简介
This comprehensive and visually appealing text covers all aspects of both the AAMA and AMT national curricula for medical assisting, including medical terminology, anatomy & physiology, and pathophysiology. The text is written in a reader-friendly style, and integrates features designed to foster a greater awareness for students of the consequences of their actions on the job, as well as to develop greater empathy for the patient's experience. A recurring Ripples on the Pond analogy emphasizes this "ripple," or consequences effect. Case scenarios at the beginning of chapters challenge students to put the chapter content into a real-world perspective, with follow-up questions at the end of chapters that are designed for self-reflection, homework assignments, or class discussion. An integrated package includes an interactive skills software program in the text, a student workbook with recall, application, and critical thinking exercises, a complete instructor's package, and a companion website. A Ripples on the Pond theme is designed to help students become more aware of the consequences and the cause-and-effect of their actions on the job. This theme is reinforced visually, and in content features throughout the text. Patient-Centered Professionalism boxes throughout chapters help students think about the chapter content in the perspective of the patient's experience so they can develop empathy for the patient and consider how their actions will be experienced by the patient. Coverage of national curriculum competencies, with a listing of the AAMA and RMA competencies in the instructor's package. A correlation grid of chapter objectives to curriculum competencies assures complete compliance with accreditation requirements. Two special chapters on student skills and employment provide excellent advice on how to get the most out of the learning experience, and how to get a job and succeed in one's career. Coverage is included of the three prerequisites of any medical assisting program: medical terminology, A&P, and pathology - making this an all-encompassing text that renders the purchase of additional texts unnecessary. Heavily illustrated step-by-step procedures, with charting examples and rationales, promote better understanding of how to properly perform all clinical and administrative procedures. Weighted competency checklists for all skills are in the student workbook. What Would You Do? case studies presented at the beginning of each chapter are revisited at the chapter end, along with questions to help students develop their critical thinking skills. These scenarios and questions also make excellent class or small-group discussions, or homework assignments. Suggested responses are in the instructor's package. For Further Exploration boxes suggest topics for further Internet research. Internet research activities are available in the student workbook, with active links on the companion website that are organized by chapter. Summary Keys offer a bulleted review of important points for each learning objective, reinforcing the content students must master for each chapter. Companion online course follows a generic organizational structure, with reading assignments keyed to the Klieger textbook. This course can either stand alone as true distance education courses, or can be used effectively to reinforce a traditional classroom course. An online mentor steps students through a virtual externship as they meet realistic patients, physicians, and co-workers while learning the basic theory and practicing the key curriculum skills.
目录
Study Preparation
Becoming a Successful Student p. 1
What's in it for Me? Success! p. 3
Accomplishing Your Goals p. 4
Successful Study Strategies p. 10
Effective Test Taking p. 17
Conclusion p. 20
Foundational Concepts
Diversity in Health Care Delivery p. 23
Medical Practice Settings p. 24
Medical Specialties p. 24
The Professional Health Care Team p. 26
Health Care Delivery Settings p. 29
Conclusion p. 30
Law and Ethics in Health Care p. 32
Law and Licensure in Medical Practice p. 34
Law and Liability p. 36
Health Care Legislation p. 42
Ethics in Health Care p. 46
Conclusion p. 53
Becoming a Professional p. 58
Professional Qualities p. 59
