Download Current Surgical Diagnosis and Treatment by Lawrence W. Way PDF

By Lawrence W. Way

Collage of California, San Francisco. Lange scientific ebook sequence. new version of a Brandon/Hill scientific record first-purchase choice. Reference on ailments controlled via surgeons, for clinical scholars, citizens, and practitioners. 88 individuals, eighty five U.S.

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Surgeons are becoming increasingly more aware of the importance of psychosocial factors in surgical convalescence. Recovery from a major operation is greatly enhanced if the patient is not worn down with worry about emotional, social, and economic problems that have nothing to do with the illness itself. Incorporation of these factors into the record contributes to better total care of the surgical patient. THE PHYSICAL EXAMINATION INTRODUCTION The complete examination of the surgical patient includes the physical examination, certain special procedures such as gastroscopy and esophagoscopy, laboratory tests, x-ray examination, and follow-up examination.

For most postoperative patients, the duration of stay in the ICU is 1-2 days. However, a stay in excess of 2 weeks can result if organ failure develops. Intermediate care is usually provided on an inpatient nursing unit until the patient's recovery can continue at home during the convalescent phase. The Continuum of Surgical Care The continuum of surgical care has been represented above as progressing through a series of pre- and postoperative phases. In practice, these phases merge, overlap, and vary in relative importance from patient to patient.

Pellegrini, MD INTRODUCTION The recovery from major surgery can be divided into three phases: (1) an immediate, or postanesthetic phase; (2) an intermediate phase, encompassing the hospitalization period; and (3) a convalescent phase. During the first two phases, care is principally directed at maintenance of homeostasis, treatment of pain, and prevention and early detection of complications. The convalescent phase is a transition period from the time of hospital discharge to full recovery. The trend toward earlier postoperative discharge after major surgery has added new importance to this period.

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