To see the other types of publications on this topic, follow the link: Specialist Intervention.

Books on the topic 'Specialist Intervention'

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 books for your research on the topic 'Specialist Intervention.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse books on a wide variety of disciplines and organise your bibliography correctly.

1

Services, Victoria Dept of Health and Community Services Specialist Children's. Specialist Children's Services: Policy, practice, and procedures for early intervention services in Victoria. Specialist Children's Services, Primary Care Division, Victorian Govt. Dept. of Health and Community Services, 1993.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
2

Sydney, N. S. ). SpeciaLink National Early Intervention Symposium (1995. Charting new waters: The proceedings of the SpeciaLink National Early Intervention Symposium. Breton Books, 1995.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
3

T, Martin William. Problem employees and their personalities: A guide to behaviors, dynamics, and intervention strategies for personnel specialists. Quorum Books, 1989.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
4

Aprile, Luigi, ed. Psicologia dello sviluppo cognitivo-linguistico: tra teoria e intervento. Firenze University Press, 2003. http://dx.doi.org/10.36253/8884530652.

Full text
Abstract:
Il volume, pubblicato in onore di Filippo Boschi, si compone di un'introduzione e sedici contributi che riportano studi e ricerche realizzate da autori di varie Università italiane, tra cui Firenze, Padova, Roma, Trieste, spesso in collaborazione con gruppi di studiosi di prestigiose Università straniere. Il volume presenta quindi alcune delle più aggiornate acquisizioni scientifiche sulla psicologia della lettura in particolare e dello sviluppo cognitivo e linguistico in generale, ed è destinato non solo a specialisti e cultori del settore, ma anche agli studenti universitari impegnati nello studio della psicologia dello sviluppo e dell'educazione.
APA, Harvard, Vancouver, ISO, and other styles
5

Callahan, Madelyn R. Info-line : The Role of the Performance Intervention Specialist. American Society for Training & Development, 1997.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
6

Blue, Lynda, and Simon Stewart. Improving Outcomes in Chronic Heart Failure: A Practical Guide to Specialist Nurse Intervention. Wiley & Sons, Incorporated, John, 2008.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
7

Stewart, Simon, and Lynda Blue. Improving Outcomes in Chronic Heart Failure: Specialist Nurse Intervention from Research to Practice. 2nd ed. Blackwell Publishing Limited, 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
8

Blue, Lynda, and Simon Stewart. Improving Outcomes in Chronic Heart Failure: A Practical Guide to Specialist Nurse Intervention. Wiley & Sons, Incorporated, John, 2008.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
9

(Editor), Simon Stewart, and Lynda Blue (Editor), eds. Improving Outcomes in Chronic Heart Failure: A Practical Guide to Specialist Nurse Intervention. 3rd ed. Bmj Publishing Group, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
10

Simon, Stewart, and Blue Lynda, eds. Improving outcomes in chronic heart failure: Specialist nurse intervention from research to practice. 2nd ed. BMJ Books, 2004.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
11

Stewart, Simon, and Lynda Blue. Improving Outcomes in Chronic Heart Failure: A Practical Guide to Specialist Nurse Intervention. Bmj Publishing Group, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
12

Farndon, John R. Endocrine Surgery: A Companion to Specialist Surgical Practice. 2nd ed. W.B. Saunders Company, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
13

Ringer, Andrew. Surgical and Radiologic Intervention for Prevention of Ischemic Stroke. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0104.

Full text
Abstract:
The etiology of ischemic strokes can be broadly categorized into several subtypes: cardioembolic, extracranial atherosclerotic, intracranial atherosclerotic, lacunar, traumatic (e.g., dissections), inflammatory (e.g., Moyamoya, vasculitis), and last cryptogenic. This chapter focuses on those etiologies that are treated or prevented by cerebrovascular specialist, including strokes due to extracranial athero-occlusive disease, intracranial athero-occlusive disease, arterial dissections, and Moyamoya disease. Both medical and surgical approaches are discussed.
APA, Harvard, Vancouver, ISO, and other styles
14

Mytton, Elizabeth. Does the clinical intervention of a specialist nurse in palliative care `empower' or `deskill' ward nurses: Perceptions of nurses. 2000.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
15

Dias, Amit, Dilip Motghare, Daisy Acosta, Jacob Roy, A. T. Jotheeswaran, and Ralph N. Martins. Trials of interventions for people with dementia. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199680467.003.0012.

