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Ham's Primary Care Geriatrics
A Case-Based Approach
- 7th Edition - January 5, 2021
- Editors: Gregg A. Warshaw, Jane F. Potter, Ellen Flaherty, Matthew K. McNabney, Mitchell T. Heflin, Richard J. Ham
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 7 2 1 6 8 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 2 1 6 9 - 1
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 7 2 1 7 0 - 7
Written with first-line primary care providers in mind, Ham’s Primary Care Geriatrics: A Case-Based Approach, 7th Edition, is a comprehensive, easy-to-read source of practical… Read more
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Request a sales quoteWritten with first-line primary care providers in mind, Ham’s Primary Care Geriatrics: A Case-Based Approach, 7th Edition, is a comprehensive, easy-to-read source of practical clinical guidance for this rapidly growing population. Using a unique, case-based approach, it covers the patient presentations you’re most likely to encounter, offering key clinical information, expert advice, and evidence-based medical guidelines throughout. This highly regarded text uses a consistent format and an enjoyable writing style to keep you informed, engaged, and up to date in this increasingly important field.
- Uses a case study format that is ideal for learning, retention, and rapid recall. All case studies are thoroughly up to date with current references.
- Features an interdisciplinary perspective to provide team-oriented knowledge on the best diagnosis, treatment, and management strategies available to address the complex needs of older adults.
- Contains a new chapter on Lesbian, Gay, Bisexual, Transgender (LGBT) Medicine in Older Adults, as well as completely revised or rewritten chapters on rehabilitation, infectious disease, and urinary incontinence.
- Provides up-to-date information on key topics such as opioid management and polypharmacy, the “geriatric emergency room, cultural humility in the care of older adults, and the five signs of problematic substance abuse.
- Includes key learning objectives and USMLE-style questions in every chapter.
- Online extras include dizziness, gait, and balance video resources, a dermatology quiz, and a Cognitive Status Assessment with tests and patient teaching guides.
- Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.
Geriatric, Family Practice
- Cover image
- Title page
- Tabe of Contents
- Any screen, Any time, Anywhere
- Copyright
- Warshaw Dedications
- My Thoughts on Old Age
- List of Contributors
- Preface
- Acknowledgments
- A Note on Level of Evidence Ratings
- Unit 1: Principles and Practice
- Unit 1. Principles and Practice
- 1. Principles of Primary Care of Older Adults
- Abstract
- Outline
- Aging and the Body
- Normal Physiologic Changes
- Aging and the Mind
- Delivery of Primary Healthcare to Older Persons
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 2. Interprofessional Team Care
- Abstract
- Outline
- Introduction
- Evidence Supporting Team-Based Care
- Defining Effective Teams and Interprofessional Team Care
- Barriers to Effective Teams
- Transitions of Care
- Role of Patient and the Family
- Team-Based Care in New Models of Care
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 3. Geriatric Assessment
- Abstract
- Outline
- Introduction
- When To Do an Assessment
- Previsit Planning
- Communicating With the Patient
- History
- Chief Complaint
- Past Medical History, Past Surgical History, and Family History
- Social History
- Medication Review
- Review of Systems
- Functional Screen
- Collateral History
- Geriatric-Specific Physical Examination
- Cognitive Testing
- Routine Laboratories and Imaging
- Advance Directives, Quality of Life, and Goals of Care
- Patient Education and Self-Management
- Follow-Up Visits
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 4. Lesbian, Gay, Bisexual, Transgender Medicine in Older Adults
- Abstract
- Outline
- Introduction
- Asking About Sexual Orientation and Gender Identity
- Minority Stress
- Preventative Screening in Lesbian, Gay, Bisexual Populations
- Sexual History
- Social Structures
- Transgender Health
