Postpartum Depression For Dummies, 2nd Edition

Penulis: Chow, CherylImpresum: HOBOKEN: WILEY PUBLISHING; 2007Kolasi: xii, 276 hlm.Keyword: Postpartum, DepressionISBN:    978-0-470-12170-2Tebal    362 halaman   It's a great blessing when a new mom with postpartum depression (PPD) is fortunate enough to be diagnosed early by a knowledgeable medical practitioner or therapist. But without guidance, it isn't always clear where the boundary between normal...

Therapy And The Postpartum Woman: Notes On Healing Postpartum Depression For Clinicians And The Women Who Seek Their Help

Penulis:Kleiman, Karen RImpresum:NEW YORK: TAYLOR & FRANCIS GROUP; 2009Kolasi:xxi, 334 hlm.Keyword:PostpartumISBN:978-0-415-98996-1;1135856338Tebal    250 halaman   This book provides a comprehensive look at effective therapy for postpartum depression. Using a blend of professional objectivity, evidence-based research, and personal, straight-forward suggestions gathered from years of experience, this book brings the...

Best Practices: Tube Thoracostomy Insertion

Sarah L. Melendez, MD; Mark A. Silverberg, MD Contributor Information Tube thoracostomy is the insertion of a tube (chest tube) into the pleural cavity to drain air, blood, bile, pus, or other fluids. Whether the accumulation is the result of rapid traumatic filling or insidious malignant seepage, placement of a chest tube allows for continuous, large volume drainage until the underlying pathology can be more formally addressed. The list...

Assessment of Acute Pain

   Accurate assessment of acute pain is essential for the development of an effective pain management plan. Nurses play a pivotal role in the assessment of pain, owing to the nature of their relationship with patients. Pain assessment can be challenging because of the subjectivity and multidimensionality of the pain experience. The patient's self-report of pain includes the sensory, emotional, psychological, and cultural components of the pain experience, which cannot be captured on the unidimensional tools typically used in practice....

Feeling Your Patient's Pain

   For most of us, medical students and physicians alike, treating patients in pain can be, well, a pain. Aside from having to know which medicines to use and how to use them, there's the issue of not being able to objectively measure what we're treating, as well as the unfortunate reality that some patients abuse narcotics. Patients in pain can really put our bedside manners to the test.    The following are some pearls, from the perspective of a general internist who works with medical students and who was a medical student...

Menilai Nyeri pada Pasien tidak Sadar (Absence of Self-report Patient)

   Nyeri benar-benar subjektif, dan Gold standar penilaian nyeri adalah laporan dari pasien. Beberapa alat penilaian dapat memfasilitasi penentuan penilaian intensitas nyeri pasien, dan rumah sakit nasional telah menerapkan kebijakan dan  prosedur menguraikan penggunaan instrumen ini.    Alat yang paling umum digunakan pada pasien yang mampu mengukur rasa sakit mereka adalah skala nyeri Wong-Baker FACES  rating atau Skala Nyeri dari Ekspresi Wajah yang dinumerikkan dengan angka 1-10; banyak pasien yang bisa melaporkan...

Assessing Pain When the Patient Cannot Self-report

   Pain is completely subjective, and the gold standard of pain assessment is self-report by the patient. Several assessment tools can facilitate determining the patient's assessment of pain intensity, and hospitals nationwide have implemented policies and procedures outlining the use of these instruments.    The most commonly used self-report tools in patients who are able to quantify their pain are the 0-10 numerical pain rating scale and the 0-10 Wong-Baker FACES pain rating scale or the Faces Pain Scale-Revised; many...

Universal HIV Screening Recommended by USPSTF

   The US Preventive Services Task Force (USPSTF) strongly recommends that clinicians screen all people aged 15 to 65 years for HIV infection, according to a draft recommendation statement posted online November 20. The statement also recommends HIV screening for all pregnant women, including those who present at the time of labor, and for younger adolescents and older adults who are at increased risk.    "The draft recommendation reflects new evidence that demonstrates the benefits of both screening for and earlier treatment...

Ethical Dilemma Case

The Case of Anne R. 1st Situation Your longtime patient, Anne R., is a relatively frail, 85-year-old woman who has lived more or less successfully at home since her retirement 20 years ago. Paul, her husband of 47 years, died 10 years ago. In many respects, she is still mourning his loss. Her life is generally solitary, inactive, and boring. Anne has 2 daughters who live with their families in Houston and Toronto, both 3-hour plane rides away. They try to visit for holidays, and each daughter attempts to arrange to have her visit at least once...

Dilema Etik

Dilema etika adalah situasi yang dihadapi seseorang dimana keputusan mengenai perilaku yang layak harus di buat. (Arens dan Loebbecke, 1991: 77). Untuk itu diperlukan pengambilan keputusan untuk menghadapi dilema etika tersebut. Enam pendekatan dapat dilakukan orang yang sedang menghadapi dilema tersebut, yaitu: 1. Mendapatkan fakta-fakta yang relevan 2. Menentukan isu-isu etika dari fakta-fakta 3. Menentukan siap dan bagaimana orang atau kelompok yang dipengaruhi dilemma 4. Menentukan alternatif yang tersedia dalam memecahkan dilema 5....

Lung Screening May Encourage Smoking Cessation CME

News Author: Damian McNamara CME Author: Charles P. Vega, MD, FAAFP Faculty and Disclosures CME Released: 11/08/2012; Valid for credit through 11/08/2013 CLINICAL CONTEXT There are more than 200,000 new cases of lung cancer diagnosed annually in the United States. However, effective screening strategies for lung cancer have remained elusive. Two major studies have recently evaluated the efficacy of lung cancer screening programs, and Barry and colleagues provide a review of this research. The Prostate, Lung, Colorectal and Ovarian Cancer...

Smoking and Risk on Women’s Mortality Rates

News Author: Lara C. Pullen, PhD CME Author: Charles P. Vega, MD, FAAFP Faculty and Disclosures CME/CE Released: 11/09/2012; Valid for credit through 11/09/2013 CLINICAL CONTEXT Smoking is widely recognized as the most important modifiable risk factor in preventing adult mortality in Western countries, but there has been little attention paid overall to sex-based differences in health outcomes of smokers. Huxley and Woodward addressed this issue in a systematic review comparing cardiovascular outcomes associated with smoking among women...