Full text
Abstract:
There is very little awareness in LAMIC of people with dementia and the treatment gap ranges from 70%–90%. This chapter highlights the tremendous scope for well-designed RCTs to test innovative interventions that would be affordable and effective for the people with dementia and their families in low-resource settings. The Dementia Home Care Project demonstrates the process of developing and evaluating an intervention, to test the effectiveness of a flexible, stepped-care, psychosocial intervention, designed using locally available resources to help families of people with dementia. Non-specialist health workers were trained to deliver an intervention at the residence of the person with dementia in Goa, India. The trial concluded that locally available resources could be utilized to decrease the burden and burnout associated with caring for a person with dementia and should be integrated with primary health care in LAMIC to bridge the treatment gap for dementia.
APA, Harvard, Vancouver, ISO, and other styles
16

Daley, David, and Saskia Van der Oord. Behavioural interventions for preschool ADHD. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198739258.003.0035.

Full text
Abstract:
The evidence supporting the validity and stability of ADHD during the preschool years is now considerable and, coupled with mounting evidence indicating long-term impairments and economic cost of ADHD, provides a clear rationale for early intervention during the preschool years. While medication is an evidenced-based intervention for older children with ADHD, higher side effects and lower levels of efficacy in preschool children make medication a less attractive option. This chapter presents the behavioural treatment options available for preschool children with ADHD and reviews the evidence base supporting their use, focusing on ADHD, conduct problems, school readiness, parenting behaviour, and parental wellbeing as outcomes. Mediators and moderators of behavioural treatments for preschool children are evaluated, with a focus on the lack of clear mediation and moderation evidence. Finally, important clinical and service delivery considerations are explored, including specialist versus generic types of behavioural interventions, mode of intervention delivery, and dose effects.
APA, Harvard, Vancouver, ISO, and other styles
17

(Editor), Christopher J. White, Stephen R. Rammee (Editor), Tyrone J., M.D. Collins (Editor), and J. Stephen Jenkins (Editor), eds. Peripheral Vascular Intervention for Cardiovascular Specialists. Futura Pub Co, 2003.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
18

Recovering after stroke: A qualitative study of patient and care-giver views and the impact of specialist nurse intervention : research report to Northern and Yorkshire Regional Health Authority. Department of Applied Social Studies, University of Bradford, 1995.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
19

Hain, Richard D. W., and Satbir Singh Jassal. Palliative care emergencies. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198745457.003.0015.

Full text
Abstract:
A palliative care emergency describes a symptom situation that is serious and demands immediate and skilled specialist attention, but is also unusual enough for there to be a possibility that the specialist has not often encountered it. In a palliative care emergency, the patient experiences sudden and severe distress that can only be relieved by prompt and confident intervention by the palliative care team. There is little time to prepare for it, and, to the specialist in paediatric palliative medicine, an emergency is defined by the importance of already having a clear strategy for dealing with it. That can be challenging for those working in paediatric palliative care, because most are rare. This chapter covers the six main emergencies encountered in paediatric palliative medicine: cord compression, catastrophic haemorrhage, severe uncontrolled pain, superior vena cava obstruction, intestinal obstruction, and hypercalcaemia.
APA, Harvard, Vancouver, ISO, and other styles
20

Price, Susanna, Brian F. Keogh, and Lorna Swan. Congenital heart disease in adults. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199687039.003.0060.

Full text
Abstract:
The number of patients with congenital heart disease surviving to adulthood is increasing, with many requiring ongoing medical attention. Although recommendations are that these patients should be cared for in specialist centres, the clinical state of the acutely unwell patient may preclude transfer prior to the instigation of lifesaving treatment. Although the principles of resuscitation in this patient population differ little from those with acquired heart disease, the acutely unwell adult congenital heart disease patient presents a challenge, with potential pitfalls in examination, assessment/monitoring, and intervention. Keys to avoiding errors include: knowledge of the primary pathophysiology, any interventions that have been undertaken, residual lesions present (static or dynamic), and the normal physiological status for that patient-to determine the precise cause for the acute deterioration and to appreciate the effects (detrimental or otherwise) that any supportive and/or therapeutic interventions might have. Expert advice should be sought at the earliest opportunity.
APA, Harvard, Vancouver, ISO, and other styles
21

Price, Susanna, Brian F. Keogh, and Lorna Swan. Congenital heart disease in adults. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199687039.003.0060_update_001.