The Professional Medical Assistant p. 61
Professional Training p. 63
Conclusion p. 69
Understanding Human Behavior p. 71
Psychology and Personality p. 72
Human Needs p. 73
Mental and Physical Health p. 74
Coping p. 79
Conclusion p. 82
Understanding Patient Behavior p. 85
Development p. 86
Cultural Diversity p. 95
Response to Illness p. 97
Conclusion p. 99
Effective Communication p. 102
The Communication Process p. 103
Effective Verbal Communication p. 104
Effective Nonverbal Communication p. 106
Effective Listening p. 108
Effective Written Communication p. 110
Effective Communication Using Electronic Technology p. 112
Conclusion p. 115
Communicating with Patients p. 118
Role of the Medical Assistant p. 119
Different Cultures p. 121
Patients with Special Needs p. 122
Conclusion p. 124
Understanding Medical Terminology p. 126
Word Origins and Meanings p. 127
Word Parts p. 128
Guidelines for Medical Terminology p. 136
Conclusion p. 138
Anatomy and Physiology
Basic Anatomy and Physiology p. 140
Describing the Human Body p. 144
Organizational Levels of the Body p. 148
Conclusion p. 167
Circulatory System p. 171
Functions of the Circulatory System p. 175
Heart p. 175
Blood Vessels p. 186
Blood p. 187
Lymphatic System p. 198
Immune System p. 200
Conclusion p. 205
Respiratory System p. 209
Structure and Function of the Respiratory System p. 211
Upper Respiratory Tract p. 212
Lower Respiratory Tract p. 214
Breathing p. 216
Respiratory Diseases and Disorders p. 218
Conclusion p. 224
Digestive System p. 227
Structure and Function of the Digestive System p. 230
Digestive Organs p. 231
Accessory Organs p. 235
Metabolism p. 238
Diseases and Disorders of the Digestive System p. 239
Conclusion p. 240
Nervous System p. 248
Nervous System Structure and Function p. 253
Diseases and Disorders of the Nervous System p. 265
Mental Health p. 273
Sensory System p. 274
Conclusion p. 285
Skeletal System p. 289
Function of the Skeletal System p. 293
Bone and Cartilage p. 294
Axial and Appendicular Skeletons p. 297
Articulations p. 306
Diseases and Disorders of the Skeletal System p. 309
Conclusion p. 316
Muscular System p. 321
Function and Structure of Muscles p. 323
Muscle Contraction p. 324
Types of Muscle and Muscle Tissue p. 325
Principal Skeletal Muscles p. 326
Diseases and Disorders of the Muscular System p. 332
Conclusion p. 333
Urinary System p. 336
Major Functions of the Urinary System p. 338
Structure of the Urinary System p. 339
Diseases and Disorders of the Urinary System p. 343
Conclusion p. 347
Reproductive System p. 350
Function and Structure of the Reproductive System p. 353
Male Reproductive System p. 353
Female Reproductive System p. 356
Human Development p. 363
Sexually Transmitted Diseases p. 366
Conclusion p. 368
Endocrine System p. 371
Endocrine System Function p. 373
Major Endocrine Glands p. 374
Endocrine Activity in Cells and Organs p. 378
Regulation of Hormones p. 378
Diseases and Disorders of the Endocrine System p. 379
Conclusion p. 379
Integumentary System p. 387
Function and Structure of the Integumentary System p. 389
Damage to the Skin p. 394
Diseases and Disorders of the Integumentary System p. 397
Conclusion p. 399
Administrative Medical Assisting
The Medical Office p. 406
Facilities Management p. 408
Office Equipment p. 410
Supplies p. 417
Office Management p. 420
Policy and Procedures Manuals p. 421
Community Resources p. 422
Conclusion p. 424
Medical Office Communication p. 428
Greeting Patients p. 430
Managing the Telephone p. 433
Scheduling Appointments p. 436
Handling Mail p. 447
Managing Written Correspondence p. 449
Conclusion p. 462
Medical Records and Chart Documentation p. 466
Purpose and Contents of Medical Records p. 468
Charting in the Patient's Record p. 476
Selecting a File System p. 479
Filing Methods p. 483
Review of Basic Filing Procedures p. 487
Conclusion p. 488
Financial Management p. 492
Accounting Principles p. 494
Bookkeeping Procedures p. 498
Banking Procedures p. 506
Billing and Collections p. 512
Payroll Processing p. 518
Conclusion p. 524
Medical Coding p. 529
Diagnostic Coding p. 531
Procedural Coding p. 539
Conclusion p. 545
Medical Insurance p. 549
Overview of Health Insurance p. 552
Patient and Provider Roles in Medical Insurance p. 553
