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ISBN10: 0071792090 | ISBN13: 9780071792097
ISBN10: 0071792090
ISBN13: 9780071792097
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An authoritative, one-stop source of answers on conditions commonly encountered among older adults For more than 70 years, professors, students, and clinicians have trusted LANGE for high-quality, current, concise medical information in a convenient, affordable, portable format. Whether for coursework, clerkships, USMLE prep, specialty board review, or patient care, there's a LANGE book that guarantees success. Provides a framework for using the functional and cognitive status, prognosis, and social context of patients to guide diagnosis and treatment of medical conditions Applies the principles of geriatric medicine in different care settings to address common clinical scenarios and common geriatric conditions Includes valuable information on health promotion and disease Delivers essential information on important topics such as delirium, cognitive impairment, dementia, falls and mobility disorders, Parkinson and other movement disorders, sleep disorders, and arthritis Covers special geriatric considerations in cardiovascular health, cancers, endocrine disorders, skin problems, respiratory disease, and renal disorders Concise, practical, and current diagnostic and treatment information on the most common health problems of older adults The best quick reference for busy clinicians who provide care for older patients Valuable to students, residents, nurses, nurse practitioners, physician assistants, internists, and family physicians. Includes guidance on care in all settings – clinic, home, hospital, and long-term care, as well as pre- and post-operative settings
Section I. Principles of Geriatric Care
1. Transforming the Care of Older Adults: Knowledge, Skills, & System Change
Guiding Principles
2. Consideration of Function & Functional Decline
Geriatric Principles
Epidemiology of Functional Limitations
Assessment of Functional Status
Risk Factors for Functional Decline
Prevention of Functional Decline
Rehabilitation: The Treatment of Functional Decline
3. Goals of Care & Consideration of Prognosis
Goals of Care Discussions
A Practical Guide to Goals of Care Discussions
Importance of Surrogate Decision Makers
Prognostication
Prognosis Related to Specific Diseases
Communicating Prognosis to Patient or Surrogate
4. The Social Context of Older Adults
Financial Issues in the Third Age
Food Insecurity and Older Adults
Medicare
Housing and Long-Term Care
Caregiving
Recommendations for Clinicians
5. The Interprofessional Team
Key Definitions and Concepts
Interprofessional Team Innovations in Geriatrics
Evidence of Interprofessional Teams in the Care of Older Adults
Resources and Tools for Teamwork
Barriers to the Advancement of Teamwork
Future Steps
6. Geriatric Assessment
Teams and Clinical Sites of Care
Prognosis
Patient Goals
Functional Assessment
Preventive Services
Falls and Gait Impairment
Vision Impairment
Hearing Impairment
Dementia
Incontinence
Depression
Nutrition
Medication Use
Caregiver Support
Financial, Environmental and Social Resources
Abuse
Geriatric Assessment in Primary Care
7. Atypical Presentations of Illness in Older Adults
Defining Atypical Presentations
Identifying Patients at Risk
8. Prevention & Health Promotion
Screening Issues for the Geriatric Population
Geriatric Syndromes
Health-Related Behaviors
Immunizations
Endocrine Disorders
Cardiovascular Disease
Cancer
9. Principles of Prescribing for Older Adults
Geriatric Principles
Drug Metabolism and Physiologic Effects in Older Adults
Geriatric Therapeutics
Prescribing for Older Adults
Adherence
Managing Complexity
Prescribing Across the Care Continuum
10. Addressing Multimorbidity in Older Adults
Background and Definitions
Multimorbidity and Health Outcomes
Clinician Challenges in the Care of Older Adults with Multimorbidity
General Considerations in the Care of Multimorbid Older Adults
11. Geriatrics & Palliative Care
Overview of Palliative Care
Psychological, Spiritual, and Social Issues
Communication, Decision Making, and Advance Care Planning
Challenges to Providing Palliative Care in Long-Term Care Settings
Caring for Family Members: Grief and Bereavement
12. Ethics & Informed Decision Making
Ethical Issues in the Care of Older Adults
Decision-Making Capacity and Informed Decision Making
