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Culturally Diverse Children and Adolescents: Assessment , Diagnosis, and Treatment, Second Edition
Ian A. Canino , and
Jeanne Spurlock
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ASIN: 1572305835 |
Book Description
Child assessment and treatment is complicated by numerous factors: developmental variables, how and where symptoms are expressed, and the different ways that parents and teachers may perceive and define problem behavior. The clinician's task is further compounded when clients are culturally diverse children and adolescents dealing with multiple social stressors. Now in a revised and updated second edition, this volume guides mental health practitioners in conducting culturally competent, effective work with economically disadvantaged youngsters from African American, Asian American, Latino, and Native American backgrounds. From distinguished clinicians and educators Ian A. Canino and the late Jeanne Spurlock, the new second edition is sure to succeed its predecessor as a widely used clinical resource and text.
Book Description
Ethical Issues in International Biomedical Research is the definitive book on the ethics of research involving human subjects in developing countries. Using 21 actual case studies, it covers the most controversial topics, including the ethics of placebo research in Africa, what benefits should be provided to the community after completion of a research trial, how to address conflicts between IRBs in developed and developing countries, and undue inducement of poor people in developing countries. Each case is accompanied by two expert commentaries, written by many of the worlds leading experts in bioethics as well as new voices with research experience in developing countries. No other volume has this scope. Students in bioethics, public and international health, and ethics will find this book particularly useful.
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- "Three patients" or America's preoccupation with autonomy
- And this little treatment is just right!
- Put this on your list!
- Put this on your list!
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Three Patients - International Perspective on Intensive Care at the End of Life
Manufacturer: Springer
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ASIN: 0792376714 |
Book Description
This volume explores how the scarce resources of intensive care units should be distributed. Three hypothetical patients, each with a different chance of survival, desire intensive care. A multinational panel of experienced critical care physicians offers assessments of the patients' conditions and outlines approaches to treatment. These approaches are then examined by academic medical experts and a medical ethicist, as well as from a legal perspective. The result is a well-rounded and introspective look at care for critically ill patients at or near the end of life.
Customer Reviews:
"Three patients" or America's preoccupation with autonomy.......2003-02-05
An interesting book, probably unique in its kind. Dr Crippen is an intensive care specialist from Pittsburgh, Pennsylvania who in 1996 started an international internet discussion group (CCM-L) to deal with many issues involving critically ill patients. More than 1,000 members have enrolled. This is exceptional in the sense that for the first time health care professionals and providers from all over the world were able to interact and exchange information and opinions in such a direct, facile, almost immediate way.
A fundamental problem - As the population ages and life may be "artificially" extended with the use of sophisticated and often expensive technical support, ICU availability and costs have become an issue of growing public importance and concern. Dr Crippen created three hypothetical patients and asked critical care providers from all over the globe to offer their comments on their management. The result is this remarkable book which is surprisingly easy to read despite the use of specialized terminology. Different perspectives based on different cultures and socioeconomic backgrounds emerge as the reader proceeds. A physician from South Africa describes the huge demand for ICU beds and the limited availability. Physicians from India and Russia underline the importance of the patient's social and financial status and what impact this may have on future decisions related to hers/his critical care. A physician from the Netherlands describes the universal coverage health system available in his country and how the decision for further care rests primarily on the physician's medical judgment. A physician from Israel tries to achieve a balance between religious constraints and futile care. And at the end of the book, non-physician critical care providers contribute with vivid descriptions of pertinent cases and with their perception of futility. Among them, a hospital chaplain describes how she helps her patients deal with the fear of the incoming inevitable death by bringing them closer to a picture of a God who is love, mercy and compassion instead of fear, punishment and revenge.
It is evident throughout the book that one of the major issues shaping critical care costs and distribution in the USA is unlimited patient autonomy and overzealous litigation. Increased physician mistrust on behalf of the patients is stated as a major cause of this phenomenon. Whereas many physicians outside USA would assume a role conceived as paternalistic for the USA standards, patients in the USA are often offered a menu of available option regarding their future critical care treatment ("Mr. Jones, in case your breathing worsens do you want us to proceed with mechanical ventilation? In the event your heart stops, do you want us to start chest compressions?" and so on... )
Under the editing of Dr's Crippen, Kilcullen and Kelly a balance and an answer is sought. It is not an easy task but the team involved is one of the best international teams available. I highly recommend this book. It underlines once again the concept that a good question is often more important than the answer.
