Screening programmes involve the systematic offer of testing for populations or groups of apparently healthy people to identify individuals who may be at future risk of a particular medical condition or disease, with the aim of offering intervention to reduce their risk. For many years, screening was practised without debate, and without evidence, but in the 1960s serious challenges were raised about many of the screening procedures then being practised. Benefits and harms of screening mus...

For many complaints and conditions, the benefits from surgery are lower, and the risks higher, than you or your surgeon think. In this book you will see how commonly performed operations can be found to be useless or even harmful when properly evaluated. That these claims come from an experienced, practising orthopaedic surgeon who performs many of these operations himself, makes the unsettling argument particularly compelling.Of course no surgeon is recommending invasive surgery i...

Two world-leading doctors reveal the true state of modern medicine and how doctors are letting their patients down.In Hippocrasy, rheumatologist and epidemiologist Rachelle Buchbinder and orthopaedic surgeon Ian Harris argue that the benefits of medical treatments are often wildly overstated and the harms understated. That overtreatment and overdiagnosis are rife. And the medical system is not fit for purpose: designed to deliver health care not

This is an accessible and practical guide to clinical governance in healthcare, designed to help practitioners and students deliver better care to patients.

Welcome to the world of sexed-up medicine, where patients have been turned into customers, and clinics and waiting rooms are jammed with healthy people, lured in to have their blood pressure taken and cholesterol, smear test, bowel or breast screening done. In the world of sexed-up medicine pharmaceutical companies gloss over research they don't like and charities often use dubious science and dodgy PR to 'raise awareness' of their disease, leaving a legacy of misinformation in their wake....

How do we know whether a particular drug, therapy or operation really works, and how well? How reliable is the evidence? Are clinical trials truly unbiased? And is current research focused on the real needs of patients? Such timely and pressing questions are raised and addressed in this probing enquiry into modern clinical research, with far-reaching implications for daily medical practice and patient care.Aimed at both patients and professionals, Testing Treatments builds a lively and tho...

With devastating logic and clarity, Dr Pandora Pound, Research Director at Safer Medicines Trust, comprehensively dismantles the case for animal research, bringing to an end the 150-year-old debate about its value once and for all. Focusing on the science rather than animal suffering – and including no distressing details – she provides a riveting account of how the practice became so well established, before proceeding to painstakingly reveal the futility and shockingly poor quality of mo...

The authors of this book set out a system of safety strategies and interventions for managing patient safety on a day-to-day basis and improving safety over the long term. These strategies are applicable at all levels of the healthcare system from the frontline to the regulation and governance of the system.There have been many advances in patient safety, but we now need a new and broader vision that encompasses care throughout the patient’s journey. The authors argue that we need ...

**Almost everyone will need surgery in their lifetime, but in Africa nearly 95% of the population do not have affordable surgery and anaesthesia.More people die after surgery than from HIV, TB, and malaria combined.**In Africa, adults are twice as likely to die after surgery, and for children that number rockets to eleven. Mothers who need caesarean sections face the greatest risk: the mortality rate is fifty times higher than high-income countries. Most of these deaths do ...

A unique, fundamental resource for nursing students in a clinical environment The Clinical Placement, 2nd Edition: An essential guide for nursing students is an interactive textbook designed to guide nursing students through their clinical placement journey. The first edition of this nursing reference proved extremely valuable in helping nursing students use their clinical placements as opportunities to develop the skills, knowledge, attitude and understanding that underpin quality practic...

The growing number of older adults in Australia and New Zealand makes an understanding of their health needs and problems of critical importance to all nurses who work with them, both in specialty facilities and in other health facilities and services that have a large clientele who are ageing. Health Care of the Older Adult contributes to a greater knowledge of ageing, age-related issues and healthcare problems of older adults. The role of nurses in relation to older adults' health problems ...

This book will help you to develop some of the essential assessment skills that are needed to support patients with long-term conditions in secondary and primary care settings. You may be at the beginning of your career, or you may be an experienced practitioner who is moving into long-term conditions care. At whatever level you may be, this book will give you some guidance on how to use appropriate assessment tools and to reflect on your experience from practice.Supporting patients with long...