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History Taking, Examination, and Record Keeping in Emergency Medicine

History Taking, Examination, and Record Keeping in Emergency Medicine
Author: Henry R. Guly
Publisher:
Total Pages: 250
Release: 1996
Genre: Law
ISBN:

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Good records are essential in Accident & Emergency medicine for adequate clinical care as well as for medico-legal reasons. This book explains the reasons for keeping good records and describes how A&E records should be kept both in general terms and emphasizes the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some proformas for collecting information on specific injuries are given and there are many examples of appropriate notes.


Clinical Examination, An Issue of Medical Clinics of North America, E-Book

Clinical Examination, An Issue of Medical Clinics of North America, E-Book
Author: Brian Garibaldi
Publisher: Elsevier Health Sciences
Total Pages: 203
Release: 2018-04-28
Genre: Medical
ISBN: 0323583636

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This issue of Medical Clinics, guest edited by Dr. Brian Garibaldi, is devoted to Clinical Examination. Articles in this issue include: Introduction to the Clinical Examination; The Enduring Diagnostic Value of the Physical Exam; The Physical Exam as Ritual - Social Sciences in the Context of the Physical Exam; The Hypothesis Driven Physical Exam; The Role of Technology in the "Clinical Exam 2.0 ; Clinical Reasoning at the Bedside; The Outpatient Clinical Exam; The Electronic Health Record and the Clinical Exam; Communication and Ethics in the Clinical Exam; Improving Observational Skills to Enhance the Clinical Exam; The Role of Bedside Rounds in the Clinical Examination; Communication with Patients from Culturally and Socially Diverse Populations; Telemedicine and the Clinical Exam; Clinical Skills Assessment in the 21st Century; and Emerging Tools to Enhance Clinical Reasoning Skills.


Clinical Examination Skills

Clinical Examination Skills
Author: Philip Jevon
Publisher: John Wiley & Sons
Total Pages: 232
Release: 2016-09-02
Genre: Medical
ISBN: 1119360730

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The role and function of the nurse is rapidly changing, and nurses are now required to undertake a comprehensive clinical examination of patients, a responsibility traditionally undertaken by a doctor. Clinical Examination Skills is an accessible, introductory guide to helping nurses fulfil this role, enabling them to understand the core skills and knowledge needed to assess patients competently. This practice-based book will be invaluable to pre-registration nursing students and newly qualified nursing staff, empowering them to meet the challenges of autonomous practice.


History Taking, Examination and Record Keeping in Emergency Medicine

History Taking, Examination and Record Keeping in Emergency Medicine
Author: Henry Raymund Guly
Publisher:
Total Pages: 0
Release: 2023
Genre: Communication in emergency medicine
ISBN: 9781383000689

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Good medical and nursing records are essential in accident-and-emergency for adequate clinical care as well as for medico-legal reasons. This text describes, with examples, the information that A&E records should contain. It should be useful for the new A&E doctor and nurse practitioner.


Clinical Methods

Clinical Methods
Author: Henry Kenneth Walker
Publisher: Butterworth-Heinemann
Total Pages: 1128
Release: 1990
Genre: Medical
ISBN:

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A guide to the techniques and analysis of clinical data. Each of the seventeen sections begins with a drawing and biographical sketch of a seminal contributor to the discipline. After an introduction and historical survey of clinical methods, the next fifteen sections are organized by body system. Each contains clinical data items from the history, physical examination, and laboratory investigations that are generally included in a comprehensive patient evaluation. Annotation copyrighted by Book News, Inc., Portland, OR


The Computer-Based Patient Record

The Computer-Based Patient Record
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 257
Release: 1997-10-14
Genre: Medical
ISBN: 0309175348

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Most industries have plunged into data automation, but health care organizations have lagged in moving patients' medical records from paper to computers. In its first edition, this book presented a blueprint for introducing the computer-based patient record (CPR). The revised edition adds new information to the original book. One section describes recent developments, including the creation of a computer-based patient record institute. An international chapter highlights what is new in this still-emerging technology. An expert committee explores the potential of machine-readable CPRs to improve diagnostic and care decisions, provide a database for policymaking, and much more, addressing these key questions: Who uses patient records? What technology is available and what further research is necessary to meet users' needs? What should government, medical organizations, and others do to make the transition to CPRs? The volume also explores such issues as privacy and confidentiality, costs, the need for training, legal barriers to CPRs, and other key topics.