Advance Care Planning and Advance Directives
Surrogate Decision Making
Balancing Promotion of Independence and Patient Safety
Section II. Care Settings
13. Transitions and Continuity of Care
General Principles in Older Adults
Definitions
Background
Adverse Events During Transitions
Barriers to Successful Care Transitions
Overcoming the Barriers: Best Practices
Evidence-Based Interventions
Innovations
Conclusion
14. Ambulatory Care & the Patient-Centered Medical Home
General Principles in Older Adults
Personal Physician
Physician Directed Medical Practice
Whole-Person Orientation
Care Coordination and Integration
Quality and Safety
Enhanced Access
15. Providing Quality Care to Older Adults in the Emergency Department
General Principles
Models of Emergency Care
Structural Enhancements
Financing
Clinical Care
Future of Emergency Care
16. Hospital Care
General Pr
1. Transforming the Care of Older Adults: Knowledge, Skills, & System Change
Guiding Principles
2. Consideration of Function & Functional Decline
Geriatric Principles
Epidemiology of Functional Limitations
Assessment of Functional Status
Risk Factors for Functional Decline
Prevention of Functional Decline
Rehabilitation: The Treatment of Functional Decline
3. Goals of Care & Consideration of Prognosis
Goals of Care Discussions
A Practical Guide to Goals of Care Discussions
Importance of Surrogate Decision Makers
Prognostication
Prognosis Related to Specific Diseases
Communicating Prognosis to Patient or Surrogate
4. The Social Context of Older Adults
Financial Issues in the Third Age
Food Insecurity and Older Adults
Medicare
Housing and Long-Term Care
Caregiving
Recommendations for Clinicians
5. The Interprofessional Team
Key Definitions and Concepts
Interprofessional Team Innovations in Geriatrics
Evidence of Interprofessional Teams in the Care of Older Adults
Resources and Tools for Teamwork
Barriers to the Advancement of Teamwork
Future Steps
6. Geriatric Assessment
Teams and Clinical Sites of Care
Prognosis
Patient Goals
Functional Assessment
Preventive Services
Falls and Gait Impairment
Vision Impairment
Hearing Impairment
Dementia
Incontinence
Depression
Nutrition
Medication Use
Caregiver Support
Financial, Environmental and Social Resources
Abuse
Geriatric Assessment in Primary Care
7. Atypical Presentations of Illness in Older Adults
Defining Atypical Presentations
Identifying Patients at Risk
8. Prevention & Health Promotion
Screening Issues for the Geriatric Population
Geriatric Syndromes
Health-Related Behaviors
Immunizations
Endocrine Disorders
Cardiovascular Disease
Cancer
9. Principles of Prescribing for Older Adults
Geriatric Principles
Drug Metabolism and Physiologic Effects in Older Adults
Geriatric Therapeutics
Prescribing for Older Adults
Adherence
Managing Complexity
Prescribing Across the Care Continuum
10. Addressing Multimorbidity in Older Adults
Background and Definitions
Multimorbidity and Health Outcomes
Clinician Challenges in the Care of Older Adults with Multimorbidity
General Considerations in the Care of Multimorbid Older Adults
11. Geriatrics & Palliative Care
Overview of Palliative Care
Psychological, Spiritual, and Social Issues
Communication, Decision Making, and Advance Care Planning
Challenges to Providing Palliative Care in Long-Term Care Settings
Caring for Family Members: Grief and Bereavement
12. Ethics & Informed Decision Making
Ethical Issues in the Care of Older Adults
Decision-Making Capacity and Informed Decision Making
Advance Care Planning and Advance Directives
Surrogate Decision Making
Balancing Promotion of Independence and Patient Safety
Section II. Care Settings
13. Transitions and Continuity of Care
General Principles in Older Adults
Definitions
Background
Adverse Events During Transitions
Barriers to Successful Care Transitions
Overcoming the Barriers: Best Practices
Evidence-Based Interventions
Innovations
Conclusion
14. Ambulatory Care & the Patient-Centered Medical Home
General Principles in Older Adults
Personal Physician
Physician Directed Medical Practice
Whole-Person Orientation
Care Coordination and Integration
Quality and Safety
Enhanced Access
15. Providing Quality Care to Older Adults in the Emergency Department
General Principles
Models of Emergency Care
Structural Enhancements
Financing
Clinical Care
Future of Emergency Care
16. Hospital Care
General Pr
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