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- BookPhilip C. Doyle, editor.Summary: This text provides a comprehensive grounding in the contemporary rehabilitation, management, and clinical care of patients following treatment of head and neck cancer (HNCa). It provides the diagnostic and clinical information necessary to successfully manage patients with HNCa, and aids clinical health trainees and professionals in identifying, acknowledging, and addressing a wide range of problems that may occur post treatment, such as abnormalities in voice and speech production, eating, and swallowing. In addition, the book explores the physical, psychological, communicative, and social aspects that form essential components of cancer rehabilitation programs that seek to restore multiple areas of functioning which are disrupted secondary to treatment. Post-treatment changes in breathing, nutrition, physical capabilities, disfigurement, mood, and body image are also covered.
Contents:
Section I: Head and Neck Cancer and Its Treatment
General Principles of Head and Neck Cancer Treatment
Surgical Reconstruction for Cancer of the Oral Cavity
Complications Following Total Laryngectomy
Human Papilloma Virus: Related Head and Neck Cancer
Distress as a Consequence of Head and Neck Cancer
Optimizing Clinical Management of Head and Neck Cancer
Section II: Treatment Related Changes: Breathing, Voice, Speech, and Swallowing
Postlaryngecdtomy Respiratory System and Speech Breathing
Clinical Intervention for Airway Improvement: Establishing a New Nose
Elements of Clinical Training with the Electrolarynx
Teaching Esophageal Speech: A Process of Collaborative Instruction
Voice Restoration with the Tracheoesophageal Voice Prosthesis: The Current State of the Art
Clinical Problem-Soliving in Tracheoesophageal Puncture Voice Restoration
Alaryngeal Speech Aerodynamics: Lower and Upper Airway Considerations
Intelligibility in Postlaryngectomy Speech
Communication Support Before, During, and After Treatment for Head and Neck Cancer
Speech Deficits Associated with Oral and Oropharyngeal Carcinomas
Documenting Voice and Speech Outcomes in Alaryngeal Speakers
Swallowing Disorders and Rehabilitation in Patients with Laryngeal Cancer
Dysphagia Management of Head and Neck Cancer Patients: Oral Cavity and Oropharynx
Section III: Special Factors in Head and Neck Cancer
Acute and Long-Term Effects of Chemoradiation Therapy in Head and Neck Cancer
Oral Considerations for the Head and Neck Cancer Patient
Lymphedema in Head and Neck Cancer
Shoulder Dysfunction and Disability Secondary to Treatment for Head and Neck Cancer
Factors Influencing Adherence to Treatment of Head and Neck Cancer
The Role of the Clinical Nurse Specialist in Head and Neck Oncology
The Acquisition of Practice Knowledge in Head and Neck Cancer Rehabilitation
Well-being and Quality of Life in Head and Neck Cancer
The Impact of Postlaryngectomy Audiovisual Changes on Verbal Communication
Communicative Participation after Head and Neck Cancer. - ArticleBrandt AM.Int J Health Serv. 1978;8(2):257-70.This paper is an historical account of the discovery, testing, and early distribution of the Salk polio vaccine. The discovery posed fundamental dilemmas of medical research, pharmaceutical production, and public health. This paper assesses the ethical problems which arose, and examines critically their resolution. The National Foundation for Infantile Paralysis (March of Dimes) financed and directed the discovery of the vaccine, subsequent field trials, and early distribution. The Foundation's role is analyzed with special attention to the conflicts between its philanthropic and scientific functions. The reat public demand which the discovery of the vaccine generated created a need for federal control which was only partly met. The federal government did not have sufficient institutional and legal mechanisms to assure the safety of the vaccine and protect the public. This discussion illustrates the failure of the government to keep pace with medical technology.