Geriatrics, An Issue of Medical Clinics of North America

1st Edition, Volume 104-5 - August 20, 2020
Editor: Danelle Cayea
Language: English
Hardback ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 7 2 2 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 7 7 7 2 3 - 0

This issue of Medical Clinics, guest edited by Dr. Danelle Cayea, is devoted to Geriatrics. Articles in this important issue include: Thoughtful prescribing and deprescribing,… Read more

Geriatrics, An Issue of Medical Clinics of North America

Purchase options

Info / Buy

LIMITED OFFER

Save 50% on book bundles

Immediately download your ebook while waiting for your print delivery. No promo code is needed.

Institutional subscription on ScienceDirect

Request a sales quote

This issue of Medical Clinics, guest edited by Dr. Danelle Cayea, is devoted to Geriatrics. Articles in this important issue include: Thoughtful prescribing and deprescribing, Identifying goals of care, Overview of brief, high yield geriatrics assessment for clinic and hospital, Fall prevention, evaluation, and treatment, Cognitive impairment evaluation and management, Urinary and bowel symptoms, Sadness and worry in older adults, Chronic pain syndromes in older adults, Osteoporosis, Evaluation and management of difficult symptoms of older adults primary care, Perioperative assessment and management, Challenges related to safety and independence, and much more.

Cover image
Title page
Table of Contents
Copyright
CME Accreditation Page
Forthcoming Issues
Contributors
Foreword
Preface
Thoughtful Prescribing and Deprescribing
Key points
Overview
Introduction to our case
Polypharmacy
Potentially inappropriate medications
What is deprescribing?
Deprescribing: benefits and risks
Barriers to deprescribing
Enablers for deprescribing
The process of deprescribing
Practical prescribing and deprescribing resources in the clinic
Applying the deprescribing process to our case
Summary
Clinics care points
Identifying Goals of Care
Key points
Introduction
Terminology
The clinical context
Treatment plans
Outcomes of goals of care conversations
Clinician training and resources
Specialty consultation in goals of care
Discussion and summary
Clinics care points
Overview of High Yield Geriatrics Assessment for Clinic and Hospital
Key points
Introduction
Components of a comprehensive geriatric assessment
Summary
The Intersection of Falls and Dementia in Primary Care: Evaluation and Management Considerations
Key points
Introduction
Background
The burden of falls in persons with dementia
Fall risk factors in the general older adult population
Fall risk factors in persons with dementia
Fall risk assessment in the general older adult population
Fall risk assessment unique to persons with dementia
Reducing fall risk through interventions in the general older adult population
The role of rehabilitation in prevention of falls
Cognitive training
Functional training
Errorless learning
Prescription and safe use of mobility aids
Reducing fall risk through other interventions in persons with dementia
When restorative rehabilitation is no longer the goal
Summary
Clinics care points
Cognitive Impairment Evaluation and Management
Key points
Introduction
Approach
Evaluation
Treatment of cognitive impairment
Management of neuropsychiatric symptoms
Considerations
Clinics care points
Summary
Common Urinary and Bowel Disorders in the Geriatric Population
Key points
Urinary disorders
Discussion
Evaluation
Treatment
Bowel disorders
Clinics care points
Sadness and Worry in Older Adults: Differentiating Psychiatric Illness from Normative Distress
Key points
Introduction, background, and definitions
Normative emotional development in late life
Mood and anxiety disorders in late life
Bereavement and grief
Social isolation and loneliness
Suicidal ideation and behavior
Discussion and summary
Clinics care points
Musculoskeletal Pain in Older Adults: A Clinical Review
Key points
Introduction/background
General approach
Management approaches
Common musculoskeletal conditions in older adults
Summary
Clinics care points
Osteoporosis in Older Adults
Key points
Definition
Prevalence
Risk factors
Osteoporosis complications
Nonpharmacologic measures for prevention and treatment of osteoporosis
Fracture risk assessment tool
Screening for osteoporosis
Diagnosis
Treatment
Clinical care points
Summary
Evaluation and Management of Difficult Symptoms in Older Adults in Primary Care
Key points
Introduction
Leg cramps
Dizziness
Insomnia
Weight loss
Perioperative Care Strategy for Older Adults
Key points
Introduction
Preoperative care: establishing goals of care
Preoperative care: risk assessment
Preoperative care: multidisciplinary team decision making
Preoperative care: geriatric-specific surgical risk calculators
Intraoperative care of older adults
Postoperative inpatient care of older adults
Postdischarge care of older adults
Summary
Clinic care points
Challenges Related to Safety and Independence
Key points
Clinical cases
Introduction
Discussion
Summary
Clinical care points