Full text
Abstract:
The number of patients with congenital heart disease surviving to adulthood is increasing, with many requiring ongoing medical attention. Although recommendations are that these patients should be cared for in specialist centres, the clinical state of the acutely unwell patient may preclude transfer prior to the instigation of lifesaving treatment. Although the principles of resuscitation in this patient population differ little from those with acquired heart disease, the acutely unwell adult congenital heart disease patient presents a challenge, with potential pitfalls in examination, assessment/monitoring, and intervention. Keys to avoiding errors include: knowledge of the primary pathophysiology, any interventions that have been undertaken, residual lesions present (static or dynamic), and the normal physiological status for that patient-to determine the precise cause for the acute deterioration and to appreciate the effects (detrimental or otherwise) that any supportive and/or therapeutic interventions might have. Expert advice should be sought at the earliest opportunity.
APA, Harvard, Vancouver, ISO, and other styles
22

Patel, Sameer, and Julia Wendon. Diagnosis and assessment of acute hepatic failure in the critically ill. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0195.

Full text
Abstract:
Establishing the aetiology of acute hepatic failure is essential for correct and timely management. An exhaustive history and examination is crucial in targeting investigations and initiating management. Clinical assessment allows risk stratification, identifying those patients who can be managed locally from those best served in a specialist centre with liver transplantation capability. History should focus on the presenting problem, time of onset and speed of deterioration, and establish features consistent with hyperacute, acute or subacute ALF to guide prognostication. Examination should initially focus on rapid assessment and resuscitation before searching for signs leading to more specific differential diagnoses. Investigations should encompass the variety of potential causes, ranging from basic to more specialist studies. Prognostication is critical for stratification of those patients who may benefit from a potentially life-saving transplantation. Several risk stratification and predictive tools exist to differentiate those patients likely to recover, those unlikely to survive despite maximal intervention, and those who would potentially benefit from transplantation.
APA, Harvard, Vancouver, ISO, and other styles
23

Juhnke, Gerald A., Paul Granello, and Darcy Haag Granello. School Bullying and Violence: Interventions for School Mental Health Specialists. Oxford University Press, Incorporated, 2020.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
24

Kulkarni, Kunal, James Harrison, Mohamed Baguneid, and Bernard Prendergast, eds. Geriatric medicine. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198729426.003.0010.

Full text
Abstract:
Geriatric medicine is a complex specialty often complicated by factors such as multiple causation, chronic fluctuating course, and attendant functional and social factors. Such complex aetiology mandates multifactorial assessments and multifactorial interventions. Not all older people need the skills of a specialist geriatric team, but appropriate skills must either be embedded within systems managing older people, or else effective screening tools developed that enable non-specialists to recognize patients who benefit from more specialist assessment. Older people, as a group, face the greatest burden of disease and stand to benefit most from quality research—yet there is less of it. Determining the effect of complex interventions on heterogeneous populations afflicted by complex disease is inherently difficult and is made more so by high fatality, difficult follow-up, and cognitive impairment. Such patients are routinely excluded from trials that seek answers to simpler—but less common and less important—clinical questions.
APA, Harvard, Vancouver, ISO, and other styles
25

Williams, Andy, and Ali Narvani. Combined ligament injuries around the knee. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.008012.

Full text
Abstract:
♦ Any knee with major disruption of two ligaments is likely to have been dislocated at the time of injury♦ Knee dislocations are associated with high risk of neurovascular injury. Angiography or vascular ultrasound is mandatory♦ In knee dislocations, following immediate reduction and stabilization usually with a brace, acute repair of the ruptured soft tissue structure within 2–3 weeks of injury is likely to provide superior results compared to later reconstruction♦ Management of most multiligament injuries is complex and requires surgical intervention therefore specialist centres are best to be involved early♦ In cases with associated malalignment, osteotomy can improve the results of ligament reconstruction.
APA, Harvard, Vancouver, ISO, and other styles
26

Shulman, Ryan, Adrian Wilson, and Delia Peppercorn. Magnetic resonance imaging of the knee. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199550647.003.008003.

