This Second Edition of Family Medicine: Principles and Practice presents a scien­ tific approach to health and illness in the context of mankind's most enduring societal unit-the family. This is a new book, building on the strengths of the First Edition. The emphasis of this book, like that of the specialty itself, is on the clinical delivery of health care; that is, how the practitioner manages common problems and recognizes uncommon entities encountered in office, hospital, home, and nursing home. In the First Edition, we were faced with the problem of how to organize a family medicine textbook that dealt with clinical topics yet represented more than a series of essays on the specialties for the generalist reader. We began by identifying specific objectives, outlined in the preface to the First Edition. From this evolved an approach which has been called the biopsycho­ social perspective-inclusion of behavioral, family, social, and cultural aspects of health care integrated with the traditional "manifestations-and-manage­ ment" textbook model. The First Edition also introduced a comprehensive classification of clinical problems in family medicine now used in curriculum planning in many family practice residency programs.

Inhalt

1 Family Medicine: Principles.- 1 Health Care for the Family.- 2 Human Developmental Perspectives.- 3 Family Structure and Development.- 4 Health and Illness Behavior.- 5 Problem Differentiation.- 6 Impact of Illness on the Family: Disease, Illness, and the Family Illness Trajectory.- 7 Family Practice Approach: Physician Roles and Responsibilities.- 8 Ethical Issues.- 9 Family Considerations: Disease Antecedents, Health Resources, and Family Function.- 10 Family Epidemiology.- 11 Family Resources.- 12 Assessment of Family Function.- 13 Clinical Data Base: The Scope of Family Medicine.- 14 Beyond the Biomedical Model: Integration of Psychosocial and Cultural Orientations.- 15 Natural History of Disease.- 16 Disease Incidence and Prevalence.- 17 Comprehensive and Continuous Care.- 18 Longitudinal Care.- 19 Aging and Later Life.- 20 Death and Bereavement.- 21 Patient Management Skills.- 22 Communication and Interpersonal Skills.- 23 Counseling Techniques.- 24 Premarital and Marital Counseling: Realistic Intervention Strategies.- 25 Sexual Counseling.- 26 Genetic Counseling.- 27 Nutrition Counseling.- 28 Health Maintenance and Screening.- 29 Diagnostic and Therapeutic Skills.- 30 Problem Solving.- 31 Patient/Family Profile.- 32 Physical Diagnosis.- 33 Laboratory Diagnosis.- 34 Electrocardiography.- 35 Diagnostic Imaging with Ionizing Radiation and Ultrasound.- 36 Primary Care, Consultation, and Referral.- 2 Family Medicine: Practice.- 37 The Clinical Content of Family Medicine.- Family Medicine Content: Pregnancy, Parturition, and the Puerperium.- 38 Pregnancy, Parturition and the Puerperium.- Family Medicine Content: Care of the Infant and Child.- 39 Care of the Infant and Child.- Family Medicine Content: Care of the Adolescent.- 40 Care of the Adolescent.- Family Medicine Content: Psychiatric Disorders and Mental Health.- 41 Psychiatric Disorders and Mental Health.- Family Medicine Content: The Nervous System.- 42 The Nervous System.- Family Medicine Content: The Eye.- 43 The Eye.- Family Medicine Content: The Ear, Nose, and Throat.- 44 The Ear, Nose, and Throat.- Family Medicine Content: The Oral Cavity.- 45 The Oral Cavity.- Family Medicine Content: The Cardiovascular System.- 46 The Cardiovascular System.- Family Medicine Content: The Respiratory System.- 47 The Respiratory System.- Family Medicine Content: The Digestive System.- 48 The Digestive System.- Family Medicine Content: The Kidney.- 49 The Kidney.- Family Medicine Content: The Genitourinary System.- 50 The Genitourinary System.- Family Medicine Content: The Female Reproductive System.- 51 The Female Reproductive System.- Family Medicine Content: The Musculoskeletal System.- 52 The Musculoskeletal System.- Family Medicine Content: The Joints and Connective Tissues.- 53 The Joints and Connective Tissues.- Family Medicine Content: The Immunologic System.- 54 The Immunologic System.- Family Medicine Content: The Skin and Subcutaneous Tissues.- 55 The Skin and Subcutaneous Tissues.- Family Medicine Content: The Endocrine System.- 56 The Endocrine System.- Family Medicine Content: Infectious Diseases.- 57 Infectious Diseases.- Family Medicine Content: Blood and the Hematopoietic System.- 58 Blood and the Hematopoietic System.- Family Medicine Content: Neoplastic Diseases.- 59 Neoplastic Diseases.- Family Medicine Content: Environmental Medicine.- 60 Environmental Medicine.- Family Medicine Content: Emergency Medicine.- 61 Emergency Medicine.- Family Medicine Content: Critical Care Medicine.- 62 Critical Care Medicine.- Family Medicine Content: Surgery.- 63 Surgery.- Family Medicine Content: Plastic Surgery.- 64 Plastic Surgery.- Family Medicine Content: Neurosurgical Disorders.- 65 Neurosurgical Disorders.- Family Medicine Content: Physical Medicine and Rehabilitation.- 66 Physical Medicine and Rehabilitation.- Family Medicine Content: Care of the Elderly.- 67 Care of the Elderly.- 3 Family Medicine: Applications.- 68 Behavioral Problems.- 69 Behavioral Problems of Childhood.- 70 Behavioral Problems of Adulthood.- 71 Violence and Neglect.- 72 The Maltreated Child.- 73 Spouse Abuse.- 74 Sexual Assault.- 75 Elder Abuse.- 76 Chemical Dependence.- 77 Alcohol Abuse and Dependence.- 78 Drug Abuse and Dependence.- 79 Tobacco Abuse and Dependence.- 80 Life Events.- 81 Mental Retardation.- 82 Chronic Illness and Disability.- 83 Suicide.- 84 Family Functioning.- 85 Family Loss.- 86 Intergenerational Family Problems.- 87 Separation, Divorce, and Family Dissolution.- 88 Practical Considerations.- 89 Career Alternatives.- 90 Planning a Private Practice.- 91 Practice Management.- 92 The Medical Record.- 93 Classification Systems.- 94 Office Laboratory.- 95 Office Radiology.- 96 Therapeutic Drug Monitoring.- 97 Patient Health Education.- 98 Home Care.- 99 Long-Term Care.- 100 Economics of Health Care: Third-Party Carriers.- 101 Legal Issues.- 102 Opportunities in Family Practice.- 103 School Health.- 104 Sports Medicine.- 105 Occupational Health and Industrial Medicine.- 106 Research in Family Medicine.- 107 Continued Education for the Practicing Physician.- 108 Continuing Education and Documentation.- 109 Family Practice Library.- Appendices.- Appendix I Chronology: Evolution of Family Practice as a Specialty in the United States.- Appendix II Primary Immunization for Children Not Immunized During Infancy.- Appendix III Guide to Tetanus Prophylaxis in Wound Management.- Appendix IV Recommendations for Use of Human Diploid Cell Rabies Vaccine and Rabies Immune Globulin.- Appendix V Exercise Prescription.- Appendix VI Formulas Useful in Patient Care.- Appendix VII Nomogram for Determination of Body Surface Area of Adults.- Appendix VIII Nomogram for Determination of Body Surface Area of Children.