint map to extend a patient's 'stickiness' to a practice;
-Results from Horizon's sufferer engagement method; and
-Using PCMH sufferer engagement recommendations to put for liable care.

Perspectives from the Hunterdon Healthcare scientific domestic initiative, during which its 24 kin practices lately completed point III NCQA reputation. also, Hunterdon is participating with Aetna in an dependable care association, has joined Horizon Blue move Blue protect of recent Jersey's patient-centered scientific domestic application and has been named to the CMS complete fundamental Care initiative, a payor-provider collaboration to check new fundamental care compensation models.

In a longer interview, George Roksvaag, MD, leader clinical officer of Hunterdon Healthcare, and Geralyn Prosswimmer, MD, FAAP, scientific director of fundamental care providers for Hunterdon Healthcare and scientific director for Hunterdon Healthcare companions, discuss the demanding situations of simultaneous participation in 3 basic care initiatives.

They additionally percentage info at the following:

-Organizational motivation for pursuing scientific domestic recognition;
-The demanding situations of surgeon engagement;
-Reengineered staffing and workflows which are reworking care coordination;
Patient reaction to the PCMH;
-Differences they have saw so far among the patient-centered scientific domestic and the ACO model.
-Hunterdon Healthcare was once a respondent to HIN's 2012 Survey at the Patient-Centered clinical domestic Model.

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