Remember the pots hammered by spoons from high Manhattan windows, and parades of cars and pick-up trucks holding dear the medical professionals responding to covid-19. This book is part of that chorus, that march, to express appreciation for the giving of care. And beyond doctors and nurses, bless their hearts, to mothers caring for their babies, for captains for their teams, for the soon-to-be widowers for their wives and teachers for their students, but also for the ranchers for their cattle and the contemplative world for our environment. This is a book to think more closely of the support for care, individual as it so often will be, to be woven more closely together in a paradigm of care. Care is always prominent. Care for others, of the family, care for those of the tribe, care for animals and homes and gardens and properties, self-care. And the purse. Even without teaching, compensation, or legislation, care survives, but even with these helpings, it falls short of the need. We live in a crisis of care. Thinking explicitly and beyond health care. There is no mechanism of state and conscience that delivers care to all the venues of need, and seldom in the amounts needed. The reservoirs of care are far from empty, but at a mark that needs topping up. There is need for care advocacy, a care ethic, a paradigm. This book is about that paradigm. A care paradigm may bring comfort and recovery more fully to the people and organic creations of the world. The paradigm hears the moan of indifference. It draws upon the eyes of the heart. The paradigm is about how we see the need for care. The care paradigm, the grand beholding, is manifest in how we provide for others, how we nurture them, give succor, how we are disposed, and are not, to sacrifice to relieve their hurt. It is not only caring for those visibly needing care, unable to care for themselves, but caring for all. It is having a disposition that the hurts, large and small, that all of us carry, arouse concern and appreciation from and for each individual, the community and the world.

A ground-breaking new volume and the first of its kind to concisely outline and explicate the emerging field of whole person care process, Whole Person Care: A New Paradigm for the 21st Century organizes the disparate strains of literature on the topic. It does so by clarifying the concept of 'whole person' and also by outlining the challenges and opportunities that death anxiety poses to the practice of whole person care. Whole person care seeks to study, understand and promote the role of health care in relieving suffering and promoting healing in acute and chronic illness as a complement to the disease focus of biomedicine. The focus is on the whole person -- physical, emotional, social, and spiritual. Using concise, easy-to-read language, the early chapters offer practitioners a thorough understanding of the concepts, skills and tools necessary for the practice of whole person care from a clinician-patient interaction standpoint, while the last two chapters review the myriad implications of whole person care for medical practice. An invaluable resource for all areas of medical practice and for practitioners at all stages of development, from medical students to physicians and allied health providers with many years of experience, Whole Person Care: A New Paradigm for the 21st Century will have a profound impact on western medical practice in North America and elsewhere.

This book is a primer on Stepped Care 2.0. It is the first book in a series of three. This primer addresses the increased demand for mental health care by supporting stakeholders (help-seekers, providers, and policy-makers) to collaborate in enhancing care outcomes through work that is both more meaningful and sustainable. Our current mental health system is organized to offer highly intensive psychiatric and psychological care. While undoubtedly effective, demand far exceeds the supply for such specialized programming. Many people seeking to improve their mental health do not need psychiatric medication or sophisticated psychotherapy. A typical help seeker needs basic support. For knee pain, a nurse or physician might first recommend icing and resting the knee, working to achieve a healthy weight, and introducing low impact exercise before considering specialist care. Unfortunately, there is no parallel continuum of care for mental health and wellness. As a result, a person seeking the most basic support must line up and wait for the specialist along with those who may have very severe and/or complex needs. Why are there no lower intensity options? One reason is fear and stigma. A thorough assessment by a specialist is considered best practice. After all, what if we miss signs of suicide or potential harm to others? A reasonable question on the surface; however, the premise is flawed. First, the risk of suicide, or threat to others, for those already seeking care, is low. Second, our technical capacity to predict on these threats is virtually nil. Finally, assessment in our current culture of fear tends to focus more on the identification of deficits (as opposed to functional capacities), leading to over-prescription of expensive remedies and lost opportunities for autonomy and self-management. Despite little evidence linking assessment to treatment outcomes, and no evidence supporting our capacity to detect risk for harm, we persist with lengthy intake assessments and automatic specialist referrals that delay care. Before providers and policy makers can feel comfortable letting go of risk assessment, however, they need to understand the forces underlying the risk paradigm that dominates our society and restricts creative solutions for supporting those in need.