Full text
Abstract:
♦ ACL tear: abnormal fibres, tibial translation, PCL/patella tendon buckling, bone bruising♦ Meniscal tear: signal change to free edge♦ Bone bruising:• Reticular—not continuous subarticular bone• Geographic—extends to subarticular bone♦ Posterolateral corner:• Oblique slices through fibular head• Consists of lateral collateral ligament, popliteus, popliteofibular ligament, and arcuate complex.Magnetic resonance imaging (MRI) has revolutionized the investigation and treatment of the painful knee. It is non-invasive and avoids patient exposure to ionizing radiation. MRI has the advantage of establishing diagnoses in a painful knee without the morbidity of surgical intervention. It is now widely available and has moved from a simple diagnostic adjunct into a key planning tool. It offers improved management of theatre resources and it allows for more accurate planning of postoperative rehabilitation.The role of MRI in management of the injured knee is determined by its cost-effectiveness and its ability to augment the diagnostic accuracy of clinical examination. Accuracy of clinical examination by specialist orthopaedic surgeons is comparable to MRI when interpreted by specialist radiologists (Table 8.3.1). Increasingly, MRI has been shown to be cost neutral. Whilst costs are high, diagnostic information reduces the need for unnecessary surgery.
APA, Harvard, Vancouver, ISO, and other styles
27

Simpson, Scott A., and Robert E. Feinstein. Crisis Intervention in Integrated Care. Edited by Robert E. Feinstein, Joseph V. Connelly, and Marilyn S. Feinstein. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.003.0026.

Full text
Abstract:
A crisis occurs when a life stressor overwhelms a person’s ability to cope with a problematic life situation. Crises often become evident in the primary care setting. People in crisis feel distressed and alone; they experience a psychological disorganization that affects their mood and functioning. Most patients can benefit from a brief crisis intervention treatment delivered in an integrated care environment. Behavioral health specialists can lead crisis intervention therapy with the support of the primary care provider, nurses, staff, and a consulting psychiatrist. Crisis intervention treatment includes identifying the life stressor, understanding the patient’s response to stress, assessing the patient’s social system, listing possible solutions to the crisis, and working to implement those solutions. As the crisis resolves, the integrated team provides anticipatory guidance for the patient and primary provider.
APA, Harvard, Vancouver, ISO, and other styles
28

Feinstein, Robert, Joseph Connelly, and Marilyn Feinstein, eds. Integrating Behavioral Health and Primary Care. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780190276201.001.0001.

Full text
Abstract:
This book describes real-world examples and practical approaches for integrating behavioral and physical health services in primary care and some specialty medical environments. Integrated care models are patient-centered; delivered by teams of medical professionals, utilize care coordination, and a population-based approach. This book is comfortably accessible to students, residents, faculty, and all mental health professionals, primary care and medical specialists who are working in ambulatory/office-based practices. We examine the integrated care literature and recommend applying collaborative care and other existing models of integrated care based on the existing evidence-based research. When there is no literature supporting a specific approach, our experts offer their ideas and take an aspirational approach about how to manage and treat specific behavioral disorder or problems. We assume the use of a fully integrated team staffing model while also recognizing this an ideal that may need modification based on local resources and practice cultures. The full integrated team includes a primary care or specialist provider(s), front desk staff, medical assistant(s), nurse(s), nurse practitioners, behavioral health specialist(s), health coaches, consulting psychiatrist, and care coordinator(s)/manager(s). The book has four sections: Part 1: Models of Integrated Care provides an overview of the principles and the framework of integrated care focusing on five highly successful integrated practices. We also discuss team-based care, financing, tele-behavioral health, and use of mental health assessments and outcome measures. Part 2: Integrative Care for Psychiatry and Primary Care is a review of existing and proposed models of integrated care for common psychiatric disorders. Our continuity approach emphasizes problem identification, differential diagnosis, brief treatment, and yearlong critical pathways with tables and figures detailing “how to” effectively deliver mental health care and manage substance misuse in an integrated care environment. Part 3: Integrated Care for Medical Sub-Specialties & Behavioral Medicine Conditions in Primary Care focuses on two models of integrating behavioral health care: (1) integrating wellness with behavioral health and (2) integrating psychiatry and neurology. Other chapters are “Women’s Mental Health Across the Reproductive Lifespan,” “Assessing and Treating Sexual Problems in an Integrated Care Environment,” “Integrated Chronic Pain and Psychiatric Management,” and “Death and Dying: Integrated Teams.” Part 4: Psychosocial Treatments in Integrated Care describes brief office-based counseling and psychosocial treatment approaches including: health coaching, crisis intervention, family, and group interventions. All of these brief treatment approaches are patient–centered, tailored to be used effectively integrated care settings and as an important contribution to population management.
APA, Harvard, Vancouver, ISO, and other styles
29

