Advanced Health Assessment & Clinical Diagnosis in Primary Care
- 7th Edition - November 23, 2022
- Authors: Joyce E. Dains, Linda Ciofu Baumann, Pamela Scheibel
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 8 3 2 0 6 - 9
- Paperback ISBN:9 7 8 - 0 - 4 4 3 - 1 1 8 4 8 - 7
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 8 3 2 0 7 - 6
**Selected for Doody’s Core Titles® 2024 in Diagnosis/Assessment**Take the next step in health assessment by building your skills in diagnostic and clinical reasoning! Advanced… Read more
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Take the next step in health assessment by building your skills in diagnostic and clinical reasoning! Advanced Health Assessment and Clinical Diagnosis in Primary Care, 7th Edition goes beyond the basic physical examination to help you learn to accurately evaluate common conditions. Organized by patient symptoms or complaints, the book follows a systematic approach beginning with a chief concern rather than a specific diagnosis or disease entity, then guides you step-by-step through a diagnostic reasoning process to lead to a clinical diagnosis. This edition includes new chapters on veterans’ health and on contemporary approaches in primary care settings, as well as updated content on issues such as race, ethnicity, and gender identity. Written by a team of advanced practitioners led by Joyce E. Dains, this AJN award-winning text helps you learn to think like an expert clinician.
- Clear, consistent diagnostic reasoning process takes you to the next step of health assessment — beyond basic history and physical examination to diagnostic reasoning and clinical diagnosis.
- Diagnostic Reasoning: Focused History sections use "self-questions" to walk you through the thinking process involved in obtaining a pertinent, relevant, problem-specific history that will assist in differential diagnosis.
- Diagnostic Reasoning: Focused Physical Examination sections explain how to perform more advanced diagnostic techniques and interpret the findings.
- Key Questions guide you through assessment and toward an accurate diagnosis by listing questions to ask the patient, followed by explanations of what the patient's responses might signify.
- Laboratory and Diagnostic Studies sections outline the types of tests that might be appropriate based on the focused history and focused physical examination.
- Differential Diagnosis sections offer the most common diagnoses for each patient problem and summarize the history and physical examination findings, along with recommended laboratory and diagnostic studies.
- Differential Diagnosis tables provide a quick-reference summary of possible diagnoses for each patient problem.
- UNIQUE! Care of Transgender and Gender-Diverse (TGD) Patients chapter equips you with the necessary knowledge to properly assess and care for this underserved patient population.
- Content on pediatrics is integrated throughout to give a true lifespan focus.
- Information on screening for abuse and sexual assault helps you identify patients who might need additional support or intervention.
- Evidence-Based Clinical Practice Guidelines chapter helps you to screen for common asymptomatic conditions and promote wellness.
- Information on screening for abuse and sexual assault helps identify patients who might need additional support or intervention.
- List of Chapters by Body System inside the front cover provides an alternate means of accessing book content.
- Compact, convenient size makes it easy to carry this reference in a lab-coat pocket, and colored thumb tabs make it easier to find the information you need.
- Advanced Practice Nursing (APN) content on advanced assessment serves as a perfect complement to Ball et al.: Seidel’s Guide to Physical Examination and other health assessment textbooks.
- Cover image
- Title page
- Disclaimer
- Table of Contents
- List of chapters by body system
- Copyright
- Contributing Authors
- Reviewers
- Acknowledgments
- Introduction
- List of Illustrations
- List of Tables
- Part I. An Introduction to Clinical Reasoning
- 1. Clinical reasoning, evidence-based practice, and symptom analysis
- Diagnostic reasoning
- The diagnostic process
- Expert versus novice practitioners
- Developing clinical reasoning
- Negotiating goals and expectations of a patient encounter
- Evidence-based practice
- Summary
- 2. Evidence-based clinical practice guidelines
- Steps in evidence-based practice
- Sources of evidence
- Levels of prevention
- Population versus targeted screening
- Ethical guidelines for screening
- Summary
- 3. Contemporary approaches in primary care settings
- Applying a public health perspective
- United States health care
- Public health competencies in primary care practice
- Priority perspectives of public health
- Public health frameworks
- Socioecological model
- Application to practice
- Telehealth
- Adverse childhood experiences and toxic stress
- Public health science—surveillance and epidemiology
- Public health surveillance
- Primary care providers and surveillance
- Surveillance, epidemiology, environmental health, and a public health perspective in pediatric primary care: The case of Flint, Michigan
- Summary
- Part II. Common Symptoms in Primary Care
- 4. Abdominal pain
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 5. Affective changes
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 6. Amenorrhea
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 7. Breast lumps and nipple discharge
- Diagnostic reasoning: Focused history for breast lumps
- Diagnostic reasoning: Focused history for nipple discharge
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 8. Breast pain
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 9. Chest pain
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis of common causes of emergent chest pain
- 10. Confusion in older adults
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 11. Constipation
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 12. Cough
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 13. Diarrhea
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 14. Dizziness
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 15. Dyspnea
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 16. Earache
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 17. Fatigue
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 18. Fever
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 19. Genitourinary problems in patients with a penis or prostate gland
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 20. Headache
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 21. Heartburn and indigestion
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 22. Hoarseness
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 23. Limb pain: Lower extremity
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 24. Limb pain: Upper extremity
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 25. Low back pain
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 26. Nasal symptoms and sinus congestion
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 27. Palpitations
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 28. Penile discharge
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 29. Rashes and skin lesions
- Diagnostic reasoning: Initial focused physical examination
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 30. Rectal pain, itching, and bleeding
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 31. Red eye
- Diagnostic reasoning: Focused history
- Evert the eyelid
- Laboratory and diagnostic studies
- Differential diagnosis
- 32. Scrotal pain and masses
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 33. Sleep problems
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 34. Sore throat
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 35. Syncope
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 36. Urinary incontinence
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 37. Urinary problems in patients with a vagina and associated anatomical structures
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Differential diagnosis
- 38. Vaginal bleeding
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 39. Vaginal discharge and itching
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 40. Vision loss
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- 41. Unintentional weight loss or gain
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- Part III. Population-Centered Care
- 42. Care of transgender and gender-diverse patients
- Diagnostic reasoning: Focused history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Special health concerns
- Guidelines and standards for care
- 43. Veterans’ health
- Diagnostic reasoning: Focused screening history
- Diagnostic reasoning: Focused physical examination
- Laboratory and diagnostic studies
- Differential diagnosis
- Part IV. Diagnostic Imaging
- 44. Abdominal x-ray
- Diagnostic reasoning: Viewing the abdominal image
- Diagnostic reasoning: Systematic examination
- 45. Chest x-ray
- Diagnostic reasoning: Viewing the chest image
- Diagnostic reasoning: Systematic examination
- References
- Index
- Inside Back Cover
- No. of pages: 688
- Language: English
- Edition: 7
- Published: November 23, 2022
- Imprint: Elsevier
- Paperback ISBN: 9780323832069
- Paperback ISBN: 9780443118487
- eBook ISBN: 9780323832076
JD
Joyce E. Dains
LB
Linda Ciofu Baumann
PS