Nelson Textbook of Pediatrics 21st Edition

Book Name Pdf: Nelson Textbook of Pediatrics 21st Edition
Author: Kliegman, Robert, Marcdante, Karen J
Publisher: Elsevier
ISBN-10: 9780323527354,0323528066
Year: 2019
Pages: 832 / 840 Pages
Language: English
File size: 35 MB
File format: PDF,EPUB

Download Nelson Textbook of Pediatrics 21st Edition Pdf Book Description:

Health care professionals need to appreciate the interactions between medical conditions and social, economic, and environmental influences associated with the provision of pediatric care. New technologies and treatments improve morbidity, mortality, and the quality of life for children and their families, but the costs may exacerbate disparities in medical care. The challenge for pediatricians is to deliver care that is socially equitable; integrates psychosocial, cultural, and ethical issues into practice; and ensures that health care is available to all children. Challenges that affect children’s health outcomes include access to health care; health disparities; supporting their social, cognitive, and emotional lives in the context of families and communities; and addressing environmental factors, especially poverty. Early experiences and environmental stresses interact with the genetic predisposition of every child and, ultimately, may lead to the development of diseases seen in adulthood. Pediatricians have the unique opportunity to address not only acute and chronic illnesses but also the aforementioned issues and toxic stressors to promote wellness and health maintenance in children. Many scientific advances have an impact on the growing role of pediatricians. Newer genetic technologies allow the diagnosis of diseases at the molecular level, aid in the selection of medications and therapies, and may provide information on prognosis.

Prenatal diagnosis and newborn screening improve the accuracy of early diagnosis and treatment, even when a cure is impossible. Functional magnetic resonance imaging allows a greater understanding of psychiatric and neurologic problems, such as dyslexia and attention deficit/hyperactivity disorder. Challenges persist as the incidence and prevalence of chronic illness increase over recent decades. Chronic illness is now the most common reason for hospital admissions among children (excluding trauma and newborn admissions). From middle school and beyond, mental illness is the main non childbirth related reason for hospitalization among children. Pediatricians must also address the increasing concern about environmental toxins and the prevalence of physical, emotional, and sexual abuse, and violence. World unrest and terrorism, such as the September 11 attack on New York’s World Trade Center, have caused an increased level of anxiety and fear for many families and children. To address these ongoing challenges, many pediatricians now practice as part of a health care team that includes psychiatrists, psychologists, nurses, and social workers. This patient-centered medical home model of care is designed to provide continuous and coordinated care to maximize health outcomes. Other models, such as school-based health clinical and retail medical facilities, may improve access but may not support continuity and coordination of care

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