Rural Healthcare PDF
Preview Rural Healthcare
RURAL HEALTHCARE Rural Healthcare was the first textbook of rural medicine in the UK. In this fully revised second edition, it continues to fulfil the requirement for a resource dedicated to the particular needs of those living and practising in rural areas. Offering an authoritative, informative, evidence-based, practical reference book, it is required reading for undergraduate and postgraduate students of rural healthcare, a foundation for rural healthcare curriculae and an inspirational read. It is invaluable for both intending and established rural primary healthcare workers, including general practitioners, nurses, midwives, paramedics, therapists, managers and administrators. “Policy makers may be preoccupied with metropolitan issues but the authors of this book remind us that for so many of the challenges facing general practice . . . the answers lie in rural practices. This is a book for all clinicians, all managers and all system leaders.” — Martin Marshall, Past Chair, Royal College of General Practitioners “The authors of this immensely impressive guide to rural medicine . . . offer real wisdom, support, insight and encouragement. I only wish that this book had been around at the start of my career as a rural GP.” — Sir David Haslam, Past Chair, NICE “. . . is essential reading for students of all disciplines who need to understand remote and rural healthcare.” — Natasha Singh, Chair of GP Society, University of Central Lancashire “This pioneering and comprehensive textbook is essential reading for any healthcare practitioner who is practising or considering practice in challenging rural environments.” — Rikard Moen, Chair, Faculty of Remote, Rural and Humanitarian Healthcare, Royal College of Surgeons of Edinburgh Rural Healthcare Second Edition Edited by Jim Cox, Christopher E. Clark and Tim Sanders Second edition published 2023 by CRC Press 6000 Broken Sound Parkway NW, Suite 300, Boca Raton, FL 33487–2742 and by CRC Press 4 Park Square, Milton Park, Abingdon, Oxon, OX14 4RN CRC Press is an imprint of Taylor & Francis Group, LLC © 2023 selection and editorial matter, Jim Cox, Christopher E. Clark, and Tim Sanders; individual chapters, the contributors First edition published by CRC Press 1998 This book contains information obtained from authentic and highly regarded sources. While all reasonable efforts have been made to publish reliable data and information, neither the author[s] nor the publisher can accept any legal responsibility or liability for any errors or omissions that may be made. The publishers wish to make clear that any views or opinions expressed in this book by individual editors, authors or contributors are personal to them and do not necessarily reflect the views/opinions of the publishers. The information or guidance contained in this book is intended for use by medical, scientific or health-care professionals and is provided strictly as a supplement to the medical or other professional’s own judgement, their knowledge of the patient’s medical history, relevant manufacturer’s instructions and the appropriate best practice guidelines. Because of the rapid advances in medical science, any information or advice on dosages, procedures or diagnoses should be independently verified. The reader is strongly urged to consult the relevant national drug formulary and the drug companies’ and device or material manufacturers’ printed instructions, and their websites, before administering or utilizing any of the drugs, devices or materials mentioned in this book. This book does not indicate whether a particular treatment is appropriate or suitable for a particular individual. Ultimately it is the sole responsibility of the medical professional to make his or her own professional judgements, so as to advise and treat patients appropriately. The authors and publishers have also attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowledged please write and let us know so we may rectify in any future reprint. Except as permitted under U.S. Copyright Law, no part of this book may be reprinted, reproduced, transmitted, or utilized in any form by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying, microfilming, and recording, or in any information storage or retrieval system, without written permission from the publishers. For permission to photocopy or use material electronically from this work, access www. copyright.com or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978–750–8400. For works that are not available on CCC please contact [email protected] Trademark notice: Product or corporate names may be trademarks or registered trademarks and are used only for identification and explanation without intent to infringe. ISBN: 978-1-032-29867-2 (hbk) ISBN: 978-1-032-29866-5 (pbk) ISBN: 978-1-003-30243-8 (ebk) DOI: 10.1201/9781003302438 Typeset in Sabon by Apex CoVantage, LLC Contents List of figures viii List of tables ix List of boxes x Foreword xi List of contributors xiii Acknowledgements xvi 1 Introduction 1 Jim Cox, Christopher E. Clark and Tim Sanders 2 What Is Rurality? 6 2.1 Scotland 8 Charlie Siderfin 2.2 Republic of Ireland 24 Liam Glynn 2.3 Northern Ireland 27 Miriam Dolan vi Contents 2.4 Wales 30 Mel Plant 2.5 England 34 Tim Sanders 3 Role of the Generalist 48 Christopher E. Clark and Amanda Howe 4 Rural Diseases 61 Tim Sanders 5 Rural Mental Health 93 Andrew Brittlebank 6 Animal Diseases 99 Neil Frame 7 Teamwork 114 Martin Woodham 8 Remote Healthcare 125 Sean Hudson and Natalie Taylor 9 Emergencies 131 Nick Wright 10 Rural Pharmacy and Dispensing 138 Christopher E. Clark, Rosina Cross and Sinéad T J McDonagh 11 Rural Maternity Care and Family Support 151 Jaki Lambert and Helen Cheyne 12 Rural Nursing 163 Tim Sanders, Margaret Nelson and Ruth Blundell 13 Safeguarding 171 Venetia Young Contents vii 14 Technology 184 Helen Atherton and Dan Lasserson 15 Public Health 200 Stephen Singleton 16 Rural Social Exclusion 215 Jim Cox 17 Research 230 Christopher E. Clark Index 247 Figures 2.1.1 M ap showing Scottish Government Urban Rural Classification 10 2.1.2 Plan, recruit, retain: a framework for local healthcare organisations to achieve a stable remote rural workforce. 21 8.1 Training needs considerations 128 Tables 2.1.1 Scottish Government Urban Rural Classification 2016 9 2.1.2 Special NHS Boards of Scotland 11 11.1 Wider Teams for Planned and Unplanned Care 154 15.1 Rural Healthcare Populations of Interest 201 15.2 Basic Strategies for Health 206 15.3 A ctions for the Rural Healthcare Team, Thinking in a Public Health Way 208 15.4 B asic Concepts of Communicable Disease Control 211
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