Medical Insurance Policies and Plans p. 555
Third-Party Medical Insurance p. 559
Medical Insurance Claim Cycle p. 567
Submitting Claims p. 570
Preventing Rejections and Delays p. 577
Claims Follow-Up p. 578
Conclusion p. 578
Computers in the Medical Office p. 584
Functions of the Computer p. 586
Components of the Computer p. 586
Basics of Computer Use p. 589
Computer Systems in Medical Practice Management p. 592
Conclusion p. 594
Clinical Medical Assisting
Infection Control and Asepsis p. 597
Infection Control p. 599
Medical Asepsis p. 608
Surgical Asepsis p. 611
Conclusion p. 620
Preparing the Examination Room p. 628
Room Preparation p. 629
Room Maintenance p. 634
Patient Preparation p. 634
Conclusion p. 635
Body Measurements and Vital Signs p. 637
Body Measurements p. 639
Vital Signs p. 646
Conclusion p. 669
Medical History Taking p. 672
Sections of the Medical History p. 673
Interviewing Skills p. 681
Charting p. 681
Conclusion p. 683
Assisting with the Physical Examination p. 686
Preparing the Patient p. 688
Positioning and Draping the Patient p. 688
Examination Methods p. 700
Vision Testing p. 700
Ear Examination p. 707
Conclusion p. 707
Electrocardiography p. 713
Purpose of Electrocardiography p. 715
Electrical Impulses and ECG Patterns p. 715
Equipment and Supplies p. 717
Obtaining an Electrocardiogram p. 721
Artifacts p. 731
Cardiac Arrhythmias p. 731
Holter Monitor p. 734
Cardiac Stress Testing p. 735
Conclusion p. 739
Radiography and Diagnostic Imaging p. 743
Film Screen Radiography p. 744
Fluoroscopic Imaging p. 747
Computer Imaging p. 747
Employee Safety p. 751
Medical Assistant's Role p. 751
Conclusion p. 753
Therapeutic Procedures p. 756
Ear Treatments p. 758
Eye Treatments p. 761
Bandaging p. 765
Cold and Heat Therapy p. 770
Ultrasound Therapy p. 779
Ambulatory Devices p. 782
Casts p. 789
Conclusion p. 796
Specialty Diagnostic Testing p. 799
Gynecological Examination and Testing p. 802
Obstetrical Examination and Testing p. 814
Colon Tests p. 820
Pulmonary Function Tests p. 825
Pulse Oximetry p. 829
Hearing Acuity Tests p. 829
Conclusion p. 831
Introduction to the Physician Office Laboratory p. 835
Laboratory Regulations and Safety p. 839
Basic Laboratory Equipment p. 841
Laboratory Tests p. 847
Culture Collection p. 852
Urine Collection p. 854
Blood Collection p. 863
Stool Collection p. 887
Sputum Collection p. 887
Conclusion p. 887
Laboratory Testing in the Physician Office p. 892
Urinalysis p. 895
Blood Tests p. 910
Conclusion p. 929
Understanding Medications p. 935
Pharmacology p. 937
Drug Legislation p. 941
Drug Administration p. 948
Drug Forms p. 954
Drug Classifications p. 957
Prescriptions p. 957
Medication Record p. 961
Conclusion p. 963
Administering Medications p. 967
Oral Administration p. 969
Topical Administration p. 973
Vaginal and Rectal Administration p. 973
Inhalation p. 973
Parenteral Administration p. 975
Conclusion p. 1009
Minor Office Surgery p. 1012
Before Surgery p. 1014
Surgical Asepsis p. 1016
Surgical Instruments p. 1027
Assisting with Minor Office Surgery p. 1032
Wound Care p. 1040
Conclusion p. 1051
Patient Education and Nutrition p. 1054
Patient Education p. 1056
Dietary Guidelines p. 1058
Principals of Nutrition p. 1060
Nutrients p. 1066
Nutrition Through the Life Span p. 1068
Nutrition and Chronic Disease p. 1070
Diet Therapy p. 1070
Conclusion p. 1072
Basic First Aid and Medical Office Emergencies p. 1075
Situations Requiring First Aid p. 1077
Office Emergencies p. 1078
Basic Life Support p. 1093
Conclusion p. 1097
Employment and Beyond
Beginning Your Job Search p. 1102
Organizing Your Resources p. 1103
Developing Your Materials p. 1105
Contacting Potential Employers p. 1108
The Job Application p. 1119
The Job Interview p. 1110
Conclusion p. 1114
Appendixes
Common Abbreviations and Symbols p. 1118
Common Prefixes and Suffixes p. 1123
Common Laboratory Test Values p. 1128
Math Review p. 1130
Glossary p. 1142
Becoming a Successful Student p. 1
What's in it for Me? Success! p. 3
Accomplishing Your Goals p. 4
Successful Study Strategies p. 10
Effective Test Taking p. 17
Conclusion p. 20
Foundational Concepts
Diversity in Health Care Delivery p. 23
Medical Practice Settings p. 24
Medical Specialties p. 24
The Professional Health Care Team p. 26
