Gerontology and Geriatrics for NPs and PAs

An Interprofessional Approach

1st Edition - March 23, 2023
Editors: Jill R. Beavers-Kirby, Freddi I. Segal-Gidan
Language: English
Paperback ISBN:
9 7 8 - 0 - 3 2 3 - 6 0 8 4 5 - 9
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 0 8 4 7 - 3
eBook ISBN:
9 7 8 - 0 - 3 2 3 - 6 0 8 4 6 - 6

**Selected for Doody’s Core Titles® 2024 in Geriatrics**Written by NPs and PAs who have a wealth of experience in the care of older adults across all practice settings, Geronto… Read more

Gerontology and Geriatrics for NPs and PAs

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**Selected for Doody’s Core Titles® 2024 in Geriatrics**

Written by NPs and PAs who have a wealth of experience in the care of older adults across all practice settings, Gerontology and Geriatrics for NPs and PAs takes an evidence-based approach to both gerontology and geriatrics, incorporating the latest national and international guidelines and standards of care. This first-of-its-kind text takes an interprofessional, teamwork-based approach that reflects Interprofessional Education Collaborative (IPEC) core competencies, as well as the unique perspectives that NPs and PAs each bring to the collaborative care of older adults.

Instructions for Online Access
Cover image
Title page
Table of Contents
Any screen, Any time, Anywhere
Copyright
Dedication
Reviewers
Contributors
Preface
Tools Contents
Section I: Aging
1. Biological and Physiological Change Theories
Introduction: The Evolutionary “Why” of Aging
Evolutionary Theories of Aging
Biologic Theories of Aging
The Free Radical Theory of Aging: Is It Relevant?
Dietary Interventions to Longevity
Can We Drug Our Way to Longevity?
Nutrient Sensing Pathways
Key Points
References
2. Normal Aging
Introduction
Normal Phenotypic Expressions of Aging
Interdisciplinary Teamwork
Key Points
References
3. Principles of Care
Introduction
Chronologic Age Is Only a Guideline
Multimorbidity
Cultural Issues
Social Determinants of Health
Interprofessional Teams
Care Coordination Across Care Settings
Common Preventable and Reversible Conditions
Palliative Care and Hospice
Summary
Key Points
References
4. Ethical Issues in Care
Introduction
Principles of Medical Ethics
Documentation of Individual Values
Decisional Capacity
Cultural Considerations
Elder Mistreatment (Abuse and Neglect)
Resources
Driving and Older Adults
Research Participation
Unique Situations of Ethical Conflict for Physician Assistants and Nurse Practitioners
Key Points
References
5. Sexuality in Older Adults
Overview of Sexuality in Older Adults
Sexuality Process
Conditions Affecting Older Adults’ Sexual Response
Environmental and Psychological Barriers to Sexual Practice
Assessment of Sexuality
Alternative Sexual Practice Among Older Adults
Cultural Beliefs and Differences/Cultural Competency
Strategies to Enhance Sexual Function in Older Adults
Interprofessional Collaboration in the Management of Sexuality in Older Adults
Key Points
References
Section II: Health Promotion and Disease Prevention
6. Preventive Screenings and Immunizations
Overview
Interprofessional Collaboration
Routine Screenings by Age
Disease-Specific Screenings
Psychosocial and Substance Use
Routine Screenings by Gender
Other Screens
Immunizations
Key Points
References
7. Promotion of Healthy Aging
Overview of Promoting Healthy Aging
Interprofessional Collaboration in Healthy Aging
Promoting Healthy Aging
Special Consideration
Key Points
References
8. Medication Use in Older Adults
Introduction
Overview of Medication Use in the Older Adult
Age-Related Changes That Alter Drug Response in Older Adults
Prescribing Challenges in Older Adults
Areas That Call for Special Attention
Coordination of Care With the Pharmacy: An Interdisciplinary Approach
Transitions of Care
Summary of Basic Recommendations
Key Points
References
9. Complementary and Integrative Therapies for Older Adults
Definition and History of Complementary and Alternative Therapies in the Older Adult
Evidence Supporting Complementary and Alternative Therapies in the Older Adult
Preventive Care and Holistic Approach of Complementary and Alternative Therapies
