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The Chief Concern of Medicine
Unlike any existing studies of the medical humanities,The Chief Concern of Medicinebrings to the examination of medical practices a thorough---and clearly articulated---exposition of the nature of narrative. The book builds on the work of linguistics, semiotics, narratology, and discourse theory and examines numerous literary works and narrative \"vignettes\" of medical problems, situations, and encounters. Throughout, the book presents usable expositions of the ways storytelling organizes itself to allow physicians and other healthcare workers (and even patients themselves) to be more attentive to and self-conscious about the information---the \"narrative knowledge\"---of the patient's story.
eBook
Formulas for motherhood in a Chinese hospital
\"What happens to pregnant women when the largest country in the world implements a global health policy aimed at reorganizing hospitals and re- training health care workers to promote breastfeeding? Since 1992, the Chinese government has led the world in reorganizing more than 7,000 hospitals into \"Baby- Friendly\" hospitals. The initiative's goal, overseen by UNICEF and the World Health Organization, is to promote the practice of breastfeeding by reorganizing hospital routines, spaces, and knowledge in maternity wards and obstetrics clinics. At the same time, China's hospitals in the mid- 1990s operated as sites where the effects of economic reform and capitalism increasingly blurred the boundaries between state imperatives to produce healthy future citizens and the flexibility accorded individuals through their participation in an emerging consumer culture. Formulas for Motherhood follows a group of women over eighteen months as they visited a Beijing Baby- Friendly Hospital over the course of their pregnancies and throughout their postpartum recoveries. The book shows how the space of the hospital operates as a microcosm of the larger social, political, and economic forces that urban Chinese women navigate in the process of becoming a mother. Relations between biomedical practices, heightened expectations of femininity and sexuality demanded by a consumer culture, alongside international and national agendas to promote maternal and child health, reveal new agents of maternal governance emerging at the very moment China's economy heats up. This ethnography provides insight into how women's creative pragmatism in a rapidly changing society leads to their views and decisions about motherhood\"-- Provided by publisher.
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The practical guide to the genetic family history
Like its first edition, The Practical Guide to the Genetic Family History, Second Edition is an invaluable resource outlining the best practices in taking and recording a patient's family medical history, allowing healthcare professionals to be well informed and efficient in diagnosing conditions with potential genetic components. Complete with genetic screening forms, an overview of directed questions, pedigree nomenclature, and an outline of common approaches, the book offers a basic foundation in human genetics and genetic counseling and the ability to recognize inherited disorders and disease susceptibility in patients.
eBook
Permeable walls : historical perspectives on hospital and asylum visiting
This book is the first book devoted to the history of hospital and asylum visiting and deflects attention from medical history's more traditionally studied constituencies, patients and doctors. Covering the eighteenth to the late twentieth centuries, and taking case studies from around the globe, the authors demonstrate that hospitals and asylums could be remarkably permeable institutions. However, policies towards visitors have varied from outright exclusion, as in the case of some isolation hospitals in Victorian Britain, to near open access in the first Chinese missionary hospitals. Historical studies of visitors and visiting, as a result, tell us much about the changing relationship between healthcare institutions and the communities they serve. These histories are particularly relevant at a time when service providers seek ways to involve patients' representatives in healthcare decision making; to control hospital super-bugs; and to make the hospital environment accessible yet safe and secure. With the re-emergence of restricted visiting, the subject remains one of the most emotive topics in the history of institutional medicine.
Book
Professional guide to assessment
Continuing the tradition of comprehensive coverage found in other titles of the Professional Guide Series, Professional Guide to Assessment provides in-depth, detailed, essential how-to information about patient assessment for all health professionals. This complete, yet concise reference uses a structured, organized approach to assessment, highlighting basic as well as more advanced techniques in an easy-to-use, highly visual format appropriate for any health care professional, regardless of the practice setting. An 8-page full-color insert highlights cardiac and respiratory assessment techniques and landmarks and abnormal dermatologic findings. The appendices succinctly cover a head-to-toe assessment, a guide to laboratory test results, laboratory value changes in elderly patients, and resources for professionals, patients, and caregivers.
eBook
Reframing reproduction : conceiving gendered experiences
\"How do rapid social and technological changes shape reproductive realms today? What is at stake? What problems are raised? What solutions are offered? In this collection, leading international scholars consider the complex 'choices', anxieties, and challenges of reproduction in postmodernity for both women and men in a range of cultural positions and geographical locations in the West. Focusing on topical issues such as surrogacy, online sperm banking, gamete donation, contraception, and breastfeeding, Reframing Reproduction proposes a new framework for conceptualising the relationship between gender and reproduction in the twenty-first century. Each of the 14 chapters uniquely explores the social aspects of how women and men feel, think, and act in relation to their reproductive 'choices'. Providing accessible and thought-provoking discussions, this book will appeal to those interested in contemporary reproductive practices, technologies, and experiences\"-- Provided by publisher.
Book
Field guide to the difficult patient interview
Written by physicians skilled at coaching colleagues in physician-patient communication, this pocket guide presents practical strategies for handling a wide variety of difficult patient interviews. Each chapter presents a hypothetical scenario, describes effective communication techniques for each phase of the interaction, and identifies pitfalls to avoid. The presentation includes examples of physician-patient dialogue, illustrations showing body language, and key references. This edition includes new chapters on caring for physician-patients, communicating with colleagues, disclosing unexpected outcomes and medical errors, shared decision making and informed consent, and teaching communication skills. Other new chapters describe clinical attitudes such as patience, curiosity, and hope.
eBook
Legacy : a black physician reckons with racism in medicine
\"The rousing, captivating story of a Black physician, her career in medicine, and the deep inequities that still exist in the U.S. healthcare system Growing up in Brooklyn, New York, it never occurred to Uché Blackstock and her twin sister, Oni, that they would be anything but physicians. In the 1980s, their mother headed an organization of Black women physicians, and for years the girls watched these fiercely intelligent women in white coats tend to their patients and neighbors, host community health fairs, cure ills, and save lives. What Dr. Uché Blackstock did not understand as a child-or learn about at Harvard Medical School, where she and her sister had followed in their mother's footsteps, making them the first Black mother-daughter legacies from the school-were the profound and long-standing systemic inequities that mean just 2 percent of all U.S. physicians today are Black women; the racist practices and policies that ensure Black Americans have far worse health outcomes than any other group in the country; and the flawed system that endangers the well-being of communities like theirs. As an ER physician, and later as a professor in academic medicine, Dr. Blackstock became profoundly aware of the systemic barriers that Black patients and physicians continue to face. Legacy is a journey through the critical intersection of racism and healthcare. At once a searing indictment of our healthcare system, a generational family memoir, and a call to action, Legacy is Dr. Blackstock's odyssey from child to medical student to practicing physician-to finally seizing her own power as a health equity advocate against the backdrop of the pandemic and the Black Lives Matter movement\"-- Provided by publisher.
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