82:T5cd,Neurologiska sjukdomar utgör tillsammans med traumatiska skador på hjärna och ryggmärg en stor och heterogen grupp av tillstånd, som involverar ett flertal medicinska specialiteter. Rehabiliteringsmedicinsk intervention är nödvändig om tillståndet medför komplexa funktionsstörningar.

Denna bok är en introduktion och handledning i neurologisk rehabilitering. Bokens första, allmänna del beskriver grundläggande principer, rehabiliteringens processer i relation till sjukvården i övrigt och allmänt om metoder för intervention. I bokens andra del belyses specifika funktionsstörningar och komplikationer som inte är direkt diagnosbundna. I bokens avslutande del presenteras de vanligaste diagnoserna inom neurologisk rehabilitering och principerna för deras omhändertagande. Sammantaget ger boken en ökad insikt och förståelse i hur man i praktiken kan arbeta för att så långt som möjligt understödja patientens återerövrande av vilja, förmåga och funktion att kunna leva ett så aktivt och meningsfullt liv som möjligt efter svår skada eller sjukdom.

Neurologisk rehabilitering är värdefull inte enbart för blivande rehabiliteringsläkare, utan även för de många kollegor som arbetar med neurologiska tillstånd, exempelvis neurologer, neurokirurger, allmänläkare och geriatriker. Förhoppningen är även att patienter och närstående, liksom personer som arbetar i de myndigheter som berörs kan ha nytta av boken.83:T440,Neurokirurgi omfattar handläggning och operation av sjukdomstillstånd i centrala och perifera nervsystemet. Neurokirurgiska frågeställningar förekommer inom nästan alla medicinska specialiteter.

Denna bok sammanfattar neurokirurgiska sjukdomar och de behandlingar som bedrivs i Sverige i dag. I boken läggs stor vikt vid hantering av akuta tillstånd som trauma, blödningar och infektioner i hjärna, rygg och perifera nerver. Läsaren introduceras till neurokirurgisk operationsteknik och grundläggande neurokirurgisk anatomi. I boken beskrivs aktuell evidens, praktisk tillämpning och indikation för neurokirurgiska behandlingsmetoder, inklusive funktionell neurokirurgi med sina speciella indikationer och specifika metoder.

Neurokirurgi riktar sig brett till läkare och andra personalgrupper, som specialistsjuksköterskor, samt till studenter med intresse för neurokirurgin. Boken ger en bred översikt av neurokirurgiska tillstånd och är rikligt illustrerad. För att underlätta inlärningen används fallbeskrivningar, tabeller och faktarutor.84:T689,En stor del av den akuta sjukvården handläggs utanför sjukhusen. Sjukvårdsupplysningen och distriktssköterskor hänvisar flertalet oklara och misstänkt allvarligare akutfall till hälsocentralen. Andra hänvisas till egenvård eller mer eller mindre akut sjukhuskontakt. Därtill söker många patienter direkt till hälsocentral. En liten andel av dessa patienter är så uppenbart svårt sjuka, att deras akuta remittering till sjukhus är given. I de flesta fall är dock situationen betydligt svårare att handlägga. Varje dags tjänstgöring vid hälsocentral eller akutmottagning kräver hundratals bedömningar och beslut. Patienterna strömmar in utan diagnostiska etiketter och antalet möjliga orsaker är mycket stort. Processen från symtom, via diagnos, till åtgärd måste ofta genomföras vid det aktuella kontakttillfället, under stark tidspress.
Det är precis i denna kritiska beslutssituation som denna bok vill utgöra ett användbart stöd. Den möjliggör att, på ett fåtal minuter, erinra om vad som är vanligt, vad som är viktigt och vad som är försåtligt. Den ger stöd i den primära differentialdiagnostiken i ett osorterat patientklientel, och även förslag på konkret handläggning.
Symtom – Diagnos – Terapi är en genomgripande omarbetning av en symtombaserad handbok som författarna skrev som unga läkare 1985. Boken som helhet har granskats och kompletterats av en erfaren specialist i allmänmedicin. Den primära målgruppen är läkare verksamma inom öppen akutsjukvård. Den är av värde även för andra yrkeskategorier inom detta verksamhetsområde och för studerande på läkarutbildningen.
85:T8de,

I dag vet jag att jag klarar av mycket mer än vad jag någonsin hade trott. För om jag innan olyckan tänkte på det värsta som kunde hända i livet, så var det just detta. Alla kategorier. I dag vet jag att jag fixar det.
Thomas Fogdö

En ryggmärgsskada ställer hela livet på ända. Allt man tagit för givet förändras. Man måste lära sig kroppens nya signaler, hur man tar sig fram, hur man hanterar alla tankar och känslor som väcks och hur man nu ska leva sitt liv.

Spinalishandboken - ny kraft för skadad ryggmärg vill vara en hjälp i det arbetet. Boken tar upp dels vad som händer i kroppen, hur olika organ påverkas och hur rehabilitering går till, dels tankar om existentiella frågor, vikten av att sörja och hur man kan leva ett gott liv trots skadan. Ett antal personer berättar dessutom om sina egna upplevelser kring hur de skadats och hur de har gått vidare.

Spinalishandboken är i första hand skriven för ryggmärgsskadade och deras anhöriga, men är på grund av sin omfattning även användbar för sjuksköterskor, sjukgymnaster, arbetsterapeuter, kuratorer och övrig vårdpersonal som möter ryggmärgsskadade.

Om författarna
Richard Levi är specialist i neurologi och rehabiliteringsmedicin, professor vid Umeå universitet samt överläkare vid Norrlands universitetssjukhus.

Claes Hultling är docent vid Karolinska Institutet och överläkare vid Neurologkliniken vid Karolinska universitetssjukhuset. Han lever själv med ryggmärgsskada sedan 26 år tillbaka.

Författarna har varit med om att grunda stiftelsen Spinalis och Spinaliskliniken, och har arbetat kliniskt och vetenskapligt med ryggmärgsskador sedan 1990.

Röster från läsare
"Spinalishandboken kan inte nog berömmas, från den utsökta utformningen, till den logiska kapitelindelningen, det välavvägda innehållet med balans mellan (och mängder av) fakta och erfarenhet, till den utmärkta ordlistan och registret. Presumtiva läsare är ryggmärgsskadade, anhöriga, och alla delaktiga i och intresserade av deras vård."
Christian Olsson, BTJ häftepos 11116366

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