This book discusses how human beings cope with serious physical ill ness and injury. A conceptual model for understanding the process of coping with the crisis of illness is provided, and basic adaptive tasks and types of coping skills are identified. The major portion of the book is organized around various types of physical illness. These physical illnesses, which almost all people face either in themselves or their family members, raise common relevant coping issues. The last few sections cover "the crisis of treatment," emphasizing the importance of unusual hospital environments and radical new medical treatments, of stresses on professional staff, and of issues related to death and the fear of dying. The material highlights the fact that people can successfully cope with life crises such as major ill ness and inj ury, rather than the fact that severe symptoms and/or breakdowns sometimes occur. The importance of support from professional care-givers, such as physicians, nurses, and social workers, and from family, friends, and other sources of help in the community, is emphasized. Many of the selections include case examples which serve to illustrate the material. Coping with Physical Illness has been broadly conceived to meet the needs of a diverse audience. There is substantial information about how human beings cope with illness and physical disability, but this material has never been collected in one place.

Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy.

Part of the Mount Sinai Expert Guide series, this outstanding book provides rapid-access, clinical information on all aspects of Critical Care with a focus on clinical diagnosis and effective patient management. With strong focus on the very best in multidisciplinary patient care, it is the ideal point of care consultation tool for the busy physician.

It is therefore obvious that good patient management necessitates the use of an alternative route of nutritional support in patients unable to eat or absorb an oral diet. This alternative is parenteral nutrition, which is the subject of this book. While there are many texts on the subject of parenteral nutrition, very few if any are directed to the practical details of organizing the delivery of parenteral nutrition from a multidisciplinary point of view. In this publication we present the practice of parenteral nutrition as viewed by a team of a physician, nurse, and pharmacist.

This practical handbook covers the whole range of factors involved in total parenteral nutrition including patient suitability, contraindications, implementation techniques, and alternatives. It also takes into account the patient's opinion, body image, and lifestyle.

It is therefore obvious that good patient management necessitates the use of an alternative route of nutritional support in patients unable to eat or absorb an oral diet. This alternative is parenteral nutrition, which is the subject of this book. While there are many texts on the subject of parenteral nutrition, very few if any are directed to the practical details of organizing the delivery of parenteral nutrition from a multidisciplinary point of view. In this publication we present the practice of parenteral nutrition as viewed by a team of a physician, nurse, and pharmacist.

This concise, evidence-based board review book, organized according to the ABA keyword list, covers all the fundamental concepts needed to pass written and re-certification board examinations. Each chapter begins with a case scenario or clinical problem from everyday practice, followed by concise discussion and clinical review questions and answers. Discussion progresses logically from preoperative assessment and intraoperative management to postoperative pain management, enhancing the reader's knowledge and honing diagnostic and clinical management skills. New guidelines and recently developed standards of care are also covered. Serving as a companion to the popular textbook Essential Clinical Anesthesia, this resourceful work reflects the clinical experiences of anesthesia experts at Harvard Medical School as well as individually known national experts in the field of anesthesiology. This practical review is an invaluable resource for anesthesiologists in training and practice, whether studying for board exams or as part of continuing education and ABA recertification.

Lipids have been in clinical use as components of intravenous nutrition for over 50 years. Over the last 15 years, new and improved lipids that include olive oil and/or fish oil have replaced the more traditional ones. These new lipids offer the opportunity to deliver high amounts of fatty acids and possess different functional properties: in particular, they can influence inflammatory processes, immune responses and hepatic metabolism. This book brings together articles written by leading international authorities in the area of intravenous lipids. Contributions discuss the latest findings in the field, ranging from pre-clinical research to the most recent clinical trials. Lipid functionality and utility in pediatric, adult surgical and critically ill patients are covered, as is the use of lipids in long-term home parenteral nutrition. Addressing a broad spectrum of topics, this publication provides a wealth of information for basic scientists, clinical researchers and clinical practitioners alike.

This thoroughly revised and updated Third Edition of a bestselling handbook provides comprehensive coverage of systems approaches to medical nutrition therapy. Designed for graduate nutrition students, dietetic interns, and practicing dietitians, this authoritative handbook provides a solid foundation in and reference to the nutrition support field. Expert contributors present a practical approach to the delivery of parenteral and enteral nutrition. It covers all of the basics—nutritional assessment, nutrition management, monitoring and complications, and formulas, as well as new topics— wound healing, trauma, and critically ill obese patients. This is the first textbook to fully integrate the Nutrition Care Process into enteral and parenteral nutrition content as specified in the 2008 Commission on Accreditation of Dietetic Education Standard II. The Nutrition Care Process content is updated to reflect changes from the 2011 edition of the International Dietetics and Nutrition Terminology.