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 5. Wellness and Prevention
- Abstract
- Outline
- Essentials of Health Promotion for Aging Adults
- Prevention of Disease
- Nutrition
- Prophylactic Medication Use
- Physical Activity
- Bone Health
- Cognitive Health
- Cancer Screening
- Special Populations
- Putting Prevention Into Practice
- Engaging Patients in Health Promotion
- Key References
- Test Questions
- Test Question Answers
- References
- 6. Cultural Competency and Cultural Humility in Caring for Older Adults
- Abstract
- Outline
- Cultural Competency Versus Cultural Humility
- Healthcare Disparities
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 7. Appropriate Prescribing
- Abstract
- Outline
- Pharmacokinetic Changes in the Elderly
- Pharmacodynamic Changes in the Elderly
- General Guidelines for Safe Prescribing
- Explicit Criteria for Prescribing
- Medication Adherence
- Adherence Aids
- Medicare Part D
- Role of the Pharmacist in Geriatric Care
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 8. Ethics
- Abstract
- Outline
- Principles of Medical Ethics
- Structure for Deliberating Ethical Dilemmas
- Informed Consent
- Disclosure of Medical Error
- Extraordinary Versus Ordinary Care
- Advance Directives
- Futility
- Attempted Resuscitation and Do-Not-Resuscitate Orders
- Assisted Suicide and the Double Effect
- Nutrition and Hydration
- Cultural and Religious Considerations
- Emerging Ethical Challenges
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 9. Financing and Organization of Healthcare
- Abstract
- Outline
- Overview of System of Care for Older Adults
- Financing the Healthcare System
- Patient’s Perspective on Payment for Healthcare
- Long-Term Services and Supports
- Changing Landscape of Organization and Finance of Healthcare
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 10. Billing and Coding
- Abstract
- Outline
- Coding Systems
- Knowing Payer, Benefits, Medicare Contractor, Specialty/Licensure, and Group Rules
- Claims, Claims Edits, and Modifiers
- Evaluation and Management Services
- Documentation Guidelines and Current Procedural Terminology Definitions
- Charges and Charging for All Services Performed
- Working as a Team — “Incident to,” Shared Visits, and Teaching
- Charging the Patient or Family
- Global Periods and Per-Day Services
- Value-Based Programs and Migration Away from Fee for Service
- Participation Status
- Summary
- Test Questions
- Test Question Answers
- 11. Hospital Care
- Abstract
- Outline
- Communication Is Essential in the Hospital
- Hospital Design and Systems Change to Benefit Older Adults
- The Admission Process: Opportunities for Health Status Updates
- Perioperative Care of the Elderly Patient in the Hospital
- Cardiac Evaluation
- Preventative Measures in the Hospital
- Selective Interventions to Improve Outcomes
- Care Transition Initiatives and Unplanned Hospital Readmissions
- The Ideal Discharge for the Elderly Patient
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 12. Long-Term Care
- Abstract
- Outline
- The Growing Need for Long-Term Care
- Types of Long-Term Care
- Medical Care Provider Practice Patterns in Long-Term Care
- Common Clinical Challenges
- Common Challenges
- Measuring and Promoting Quality of Care and Quality of Life
- Innovative Models
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 13. Home Care
- Outline
- What Is Home Care?
- Who Needs Home Care?
- How Is Home Care Delivered?
- Who Pays for Home Care?
- Does Home Care Work?
- Healthcare Reform and Home Care
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 14. Rehabilitation
- Abstract
- Outline
- Introduction
- World Health Organization Disability Assessment Framework
- The Comprehensive Functional Assessment
- Hip Fracture Rehabilitation
- Stroke Rehabilitation
- Cardiac and Pulmonary Rehabilitation
- Lower Extremity Amputation Rehabilitation
- Durable Medical Equipment
- Prevention and Prehabilitation
- Rehabilitation for Persons With Vestibular Disorders
- Rehabilitation for Persons With Parkinson Disease
- Impact of Healthcare Policy and Reimbursement
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 15. Palliative Care
- Abstract
- Outline
- What Is Palliative Care?