Heidbuchel, Hein, Mattias Duytschaever, and Haran Burri, eds. The EHRA Book of Interventional Electrophysiology. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780198766377.001.0001.

Full text
Abstract:
The EHRA Book of Interventional Electrophysiology is the second official textbook of European Heart Rhythm Association (EHRA). Using clinical cases to encourage practical learning, this book assists electrophysiologists and device specialists in tackling both common and unusual situations that they may encounter during daily practice. Covering electrophysiological procedures for supraventricular and ventricular arrhythmias, the book enables specialists to deepen their understanding of complex concepts and techniques. Tracings are presented with multiple choice questions to allow readers to hone their skills for interpreting challenging cases and to prepare for the EHRA certification exam in electrophysiology. Cases include orthodromic atrioventricular re-entrant tachycardia, pulmonary vein isolation, ventricular tachycardia ablation, and atypical left atrial flutter, to name a few.
APA, Harvard, Vancouver, ISO, and other styles
30

Field, John. Therapeutic strategies in managing cardiac arrest. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780199600830.003.0064.

Full text
Abstract:
Emergency and critical care specialists are important interdisciplinary physicians who often impact on the long-term survival of patients sustaining cardiac arrest, as well as immediate outcomes. These specialists are often at the crossroads of survival for patients achieving return of spontaneous circulation, and it is important to appreciate that out-of-hospital and in-hospital cardiac arrest patients represent different pathophysiological subgroups with respect to aetiology and pathophysiology. Important time-dependent triage and therapy are crucial, and efforts to identify and treat pathophysiological triggers share priority with the initiation of hypothermia protocols and other targeted interventions, such as coronary angiography and percutaneous coronary intervention. Updated basic life support (BLS) and advanced life support (ACLS) protocols emphasize the importance of high quality chest compressions as central to achieving return of spontaneous circulation and emphasize that airway interventions should not detract from this objective. No specific ACLS intervention including intubation, vasopressor therapy or use of anti-arrhythmic agents has been found to improve outcome. The goal of both BLS and ACLS protocols is the achievement of return of spontaneous circulation, the prevention of re-arrest and the initiation of immediate post-resuscitation interventions associated with improved outcome. These include targeted temperature management (induced hypothermia) and coronary angiography for appropriate patients and ‘bundled’ critical care for all recognizing that the post-arrest state is a systemic inflammatory condition requiring multidisciplinary care beyond hypothermia and cardiovascular support.
APA, Harvard, Vancouver, ISO, and other styles
31

Goldstein, Howard, and Elizabeth Spencer Kelley. Story Friends Specialist's Kit: An Early Literacy Intervention for Improving Oral Language. Brookes Publishing, 2016.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
32

Evans, Charlotte, Anne Creaton, Marcus Kennedy, and Terry Martin, eds. Obstetrics and gynaecology. Oxford University Press, 2016. http://dx.doi.org/10.1093/med/9780198722168.003.0013.

Full text
Abstract:
High acuity and critical care presentations in obstetrics and gynaecology are not uncommon, and when seen in the retrieval setting they present pathophysiology and risk avoidance challenges for the retrieval physician, coordinator, and system. The particular risks in obstetric retrieval which are associated with the consideration of infant risk, and the emotive implications of perinatal death, create additional pressure. The wellbeing of the mother is in all circumstances the priority, and it is important that this drives decision-making and planning. Careful consideration and consultation with specialist retrieval coordinators with obstetric experience and qualifications is important to optimize plans. These plans often revolve around the wisdom of intervention or delivery pre, post, or instead of high-risk transfer. Experience, perspective, and understanding of practitioner and system capability will inform best decisions and outcomes.
APA, Harvard, Vancouver, ISO, and other styles
33

