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1. Clinical Implications of the Aging Process
- Frailty
2. The Geriatric Patient: Demography and Health Services Utilization
3. Evaluation of the Geriatric Patient
- Pre-op
- Communicating with geriatric patients
4. Chronic Disease Management*
- Multi-morbidity
- Geriatric practice models
- Person-centered care
5. Prevention in the Geriatric Population
- Prevention of disability/exercise – physical, mental
- Primary (vaccines, diet, etc), secondary, and tertiary
- The role of calculating prognosis (e.g. ePrognosis) in deciding about preventive practices such as colonoscopy, breast screening)
- Prevention of infections in LTC (we are lacking a focus on infections – major geriatric issue – can include in Nursing Home Care chapter as well)
6. Confusion: Delirium and Dementia
- Hypoactive delirium
7. Depression
8. Incontinence
9. Falls
- Role of environment
10. Immobility
- Muscular and skeletal pain (include polymyalgia, DJD management)
- Non-pharmacologic pain management
- Complications – e.g. treatment of DVT
- Update on osteoporosis, measuring Vitamin D, bone mineral density, and treatments
11. Cardiovascular Disease
- BP SPRINT Trial
- Overtreatment of HTN causing complications– risk vs. benefit – individualizing care
- Effects – or lack thereof on treating HTN on cognition
- Treatment of hyperlipidemia
- Management of A Fib – with discussion of anticoagulation in patients at risk for falls and risks and benefits of newer anticoagulants
12. Frailty, Failure to Thrive, and Common Metabolic Problems
- Assessing frailty ( 2 definitions)
- Failure to thrive
- Alcohol and substance abuse
- Sarcopenia
- Metabolic problems (sorting out all the new medications for diabetes, importance of preventing hypoglycemia; management of hypo and hyperthyroidism)
- CKD (there are a lot of new data; should mention role of dialysis and transplant issues)
- Neuropathy
13. Sensory Function and Impairment
- Role of cochlear implants
- Treatment of AMD
14. Drugs
15. High Value Health Services in the Geriatric Population
- Quality/ACOVE
- Value-based purchasing
- Bundling
- ACOs
- Teams
- HCBS
- Caregivers
16. Nursing Home Care
17. Ethics
- Neglect and abuse awareness
18. Palliative Care