- When to Refer to Specialty Palliative Care
- How to Refer to Palliative Care
- Core Principles of Communication in Serious Illness
- Advance Care Planning
- Capacity, Competency, and Surrogacy
- Symptom Management
- Assessing and Treating Pain in Older Adults
- Pain Assessment
- Management of Nonpain Symptoms
- Breaking Bad News and Discussing Prognosis
- Requests for Hastened Death
- Transitioning to Hospice
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- Unit 2: Geriatric Syndromes and Common Special Problems
- Unit 2. Geriatric Syndromes and Common Special Problems
- 16. Emergency Care
- Abstract
- Outline
- The Role of Emergency Medicine
- The Emergency Department
- Common Emergency Department Conditions
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 17. Delirium
- Abstract
- Outline
- Definition Prevalence of Delirium
- Pathogenesis
- Prevalence
- Short- and Long-Term Impact of Delirium
- Risk Factors and Precipitating Factors
- Diagnosis and Assessment of Delirium
- Prevention and Management of Delirium
- Summary and Future Directions
- Key References
- Test Questions
- Test Question Answers
- References
- 18. Alzheimer Disease and Other Dementias
- Abstract
- Outline
- Spectrum of Cognitive Aging
- Prevalence
- Impact of Dementia
- Pathophysiology of Alzheimer Disease
- Risk Factors for Alzheimer Disease and Other Dementias
- Diagnostic Approach
- Early Detection
- Differential Diagnosis
- Disclosing the Diagnosis
- Preventing Dementia
- Treatment Overview
- Person-Centered Care Framework
- Pharmacotherapy
- Family Caregiver Education and Support
- Promoting Safety
- Management of Comorbid Conditions
- Dementia Care Management Issues
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 19. Depression
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Diagnosis of Late-Life Depression
- Differential Diagnosis
- Assessment
- Treatment
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 20. Gait, Balance, and Falls
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Nursing Homes and Hospitals
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 21. Dizziness
- Abstract
- Outline
- Prevalence and Significance
- Risk Factors and Pathophysiology
- Approach to the Patient
- Differential Diagnosis
- Types of Dizziness Sensations
- Physical Examination
- Testing
- Management
- Patient Education
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 22. Syncope
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Evaluation
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 23. Urinary Incontinence
- Abstract
- Outline
- Prevalence and Impact
- Screening
- Risk Factors
- Pathophysiology
- Evaluation
- Nocturia
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 24. Constipation and Fecal Incontinence
- Abstract
- Outline
- Prevalence, Impact, and Definitions of Constipation and Fecal Incontinence
- Primary and Secondary Causes of Constipation and Fecal Incontinence
- History and Physical Examination
- Imaging and Specialized Testing
- Treatment of Constipation
- Treatment of Fecal Impaction
- Treatment of Fecal Incontinence
- Treatment of Incontinence-Associated Dermatitis
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 25. Hearing Impairment
- Abstract
- Outline
- Prevalence and Impact
- Normal Anatomy and Physiology
- Risk Factors and Pathophysiology
- Screening
- Differential Diagnosis and Assessment
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 26. Visual Impairment and Eye Problems
- Abstract
- Outline
- Introduction
- Anatomic Landmarks of the Eye
- Recommended Eye Examination Skills for the Primary Care Provider
- Physiologic Changes With Age,
- Common Age-Related Eye Problems
- The Geriatric Red Eye
- Vision Loss in the Older Adult Population
- Chronic Vision Loss
- Age-Related Macular Degeneration
- Cataracts
- Glaucoma
- Diabetic Retinopathy
- Low Vision
- Nursing Home, Homecare, and Hospice Eye and Vision Care
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 27. Persistent Pain
- Abstract
- Outline
- Prevalence and Impact
- Pathophysiology
- Pain Assessment
- Pain Quantitation
- Pharmacologic Treatment
- Nonpharmacologic Strategies
- Summary
- Acknowledgment
- Key References
- Test Questions
- Test Question Answers
- References
- 28. Malnutrition and Feeding Problems
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 29. Frailty
- Abstract
- Outline
- Frailty: What Is This Geriatric Syndrome?
- Nature Versus Nurture
- How We Define It?
