Category: Geriatric Medicine

Perioperative Care of the Elderly Patient 1st Edition

Perioperative Care of the Elderly Patient 1st Edition

Perioperative Care of the Elderly Patient 1st Edition

Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring ‘gero-centric’ perioperative care for everything from routine eye surgery to major cardiac surgeries.

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Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

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Inpatient Geriatric Psychiatry: Optimum Care, Emerging Limitations, and Realistic Goals

Inpatient Geriatric Psychiatry: Optimum Care, Emerging Limitations, and Realistic Goals

Inpatient Geriatric Psychiatry

This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide.  The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs.  This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings.

Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes.

 

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Geriatric Trauma and Acute Care Surgery

Geriatric Trauma and Acute Care Surgery

Geriatric Trauma and Acute Care Surgery

The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population.
The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses.  Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be.
A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

 

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Acetabular Fractures in Older Patients: Assessment and Management

Acetabular Fractures in Older Patients: Assessment and Management

Acetabular Fractures in Older Patients: Assessment and Management

Acetabular fractures in older adults are increasing in frequency and present unique challenges to the surgeons charged with their treatment. This text provides the clinician tools for deciding who is an operative candidate and reviews in detail the various surgical treatments available for management. Opening chapters discuss the scope of the problem, the functional status of older patients and the risks involved with any surgical approach. After a chapter discussing non-operative approaches to acetabular fractures, the remaining chapters present the various surgical techniques and include a critical assessment of the outcomes of these treatment choices. ORIF techniques for posterior and anterior wall and column fractures are followed by percutaneous treatment and total hip arthroplasty, both alone and in combination with ORIF.

Presenting the most current strategies for these increasingly common injuries, Acetabular Fractures in Older Patients is an excellent resource for all orthopedic and trauma surgeons.

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Primer of Geriatric Urology 2nd Edition

Primer of Geriatric Urology 2nd Edition

Primer of Geriatric Urology 2nd Edition

The field of geriatric urology continues to evolve and expand since the publication of the first edition of this book. The second edition of this book builds upon the previous addition and provides an introductory overview of the demographics of our aging population and their unique needs. It also provides an in depth review of urologic conditions and their treatment in the elderly patient population. The second edition also includes new and updated information with regard to management of the geriatric urology patient. Chapters were written by members of the faculty of the University of Pennsylvania. Each faculty member included has specific areas of expertise related to their topics.

Primer of Geriatric Urology, Second Edition will be of interest to urologists, residents, fellows and allied health professionals including physician’s assistants and nurse practitioners who treat urologic patients. Additionally, this book will also be of interest to primary care providers treating elderly patients.

 

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Geriatric Emergencies: A Case-Based Approach to Improving Acute Care

Geriatric Emergencies: A Case-Based Approach to Improving Acute Care

Geriatric Emergencies: A Case-Based Approach to Improving Acute Care

Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older.  The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission.

It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission.

 

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Geriatric Diseases: Evaluation and Management

Geriatric Diseases: Evaluation and Management

Geriatric Diseases: Evaluation and Management

This volume provides a comprehensive overview of the unique clinical entities of diseases in older patients. The book arranges the organ systems in 21 sections, which include over 100 collective chapters on various age-related diseases in these organ systems. The text is specifically designed for ease-of-use and include learning tools that include multiple choice, short answer, and extended matching questions, case vignettes, self-assessments, and rich tables and illustrations.  Each section includes a review of the anatomy, physiology and pathology that are specific to aging patients.  The text covers the complex factors that present diagnosis challenges, including the interaction of the disease process with co-existing morbidities, aged- related physiological changes and pre-existing functional challenges and psychosocial circumstances. The text also works with the previously published text Diseases in the Elderly: Age-Related Changes and Pathophysiology, which is tailored to complement this resource.
Written by experts in the field, Geriatric Diseases: Clinical Expression, Management and Impact is the ultimate guide on clinical expression and management of diseases in the elderly for medical students, residents, fellows, geriatricians, gerontologists, primary care physicians, internal medicine specialists, emergency room physicians, specialist nurses, and all other physicians and medical professionals treating older patients.

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Geriatric Ophthalmology: A Competency-based Approach 2nd Edition

Geriatric Ophthalmology: A Competency-based Approach 2nd Edition

Geriatric Ophthalmology: A Competency-based Approach 2nd Edition

Geriatric patients have unique responses to treatment and disease, often harboring co-morbidities that can impact evaluation, treatment, and prognosis, which can require specialized expertise or experience. Geriatric Ophthalmology, Second Edition draws upon the successful first edition by applying a competency-based approach to these patients, improving awareness, increasing understanding, and encouraging expertise about geriatric issues among eye care professionals. These intersecting conditions and their treatment are comprehensively discussed in this fully updated second edition, complete with additional high-quality illustrations and photos. Each chapter utilizes illustrative cases to exemplify the points of care encompassed by the competencies.  Topics of special interest are included, such as diabetic retinopathy, age-related macular degeneration, cataracts, glaucoma, diabetic retinopathy, low vision, all diseases of aging, and the effect of vision loss on the geriatric patient’s quality of life. Medical students, residents, fellows, clinicians, and allied health personnel alike will find this to be a comprehensive resource and exceptional guide to the care of older patients with geriatric ophthalmology problems.

 

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Neuro-Geriatrics: A Clinical Manual

Neuro-Geriatrics: A Clinical Manual

Neuro-Geriatrics: A Clinical Manual

This manual takes a multidisciplinary approach to neurological disorders in the elderly. Comprehensive and practical, it includes the most recent diagnostic criteria and immediately accessible visual care paths including the latest pharmacologic and non-pharmacologic interventions.

Covering a range of modalities, from the importance and impact of each disease to diagnostic criteria, genetics, laboratory and imaging findings, treatment and care paths, this book focuses on neurological conditions that occur commonly in older persons or which have a striking effect on their lives. The common types of dementias, Parkinson’s disease and related disorders, rapidly progressive diseases,  seizure disorders and multiple sclerosis are covered. Issues commonly affecting this population, such as neurobehavioral symptoms and caregiver issues, are discussed.

Neuro-Geriatrics: A Clinical Manual is aimed at any physician who treats the elderly with neurological disorders: neurologists, geriatricians and geriatric psychiatrists, both specialists and general practitioners.

 

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