History Taking, Examination, and Record Keeping in Emergency Medicine
Seiten
1996
Oxford University Press (Verlag)
978-0-19-262461-1 (ISBN)
Oxford University Press (Verlag)
978-0-19-262461-1 (ISBN)
Good medical and nursing records are essential in A&E for adequate clinical care as well as for medicolegal reasons. This book describes, with many examples, the information that A&E records should contain. It is essential for the new A&E doctor and A&E nurse practitioner.
Good record keeping is essential in medicine, a point often stressed by the defence organizations. A & E records are frequently very bad - which may cause medicological problems as well as impairing effective patient care. The reason is inexperience. This book explains what it is important to record (and why) and gives examples.
Good records are essential in A & E. This book explains the reasons for keeping good records and describes how A & E records should be kept, both in general terms nad emphasizing the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some performas for collecting information on examination, especially orthopaedic and neurological examination, but none which specifically covers record-keeping or even discusses it other than to stress its importance. There are pamphlets for medical students often provided by individual medical schools, but these just cover general medicine and surgery.
Good record keeping is essential in medicine, a point often stressed by the defence organizations. A & E records are frequently very bad - which may cause medicological problems as well as impairing effective patient care. The reason is inexperience. This book explains what it is important to record (and why) and gives examples.
Good records are essential in A & E. This book explains the reasons for keeping good records and describes how A & E records should be kept, both in general terms nad emphasizing the essential information to be recorded with different mechanisms of injury and in different anatomical sites. Some performas for collecting information on examination, especially orthopaedic and neurological examination, but none which specifically covers record-keeping or even discusses it other than to stress its importance. There are pamphlets for medical students often provided by individual medical schools, but these just cover general medicine and surgery.
Introduction ; Reasons for good notekeeping ; Basiuc pattern of notes ; History ; Examination ; X-rays and other investigations ; Diagnosis ; Practical procedures ; Drugs ; Advice ; Letters to the GP ; General points ; joints ; bones including fractures ; wounds ; non traumatic problems ; Parts of the body ; head ; face ; neck ; spine ; chest ; abdomen ; shoulder ; elbow ; wrist ; hand ; child not using upper limb ; hip ; knee ; ankle ; foot ; child not weight bearing or limping ; Burns ; Road Traffic Accidents ; Major Trauma ; Deliberate self harm ; Nursing notes by A.M. Jenkin B Sc, RGN
| Erscheint lt. Verlag | 28.3.1996 |
|---|---|
| Reihe/Serie | Oxford Handbooks in Emergency Medicine |
| Zusatzinfo | numerous line figures |
| Verlagsort | Oxford |
| Sprache | englisch |
| Maße | 138 x 216 mm |
| Gewicht | 327 g |
| Themenwelt | Medizin / Pharmazie ► Gesundheitswesen |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Intensivmedizin | |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin | |
| Studium ► 2. Studienabschnitt (Klinik) ► Anamnese / Körperliche Untersuchung | |
| Studium ► 2. Studienabschnitt (Klinik) ► Rechtsmedizin | |
| ISBN-10 | 0-19-262461-X / 019262461X |
| ISBN-13 | 978-0-19-262461-1 / 9780192624611 |
| Zustand | Neuware |
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