- The Bad and the Ugly of Frailty
- Prefrailty: A Valuable Tool in Itself
- Cognitive Frailty and Mental Health
- Frailty’s Use in Surgical Preoperative Care
- Intrinsic Capacity and Resilience
- Trajectories and Projections
- Intervention Strategies
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 30. Pressure Injuries
- Abstract
- Outline
- Epidemiology and Differential Diagnosis
- Risk Factors and Prevention
- Evaluation, Staging, and Documentation of Pressure Injuries
- Treatment Strategies
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 31. Sleep Disorders in Older Individuals
- Abstract
- Outline
- Introduction
- Older Adults Experience a High Incidence and Prevalence of Sleep Complaints
- Sleep Stages and Their Temporal Ordering
- Aging and Quantitative Measures of Sleep
- Cellular and Neurophysiologic Clocks
- CNS Anatomic and Neurophysiologic Substrates for Sleep
- Clinical Evaluation of Sleep Disorders in Older Adults
- Sleep Disorders of Older Adults
- Pharmacotherapy Considerations
- Public Health Considerations
- Summary
- Acknowledgments
- Key References
- Test Questions
- Test Question Answers
- References
- 32. Sexual Health
- Outline
- Male Sexuality: Age-Associated Changes
- Erectile Physiology and Dysfunction
- Evaluation of Erectile Dysfunction
- Treatment of Erectile Dysfunction
- Female Sexuality: Age-Associated Changes
- Evaluation and Treatment
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 33. Elder Mistreatment
- Abstract
- Outline
- Prevalence
- Impact
- Risk Factors
- Detection
- Reporting Procedures
- Assessment
- Intervention
- Follow-Up
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 34. Substance Use in Older Adults
- Abstract
- Outline
- Introduction
- Epidemiologic Trends and Illicit Substance Use
- Screening and Detection of Substance Use Disorders
- Alcohol Use
- Marijuana Use
- Prescription Drug Misuse
- Illicit Substance Use
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 35. Driving
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Dementia and Driving
- Legal and Ethical Issues
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- Unit 3: Selected Clinical Problems of the Organ Systems
- Unit 3. Selected Clinical Problems of the Organ Systems
- 36. Hypertension
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Diagnosis and Assessment
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 37. Coronary Artery Disease and Atrial Fibrillation
- Abstract
- Outline
- Pathobiology
- Traditional Coronary Artery Disease Risk Factors and Risk Factor Modification
- Stable Ischemic Heart Disease
- Acute Coronary Syndromes
- Risk-Treatment Paradox
- Geriatric Considerations in Coronary Artery Disease and Acute Coronary Syndrome
- Coronary Artery Disease summary
- Atrial Fibrillation
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 38. Heart Failure
- Abstract
- Outline
- Introduction
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management of Heart Failure with Reduced Ejection Fraction
- Management of Heart Failure with Preserved Ejection Fraction
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 39. Peripheral Vascular Disease
- Abstract
- Outline
- Peripheral Vascular Disease
- Carotid Artery Disease
- Abdominal Aortic Aneurysm
- Lower Extremity Arterial Disease
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 40. Stroke and Transient Ischemic Attack
- Abstract
- Outline
- Definition of Stroke
- Classification of Stroke
- Impact of Stroke in the United States and the World
- Stroke in the Older Adult Population
- Stroke Risk Factors
- Ischemic Stroke
- Transient Ischemic Attack
- Cerebrovascular Disease Complications
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 41. Diabetes Mellitus
- Abstract
- Outline
- Prevalence and Impact
- Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Long-Term Management Guidelines
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 42. Thyroid Disorders
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 43. Osteoporosis
- Abstract
- Outline
- Definition and Epidemiology
- Pathophysiology and Risk Factors
- Assessment and Differential Diagnosis
- Management
- Monitoring
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 44. Arthritis and Related Disorders
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 45. Foot Problems
- Abstract
- Outline
- Primary Care Considerations in the Older Patient
