9780824728502

Geriatric Otolaryngology

by ;
  • ISBN13:

    9780824728502

  • ISBN10:

    0824728505

  • Format: Hardcover
  • Copyright: 2006-01-13
  • Publisher: CRC Press

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Supplemental Materials

What is included with this book?

Summary

Opening with a clear overview of the biology and demographics of aging, this text authoritatively summarizes the most recent knowledge on disorders of the ears, nose, paranasal sinuses, oral cavity, larynx, voice, throat, and neck in the geriatric population. With chapters by prominent leaders in the discipline, this reference serves as an invaluable source of guidance on perioperative assessment, operative procedures and outcomes, and new strategies for reconstructive and cosmetic surgery.

Table of Contents

Preface vii
Contributors xxix
PART I: GERIATRIC OTOLARYNGOLOGY
Clinical Approach to the Geriatric Patient
1(16)
Michelina Fato
Demographics of Aging in America
2(2)
Practical Approach to the Office Visit
4(1)
Obtaining the History
5(1)
Social History
6(1)
Nutrition
6(1)
Alcohol, Tobacco, and Drug Use Disorders
7(1)
Functional Status
7(1)
End of Life
7(1)
Physical Examination
8(1)
Elder Abuse and Neglect
8(1)
Depression and Suicide
9(1)
Summary
9(1)
Appendix
10(4)
References
14(3)
Biology of Aging
17(8)
Mukaila A. Raji
James S. Goodwin
Introduction
17(1)
Life Expectancy, Life Quality, and Life Span
17(1)
Theories of Aging
18(4)
Antiaging Interventions---Insight and Potentials from Aging Theories
22(1)
Summary and Conclusion
23(1)
References
23(2)
Introduction to Geriatric Otolaryngology
25(18)
Hinrich Staecker
Introduction
25(1)
The Auditory System
25(6)
Vestibular System
31(1)
The Nose and Sinuses
32(1)
Tongue/Oral Cavity and Swallowing
33(2)
Larynx
35(2)
Conclusions
37(1)
References
37(6)
Cerumen Impaction
43(16)
Cyrus Torchinsky
Terence M. Davidson
Introduction
43(1)
Anatomy and Physiology of Cerumen
43(4)
Pathophysiology
47(1)
Incidence
48(1)
Treatment
49(1)
Complications of Cerumen Removal
50(1)
Our Practice Algorithm
51(1)
Historical Precedent and Conclusions
52(4)
References
56(3)
Amplification and the Geriatric Patient
59(18)
Catherine V. Palmer
Amanda Ortmann
General Description of the Clinical Problem
59(1)
Why Is Hearing Loss Particularly Important in the Geriatric Population?
59(1)
Basic Science
60(1)
History
60(2)
Physical Examination
62(1)
Testing
62(1)
Treatment Options
63(10)
References
73(1)
Annotated Bibliography
74(3)
Presbycusis
77(14)
Sidney N. Busis
Incidence
77(1)
Recognition
78(1)
Peripheral Pathology
79(1)
Audiometric Patterns
80(1)
Central Auditory Pathways
80(2)
Molecular Mechanisms
82(1)
Genetic Factors
83(1)
Evaluation
83(2)
Management
85(3)
References
88(3)
Tinnitus in the Elderly Patient
91(10)
Steven M. Parnes
Tinnitus
91(1)
Tinnitus That Originates from Para-auditory Structures (Objective Tinnitus)
92(2)
Sensorineural (Subjective) Tinnitus
94(4)
Conclusions
98(1)
References
98(3)
Hearing Protection for the Retired Adult
101(8)
Marshall Chasin
Joanne DeLuzio
Introduction
101(1)
Hearing Protection
102(2)
Acoustically (and Electronically) Tuned Hearing Protection
104(2)
Rating Hearing Protection
106(1)
Strategies for Grandchildren to Protect Their Hearing
107(1)
References
108(1)
Multisensory Impairment in Older Adults: Evaluation and Intervention
109(16)
Susan L. Whitney
Laura O. Morris
Introduction
109(1)
Normal Age-Related Changes
110(1)
Pathological Sensory Changes in the Older Adult
111(1)
Somatosensory Screening
111(2)
Visual Screening
113(2)
Vestibular Screening for Older People
115(3)
Intervention for Multisensory Disequilibrium
118(3)
References
121(1)
Annotated Bibliography
122(3)
Mal de Debarquement
125(10)
Timothy C. Hain
Dario A. Yacovino
General Description of the Clinical Problem
125(1)
Basic Science
125(2)
Potential Etiologic Factors in MDD
127(3)
Diagnosis of MDD
130(1)
Treatment of MDD
131(1)
Algorithm
132(1)
Summary
133(1)
References
133(2)
Meniere's Disease in the Elderly
135(12)
Ronen Perez
Julian M. Nedzelski
Epidemiology
135(1)
Pathogenesis
136(1)
Diagnosis
137(3)
Treatment
140(2)
Summary
142(1)
References
143(2)
Annotated Bibliography
145(2)
Dizziness in the Elderly
147(8)
David E. Eibling
Introduction
147(2)
Taxonomy of Dizziness in the Elderly
149(1)
Role of the Otolaryngologist in Non-vestibular Dizziness
150(1)
Approach to the Patient with Non-vestibular Dizziness
151(1)
Treatment of Non-vestibular Dizziness
152(1)
Summary
153(1)
References
153(2)
Benign Paroxysmal Positional Vertigo
155(10)
Joseph M. Furman
