基本説明
Provides state-of-the-art, evidence-based, hospital-focused guidelines on clinical assessment, diagnosis, prognosis, treatment, and discharge/follow-up planning for all of the key disorders.
Full Description
Comprehensive Hospital Medicineis the first clinical reference to address this specialty in a comprehensive, practical manner. Nationally recognized experts equip you with actionable information on key areas in hospital-based medicine-evidence-based practice, clinical care delivery, peri-operative care and managing hospital and program systems issues-making it easier than ever for you to provide optimal care to every hospitalized patient.Access to the entire contents of this Expert Consult title online permits speedy consultation from any computer with an Internet connection. The Premium Edition includes regular online updates reflecting the latest clinical developments ... all of the artwork from the text, downloadable for use in PowerPoint presentations ... evidence-based admitting orders for over 100 conditions ... and the ability to load all of the admitting orders from the web site onto your handheld device. State-of-the-art, evidence-based, hospital-focused guidelines on clinical assessment, diagnosis, prognosis, treatment, and discharge/follow-up planning help you to effectively manage all of the key disorders in every body system. 20 chapters focused on peri-operative care assist you in navigating this increasingly important component of hospital medicine practice. Expert advice on systems issues explores how to establish and enhance a hospitalist program, provide leadership, manage patient transitions of care, establish a teamwork model with hospital staff, promote patient safety and staff performance improvement, standardize care, and navigate legal and ethical concerns.Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. If the next edition is published less than one year after your purchase, you will be entitled to online access for one year from your date of purchase. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued.
Contents
I. Evidence Based Clinical PracticeA. Principles of evidence-based clinical practiceB. Real time applicationII. Clinical Care DeliveryA. General Approach to a Hospitalized Patient1) Communication2) Symptom Managementa) Insomnia and anxietyb) Nauseac) Constipation and Diarrhea 3) Nutrition4) Maintaining Skin Integrity5) Pain ManagementB. Cardiovascular1) Chest Pain2) Acute Coronary Syndromes3) Heart Failure4) Arrhythmias5) Cardiac Arrest6) Syncope7) Venous Thromboembolism8) Aortic Dissection9) Valvular Heart Disease10) Peripheral Arterial DiseaseC. Infectious Diseases1) Pneumonia a) Community Acquiredb) Nosocomial2) Urinary Tract Infectionsa) Community Acquiredb) Nosocomial3) Cellulitis4) Meningitis5) Endocarditis6) Vascular Catheter-related infections7) HIV - related infections8) Fever in a hospitalized patientPulmonary9) COPD10) Asthma11) Pleural Disease12) Interstitial Lung Disease13) Pulmonary HypertensionD. Nephrology1) Acute Renal Failure2) Chronic Renal Failure3) Electrolyte Disorders4) Acid-Base DisordersE. Gastroenterology1) Acute GI Bleedinga) Upperb) Lower2) Acute Hepatitis3) Cirrhosis and Liver Failurea) Spontaneous Bacterial Peritonitis4) Acute Abdominal Emergenciesa) Appendicitisb) Cholecystitisc) Diverticulitisd) Bowel Obstruction and ileuse) Ischemic Bowel5) Inflammatory Bowel Disease6) GastroenteritisF. Endocrinology1) Diabetes Mellitusa) DKAb) Managing DM in hospitalized patients2) Thyroid Disorders3) Adrenal Disorders4) Parathyroid DisordersG. Oncology1) Chemotherapy2) Paraneoplastic Syndromes3) Oncologic Emergenciesa) Neutropenia / Feverb) Hypercalcemiac) Tumor Lysis SyndromeH. Hematology1) Anemiaa) Transfusion Medicine2) Sickle Cell Disease3) Hemorrhagic and Thrombotic Disorders4) Leukemia5) LymphomaI. Rheumatology1) Acute Arthritis2) VasculitisJ. Critical Care1) Sepsis and Shock2) Acute Respiratory Failurea) Sedation and Ventilator Weaning3) Drug Overdose / PoisoningK. Neurology1) Stroke2) Intracranial Hemorrhagea) Subarachnoid hemorrhageb) Subdural, Epidural, and intracerebral hemorrhage3) Altered Mental Statusa) Comab) Delirium4) Dementia5) Pain ManagementL. Psychiatry1) Depression2) Anxiety3) ManiaM. Peri-Operative Care1) Hospitalist as Consultant2) Pre-op Assessment and Preparation3) Post-op Evaluation and Care4) General Wound Care5) Orthopedicsa) Hip Fractureb) Total Joint Replacementa. Hip, Knee, Shoulderc) Spinal Surgery6) Urologya) Nephrolithiasisb) Transurethral Prostatectomy (TURP)c) Radical Prostatectomy7) Obstetrics/Gynecologya) Medical Complications of Pregnancyb) Hysterectomyc) Mastectomy / Mammoplasty8) Cardiothoracica) CABGb) Lung Resection9) Otolaryngologya) Tracheostomyb) Neck10) NeurosurgeryN. Approach to Special Patient Populations1) Geriatrics2) End-of-Life3) Psychiatric illness4) Pregnant patients5) Patients with cancer6) Immunocompromised patientsa) HIVb) TransplantationO. Preventive Services in the Hospitalized Patient1) Vaccination2) Smoking Cessation3) Dietary CounselingIII. System IssuesA. Establishing a Hospitalist ProgramB. Enhancing a Hospitalist ProgramC. Managing Patient Transitions of Care1) Admission2) Transfers3) Discharge and Follow-upD. Establishing a Teamwork Model with Hospital StaffE. Patient Safety and Performance Improvement1) Continuous Quality Improvement2) Cost Effectiveness3) Patient Satisfaction4) Hospital Staff Feedback Analysis5) Risk ManagementF. Guidelines for Standardizing Care1) Development of Guidelines and Order Sets2) Implementation3) Evaluation 4) Disseminating InnovationG. Ethics
