John Murtagh’s Patient Education

Murtagh’s PATIENT EDUCATION To my wife, Jill, and our children, Paul, Julie, Caroline, Luke and Clare, for their understanding, patience and support. Murtagh’s patient education 6e John Murtagh AM MBBS, MD, BSc, BEd, FRACGP, DipObstRCOG Emeritus Professor in General Practice, School of Primary Health Care, Monash University, Melbourne Professorial Fellow, Department of General Practice, University of Melbourne Adjunct Clinical Professor, Graduate School of Medicine, University of Notre Dame, Fremantle, Western Australia Guest Professor, Peking University, Health Science Centre, Beijing iii NOTICE Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The editors and the publisher of this work have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication. However, in view of the possibility of human error or changes in medical sciences, neither the editors, nor the publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete. Readers are encouraged to confirm the information contained herein with other sources. For example, and in particular, readers are advised to check the product information sheet included in the package of each drug they plan to administer to be certain that the information contained in this book is accurate and that changes have not been made in the recommended dose or in the contraindications for administration. This recommendation is of particular importance in connection with new or infrequently used drugs. First edition 1992 Second edition 1996 Third edition 2000 Reprinted 2001 Fourth edition 2005 Fifth edition 2008, reprinted 2009 Sixth edition 2012 Text © 2008 John Murtagh Illustrations and design © 2008 McGraw-Hill Australia Pty Ltd Additional owners of copyright are named in on-page credits and on the acknowledgments page. Every effort has been made to trace and acknowledge copyright material. Should any infringement have occurred accidentally the authors and publishers tender their apologies. Reproduction and communication for educational purposes The Australian Copyright Act 1968 (the Act) allows a maximum of one chapter or 10% of the pages of this work, whichever is the greater, to be reproduced and/ or communicated by any educational institution for its educational purposes provided that the institution (or the body that administers it) has sent a Statutory Educational notice to Copyright Agency Limited (CAL) and been granted a licence. For details of statutory educational and other copyright licences contact: Copyri