This crucial volume provides a concise overview of the conceptual foundations and clinical methods underlying the rapidly emerging subspecialty of integrative mental healthcare. It discusses methods for guiding practitioners to individualized integrative strategies that address unique symptoms and circumstances for each patient and includes practical clinical techniques for developing interventions addressed at wellness, prevention, and treatment. Included among the overview: Meeting the challenges of mental illness through integrative mental health care. Evolving paradigms and their impact on mental health care Models of consciousness: How they shape understandings of normal mental functioning and mental illness Foundations of methodology in integrative mental health care Treatment planning in integrative mental health care The future of mental health care A New Paradigm for Integrative Mental Healthcare is relevant and timely for the increasing numbers of patients seeking integrative and alternative care for depressed mood, anxiety, ADHD, bipolar disorder, schizophrenia, and other mental health problems such as fatigue and chronic pain. “Patients are crying out for a more integrative approach, and this exemplary book provides the template for achieving such a vision.” -Jerome Sarris, MHSc, PhD, ND “For most conventionally trained clinicians the challenge is not “does CAM work?” but “how do I integrate CAM into my clinical practice?” Lake’s comprehensive approach answers this central question, enabling the clinician to plan truly integrative and effective care for the mind and body.” -Leslie Korn, PhD, MPH

Inappropriate health care is an escalating and expensive problem. It affects high income, middle income, and low income countries and wastes billions of dollars annually as well as harming individuals and communities. Inappropriate care refers to both the overuse and underuse of tests and treatments and, ironically, can occur concurrently within the same health system. Even though patient-centred care is still the prevailing ethos, specifying where patients should be situated geographically has not required health professionals to consider the preferences, values, and priorities of patients when making treatment decisions. Patient-perspective care demands that the decisions health professionals make are in the service of patient’s goals. Health care, ultimately, is helping individuals to live the lives they would wish for themselves. In order to meet this imperative, health professionals must work towards understanding what their patients would like to achieve through their engagement with health services. This book details the extent and scope of inappropriate care and how we have arrived in this position. The necessity for patient-perspective care is outlined and provides a theoretical framework that explains why patient-perspective care is so critical. The implications of this theory are then explored and specific strategies for moving towards a patient-perspective approach are discussed. This book is entirely original and describes a novel, fresh approach to delivering health services. Many long-standing and expensive problems such as missed appointments will disappear and patients will be more satisfied with the treatments they receive. Health services generally will be more efficient and effective leading to more sustainable and affordable health care.

Using Predictive Analytics to Improve Healthcare Outcomes Winner of the American Journal of Nursing (AJN) Informatics Book of the Year Award 2021! Discover a comprehensive overview, from established leaders in the field, of how to use predictive analytics and other analytic methods for healthcare quality improvement. Using Predictive Analytics to Improve Healthcare Outcomes delivers a 16-step process to use predictive analytics to improve operations in the complex industry of healthcare. The book includes numerous case studies that make use of predictive analytics and other mathematical methodologies to save money and improve patient outcomes. The book is organized as a “how-to” manual, showing how to use existing theory and tools to achieve desired positive outcomes. You will learn how your organization can use predictive analytics to identify the most impactful operational interventions before changing operations. This includes: A thorough introduction to data, caring theory, Relationship-Based Care®, the Caring Behaviors Assurance System©, and healthcare operations, including how to build a measurement model and improve organizational outcomes. An exploration of analytics in action, including comprehensive case studies on patient falls, palliative care, infection reduction, reducing rates of readmission for heart failure, and more—all resulting in action plans allowing clinicians to make changes that have been proven in advance to result in positive outcomes. Discussions of how to refine quality improvement initiatives, including the use of “comfort” as a construct to illustrate the importance of solid theory and good measurement in adequate pain management. An examination of international organizations using analytics to improve operations within cultural context. Using Predictive Analytics to Improve Healthcare Outcomes is perfect for executives, researchers, and quality improvement staff at healthcare organizations, as well as educators teaching mathematics, data science, or quality improvement. Employ this valuable resource that walks you through the steps of managing and optimizing outcomes in your clinical care operations.

There comes a time when a Paradigm Shift in a specific field is absolutely essential. Obviously there are many Paradigm Shifts attempting to happen right now. People need answers, they are tired of being lied to, they want justice and liberty and all the good things freedom and peace should give you. Some of the Paradigm Shifts are attempts to return to paradigms that did indeed work. Others are brand new paradigms that have been discovered just within the last century. Paradigms that set people free, that make life easier, that make life stable and predictable, and that also throws a little excitement into life. New frontiers to explore. But right at the top of the list is Healthcare. Without your health nothing else is possible, and as it stands right now all most people know about healthcare is disease management. You've been told none of the diseases are curable so you're just going to have to learn how to "manage" them. Innately, you know that is NOT true. Reasoning within yourself. "I was healthy once why can't I be healthy again"? But society has been built around disease creation and management so the answers to your specific health problems evade you, they're hard to find and eventually you give up the search and reluctantly succumb to the same old paradigm of disease management. So a Paradigm Shift in healthcare is desperately needed at this time in history. I could have titled this book "Health Made Easy." As you'll learn, all you really need is a few definitions and the rules that govern health. And they are easy to find in the anatomy and physiology books. One of the oldest tricks in the world is to hide something in plain sight. The Paradigm Shift in Healthcare takes you from discovering what the medical paradigm is and why it can't work "curing" diseases to discovering what the Natural Healing Paradigm is and why it does work eliminating diseases. Its an interesting study and will allow you to make an informed decision on how you want to take care of your health. There are no "cures" as you understand that word. But it is possible to elevate your health. Here are the definitions and rules YOU need to truly enjoy radiant health. Dr. K. R. Sutter II