And this little treatment is just right!.......2002-12-29
From Dr. Hoyt's chapter "Globalization of Critical Care"
"There is only one way to explain the birth of this book. That is CCM-L..., an electronic bulletin board that is devoted to critical care medicine), and Dr. David Crippen, one of the book's editors. An avowed nonconformist and refugee from the 1960's, Dr. Crippen has connected intensive care unit (ICU) physicians from around the world by means of the Internet. He has singlehandedly, without commercial sponsorship, woven a network of international intensivists. Nothing like this has ever occurred before. All readers of this book are being treated to a unique experience."
I might add a historical irony. One of Dr. Crippen's ancestors was Dr. Hawley Harvey Crippen. This man was the first criminal to be arrested in 1910 via the use of wireless technology. The earlier Dr. Crippen had murdered and disposed of his wife, then sought escape by going on an ocean liner with his mistress (disguised as his 12 yr. old son). The Captain grew suspicious (he saw the "father and son" holding hands and appearing amorous) and wired back to shore. This then led to a spectacular arrest as a member of Scotland Yard traveled on a faster ship and arrived in time to board and arrest Dr. Hawley Crippen. The papers at the time had a field day and this case was part of the "inspiration" for the Alfred Hitchcock film "Rear Window" starring James Stewart, Gene Kelly, and Raymond Burr. Now at the turn of another century we have yet another Dr. Crippen again making history via the use of a new "wireless" technology-- the internet. And the issue of death is involved. But instead of the sensational and criminal death of one person, we have the issue of death and dying in ICU's all over the world.
The four issues interwoven and discussed throughout the book are 1) patient autonomy, 2) beneficence (providing benefit), 3) nonmaleficence (doing no harm), and 4) distributive justice. Does patient autonomy imply not only the right to refuse treatment, but also to insist upon whatever aggressive therapies they may desire (and may have looked up on the internet)? Could we provide more benefit by trying to ease suffering during the end of life as opposed to prolonging life by a matter of days to weeks? To what extent do patients, on the surface appearing calm and sedated, actually suffer as we apply futile resuscitation efforts in their last days? If we are to formally apply some legal formula for the just distribution of critical care resources, is this a decision best left for medical professionals? Or is it a political and ethical decision for the public at large? Those looking for easy and short answers to these questions will be disappointed with this book. Many of the chapter's authors take divergent viewpoints.
What I found interesting was how several authors pointed to a historical trend in the USA. In the old fee-for-service era, when all provided technology and service was very lucractively billed, it was the families whom were going to court to have futile life support terminated. Now, in the new era DRG's, capitation & shrinking reimbursement, it is the hospitals and MD's whom are seeking to legally no longer provide futile care. This seems to imply that there has always been an economic foundation as to the determination of what constitutes "futile care". If we are discussing the compassionate and just application of medical technology and service then "futile care" may be seen as one thing. If we are talking about the provision of billable medical services then "futile care" may be seen as quite something else.
If this book has any one failing in my opinion it is that the issue of Palliative Care isn't addressed adequately. I feel this issue warranted a full chapter at least. While "palliative care" was mentioned in passing by several contributors, a more in depth look at the international differences would have been quite revealing. In many countries Palliative Care is it's own specialty. "Doing everything" is usually meant to do everything in regards to prolonging life, not doing everything to ensure a good death-per many of our default biases. Indeed a recent SCCM pamphlet I received in the mail, titled "ICU, Issues and Answers" and meant for family members of ICU patients, answers the question ""What is meant by `doing everything' with the following.
"'Doing everything' implies tht any and all appropriate therapies will be utilized in order to preserve life." The pamphlet goes on to describe how MD's aren't required to offer therapies that would be medically ineffective. But what if we expanded our definition of "doing everything" to include effective and compassionate end of life care. That care may not be "critical" in the technological sense, but certainly it is "intensive" from the standpoint of patient need and clinician time, energy, and professionalism.
One chapter is by an RT and is titled "Advanced Medical Technology and End of Life, A Respiratory Care Practitioner's Perspective by David Walker, MA RRT. Mr. Walker eloquently describes a "day in the life" of a Respiratory Therapist.
Another chapter is titled "End of Life Care in the Intensive Care Unit" by Gabriele Ford CCRN. Ms Ford paints a rather disturbing picture of what it is like to oversee the provision of futile care.
This is one of the most interesting and riveting books I've read in a while. It is a book which deserves to be both read over again as well as passed around. No ready-made solutions pop out of the book, but I assure you that your cerebral matter will be quite stimulated.
