Macleod’s Clinical Examination

Advance Concept in Nursing It offers an amazing insight into the mind of a critically ill patient who is battling for life, has become helpless, vulnerable, unstable and totally dependent on a doctor and a nurse, and is longing for companionship, reassurance and words of comfort and healing. The book delves in depth about the plight of critically ill patients who rely on others for everything, particularly their caregivers. The entire health care team must be sensitive to the feelings of the patients, should be able to give them confidence and hope and even build relationship of a father, mother, brother, sister, son or daughter, as the case may be.The concept of aging and other pertinent issues of critical nature are put forth beautifully and how a nurse or a doctor can deal with patients of various age groups and also how they can help them go through the difficult moments in life. This book is bound to prove to be an invaluable resource and a repository of inspiration for all those who are in the caring and healing profession.

The Manual has evolved out of two years of operational research undertaken to strengthen lEC/health promotion component under National Health Mission in the project "Development of an integrated model of health promotion in a district setting" undertaken in districts of Hoshiarpurin Punjab andAmbala in Haryana, from 2013 to 2016. Common risk factors for communicable diseases (CDs), noncommunicable diseases (NCDs), injuries and RCH issues such as unhealthy diet, physical inactivity, smoking, substance abuse, harmful use of tobacco and alcohol, negligence in road safety, stress, unsafe water, lack of personal and oral hygiene, etc. have become the leading determinants for morbidity and mortality worldwide. Among NCDs, a majority of all deaths in the world are caused by cardiovascular disease, diabetes, cancer, and chronic respiratory diseases. These diseases affect productivity and drain family resources so adversely that they have become a major threat to the economic and social development. Today, the call for promoting healthy lifestyle by reducing above mentioned risk factors remains a challenge in both urban and rural settings. Simultaneously, there is a need to understand the underlying social determinants caused by globalization, urbanization and aging population to help reduce the prevalence of mortality and morbidity from common risk factors of CDs, NCDs, injuries and RCH issues. The Training Manual on the integrated health promotion is envisioned to be an important capacity-building tool for having a holistic approach within the broader health promotion/IEC/BCC activities in National Health Programs being implemented in communicable and noncommunicable diseases, injuries and addressing RCH issues