THE 5-MINUTE CLINICAL CONSULT 2008
THE 5-MINUTE CLINICAL CONSULT 2008
Evidence-Based Health Care is the integration of the best medical information with the values of the patient and your skill as a clinician. Less harm comes to our patients if we respect the medical literature; we have improved our content and visibility of the best evidence, so you can focus on how to apply it.The Health Maintenance recommendations included here have been updated through the end of 2006. This content is based on the U.S. Preventive Services Task Force, and has been organized by age into one-page recommendations. This summary will allow you to find the most current recommendations to improve health and prevent disease for each population of patients. Again, your feedback resulted in the inclusion of the Centers for Disease Control's immunization tables for quick reference.Why a Desktop and Online version of this content? To respond to your needs for more content and access to your resources at the office, in the hospital, and at home. These new features include easy maneuverability between chapters and sections, extra content not in the book (including a large section on pediatric conditions), and, later this year, introduction of our unique Continuing Medical Education (CME) program. Additionally, you will be able to download updates to this content at no additional cost.
DRUGS IN USE FOURTH EDITION
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When I first conceived this book, back in the late 1980s, cutting-edge pharmaceutical practice was taking place primarily in hospitals, and ‘clinical pharmacist’ was a somewhat elitist term applied to the smallish number of hospital pharmacists who contributed to the direct care of patients on hospital wards but rarely got involved in actually writing the prescription or independently adjusting drug dosage. Twenty years on, most practising pharmacists can justly be described as ‘clinical’ pharmacists. Pharmacists are independent prescribers in a wide range of clinical areas and working under patient group directions to supply and administer medicines without a prescription.In hospitals, consultant pharmacists have their own case load of patients and provide the highest levels of pharmaceutical care as well as contributing to research and development in their chosen specialty, whereas in the community, pharmacists with a special interest are being commissioned to provide high-level services that contribute to the overall care of patients in their specialty area. In hospitals most pharmacists spend a large part of their day working on the wards providing direct patient care, such as taking drug histories, advising on and monitoring therapy, and supporting discharge. In the community pharmacists are being commissioned to contribute to the management of patients with long-term as well as acute conditions, provide medicines use reviews to support adherence, and are seen as a key source of advice and support for preventative health measures, providing immunisations, helping patients to stop smoking and lose weight, and carrying out NHS health checks. The career opportunities for pharmacists in primary care have also expanded. Pharmacists can now be found working in GP surgeries, helping GPs to optimise their prescribing, and running medication review or specialist clinics, and pharmacists in NHS commissioning organisations are bringing their knowledge and skills to the commissioning and monitoring of NHS services involving medicines, as well as to the area of public health.
When I first conceived this book, back in the late 1980s, cutting-edge pharmaceutical practice was taking place primarily in hospitals, and ‘clinical pharmacist’ was a somewhat elitist term applied to the smallish number of hospital pharmacists who contributed to the direct care of patients on hospital wards but rarely got involved in actually writing the prescription or independently adjusting drug dosage. Twenty years on, most practising pharmacists can justly be described as ‘clinical’ pharmacists. Pharmacists are independent prescribers in a wide range of clinical areas and working under patient group directions to supply and administer medicines without a prescription.In hospitals, consultant pharmacists have their own case load of patients and provide the highest levels of pharmaceutical care as well as contributing to research and development in their chosen specialty, whereas in the community, pharmacists with a special interest are being commissioned to provide high-level services that contribute to the overall care of patients in their specialty area. In hospitals most pharmacists spend a large part of their day working on the wards providing direct patient care, such as taking drug histories, advising on and monitoring therapy, and supporting discharge. In the community pharmacists are being commissioned to contribute to the management of patients with long-term as well as acute conditions, provide medicines use reviews to support adherence, and are seen as a key source of advice and support for preventative health measures, providing immunisations, helping patients to stop smoking and lose weight, and carrying out NHS health checks. The career opportunities for pharmacists in primary care have also expanded. Pharmacists can now be found working in GP surgeries, helping GPs to optimise their prescribing, and running medication review or specialist clinics, and pharmacists in NHS commissioning organisations are bringing their knowledge and skills to the commissioning and monitoring of NHS services involving medicines, as well as to the area of public health.
LECTURE NOTES IN PHARMACY PRACTICE
LECTURE NOTES IN PHARMACY PRACTICE
Each of us learned during our secondary school days that frogs are cold-blooded creatures. By definition, we came to know that frogs would adapt their body temperatures to their external surroundings. Through
this process, the metabolic and circulatory systems of the frog could adjust the temperature of its blood and thereby survive the external environment.In contrast to the frog, social systems and their constituents do not adapt so effectively or efficiently This is particularly evident in healthcare systems, owing to continuous global dialogue on access to
care, organisation of health delivery, financing of healthcare services and products, and assuring safety and quality. Few countries have determined perfect solutions. Some have extreme difficulty adjusting to the events of the external environment. In the developed world, it is becoming clear that current healthcare systems may not be sustainable in the future. Major human, fiscal and infrastructure resources are required in the developing and transitional countries in order to provide a basic set of essential healthcare services to their respective populations.
Each of us learned during our secondary school days that frogs are cold-blooded creatures. By definition, we came to know that frogs would adapt their body temperatures to their external surroundings. Through
this process, the metabolic and circulatory systems of the frog could adjust the temperature of its blood and thereby survive the external environment.In contrast to the frog, social systems and their constituents do not adapt so effectively or efficiently This is particularly evident in healthcare systems, owing to continuous global dialogue on access to
care, organisation of health delivery, financing of healthcare services and products, and assuring safety and quality. Few countries have determined perfect solutions. Some have extreme difficulty adjusting to the events of the external environment. In the developed world, it is becoming clear that current healthcare systems may not be sustainable in the future. Major human, fiscal and infrastructure resources are required in the developing and transitional countries in order to provide a basic set of essential healthcare services to their respective populations.
CLINICAL PHARMACY AND THERAPEUTICS
Pharmacy students and practitioners now have increased responsibilities in the areas of prescribing and treatment. Modern therapeutics requires an understanding of the disease process, clinical pharmacology and the supporting evidence from scientifically designed clinical trials. The process of selecting optimal drug regimens is a team effort and depends upon the skills of pharmacists working with physicians, nurses and other health care professionals. This multi-author text, written by pharmacists and physicians, is suitable for those who work in both primary and secondary care. It provides a complete and detailed account of all major aspects of therapeutics and rational drug use in a readable and attractive style.The best-known, most widely respected text in the field of clinical pharmacy In-depth treatment of therapeutics - more important than ever because of the expanding role of the pharmacist in prescribing Each chapter on therapeutics follow a logical order and format: ley points, epidemiology, aetiology, disease, clinical manifestations, investigations and treatment, drugs used in treatment. Effective use of tables and boxes for supplementary information Written by an experienced multi-disciplinary team of pharmacists and doctors New chapter on prescribing for pharmacists. More in-depth discussion of the rationales for drugs treatment. New boxes throughout on 'prescribing tips'.
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