Kumar & Clark's Clinical Medicine Seventh Edition For Elsevier www. aracer.mobi aracer.mobi Kumar & Clark's Clinical Medicine 8 builds on the prize-winning formula that won the first prize in the BMA Book Awards Medicine Category in (7th edition). Kumar and Clark's 9th edition of clinical medicine adds all the latest information regarding treatment and therapies for the diseases in the.
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Kumar And Clark's Clinical Medicine 9th Edition Pdf Free Download -. Question In the 7th edition of Kumar and Clark Clinical Medicine, you indicate that there is no benefit in treating the male partner of a woman diagnosed. Kumar and Clark's Clinical Medicine edited by Parveen Kumar, Michael Clark ; EBOOK [Print copies available at Lee Wee Nam Library, Medical Library.
In the conduct of public and professional life, it is generally thought that people have the right to expect to be treated equally. Medicine is no exception and doctors have a duty to practise accordingly. The access to, and quality of, clinical care should be based only on the dictates of need rather than arbitrary prejudice or favouritism. Why should doctors take the duties of care seriously? It is responsible for the registration of doctors, setting and monitoring the quality of their undergraduate education and disciplining them for unprofessional conduct.
Doctors have no professional choice but to conform to the standards laid down by the GMC, which are based on the three duties of care Box 1. National practices differ but all countries have similar regulatory bodies. The law The three duties of care are also enshrined in statute and common law, which also regulate medical practice.
Doctors i Box 1. If it can be shown that this failure is intentional, or reckless causing extreme harm or death, doctors may face prosecution in the criminal courts and, if found guilty, imprisonment. UK law includes the Human Rights Act The provisions of the Act impose duties on doctors to ensure that their clinical practice is not in violation of these rights — the same duties that all other doctors in Europe must observe.
The Act also thus helps to ensure that what constitutes legal practice in the UK is judged by broader, trans-national moral standards. Rational self-interest The most rational way for doctors to ensure that their own medical treatment as well as the treatment of those for whom they have deep personal feelings meets high standards of care is to support, through the usual professional and legal channels, the right of all patients to the same high standards of care.
The clinical importance of trust Patients will not trust doctors whom they suspect may ignore their human rights. Without trust, patients will not cooperate in their diagnosis and treatment, undermining the prospect for clinical success.
Lack of trust also engenders a defensive and impersonal approach to medicine by both clinicians and patients, potentially spoiling the quality of patient care and professional life. The doctor—patient relationship Doctors are expected to treat patients, and their carers where appropriate, as active partners in the healing process. What does this mean in practice and what are the penalties for not doing so? This does not mean that doctors have to be experts in everything.
In the face of doubts about their ability or training to provide treatment to a reasonable standard, doctors should seek appropriate supervision and refuse to proceed otherwise.
For example, the alleged harm may have occurred against the background of a complex medical condition or course of treatment, making it difficult to establish the actual cause.
When has a breach of professional duty occurred? In the UK, whether or not a doctor has acted inconsistently with the duty to protect life and health to an acceptable standard is ordinarily decided in civil cases by a judge on the basis of testimony from expert witnesses. The testimony of these experienced clinicians will be used to help the court determine a professional standard which doctors working in their specializations should meet in clinical practice of the kind under dispute.
This will not necessarily depend on how representative the clinical opinions given in court are of other doctors practising in the same field. Experts can differ about what is and is not clinically acceptable.
In the face of such conflict, what a judge deems reasonable will partly depend on how probable the evidence presented against the doctor is judged to be e. Equally, the more serious the allegation of clinical negligence, the higher will be the quality of evidence that will be demanded by judges before deciding the outcome of the case. Yet it should be clear that a clinical error is not necessarily a negligent error. Responsible and experienced clinicians may testify that the erroneous action was and is unavoidable in that type of clinical practice.
Under similar circumstances, they too sometimes make — or might make — the same error. As a result of such honesty and humility, there is mounting evidence that patients will feel that they have been respected and are less likely to take legal action or to make formal complaints. For all of these reasons, there is less to fear legally from patients than doctors sometimes believe. The law offers wide protection for clinicians provided that they do their best to act reasonably and responsibly in protecting the lives and health of their patients.
Doctors seeking consent for a particular procedure must be competent in the knowledge of how the procedure is performed and its problems. Patients must be competent to consent to treatment. They cannot do so without the basic ability to reason about information concerning what is wrong with them, what their doctors propose to do about it, and with what potential benefits and risks. Medicine, Patients and the Law.
Harmondsworth: Penguin, Mason JK, Laurie G. London: Butterworths, In these circumstances, such choices become more those of clinicians who unduly pressure patients rather than of patients themselves. Battery It is an unlawful battery to intentionally touch a competent person without their consent.
Thus a clinician will commit a battery if such a patient is given an injection without permission, irrespective of the need for it.
Further, given the condition of such patients, treatment must be necessary to save their life, or to prevent them from incurring serious and permanent injury. Otherwise, consent must be obtained from patients expected to regain competence when they do so, however inconvenient this may be for the patient or clinician.
To do otherwise constitutes an unacceptable threat to the moral rights and dignity of patients and entails a potential loss of trust in the medical profession. The ninth edition of this best-selling textbook of clinical medicine builds even further on its formidable, prize-winning formula of excellence, comprehensiveness and accessibility. It still remains the "gold standard", thorough guide to clinical medicine its forefathers were. New to this edition: Global Health and Women's Health.
New online editor, Adam Feather, with a team of young doctors to augment the e-book which accompanies the print book with clinical tips, key learning points, drug tips, learning challenges, case studies and MCQs. Full text redesign to incorporate: New system overview diagrams for clinical chapters.
New coloured headings to help identify content relating to disease, management, investigations etc. New icons to aid text navigation. Read more Find a copy online Links to this item ClinicalKey elsevier-etextbooks. Show all links.
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