- Podogeriatric Assessment
- Onychia
- Onychomycosis
- Ingrown Toenails (Onychocryptosis)
- Dryness and Xerosis
- Tinea Pedis
- Hyperkeratotic Lesions
- Foot Deformities
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 46. Cancer
- Abstract
- Outline
- Cancer in the Older Adult Population
- General Principles of Cancer Management
- Breast Cancer
- Prostate Cancer
- Colon Cancer
- Cancer Screening and Chemoprevention of Cancer
- Summary
- Acknowledgments
- Key References
- Test Questions
- Test Question Answers
- References
- 47. Anemia in Older Adults
- Abstract
- Outline
- Introduction
- Definition of Anemia in Older Age
- Epidemiology of Anemia in Older Age
- Clinical Significance of Anemia
- Causes of Anemia
- Diagnostic Principles
- Treatment of Anemia
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 48. Pulmonary Disease
- Abstract
- Outline
- Changes in the Respiratory System With Aging
- Prevalence, Presentation, and Evaluation of Common Pulmonary Symptoms in Older Patients
- Rhinosinusitis
- Asthma
- Chronic Obstructive Pulmonary Disease
- Interstitial Lung Disease
- Pulmonary Embolism
- Lung Cancer
- Tracheoesophageal Disorders, Chronic Aspiration, and Bronchiectasis
- Management of Chronic Respiratory Failure
- Pulmonary Health Maintenance
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 49. Infectious Diseases
- Abstract
- Outline
- General Prevalence and Impact
- General Pathophysiology and Risk Factors
- General Principles of Diagnosis, Assessment, and Management
- Lower Respiratory Tract Infection
- Skin and Soft Tissue Infection
- Gastrointestinal Infection
- Blood Stream Infection
- Human Immunodeficiency Virus Infection
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 50. Gastroenterology
- Abstract
- Outline
- Dysphagia
- Gastroesophageal Reflux Disease
- Peptic Ulcer Disease and Nonsteroidal Antiinflammatory Drug-Induced Gastric Complications
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 51. Benign Prostate Disease
- Abstract
- Outline
- Incidence and Prevalence
- Risk Factors and Pathophysiology
- Clinical Manifestations
- Benign Prostatic Hyperplasia: Differential Diagnosis and Assessment
- Benign Prostatic Hyperplasia: Management
- Prostatitis: Differential Diagnosis and Assessment
- Prostatitis: Management
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 52. Parkinson Disease
- Abstract
- Outline
- Prevalence and Impact
- Risk Factors and Pathophysiology
- Differential Diagnosis and Assessment
- Management
- Discussion
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 53. Oral Disorders and Systemic Diseases
- Abstract
- Outline
- Oral Health and the Primary Care of Older Adults
- Oral Health–Systemic Health Interactions
- Oral Cavity
- Assessment of Oral Health
- Dental (Coronal and Root) Caries
- Systemic Diseases and Oral Disorders
- Summary
- Key References
- Test Questions
- Test Question Answers
- References
- 54. Skin Problems
- Abstract
- Outline
- Dermatologic Examination: Challenges and Practical Approaches
- Benign Cutaneous Processes
- Precancerous and Malignant Cutaneous Diseases
- Pruritus
- Common Rashes of Aging
- Summary
- Key Reference
- Test Questions
- Test Question Answers
- References
- Index
- Confidence is ClinicalKey
- No. of pages: 640
- Language: English
- Edition: 7
- Published: January 5, 2021
- Imprint: Elsevier
- Paperback ISBN: 9780323721684
- eBook ISBN: 9780323721691
- eBook ISBN: 9780323721707
GW
Gregg A. Warshaw
Affiliations and expertise
Martha Betty Semmons Professor of Geriatric Medicine, Professor of Family and Community Medicine, Director, Geriatric Medicine Program, University of Cincinnati College of Medicine, Cincinnati, OhioJP
Jane F. Potter
Affiliations and expertise
Harris Professor of Geriatric Medicine, Chief, Division of Geriatrics and Gerontology, Department of Internal Medicine, University of Nebraska Medical Center, Home Instead Center for Successful Aging, Omaha, NebraskaEF
Ellen Flaherty
Affiliations and expertise
Dartmouth Center for Health and Aging, Geisel School of Medicine at Dartmouth; Department of Primary Care-Geriatrics, Dartmouth-Hitchcock Medical Center, Lebanon, New HampshireRH
Richard J. Ham
Affiliations and expertise
Director, WVU Center on Aging, Professor of Geriatric Medicine and Psychiatry, Robert C. Byrd Health Sciences Center, West Virginia University, Morgantown, West Virginia