Essentials of clinical geriatrics / Robert L. Kane, Joseph G. Ouslander, Itamar B. Abrass.

Format:

Book

Author/Creator:

Kane, Robert L., 1940-2017.

Contributor:

Ouslander, Joseph G.

Abrass, Itamar B.

Language:

English

Subjects (All):

Geriatrics.

Aging.

Older people--Health and hygiene.

Older people.

Aging--physiology.

Aging--psychology.

Diagnosis, Differential.

Aged.

Geriatric Assessment.

Medical Subjects:

Geriatrics.

Aging--physiology.

Aging--psychology.

Diagnosis, Differential.

Aged.

Geriatric Assessment.

Physical Description:

xx, 532 pages : illustrations ; 23 cm

Edition:

Fifth edition.

Other Title:

Clinical geriatrics

Place of Publication:

New York : McGraw-Hill, Medical Pub. Division, [2004]

Summary:

The superb writing, a clear focus on the clinical issues, presentation of complex issues clearly and succinctly ... just a few of the reasons why Essentials OF Clinical Geriatrics is a favorite resource among health professionals caring for older patients. The practical, problem-oriented approach guides you systematically through the clinical implications of aging, and reviews evaluation, diagnosis, and management of clinical problems encountered in daily practice. Much has been added to this edition to keep you on the cutting edge of clinical geriatrics. You'll appreciate the broad, readable coverage of pertinent issues and the highly accessible format of key diagnostic and therapeutic details. Superb tables conveniently summarize important information, and the handy Appendix provides a compendium of checklists for essential procedures in geriatric assessment.

Contents:

Part I The Aging Patient and Geriatric Assessment 1

1. Clinical Implications of the Aging Process 3

Changes Associated with "Normal" Aging 4

Biological Aging 5

Clinical Implications 10

Classifying Geriatric Problems 12

Diagnosis versus Functional Status 14

2. The Geriatric Patient: Demography, Epidemiology, and Health Services Utilization 17

Growth in Numbers 18

Disability 22

Social Support 23

Use of Services 24

Nursing Home Use 26

3. Evaluating the Geriatric Patient 35

The History 38

The Physical Examination 44

Laboratory Assessment 49

Functional Assessment 49

Environmental Assessment 56

Assessment for Pain 57

Nutritional Assessment 58

Geriatric Consultation 62

Preoperative Evaluation 64

4. Developing Clinical Expectations 71

Clinical Glide Paths 73

Disease Management 75

Benchmarks 76

Minimum Data Set for Nursing Homes 80

OASIS 81

Role of Outcomes in Assuring Quality of Long-Term Care 81

Technology for Quality Improvement 86

Computer Technology 87

Terminal Care 89

Part II Differential Diagnosis and Management 91

5. Prevention 93

Effectiveness of Prevention in Older People 96

Osteoporosis 104

Generic Approaches 105

Preventing Disability 109

Iatrogenesis 110

Special Risks of Hospitals 112

Labeling 117

6. Confusion: Delirium and Dementia 121

Defining Confusion 121

Differential Diagnosis of Confusion 123

Delirium 124

Dementia 129

Evaluation 134

Management of Dementia 140

7. Diagnosis and Management of Depression 147

Aging and Depression 147

Symptoms and Signs of Depression 148

Depression Associated with Medical Conditions 153

Diagnosing Depression 157

Management 161

8. Incontinence 173

Normal Urination 175

Causes and Types of Incontinence 179

Evaluation 188

Management 195

Fecal Incontinence 212

9. Instability and Falls 219

Aging and Instability 220

Causes of Falls in Older Persons 223

Evidence on Falls Prevention 228

Evaluating the Elderly Patient Who Falls 231

Management 235

10. Immobility 245

Causes 245

Complications 247

Assessing Immobile Patients 247

Management of Immobility 250

Pain Management 266

Rehabilitation 271

Part III General Management Strategies 279

11. Cardiovascular Disorders 281

Physiological Changes 281

Hypertension 283

Stroke and Transient Ischemic Attacks 289

Coronary Artery Disease 294

Valvular Heart Disease 296

Arrhythmias 299

Congestive Heart Failure 300

12. Decreased Vitality 305

Endocrine Disease 305

Anemia 318

Nutrition 322

Infections 324

Disorders of Temperature Regulation 328

13. Sensory Impairment 335

Vision 335

Hearing 344

Taste 352

Polyneuropathy 352

14. Drug Therapy 357

Nonpharmacological Factors Influencing Drug Therapy 357

Adverse Drug Reactions and Interactions 361

Aging and Pharmacology 366

Geriatric Prescribing 379

Geriatric Psychopharmacology 379

15. Health Services 389

Public Programs 391

Long-term Care 398

The Nursing Home 406

Assisted Living 414

Home Care 415

Other Services 419

Case Management 420

16. Nursing Home Care 425

The Goals of Nursing Home Care 425

Clinical Aspects of Care for Nursing Home Residents 427

Process of Care in the Nursing Home 429

Strategies to Improve Medical Care in Nursing Homes 439

Subacute Care and the Nursing Home

Acute-Care Hospital Interface 451

Ethical Issues in Nursing Home Care 452

17. Ethical Issues in the Care of Older Persons 455

Autonomy and Beneficence 456

Competence and Informed Consent 456

Advance Directives and End-of-Life Care 459

The Physician's Role 464

Special Problems with Nursing Home Residents 466

Special Case of Dementia 469

Policy Issues 469

Appendix A Suggested Geriatric Medical Forms 475

Katz Index of Independence in Activities of Daily Living (ADL) 475

Lawton/Brody Instrumental Activities of Daily Living Scale 477

Main Components of the Tinetti Fall Risk Scale 479

Reuben's Physical Performance Test 480

Mini-Mental State Exam (MMSE) 482

The Geriatric Depression Scale 483

Key Components of a Comprehensive Geriatric Assessment: The Medical History and Physical Exam 484

Dementia Assessment 494

Incontinence Assessment 500

Assessment for Patients Who Fall 507.

Notes:

Includes bibliographical references (pages 511-517) and index.

ISBN:

0071409203

OCLC:

52127740

Online:

Publisher description