Center for Prevention Services (U.S.). Division of Sexually Transmitted Diseases. Training, Education, and Consultation Section., ed. Quality assurance guidelines for managing the performance of disease intervention specialists in STD control. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Prevention Services, Division of Sexually Transmitted Diseases, Program Services Branch, Training, Education, and Consultation Section, 1985.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
34

Center for Prevention Services (U.S.). Division of Sexually Transmitted Diseases. Training, Education, and Consultation Section., ed. Quality assurance guidelines for managing the performance of disease intervention specialists in STD control. Dept. of Health and Human Services, Public Health Service, Centers for Disease Control, Center for Prevention Services, Division of Sexually Transmitted Diseases, Program Services Branch, Training, Education, and Consultation Section, 1985.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
35

Roberts, K. Substance misuse: A comparison of occupational therapy interventions on general psychiatric wards and specialist units. 1998.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
36

Deighton, Chris. Rheumatoid arthritis—management. Oxford University Press, 2013. http://dx.doi.org/10.1093/med/9780199642489.003.0112.

Full text
Abstract:
Influential guidelines on rheumatoid arthritis (RA) management agree on most key recommendations. Early diagnosis of persistent synovitis, and identification of poor prognostic markers, is essential. Rapid intervention is vital with drugs to suppress inflammation, slow down damaging disease components, and prevent disability. The label of RA covers a broad spectrum of disease severity, and there is controversy on: • whether the same interventions are needed for all patients • whether monotherapy or combination treatment is appropriate • the role of steroids in RA • the appropriate introduction of biological therapies. Treating to specified targets is optimal evidence-based practice, where patients are reviewed regularly for disease activity assessments, and inadequate control rectified. Aiming for remission is the ultimate goal, though for some patients minimal disease activity may be appropriate. Patient education addressing self-management is important, and the multidisciplinary team (MDT: specialist nurses, physiotherapists, occupational therapists, podiatrists, psychologists) needs to be involved from the start to minimize the impact on quality of life of the patient. For established disease, rapid access is important for flares, and to consider whether disease management could be improved. An intermittent overview of established disease is important with access to the MDT, and assessments for comorbidities such as ischaemic heart disease, osteoporosis, and depression, as well as complications of the disease itself such as cervical spine disease, vasculitis, and lung and eye complications. An informed patient needs to be central to all decision making.
APA, Harvard, Vancouver, ISO, and other styles
37

Luckett, Tim, and Katherine L. P. Reid. Speech and language therapy in palliative care. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199656097.003.0410.

Full text
Abstract:
Palliative care is an emerging specialty within the field of speech and language therapy (SLT); the discipline is currently under-represented both in specialist services and the research literature. This belies the fact that many patients in the palliative phase suffer problems with swallowing (dysphagia) and communication, the core domains of SLT practice. This chapter provides an overview of difficulties encountered in these domains by people with life-limiting conditions together with common approaches to assessment and management. Assessment and management should be person-centred, integrated into multidisciplinary care, and seek to maintain function via minimal intervention for maximum gain. More research is needed to inform appropriately integrated, person-centred models of SLT provision that enable difficulties with communication and swallowing to be addressed alongside other symptoms and care needs. It seems likely that difficulties in these domains are currently under-identified and under-treated in many cases.
APA, Harvard, Vancouver, ISO, and other styles
38

Strain, Jay J., Akhil Shenoy, and James J. Strain. An Updated Electronic Health Record (EHR) for Depression Management. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190603342.003.0013.

Full text
Abstract:
Depression is a ubiquitous illness for which primary care is now on the front line, providing care to millions of patients. Identifying these patients and providing adequate care is beyond the capabilities of our current medical approach. New algorithms from research and unique techniques based on new technologies now exist for optimizing our current Electronic Health Records (EHR) into a powerful support tool for psychiatric patient care. This chapter examines the theories, biopsychosocial techniques, ongoing research, technologies, and protocols from other areas of Medicine that have been successful in capturing and evaluating patient status and guiding medical care. These concepts are modeled into how primary care colleagues can receive automated guidance and psychiatry can be referred those cases which require specialist intervention. A multimodality paradigm for an enhanced EHR which minimizes primary care physician efforts and maximizes identification, escalating management, and tracking of psychiatric patient care is proposed.
APA, Harvard, Vancouver, ISO, and other styles
39

Vatakencherry, Geogy, Alok Bhatt, and Amanjit S. Baadh. Consultation. Edited by Bradley B. Pua, Anne M. Covey, and David C. Madoff. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190276249.003.0001.