Nurse Practitioner and Physician Assistant Roles
Roles of Other Members of the Interprofessional Team
Incorporating Complementary and Alternative Therapies for the Older Adult
Safety Concerns
Nonjudgmental, Culturally Sensitive, Holistic Approach With the Use of Complementary and Alternative Therapies in the Older Adult
Key Points
References
Section III: Assessment and Management of Health Problems Common to Older Adults
10. Clinical Assessment: Cognitive, Psychological, Social, Functional, and Medications
Introduction
Interprofessional Collaboration
Conclusion
Key Points
References
11. Common Geriatric Syndromes
Introduction
Interprofessional Collaboration
Falls and Gait Instability
Confusion and Memory Loss
Urinary Incontinence
Sleep Disturbance and Insomnia
Dizziness
Weight Loss/Malnutrition
Frailty
Key Points
References
12. Sensory Changes
Overview
Olfaction
Taste
Vision Impairment
Ear
Promoting Safety and Improving Quality of Life
Key Points
References
13. Chronic Conditions
Overview
Diabetes
Cerebral Vascular Accident
Chronic Kidney Disease
Peripheral Artery Disease
Atrial Fibrillation
Chronic Constipation
Hypertension
Dyslipidemia
Key Points
References
14. Infectious Diseases
Introduction
Interprofessional Collaboration
Pulmonary Infections
Skin and Soft-Tissue Infections
Urinary Tract Infections
Key Points
References
15. Acute, Emergent, and Urgent Conditions
Overview
Introduction
Hypertension
High Cholesterol
Osteoarthritis
Ischemic Heart Disease
Diabetes
Heart Failure
Chronic Obstructive Pulmonary Disease
Key Points
References
16. Musculoskeletal and Rheumatologic Conditions in the Older Adult
Introduction
Pain
Fall Risk
Functional Limitation and Disability
Prevention of Musculoskeletal and Rheumatologic Conditions in Older Adults
Interprofessional Collaboration in the Management of Musculoskeletal and Rheumatologic Conditions
Roles of Other Members of the Interprofessional Team
Musculoskeletal and Rheumatologic Disease Processes
Metabolic Bone Disease
Paget Disease
Approach to the Older Adult With Fracture
Heterotopic Ossificans
Myositis and the Older Adult
Myofascial Pain Syndrome
Fibromyalgia
Polymyalgia Rheumatica
Soft Tissue Injuries
Key Points
References
17. Cancer
Cancer Prevalence
Interprofessional Collaboration
Cancer Screening, Presentation and Management for the Older Adult
Prostate Cancer
Breast Cancer
Lung Cancer
Colorectal Cancer (CRC)
Additional Cancers
Role of a Comprehensive Geriatric Assessment (CGA) in Cancer Treatment
Psychological Effects of Cancer on the Older Adult
Treatment Modalities
Conclusion
Key Points
References
18. Mental Health/Behavioral Health
Introduction
Interprofessional Care
Assessment
Depression
Anxiety
Suicidality
Chronic and Major Mental Illness
Personality Disorders
Substance Abuse
Key Points
References
Section IV: Care Systems for Problems of Older Adults
19. Home Care
Introduction
Interprofessional Collaboration
History of Medical Home Visits
Modern Home Care/House Call Practice
Home-Based Primary Care Models
Home-Based Primary Care Programs
Equipment: The House Call Black Bag
Safety Concerns
Infection Control
Characteristics of Staff
Durable Medical Equipment
Missions of Home-Based Primary Care (HBPC)
The Future of Home-Based Care
Summary
Key Points
References
20. Acute Care
Introduction
Myocardial Infarction
Stroke/Transient Ischemic Attack
Bowel Obstruction
Hip Fracture
Transverse Myelitis
Sepsis
Trauma
Key Points
References
21. Long-Term Care
Introduction
Long-Term Care
Financing American Health care
Care Transitions
Care Models
Geriatrics in Primary Care
Locations for Care
Home-Based Care
Adult Day Care
Program of All-Inclusive Care (PACE)
Assisted Living
Key Points
References
22. Palliative Care and Hospice
Overview
Interprofessional Collaboration
Palliative Care
Palliative Symptom Management
Prognostication
Complex Palliative Care Issues
Hospice
Summary
Key Points
References
Appendix 1. Tools
Chapter 1
Chapter 2
Chapter 3
Chapter 4
Chapter 5
Chapter 6
Chapter 7
Chapter 10
Chapter 11
Chapter 13
Chapter 14
Chapter 15
Chapter 16
Chapter 17
Chapter 18
Chapter 21
Chapter 22
Appendix 2. : IPEC Competencies
Index

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