Put this on your list!.......2002-08-12
For all the information packed into this book, it reads like a rich and compelling narrative rather than a stuffy textbook. Care plans for three critically ill patients are debated by a diverse panel of experts from around the globe. The debate is lively and energetic, engaging and candid. Geared for anyone with an interest in healthcare, it goes beyond clinical medicine to consider ethics, the law, and the three individuals behind the Three Patients.
Put this on your list!.......2002-08-12
For all the information packed into this book, it reads like a rich and compelling narrative rather than a stuffy textbook. Care plans for three critically ill patients are debated by a diverse panel of experts from around the globe. The debate is lively and energetic, engaging and candid. Geared for anyone with an interest in healthcare, it goes beyond clinical medicine to consider ethics, the law, and the three individuals behind the Three Patients.
Book Description
"
Cultural Issues in End-of-Life Decision Making creates an engrossing tension as chapters on philosophical topics are interwoven with clinically-oriented ones including case examples that ground the reader in the reality of most human decisions. I highly recommend this book to researchers, health care providers, clergy, and other practitioners dealing with end-of-life issues." ---Catherine Hagan Hennessy, Health Care and Aging Studies Branch, Center for Disease Control and Prevention
End-of-life decision making is one of the most difficult but crucial challenges faced by patients and their families. In most cases, resources or counselors providing guidance in these decisions are not available. This book is intended to prepare nurses, physicians, and other health care workers to fill this role, insofar as they are most frequently in contact with the patient and his/her family and significant others at the time choices must be made. In this informative, practical book, Braun, Pietsch, and Blanchette first review the medical, legal, and ethical context of the dying experience, discussing ethnic perspectives and religious issues. For example, providing cultural and spiritually sensitive care requires that nurses, physicians, social work and others know and understand the implications of family members beliefs about life and death, supportive rituals and other activities. This book does a creditable job of presenting the issues and a broad overview of culture and common religions in America.
About the Editors:
Kathryn L. Braun, Dr.P.H., is Director of the University of Hawaii Center on Aging and an Associate Professor at the University of Hawaii School of Public Health. She is a Fellow in the Gerontological Society of American and the Association for Gerontology in Higher Education. James H. Pietsch, J.D., is Director of the University of Hawaii Elder Law Program (UHELP), an Associate Professor at the William S. Richardson School of Law, and a Clinical Adjunct Professor at the John A. Burns School of Medicine. In 1990, he was the recipient of the Fifth Annual Paul Lichterman Memorial Award for contributions to the advancement of Law and Aging.
Patricia L. Blanchette, M.D., M.P.H., is a Professor of Medicine and Public Health at the John A. Burns School of Medicine and School of Public Health at the University of Hawaii at Manoa. Dr. Blanchette is the Director of the Medical School’s cross-departmental Geriatric Medicine Program, and Geriatric Medicine Fellowship Program, the Pacific Islands Geriatric Education Center of Excellence in Geriatric Medicine. Dr. Blanchette has won numerous awards and honors, including an Excellence in Teaching Award, Distinguished Alumni, Best Doctors in America, and the Soroptimist’s Women of Distinction Award.
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Handbook of Immigrant Health
Manufacturer: Springer
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ASIN: 0306459590 |
Book Description
Here is the first comprehensive cross-disciplinary work to examine the current health situation of our immigrants, successfully integrating the vast literature of diverse fields -- epidemiology, health services research, anthropology, law, medicine, social work, health promotion, and bioethics -- to explore the richness and diversity of the immigrant population from a culturally-sensitive perspective.
This unequalled resource examines methodological issues, issues in clinical care and research, health and disease in specific immigrant populations, patterns of specific diseases in immigrant groups in the US, and conclusive insight towards the future.
Complete with 73 illustrations, this singular book is the blueprint for where we must go in the future.
Book Description
Breastfeeding is a biocultural phenomenon: not only is it a biological process, but it is also a culturally determined behavior. As such, it has important implications for understanding the past, present, and future condition of our species. In general, scholars have emphasized either the biological or the cultural aspects of breastfeeding, but not both. As biological anthropologists the editors of this volume feel that an evolutionary approach combining both aspects is essential. One of the goals of their book is to incorporate data from diverse fields to present a more holistic view of breastfeeding, through the inclusion of research from a number of different disciplines, including biological and social/cultural anthropology, nutrition, and medicine. The resulting book, presenting the complexity of the issues surrounding very basic decisions about infant nutrition, will fill a void in the existing literature on breastfeeding.