Full text
Abstract:
In the 1960s, Dr. Charles Dotter created the field of vascular and interventional radiology. Despite tremendous opposition from competing providers, he forged ahead, bringing percutaneous vascular intervention to the mainstream of modern medicine. Since Dotter, vascular and interventional radiology has undergone a dramatic transformation marked by repeated innovation. In September 2012, the American Board of Medical Specialties recognized interventional radiology as the 37th primary specialty in medicine, acknowledging the unique nature of this specialty, in that it combines clinical, imaging, and technical skill sets. As the field evolves from one focused on techniques and procedures to involving disease specialists with the inclusion of consultative services, it is imperative that the interventionalist becomes better integrated in patient management through more effective consultations. This chapter provides a framework for providing effective consultations to patients and families, referring providers, and colleagues.
APA, Harvard, Vancouver, ISO, and other styles
40

Russell, Meg, and Daniel Gover. The Role of Select Committees. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780198753827.003.0008.

Full text
Abstract:
This chapter explores the various means by which specialist select committees in both the House of Commons and House of Lords interact with and influence government legislation. The development of select committees is widely seen as important at Westminster, having encouraged greater expertise and specialization among members, and cross-party work. Yet the select committees have only a limited formal role in the legislative process, because the ‘committee stage’ occurs elsewhere. Nonetheless, this chapter shows extensive select committee influence on the 12 case study bills. The committees can be important to setting the policy agenda, informing members, influencing debate, encouraging amendments, and—potentially—supporting the government. This particularly applies to the constitutional committees in the House of Lords, and select committees conducting pre-legislative scrutiny of draft bills. However, other committees can also be important, as demonstrated by the Commons Health Committee’s intervention over the smoking ban in the Health Bill (2005–06).
APA, Harvard, Vancouver, ISO, and other styles
41

Tavares, Hermano. Assessment and Treatment of Pathological Gambling. Edited by Jon E. Grant and Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0091.

Full text
Abstract:
As gambling becomes more popular, more people will be exposed to it; thus, the prevalence of and demand for gambling-related treatments are expected to increase. Pathological gambling (PG) is the most severe level of gambling compromise, characterized by unrestrained gambling to the point of financial and psychosocial harm. Classified among the impulse control disorders, PG resembles other addictive disorders. A host of scales for screening and diagnosing PG are available for both the specialist and the general practitioner. The diagnosis of PG, like that of other addictions, is based upon signs of loss of control over the target behavior (i.e., gambling), dose escalation (increasing amounts wagered to get the same excitement as in previous bets), withdrawal-like symptoms, psychosocial harm, persistent desire, and persistent betting despite the negative consequences. Its treatment requires thorough assessment of psychiatric related conditions, motivational intervention, gambling-focused psychotherapy, relapse prevention, and support for maintenance of treatment gains. Psychopharmacological tools to treat craving and gambling recurrence are an incipient but promising field.
APA, Harvard, Vancouver, ISO, and other styles
42

Educational Resources Information Center (U.S.), ed. CASEI Project: Consultation and Administration Specialists in Early Intervention : final report, August 30, 2001 (Preservice Personnel Training). U.S. Dept. of Education, Office of Educational Research and Improvement, Educational Resources Information Center, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
43

Sullivan, Sean G. Impulse Control Disorders in Medical Settings. Edited by Jon E. Grant and Marc N. Potenza. Oxford University Press, 2012. http://dx.doi.org/10.1093/oxfordhb/9780195389715.013.0123.

Full text
Abstract:
Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.
APA, Harvard, Vancouver, ISO, and other styles
44

Lewis-Smith, Helena, Diana Harcourt, and Alex Clarke. Interventions to Support Patients Affected by an Altered Appearance. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190655617.003.0004.

