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William R. Rogers,David Barnard,Institute on Human Values in Medicine
Author : William R. Rogers,David Barnard,Institute on Human Values in Medicine Publisher : Pittsburgh : University of Pittsburgh Press Page : 368 pages File Size : 54,8 Mb Release : 1979 Category : Medical education ISBN : UCAL:$B310085
The popularity and practice of alternative medicine continues to expand at astonishing rates. In Healing Traditions, Bonnie Blair O'Connor considers the conflicts that arise between the values and assumptions of Western, scientific medicine and those of unconventional health systems. Providing in-depth examples of the importance and benefits of alternative health practices—including the extraordinarily extensive and sophisticated HIV/AIDS alternative therapies movement—O'Connor identifies ways to integrate alternative strategies with orthodox medical treatments in order to ensure the best possible care for patients. In spite of the long-standing prediction that, as science and medicine progressed—and education became more generally available—unconventional systems would die out, they have persisted with undiminished vitality. They have, in fact, experienced a reinvigoration and expansion during the last fifteen to twenty years. In the United States, this renewal is fueled by people representing a wide cross-section of American society, and most of them also use conventional medicine. This eclecticism can result in conflicts between the values and assumptions of Western, scientific medicine and those of unconventional health systems. O'Connor demonstrates the importance of understanding how various belief systems interact and how this interaction affects health care. She argues that through neutral observation and thorough description of health belief systems it is possible to gain an understanding of those systems, to identify likely points of conflict among systems—especially conflicts that may occur in conventional care settings—and to intervene in ways that ensure the best possible care for patients.
Contributing a unique perspective to health reform, Negotiating Health Care presents the findings of a large qualitative investigation of the experiences of the chronically ill within today′s health care system. The author develops the argument that chronic illness and acute illness are social experiences of a vastly different order that lead to different health care consequences, especially in a health system geared to the "miracle cure." From interviews with chronically ill patients, Thorne discusses the onset of their diseases, handling acute episodes, and their attempts to normalize life. The author also examines the interpersonal experience with health care providers exploring the issues of trust, confidence, and compliance. The institutional experience can, and often does, pose daunting problems for the chronically ill because of organizational and sociocultural issues, health care politics and ideology, and the individual patient′s response to the system. In her concluding chapter, Thorne proposes future directions for health care organization, biomedical technology, and social policy. Students and professionals in the fields of nursing, allied health/medical sciences, and human services will find Negotiating Health Care a valuable resource. "This book is highly recommended for all health care professionals and anyone involved in legislation regarding chronic health care on a national basis. The book also could be very useful for lay people who are chronically ill and for their caregivers and families." --Rehabilitation Nursing "Finally, a window is opened to the experience of chronic illness as it exists within the North American health care system. Just in time. Every health care provider and reformer who looks inside will be changed by the reflections of themselves they see. This book is a courageous voice for both the bolder, more conclusive clinical research and for the chronically ill who may yet show us a better way." --William L. Miller, M.D., The University of Connecticut "Although there are a number of texts available on chronic illness, Dr. Thorne′s approach to the topic is unique in that it provides a graphic illustration of how the beliefs and values guiding the health care system contribute to problems which the chronically ill encounter in obtaining care. By setting the experience of chronic illness in the broader context of the health care system, the [book] provides some clear guidelines for needed changes, something I have not found elsewhere. . . . This is a valuable piece of work . . . which is a valuable contribution to our understanding of chronic illness and which provides a guide both to practice and to health policy revision." --Lee Walker, R.N., Ph.D., The University of Utah "This extraordinary book provides rich description and unique insights into the illness experience. Data obtained from interviews with 91 informants provides remarkable detail, strong linkages to existing theory, and powerful development of the illness trajectory. The book is well documented, methodologically rigorous, and presented in a refreshing style. Dr. Thorne has written a classic! Negotiating Health Care will become the book of the 90s for anyone interested in providing humanistic care." --Jan Morse, R.N., Ph.D., College of Health and Human Development, The Pennsylvania State University "The book provides a view into the major issues adults with chronic illness experience in obtaining health care, a perspective that is rarely available to those of use who use the health care system mainly for acute problems, or indeed, who are the providers. The book is powerful, intense, and often uncomfortable reading; the ′patients′ own words should sensitize all of us who work with the chronically ill. Verbatim accounts of patients′ experiences are woven into a lucid and perceptive view of the structure and organization of Canadian health care, which should be read by health policymakers in all the western industrialized countries." --Juliene G. Lipson, Ph.D., F.A.A.N., University of California, San Francisco "Thorne takes a unique approach in providing a graphic illustration of how the beliefs and values guiding the health care system contribute to the problems the chronically ill encounter in obtaining care. . . . Those concerned with the evolving social and health policy in the United States would be well served in reading Negotiating Health Care." --Academic Library Book Review
Evaluation of Continuing Education in the Health Professions by Stephen Abrahamson Pdf
Phil R. Manning "Can you prove that continuing education really makes any difference?" Over the years, educators concerned with continuing education (CE) for health professionals have either heard or voiced that question in one form or another more than once. But because of the difficulty in measuring the specific effects of a given course, program, or conference, the question has not been answered satisfactorily. Since CE is costly, since CE is now mandated in some states for re-registration, and since its worth has not been proven in for mal evaluation research, the pressure to evaluate remains strong. The question can be partially answered by a more careful definition of continuing education, particularly the goals to be achieved by CEo Another part of the answer depends on the development of a stronger commitment to evaluation of CE by its providers. But a significant part of the answer might be provided through the improvement of methods used in evaluation of continuing education for health professionals. To address this last concern, the Development and Demonstration Center in Continuing Education for the Health Professions of the Univer sity of Southern California organized and conducted a meeting of academi cians and practitioners in evaluation of continuing education. During a three-day period, participants heard formal presentations by five invited speakers and then discussed the application of the state of the art of educa tional evaluation to problems of evaluation of continuing education for health professionals.
Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of "Responsibility in Health Care" presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title "Responsibility in Health Care" thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally.
United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
Author : United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research Publisher : Unknown Page : 966 pages File Size : 50,8 Mb Release : 1982 Category : Informed consent (Medical law) ISBN : MINN:31951D00674959Q
Making Health Care Decisions by United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research Pdf
United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
Author : United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research Publisher : Unknown Page : 208 pages File Size : 49,8 Mb Release : 1982 Category : Decision making ISBN : PURD:32754060290883
Making Health Care Decisions: Report by United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research Pdf
United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research
Author : United States. President's Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research Publisher : Unknown Page : 220 pages File Size : 51,5 Mb Release : 1982 Category : Informed consent (Medical law) ISBN : COLUMBIA:HS00136042
Therapeutic Assessment with Children by Deborah J. Tharinger,Dale I. Rudin,Marita Frackowiak,Stephen E. Finn Pdf
Therapeutic Assessment with Children presents a ground-breaking paradigm of psychological assessment in which children and families collaborate with the psychologist assessor to understand persistent problems and find new ways of repairing their relationships and moving forward with their lives. This paradigm is systemic, client-centered, and culturally sensitive and is applicable to families from many different backgrounds who often feel misunderstood and disempowered by traditional assessment methods. In this book, the reader will find a step-by-step description of Therapeutic Assessment with Children (TA-C), with ample teaching examples to make each step come alive. Each chapter includes detailed transcripts of assessment sessions with Henry, a ten-year-old boy, and his parents as they progress through a Therapeutic Assessment and find new ways of appreciating each other and being together. The combination of didactic and clinical material will give even new clinicians a groundwork from which to begin to practice TA-C. The volume demonstrates how the core values of TA-C—collaboration, respect, humility, compassion, openness, and curiosity—can be embedded in psychological assessment with children and families. Therapeutic Assessment with Children will be invaluable for graduate assessment courses in clinical, counseling, and school psychology and for seasoned professionals wanting to learn the TA-C model.
One of medicine's most remarkable therapeutic triumphs was the discovery of insulin in 1921. The drug produced astonishing results, rescuing children and adults from the deadly grip of diabetes. But as Chris Feudtner demonstrates, the subsequent transformation of the disease from a fatal condition into a chronic illness is a story of success tinged with irony, a revealing saga that illuminates the complex human consequences of medical intervention. Bittersweet chronicles this history of diabetes through the compelling perspectives of people who lived with this disease. Drawing on a remarkable body of letters exchanged between patients or their parents and Dr. Elliot P. Joslin and the staff of physicians at his famed Boston clinic, Feudtner examines the experience of living with diabetes across the twentieth century, highlighting changes in treatment and their profound effects on patients' lives. Although focused on juvenile-onset, or Type 1, diabetes, the themes explored in Bittersweet have implications for our understanding of adult-onset, or Type 2, diabetes, as well as a host of other diseases that, thanks to drugs or medical advances, are being transformed from acute to chronic conditions. Indeed, the tale of diabetes in the post-insulin era provides an ideal opportunity for exploring the larger questions of how medicine changes our lives.
Ritual Healing in Suburban America by Meredith B. McGuire,Debra Kantor Pdf
Many Americans believe that people who practice folk healing are uneducated and too poor to afford conventional medical care. Contrary to this popular belief, Meredith McGuire finds that a large number of college-educated, middle-class suburbanites participate in a variety of nonmedical healing groups. In suburban New Jersey, people practice such diverse alternatives as psychic healing, New Age therapies, naturopathy, Christian Science, Transcendental Meditation, reflexology, acupuncture, yoga, Jain meditation, Therapeutic Touch, reflexology, shiatsu, rebirthing, and occult therapies. McGuire places these various healing groups into broader categories according to their traditional sources of inspiration and their beliefs about healing power. She then looks at the participants' diverse ideas about health and illness. By locating alternative healing in the context of these beliefs, she shows the many ways the adherents experience ritual healing. -- From publisher's description.
Human Experimentation and Research by George F. Tomossy,David N. Weisstub Pdf
This title was first published in 2003: As new medical technologies and treatments develop with increasing momentum, the legal and ethical implications of research involving human participants are being called into question as never before. Human Experimentation and Research explores the philosophical foundations of research ethics, ongoing regulatory dilemmas, and future challenges raised by the rapid globalisation and corporatisation of the research endeavour. This volume brings together some of the most significant published essays in the field. The editors also provide an informative introduction, summarizing the area and the relevance of the articles chosen.