Customer Reviews:
The truth of Dettwyler will set any breastfeeding mom free.......2007-08-18
Dettwyler's book: Breastfeeding: Biocultural Perspectives is an instant classic and a must-read for any health personal, parent or anyone else interested or somehow involved in breastfeeding (aka everyone!)
Dettwyler opens our eyes, not only to breastfeeding, but to many misunderstandings and wrongdoing in our society, when it comes to raising our children.
I'm currently writing a book about breastfeeding in my native language danish, and Kathy Dettwyler is quoted several times. In Denmark child upbringing is generally a far cry from natural upbringing. Hopefully the book, with Kathy's assistance, can help change that.
Thank you Ms. Dettwyler!
An amazing book.......2005-10-26
No other breastfeeding book compares to this one. Every woman should read this book because the information contained within is invaluable. It gives background for how and why breastfeeding works like it does. It's powerful information not found in any other book I've read.
Solid evidence for an ages-old concept.......2005-10-19
One of the most interesting books I read on the topic of breastfeeding was Kathy Dettwyler's Breastfeeding: Biocultural Perspectives. Besides being incredibly well-researched and thorough, it also presented an amazingly logical (yet somehow overlooked) idea: breastfeeding as an evolutionary adaptation. Breastfeeding benefits the survival of the baby and the human species - not only because of its nutritional benefits, but because it keeps mother and child close during a time of vulnerability. It also fosters the mother's ability to cue in on her child's needs and respond to them quickly and efficiently-one might say, instinctually. The modern concept of "attachment parenting" is really a very ancient, practical, and life-sustaining practice. Dettwyler's book presents solid scientific evidence from studies in biology, anthropology, and sociology that reinforces this ages-old concept.
This book changed my life!!.......2004-01-29
This book has changed my life! There is so much evidence and sound facts about why it is so important for a child to be breastfed until the age of 2.5- 7 years of age that a person would have to be deaf, dumb & blind to at last not consider it. It is because of this book, that I am going to continue to exclusively pump for my son until the age of 5 (he never latched). I would highly recommend this book for any breastfeeding mother that is considering whether or not she should continue to breastfed beyond the age of 12 months. Read this book. It will change your life. When I read it, not only did I see how humans create their own destruction, I saw the face of God.
Biocultural BFing issues, important info on this subject.......2001-10-18
Breastfeeding: BioCultural Perspectives is a wonderful in depth look at the biological and cultural issues surrounding breastfeeding. It contains a close look at the biological history of breastfeeding, explaining how it is thought that breastfeeding has evolved to protect infants and children, why it is important to breastfeed, and how women in the distant past breastfed (or not) and the implications this may have held for their offspring.
The book goes on to examine information about current breastfeeding practices in various parts of the world and the effect these practices seem to have had on their populations. Included are all of the cultural issues which serve to support or sever the breastfeeding relationship. Further, the book covers issues of: weaning (what is biologically and culturally normal
and why they are so different), breast as a sexual object, demand feeding vs. scheduled feeding, co-sleeping and SIDS, fertility issues affected by breastfeeding, and breast cancer and reproductive biology.
This book is a must read for those interested in more than just mechanical information about breastfeeding. It is also recommended reading for any attatchement style parent who is interested in a more biocultural view of why AP works.
This book is not light reading, but is certainly accessible to anyone truly interested.
Book Description
This book analyzes the debate surrounding cultural diversity and its implications for ethics. If ethics are relative to particular cultures or societies, then it is not possible to hold that there are any fundamental human rights. The author examines the role of cultural tradition, often used as a defense against critical ethical judgments, and explores key issues in health and medicine in the context of cultural diversity: the physician-patient relationship, disclosing a diagnosis of a fatal illness, informed consent, brain death and organ transplantation, rituals surrounding birth and death, female genital mutilation, sex selection of offspring, fertility regulation, and biomedical research involving human subjects. Among the conclusions the author reaches are that ethical universals exist but must not be confused with ethical absolutes. The existence of ethical universals is compatible with a variety of culturally relative interpretations, and some rights related to medicine and health care should be considered human rights. Illustrative examples are drawn from the author's experiences serving on international ethical review committees and her travels to countries in Africa, Asia, and Latin America, where she conducted educational workshops and carried out her own research.