Health Care Delivery Settings p. 29
Conclusion p. 30
Law and Ethics in Health Care p. 32
Law and Licensure in Medical Practice p. 34
Law and Liability p. 36
Health Care Legislation p. 42
Ethics in Health Care p. 46
Conclusion p. 53
Becoming a Professional p. 58
Professional Qualities p. 59
The Professional Medical Assistant p. 61
Professional Training p. 63
Conclusion p. 69
Understanding Human Behavior p. 71
Psychology and Personality p. 72
Human Needs p. 73
Mental and Physical Health p. 74
Coping p. 79
Conclusion p. 82
Understanding Patient Behavior p. 85
Development p. 86
Cultural Diversity p. 95
Response to Illness p. 97
Conclusion p. 99
Effective Communication p. 102
The Communication Process p. 103
Effective Verbal Communication p. 104
Effective Nonverbal Communication p. 106
Effective Listening p. 108
Effective Written Communication p. 110
Effective Communication Using Electronic Technology p. 112
Conclusion p. 115
Communicating with Patients p. 118
Role of the Medical Assistant p. 119
Different Cultures p. 121
Patients with Special Needs p. 122
Conclusion p. 124
Understanding Medical Terminology p. 126
Word Origins and Meanings p. 127
Word Parts p. 128
Guidelines for Medical Terminology p. 136
Conclusion p. 138
Anatomy and Physiology
Basic Anatomy and Physiology p. 140
Describing the Human Body p. 144
Organizational Levels of the Body p. 148
Conclusion p. 167
Circulatory System p. 171
Functions of the Circulatory System p. 175
Heart p. 175
Blood Vessels p. 186
Blood p. 187
Lymphatic System p. 198
Immune System p. 200
Conclusion p. 205
Respiratory System p. 209
Structure and Function of the Respiratory System p. 211
Upper Respiratory Tract p. 212
Lower Respiratory Tract p. 214
Breathing p. 216
Respiratory Diseases and Disorders p. 218
Conclusion p. 224
Digestive System p. 227
Structure and Function of the Digestive System p. 230
Digestive Organs p. 231
Accessory Organs p. 235
Metabolism p. 238
Diseases and Disorders of the Digestive System p. 239
Conclusion p. 240
Nervous System p. 248
Nervous System Structure and Function p. 253
Diseases and Disorders of the Nervous System p. 265
Mental Health p. 273
Sensory System p. 274
Conclusion p. 285
Skeletal System p. 289
Function of the Skeletal System p. 293
Bone and Cartilage p. 294
Axial and Appendicular Skeletons p. 297
Articulations p. 306
Diseases and Disorders of the Skeletal System p. 309
Conclusion p. 316
Muscular System p. 321
Function and Structure of Muscles p. 323
Muscle Contraction p. 324
Types of Muscle and Muscle Tissue p. 325
Principal Skeletal Muscles p. 326
Diseases and Disorders of the Muscular System p. 332
Conclusion p. 333
Urinary System p. 336
Major Functions of the Urinary System p. 338
Structure of the Urinary System p. 339
Diseases and Disorders of the Urinary System p. 343
Conclusion p. 347
Reproductive System p. 350
Function and Structure of the Reproductive System p. 353
Male Reproductive System p. 353
Female Reproductive System p. 356
Human Development p. 363
Sexually Transmitted Diseases p. 366
Conclusion p. 368
Endocrine System p. 371
Endocrine System Function p. 373
Major Endocrine Glands p. 374
Endocrine Activity in Cells and Organs p. 378
Regulation of Hormones p. 378
Diseases and Disorders of the Endocrine System p. 379
Conclusion p. 379
Integumentary System p. 387
Function and Structure of the Integumentary System p. 389
Damage to the Skin p. 394
Diseases and Disorders of the Integumentary System p. 397
Conclusion p. 399
Administrative Medical Assisting
The Medical Office p. 406
Facilities Management p. 408
Office Equipment p. 410
Supplies p. 417
Office Management p. 420
Policy and Procedures Manuals p. 421
Community Resources p. 422
Conclusion p. 424
Medical Office Communication p. 428
Greeting Patients p. 430
Managing the Telephone p. 433
Scheduling Appointments p. 436
Handling Mail p. 447
Managing Written Correspondence p. 449
Conclusion p. 462
Medical Records and Chart Documentation p. 466
Purpose and Contents of Medical Records p. 468
Charting in the Patient's Record p. 476
Selecting a File System p. 479
Filing Methods p. 483
Review of Basic Filing Procedures p. 487
Conclusion p. 488
Financial Management p. 492
Accounting Principles p. 494
Bookkeeping Procedures p. 498
Banking Procedures p. 506