Full text
Abstract:
Abstract: Changes to appearance as a result of disease and treatment can be a source of considerable distress for many patients. This chapter applies a stepped model of care as a framework to consider the use of psychosocial approaches to support people whose appearance and/or body image has changed as a result of cancer. In doing so, it explores the use of a range of interventions, from societal-level approaches aiming to shift attitudes toward appearance amongst the general population through to high-level interventions for patients with high levels of distress, delivered by psychosocial specialists with expertise in this field. The chapter also reflects on the challenges facing health professionals and researchers who are looking to provide evidence-based care and offers suggestions for the future direction of research.
APA, Harvard, Vancouver, ISO, and other styles
45

20 minute phonemic training for dyslexia, auditory processing, and spelling: A complete resource for speech pathologists, intervention specialists, and reading tutors. 2017.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
46

Shaner, Katherine A. Shifting Power. Oxford University Press, 2018. http://dx.doi.org/10.1093/oso/9780190275068.003.0004.

Full text
Abstract:
This chapter explores differences between rhetorics of sacrifice in inscriptional evidence in Ephesos and in imperial depictions. Different rhetorics around configurations of sacrificial personnel reveal a contestation around enslaved leadership in ritual practices. As imperial presence strengthened in Ephesos in the second century CE, the rhetoric of imperial authority attempted to contain the social tensions that come with enslaved leadership. Drawing on rhetorical analysis of the Parthian Reliefs and the prevalence of enslaved personnel in the Artemis cult, this chapter argues that the work of enslaved ritual specialists sustains sacrificial practices. Inscriptions describing the sacrificial duties of honorary priests in the city suggest that these specialists were charged with proper instruction of such duties. If one reads these inscriptions as one kind of intervention into the tensions around enslaved leadership and the reliefs as another, the work of enslaved persons as specialists in sacrificial practices comes into view.
APA, Harvard, Vancouver, ISO, and other styles
47

Thorne, Sara, and Paul Clift, eds. Cardiac catheterization. Oxford University Press, 2011. http://dx.doi.org/10.1093/med/9780199228188.003.0004.

Full text
Abstract:
Introduction 42Indications for catheterization 44Precatheterization care 46Calculations 48The purpose of cardiac catheterization in this patient group is to gain information about complex anatomy and haemodynamics, especially with respect to PA pressure and vascular resistance. In order to gain complete angiographic and haemodynamic information, studies are best performed in specialist units. In recent years, catheterization has been increasingly combined with percutaneous interventional procedures, reducing the need for further cardiac surgery in some individuals. ...
APA, Harvard, Vancouver, ISO, and other styles
48

Wagg, Adrian. Incontinence, the sleeping geriatric giant: challenges and solutions. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199689644.003.0008.

Full text
Abstract:
Key points• The prevalence of urinary incontinence increases in association with increasing age.• Behavioural and lifestyle interventions, including exercise, are effective in older people.• There is an increasing evidence base for pharmacological therapy of urgency incontinence in the elderly and frail elderly.• Surgical management for older men and women is associated with benefit but should be performed with due regard to potential benefits and harms, remaining life expectancy, and the expectations of both patient and, where relevant, caregiver.• Continence care should be based around provision by specialist nurse practitioners working within a multiprofessional, integrated service.
APA, Harvard, Vancouver, ISO, and other styles
49

Interdisciplinary Graduate Program: Rural Early Intervention Specialists for Low Incidence Disabilities (REIS/LID) : final grant performance report, for the period : July 1, 1998-June 30, 2001. U.S. Dept. of Education, Office of Special Education and Rehabilitation Services, 2001.

Find full text
APA, Harvard, Vancouver, ISO, and other styles
50

Shah, Minal A., and Rabih O. Darouiche. Spinal Epidural Abscess. Oxford University Press, 2017. http://dx.doi.org/10.1093/med/9780199937837.003.0152.

Full text
Abstract:
Spinal epidural abscess is a rare and debilitating illness that requires prompt recognition to prevent unfavorable outcomes. Despite increased awareness of the disease and improved imaging methods, spinal epidural abscess sometimes remains a diagnostic and therapeutic challenge; as a result, morbidity and mortality can be high. Optimal management of spinal epidural abscess requires early intervention and coordination with a multidisciplinary team, including emergency medicine physicians, infectious disease specialists, radiologists, neurosurgeons, orthopedists, internists, and hospitalists. This chapter reviews the epidemiology, microbiology, pathogenesis, clinical features, diagnosis, treatment, and outcome of spinal epidural abscess.
APA, Harvard, Vancouver, ISO, and other styles
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography