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9780071498227

Essentials of Clinical Geriatrics: Sixth Edition

by ; ; ;
  • ISBN13:

    9780071498227

  • ISBN10:

    0071498222

  • Edition: 6th
  • Format: Paperback
  • Copyright: 2008-11-13
  • Publisher: McGraw-Hill Professional
  • View Upgraded Edition

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Summary

"This book delivers a broad, superbly-written overview of all the important issues in geriatrics along with concise, practical guidance on the diagnosis and treatment of the diseases and disorders most commonly encountered in older patients."--BOOK JACKET.

Author Biography

Robert L. Kane, MD
.Professor and Minnesota Endowed Chair in Long-Term Care and Aging
.School of Public Health
.University of Minnesota
.Minneapolis, MN

.

Joseph G. Ouslander, MD
.Director, Institute for Qualty Aging
.Boca Raton Community Hospital
.Professor of Medicine (Voluntary)
.Assistant Dean for Geriatric Education
.University of Miami Miller School of Medicine (UMMSM) at Florida Atlantic University
.Associate Director, Division of Gerontology and Geriatric Medicine
.Department of Medicine, UMMSM
.Miami, FL
.Professor (Courtesy)
.Christine E. Lynn College of Nursing
.Florida Atlantic University

.

Itmar B. Abrass, MD
.William E. Colson Chair in Gerontology
.Professor of Medicine and Division Head, Gerontology and Geriatric Medicine
.University of Washington Harborview Medical Center
.Seattle, WA

.

Barbara Resnick, PhD, CRNP, FAAN, FAANP
.Professor
.University of Maryland School of Nursing
.Sonya Gershowitz Chair in Gerontology
.Baltimore, MD

Table of Contents

List of Tables and Figuresp. xi
Prefacep. xxi
The Aging Patient and Geriatric Assessmentp. 1
Clinical Implications of the Aging Processp. 3
Changes Associated with "Normal" Agingp. 4
Theories of Agingp. 5
Clinical Implicationsp. 15
Geriatric Syndromep. 19
Atypical Presentation of Common Clinical Problemsp. 20
Referencesp. 21
Suggested Readingsp. 22
The Geriatric Patient: Demography, Epidemiology, and Health Services Utilizationp. 23
Growth in Numbersp. 26
Disabilityp. 30
Social Supportp. 31
Use of Servicesp. 33
Nursing Home Usep. 36
Referencesp. 40
Suggested Readingsp. 40
Evaluating the Geriatric Patientp. 41
Historyp. 45
Physical Examinationp. 50
Laboratory Assessmentp. 55
Functional Assessmentp. 57
Environmental Assessmentp. 63
Assessment for Painp. 64
Nutritional Assessmentp. 66
Geriatric Consultationp. 68
Preoperative Evaluationp. 71
Referencesp. 75
Suggested Readingsp. 77
Chronic Disease Managementp. 79
Specific Areas of Geriatric Disease Managementp. 82
Special Issues in Chronic Disease Managementp. 87
Role of Outcomes in Assuring Quality of Long-Term Carep. 93
Technology for Quality Improvementp. 103
Summaryp. 107
Referencesp. 107
Differential Diagnosis and Managementp. 109
Preventionp. 111
General Principlesp. 111
Effectiveness of Prevention in Older Peoplep. 115
Osteoporosisp. 126
Generic Approachesp. 129
Preventing Disabilityp. 131
Iatrogenesisp. 133
Special Risks of Hospitalsp. 135
Labelingp. 140
Summaryp. 141
Referencesp. 142
Suggested Readingsp. 144
Confusion: Delirium and Dementiap. 145
Confusionp. 145
Deliriump. 148
Dementiap. 154
Evaluationp. 160
Management of Dementiap. 165
Referencesp. 170
Suggested Readingsp. 172
Selected Web Sites (Accessed on March 16, 2008)p. 173
Toolsp. 173
Diagnosis and Management of Depressionp. 175
Aging and Depressionp. 176
Symptoms and Signs of Depressionp. 179
Depression Associated with Medical Conditionsp. 184
Diagnosing Depressionp. 186
Managementp. 194
Referencesp. 207
Suggested Readingsp. 210
Web Referencesp. 211
Incontinencep. 213
Normal Urinationp. 215
Causes and Types of Incontinencep. 219
Evaluationp. 228
Managementp. 239
Fecal Incontinencep. 257
Referencesp. 260
Suggested Readingsp. 262
Selected Web Sites (Accessed on March 16, 2008)p. 262
Fallsp. 265
Aging and Instabilityp. 267
Causes of Falls in Older Personsp. 269
Evidence on Falls Preventionp. 274
Evaluating the Elderly Patient who Fallsp. 275
Managementp. 287
Referencesp. 291
Suggested Readingsp. 294
Selected Web Sites (Accessed on March 16, 2008)p. 295
Immobilityp. 297
Causesp. 297
Complicationsp. 299
Assessing Immobile Patientsp. 301
Management of Immobilityp. 304
Pain Managementp. 316
Exercisep. 320
Rehabilitationp. 321
Referencesp. 325
Suggested Readingsp. 329
General Management Strategiesp. 333
Cardiovascular Disordersp. 335
Physiological Changesp. 335
Hypertensionp. 337
Stroke and Transient Ischemic Attacksp. 344
Coronary Artery Diseasep. 349
Valvular Heart Diseasep. 351
Arrhythmiasp. 354
Congestive Heart Failurep. 356
Peripheral Vascular Diseasep. 357
Referencesp. 359
Suggested Readingsp. 362
Decreased Vitalityp. 363
Endocrine Diseasep. 363
Anemiap. 379
Nutritionp. 383
Infectionsp. 387
Disorders of Temperature Regulationp. 391
Referencesp. 395
Suggested Readingsp. 398
Sensory Impairmentp. 401
Visionp. 401
Hearingp. 408
Tastep. 418
Polyneuropathyp. 419
Acknowledgmentp. 422
Referencesp. 422
Suggested Readingsp. 423
Weblinksp. 423
Drug Therapyp. 425
Nonpharmacological Factors Influencing Drug Therapyp. 425
Adverse Drug Reactions and Interactionsp. 429
Aging and Pharmacologyp. 435
Geriatric Prescribingp. 439
Geriatric Psychopharmacologyp. 439
Referencesp. 446
Suggested Readingsp. 447
Health Servicesp. 449
Public Programsp. 452
Long-Term Carep. 460
The Nursing Homep. 468
Assisted Livingp. 477
Home Carep. 478
Other Servicesp. 482
Case Managementp. 483
Referencesp. 487
Suggested Readingsp. 487
Nursing Home Carep. 489
The Goals of Nursing Home Carep. 489
Clinical Aspects of Care for Nursing Home Residentsp. 491
Process of Care in the Nursing Homep. 495
Strategies to Improve Medical Care in Nursing Homesp. 504
Subacute Care and the Nursing Home-Acute-Care Hospital Interfacep. 516
Ethical Issues in Nursing Homep. 518
Referencesp. 519
Suggested Readingsp. 521
Selected Web Sites (Accessed 3/16/08)p. 521
Ethical Issues in the Care of Older Personsp. 523
Autonomy and Beneficencep. 526
Competence and Informed Consentp. 527
Advance Directives and End-of-Life Carep. 529
Moving from DNR to Acceptance of Natural Deathp. 534
The Health-Care Provider's Rolep. 535
Special Problems with Nursing Home Residentsp. 537
Special Case of Dementiap. 539
Policy Issuesp. 540
Ethical Issues Concerning Caregiversp. 542
Summaryp. 543
Referencesp. 544
Web-Based References (Last Accessed July 2008.)p. 547
Selected Internet Resources on Geriatricsp. 549
Organizationsp. 549
Clinical Topics-for Professionalsp. 550
Clinical Topics-for Patientsp. 552
Indexp. 555
Table of Contents provided by Ingram. All Rights Reserved.

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