Customer Reviews:
clearly written, closely argued.......2006-02-09
A friend who works in the area of human rights lent me this as a result of a conversation we had. Though perhaps not a book for the general reader, Macklin's writing is unusually clear for an academic. Most anthropology and sociology writing I have encountered is impenetrable, full of jargon and bloat.
Macklin presents a variety of problems facing human rights workers worldwide. Generally they demonstrate the difficulty of providing "universal" human rights to persons within cultures in which those rights conflict with traditional practice. A common argument against the application of a universal human right that conflicts with local tradition is that it is ethical imperialism--that you (ie the Westerner) have no right to impose your values on our culture--there is no "better" or "worse" set of values, only yours, and ours. You do not have the right to criticize the practices of a culture, from outside that culture. Thus do many customs considered abhorrent by the "west" find justification in this "relativist" rationale.
She discusses issues such as female genital mutilation, informed consent by doctors, the definition of death, organ transplantation, the reproductive rights of women, and the rights of individual women vs the rights of their families. Macklin describes each case in full context then carefully picks her way through, arriving at well-argued conclusions.
Excellent reading, even for a non-specialist.
Average customer rating:
- A must read for people in this field
|
Medical Interpreting and Cross-cultural Communication
Claudia V. Angelelli
Manufacturer: Cambridge University Press
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ASIN: 0521830265 |
Book Description
Claudia Angelelli explores the role of medical interpreters, drawing on data from over 300 medical encounters as well as interviews with the interpreters. Bringing together literature from social theory, social psychology, and linguistic anthropology, this book will appeal to anyone concerned with the intricacies of medical interpreting, particularly researchers, communication specialists, policy makers, and practitioners.
Customer Reviews:
A must read for people in this field.......2006-04-05
The study conducted by the author reveals some issues and practices that need to be considered by everyone in the field of healthcare interpreting. Especially given the recent Standards of Practice and Code of Ethics by the NCIHC. I am curious to hear the thoughts of other professionals in the field about the practices of the interpreters at California Hope and I'm left wondering if this level of visibility exists to such a high degree in other communities.
Book Description
This sweeping text focuses on the reality of healthcare in 28 countries around the world. It is organized by wealth of each nation, and is broken up into three categories: wealthy, transitional, and very poor. From Japan to the Democratic Republic of the Congo, the authors discuss each nation's healthneeds, health system organization and management, the cost and price of healthcare, health resources and delivery, and future health outlook.
The book addresses the types of worldwide health problems, the relationship between medical care and health, entities influencing world healthcare, and health system efficiency. Almost every chapter is written by a representative of that country, giving readers a first-hand glimpse at the conditions and health status of each country's population.
Book Description
This riveting book takes the reader around the globe and through the centuries to discover how different cultures have sought to combat and treat physical pain. With colorful stories and sometimes frightening anecdotes, Dr. Thomas Dormandy describes a checkered progression of breakthroughs, haphazard experiments, ignorant attitudes, and surprising developments in human efforts to control pain. Attitudes toward pain and its perception have changed, as have the means of pain relief and scientific understanding. Dr. Dormandy offers a thoroughly fascinating, multi-cultural history that culminates with a discussion of today’s successes—and failures—in the struggle against pain.
The book’s exploration is fused with accounts of the development of specific methods of pain relief, including the use of alcohol, plants, hypnosis, religious faith, stoic attitudes, local anesthesia, general anesthesia, and modern analgesics. Dr. Dormandy also looks at the most recent advances in pain clinics and palliative care for patients with terminal disease as well as the prospects for loosening pain’s grip in the future.
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- Detoxification - All you need to know to recharge, renew and rejuvenate your body, mind and spirit!
- Discovering the Body's Wisdom
- DNA: The Secret of Life
- Dr. Patrick Walsh's Guide to Surviving Prostate Cancer
- Driven To Distraction : Recognizing and Coping with Attention Deficit Disorder from Childhood Through Adulthood
- Eat Fat, Look Thin: A Safe and Natural Way to Lose Weight Permanently, Second Edition
- Eat, Pray, Love: One Woman's Search for Everything Across Italy, India and Indonesia
- Eliminate Chaos: The 10-Step Process to Organize Your Home and Life
- Encyclopedia of Herbal Medicine: The Definitive Home Reference Guide to 550 Key Herbs with all their Uses as Remedies for Common Ailments
- Exodus from Obesity: The Guide to Long-Term Success After Weight Loss Surgery
Books Index
Books Home
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