Billing and Collections p. 512
Payroll Processing p. 518
Conclusion p. 524
Medical Coding p. 529
Diagnostic Coding p. 531
Procedural Coding p. 539
Conclusion p. 545
Medical Insurance p. 549
Overview of Health Insurance p. 552
Patient and Provider Roles in Medical Insurance p. 553
Medical Insurance Policies and Plans p. 555
Third-Party Medical Insurance p. 559
Medical Insurance Claim Cycle p. 567
Submitting Claims p. 570
Preventing Rejections and Delays p. 577
Claims Follow-Up p. 578
Conclusion p. 578
Computers in the Medical Office p. 584
Functions of the Computer p. 586
Components of the Computer p. 586
Basics of Computer Use p. 589
Computer Systems in Medical Practice Management p. 592
Conclusion p. 594
Clinical Medical Assisting
Infection Control and Asepsis p. 597
Infection Control p. 599
Medical Asepsis p. 608
Surgical Asepsis p. 611
Conclusion p. 620
Preparing the Examination Room p. 628
Room Preparation p. 629
Room Maintenance p. 634
Patient Preparation p. 634
Conclusion p. 635
Body Measurements and Vital Signs p. 637
Body Measurements p. 639
Vital Signs p. 646
Conclusion p. 669
Medical History Taking p. 672
Sections of the Medical History p. 673
Interviewing Skills p. 681
Charting p. 681
Conclusion p. 683
Assisting with the Physical Examination p. 686
Preparing the Patient p. 688
Positioning and Draping the Patient p. 688
Examination Methods p. 700
Vision Testing p. 700
Ear Examination p. 707
Conclusion p. 707
Electrocardiography p. 713
Purpose of Electrocardiography p. 715
Electrical Impulses and ECG Patterns p. 715
Equipment and Supplies p. 717
Obtaining an Electrocardiogram p. 721
Artifacts p. 731
Cardiac Arrhythmias p. 731
Holter Monitor p. 734
Cardiac Stress Testing p. 735
Conclusion p. 739
Radiography and Diagnostic Imaging p. 743
Film Screen Radiography p. 744
Fluoroscopic Imaging p. 747
Computer Imaging p. 747
Employee Safety p. 751
Medical Assistant's Role p. 751
Conclusion p. 753
Therapeutic Procedures p. 756
Ear Treatments p. 758
Eye Treatments p. 761
Bandaging p. 765
Cold and Heat Therapy p. 770
Ultrasound Therapy p. 779
Ambulatory Devices p. 782
Casts p. 789
Conclusion p. 796
Specialty Diagnostic Testing p. 799
Gynecological Examination and Testing p. 802
Obstetrical Examination and Testing p. 814
Colon Tests p. 820
Pulmonary Function Tests p. 825
Pulse Oximetry p. 829
Hearing Acuity Tests p. 829
Conclusion p. 831
Introduction to the Physician Office Laboratory p. 835
Laboratory Regulations and Safety p. 839
Basic Laboratory Equipment p. 841
Laboratory Tests p. 847
Culture Collection p. 852
Urine Collection p. 854
Blood Collection p. 863
Stool Collection p. 887
Sputum Collection p. 887
Conclusion p. 887
Laboratory Testing in the Physician Office p. 892
Urinalysis p. 895
Blood Tests p. 910
Conclusion p. 929
Understanding Medications p. 935
Pharmacology p. 937
Drug Legislation p. 941
Drug Administration p. 948
Drug Forms p. 954
Drug Classifications p. 957
Prescriptions p. 957
Medication Record p. 961
Conclusion p. 963
Administering Medications p. 967
Oral Administration p. 969
Topical Administration p. 973
Vaginal and Rectal Administration p. 973
Inhalation p. 973
Parenteral Administration p. 975
Conclusion p. 1009
Minor Office Surgery p. 1012
Before Surgery p. 1014
Surgical Asepsis p. 1016
Surgical Instruments p. 1027
Assisting with Minor Office Surgery p. 1032
Wound Care p. 1040
Conclusion p. 1051
Patient Education and Nutrition p. 1054
Patient Education p. 1056
Dietary Guidelines p. 1058
Principals of Nutrition p. 1060
Nutrients p. 1066
Nutrition Through the Life Span p. 1068
Nutrition and Chronic Disease p. 1070
Diet Therapy p. 1070
Conclusion p. 1072
Basic First Aid and Medical Office Emergencies p. 1075
Situations Requiring First Aid p. 1077
Office Emergencies p. 1078
Basic Life Support p. 1093
Conclusion p. 1097
Employment and Beyond
Beginning Your Job Search p. 1102
Organizing Your Resources p. 1103
Developing Your Materials p. 1105
Contacting Potential Employers p. 1108
The Job Application p. 1119
The Job Interview p. 1110
Conclusion p. 1114
Appendixes
Common Abbreviations and Symbols p. 1118
Common Prefixes and Suffixes p. 1123
Common Laboratory Test Values p. 1128
Math Review p. 1130
Glossary p. 1142
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