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BOOK REVIEW
Year : 2000  |  Volume : 54  |  Issue : 9  |  Page : 400-401
 

Book Review



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How to cite this article:
. Book Review. Indian J Med Sci 2000;54:400-1

How to cite this URL:
. Book Review. Indian J Med Sci [serial online] 2000 [cited 2013 May 23];54:400-1. Available from: http://www.indianjmedsci.org/text.asp?2000/54/9/400/43321


Diagnostic investigation, proce­dures and laboratory tests for nur­sing and other health professio­nals - Smt Kamal S Joglekar and Smt S. Seema, Publisher Vora Medical Publications, Mumbai, Page 357, Published 2000. Price Rs. 220.00.

Diagnostic investigations have become an integral part of the medical, surgical or family practice. Amount of money spent on inves­tigations are more than that on consultations or even some times on treatment. The investigations are ordered by family physicians, consultants, specialists, super consultants, specialists, super spe­cialists, in all nursing homes, hos­pitals. They have become expensive more so, with newer investigative machines produced by researchers in chemical, biochemical and phy­sics, electronic industries. Each one has its usefulness. However some of them are expensive so much so that even a rich country like USA and its providers insu­rance companies, Medicare, veto ran care have taken notice of ex­pense involved. They have tried to cut down the expenditure and introduced rationing of the investi­gative expenses and treatment care. They do not use the word rationing but fashionable word managed care not only the cost of the in­vestigation has affected in developed countries but also it has effect in developing countries.

This requires that all health personals, family physicians, consuls tants connected with hospital, nur­sing homes - doctors, paramedical personal and nursing professional must have adequate knowledge for its utility - its object in view, so as to get maximum value out of the diagnostic investigation and con­sequent economy.

Newer tests are introduced which were non-existent when one has studied Medicine, nursing or even those who have recently passed qualifying examination and are working as house staff. It is well remembered that tests are ordered and written in the case paper of the patient in hospital and it is hoped that the nursing staff or paramedical staff will carry out the necessary orders. But frequently the preparations of the patient - which is important to get correct results - is not known to the resi­dent physician and nursing staff. Poor results obtained as a result of the improper preparation cause friction among members of staff. Some times patients are sent back from the investigation department to the wards or house, causing heart burn, irritation, fraying of tempers, loss of day and cost. This is irritating in a nursing homes and private hospitals. As mentioned earlier some causes are due to lack of instruction from the order­ing person to person who is ordi­narily supposed to be responsible i.e. house staff, paramedical and nursing staff. Mostly this happens due to lack of knowledge of prepa­ration of patient.

Prevalence of such a condition has been realised by the authors who been realised by the authors who have experience of not only working as nursing staff but as tutors and administrators. Realising such frequent lapses on the part of all those concerned in ordering, preparing, transporting the patient is resting, in order to correct, help all those concerned in the investi­gations and with a view to minimise expenditure annoyance and other factors the authors have written this book to educate all those in­volved in carrying out diagnostic tests and investigations. The authors have tried to cover not only the old tests but newer investiga­tions in the rapidly developing work of medicine.

The book is divided in twelve chapters. Each chapter contains diagnostic tests in various organ d senses. This becomes easy for the reader when a test is required End the staff can refer to a chapter for immediate reference, to take all the precautions required. Again each chapter has an index, the name of the test and page number making it easier to refer at any time to get the information rapidly. The authors describe the procedure in details. It also gives in detail the instruments to be used and material required for collection of samples. In addition it gives the normal values of the test to be per­formed at the beginning. The book gives causes of diseases and abnor­malities. Each chapter follows the pattern.

Even though the authors are of nursing profession, they have des­cribed in detail which are being taught to paramedical staff who are employed in the fields other than nursing. The book is on the whole informative to the doctors, para­medical staff and of course to nur­sing profession to whom it is ad­dressed. The book has some typo­graphical error and defects in the pictures depiceting procedures. The book is nicely printed. Printing and spacing between the paragraph is excellent. I recommend the book for reference to the medical, para­medical and of course to the nur­sing profession to whom it is ad­dressed. It is a reference book to be kept handy for ready reference. It should be kept in the libraries of medical colleges and hospitals.




 

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