Decision-Making in Veterinary Practice (eBook)

Barry Kipperman (Autor)

eBook Download: PDF

2023 | 1. Auflage
272 Seiten
Wiley (Verlag)
978-1-119-98637-9 (ISBN)

Infos

Decision-Making in Veterinary Practice The first-ever guide to rational decision-making in veterinary practice The practice of veterinary medicine entails crucial decisions about patient care on a daily basis. Whether to admit patients displaying symptoms, whether to pursue diagnoses or prioritize therapeutic trials, whether to advise overnight stays after routine surgery, whether to refer patients; the answers to questions like these can significantly influence patient outcomes and standards of care. However, veterinary clinicians are seldom trained to analyze their patterns of decision-making, relying instead on the existing culture of a practice to dictate their behaviors. This can lead to irrational decisions, institutional inertia, reluctance to comply with evidence-based medicine, and failure to optimize patient outcomes. Decision-Making in Veterinary Practice provides the first-ever dedicated guide to rational principles for decision-making in veterinary practice. Rooted in the study of normative ethics, it seeks to pose important questions and develop processes by which they can be answered. The book promises to transform the clinical performance of clinicians and practices that utilize it. Decision-Making in Veterinary Practice readers will also find: Discussions of key issues based on extensive clinical experience and evidence Detailed discussion of important decision determinants like time of day, patient weight, criteria for stopping treatment, and more Essential insights on clinical decision-making and clinical reasoning Decision-Making in Veterinary Practice is ideal for all veterinary practitioners, veterinary students, and clinical skills instructors. Decision Making in Veterinary Practice offers expert medical knowledge and an ethical sensibility to illuminate everyday veterinary issues like animal euthanasia, treatment of elderly patients, and moral stress. The result is an unparalleled practical road map to fulfilling the patient advocacy role of the veterinarian. I wish I had the benefit of Dr. Kipperman's wisdom when I was a young veterinarian. All veterinarians should read this terrific book veterinary students, new graduates, and seasoned professionals. Simon Coghlan, PhD, BVScUniversity of MelbourneVictoria, Australia Decision Making in Veterinary Practice is a detailed and thoughtful discussion of many key aspects of veterinary clinical decision making. Drawing from decades of personal experience as an internal medicine specialist and practice owner, Dr. Kipperman provides numerous realistic case examples to illustrate both the challenges facing clinicians and many potentially helpful strategies for improving decision- making and optimizing patient outcomes. Brennen McKenzie, MA, MSc, VMDAdobe Animal HospitalLos Altos, CA Decision Making in Veterinary Practice is a helpful resource focused on how decisions are made, and how decision-making can be improved in the interests of veterinary patients. It contains many excellent case examples documenting positive and negative outcomes of decisions. A unique aspect of this book is its disclosures of Dr. Kipperman s experiences as an internist including humble accounts of lessons learned and insights into the moral distress experienced by veterinary specialists. Anne Quain, BVSc, MVetStudSydney School of Veterinary ScienceSydney, Australia

Autor

Barry Kipperman, DVM, DACVIM, MSc, DACAW, is a specialist in small animal internal medicine and animal welfare. Dr. Kipperman founded a small animal specialist and emergency hospital in the San Francisco Bay Area and spent 33 years in practice before transitioning to teaching and writing. He is a Lecturer in Veterinary Ethics at the University of California at Davis, School of Veterinary Medicine, Davis, CA, USA and Adjunct Associate Professor at the University of Missouri College of Veterinary Medicine, Columbia, MO, USA.

Inhalt

Contributors xiii

Acknowledgments xv

Introduction: Why a Book on Decision-Making in Veterinary Practice? xvii

Section 1 Fundamental Concepts in Making Clinical Decisions 1

1 How to Define Your Success as a Clinician 3
Barry Kipperman

2 How to Obtain a Patient History 17
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3 Informed Consent 25
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4 Risks, Benefits, and Ageism 37
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5 Client Education Beyond Informed Consent: The Most Important Thing an Owner Needs to Know 47
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6 Euthanasia 53
Barry Kipperman and Kathleen Cooney

7 Referrals 67
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8 The Influence of Economics on Decision-Making 77
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9 How to Optimize Patient Outcomes 91
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10 Medical Errors 107
Barry Kipperman and Jim Clark

Section 2 Principles of Diagnosis 121

11 The Influence of Patient Weight on Decision-Making 123
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12 The Influence of Age and Aging on Decision-Making 129
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13 The Day of the Week Matters 135
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14 The Time of Day Matters 141
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15 Serial Monitoring of Laboratory Results 147
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16 Overdiagnosis and Useful Diagnosis 155
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17 The Minimum Database 167
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18 In What Order Should Tests Be Performed? 173
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19 Diagnostic Errors 179
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20 Providing a Prognosis 189
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Section 3 Principles of Treatment 199

21 Inpatient or Outpatient? 201
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22 The Therapeutic Trial 207
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23 Interpreting Therapeutic Outcomes 217
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24 Setting Goals and Therapeutic Endpoints 227
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25 Pain Management 235
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Index 245

Produkt-Details

• Erscheint lt. Verlag: 11.1.2024
• Sprache: englisch
• Themenwelt: Veterinärmedizin
• Schlagworte: Entscheidungsfindung • Praxismanagement i. d. Veterinärmedizin • Veterinärmedizin • Veterinärmedizin / Innere Medizin • Veterinary Internal Medicine • Veterinary Medicine • Veterinary Practice Management
• ISBN-10: 1-119-98637-0 / 1119986370
• ISBN-13: 978-1-119-98637-9 / 9781119986379