General Description of the Clinical Problem
155(1)
Pathophysiology of BPPV
156(1)
Clinical Presentation
157(2)
Treatment of BPPV
159(3)
References
162(2)
Annotated Bibliography
164(1)
Balance Rehabilitation
165(8)
Horst R. Konrad
Meiho Nakayama
Introduction
166(1)
General Description of the Clinical Problem
167(3)
Summary
170(1)
References
171(2)
PART II: TASTE, SMELL, AND NASAL PROBLEMS
Olfaction and Aging
173(8)
Karen J. Fong
Mark A. Zacharek
Introduction
173(1)
Definitions
174(1)
Etiologies of Olfactory Loss
174(1)
Pathophysiology of Olfactory Loss with Aging
174(2)
Patient, Evaluation
176(1)
Treatment and Counseling
177(2)
References
179(2)
Olfactory Dysfunction in Neurodegenerative Diseases
181(14)
Richard L. Doty
Introduction
181(1)
Neurodegenerative Diseases with Marked Olfactory Dysfunction
182(5)
Neurodegenerative Diseases with Less Marked or Minimal Olfactory Dysfunction
187(3)
Conclusions
190(1)
References
191(4)
Taste Changes in the Elderly
195(10)
Natasha Mirza
Introduction
195(1)
Development of the Taste System
195(1)
Anatomy of the Taste System
196(1)
Taste Transduction
197(1)
Innervation of the Tongue
198(1)
Review of Literature
199(1)
Reasons for Loss of Taste in the Elderly
200(1)
Effects of Taste Loss in the Elderly
201(1)
Therapy for Taste Loss
202(1)
Conclusion
202(1)
References
202(3)
Sinusitis: Diagnosis, Treatment, and Complications
205(8)
Berrylin J. Ferguson
Umamaheswar Duvvuri
Introduction
205(1)
Acute Sinusitis
205(2)
Antibiotic Selection
207(2)
Chronic Sinusitis
209(1)
Chronic Fungal Rhinosinusitis
210(1)
Chronic Invasive Fungal Sinusitis
211(1)
Summary
212(1)
References
212(1)
Allergic Rhinitis in the Elderly
213(12)
Stephen J. Chadwick
Background
213(2)
Patient Presentation and History
215(2)
Diagnosis
217(1)
Management
217(2)
Immunotherapy
219(1)
Food Allergy
220(1)
Summary
220(1)
References
221(4)
Rhinitis in the Aging Patient
225(14)
Margaret A. Chen
Terence M. Davidson
Introduction
225(1)
Overview of Normal Nasal Physiology
225(1)
Pathophysiology of Aging Rhinitis
226(1)
Clinical Assessment
227(1)
Management
228(7)
Conclusion
235(1)
References
236(3)
Epistaxis in the Geriatric Population
239(10)
Dana S. Smith
Mark K. Wax
Introduction
239(1)
Anatomy
239(1)
Etiology
240(1)
Evaluation of Epistaxis
241(1)
Treatment of Epistaxis
242(3)
Summary
245(1)
References
246(3)
PART III: ORAL DISORDERS
Oral Mucosal Pathology in the Geriatric Population
249(12)
Bobby M. Collins
Herpes Simplex
250(1)
Erythema Multiforme
251(1)
Pemphigoid
252(1)
Pemphigus
252(2)
Lichen Planus
254(2)
Lichenoid Drug Reaction
256(1)
Aphthous Ulcers
256(1)
Biopsy
257(1)
Selected Suggested Medications
258(1)
Bibliography
259(2)
Halitosis in the Elderly
261(4)
David E. Eibling
Introduction
261(1)
Approach to the Patient with Halitosis
262(1)
Treatment of Halitosis
262(2)
Conclusion
264(1)
References
264(1)
Oral Health Care of the Elderly Patient
265(8)
Azfar A. Siddiqui
Introduction
265(1)
Dental Loss in the Elderly
265(1)
Changes in Oral Dental Health with Aging
265(1)
Dentures in the Elderly
266(1)
Treatment of Denture Problems in the Elderly
266(1)
Dental Caries
267(1)
Treatment
268(1)
Periodontal Disease
268(1)
Treatment of Periodontal Disease
268(1)
Oral Health of Cancer Patients
269(1)
Denture Care
270(1)
Summary
271(1)
Reference
271(2)
Burning Mouth
273(4)
David E. Eibling
Introduction
273(1)
Representative Case
273(1)
Epidemiology of BMS
274(1)
Etiology
274(1)
Evaluation and Management of Patients with BMS
275(1)
Summary
276(1)
References
276(1)
PART IV: VOICE AND SWALLOWING
Effects of Aging on Swallowing
277(16)
JoAnne Robbins
Nadine Connor
Steven Barczi
Introduction
277(1)
The Impact of Dysphagia
278(1)
Normal Swallowing
278(2)
Neurophysiology of Oropharyngeal Swallow
280(1)
Senescent Swallowing
281(4)
Differential Considerations for Dysphagia and Aspiration
285(2)
Dysphagia Intervention--Prevention Paradigms
287(1)
Summary
288(1)
References
288(5)
Dysphagia Evaluation
293(10)
Jonathan E. Aviv
Thomas Murry
Introduction
293(1)
Epidemiology
293(1)
Etiology
294(1)
Diagnostic Techniques
295(1)
Treatment
296(3)
Summary
299(1)
References
299(4)
Xerostomia in the Elderly
303(10)
Karen M. Kost
Introduction
303(1)
Physiology
303(1)
Etiology
304(3)
Clinical Consequences of Xerostomia
307(1)
The Work Up of Xerostomia
307(1)
Management of Xerostomia
308(1)
Oral Care---Topical Agents
309(1)
Oral Care---Systemic Agents
309(1)
Other Treatments
310(1)
Summary
310(1)
References
311(2)
Zenker's Diverticulum
313(12)
Daniel H. Coelho
Douglas A. Ross
Clarence T. Sasaki
General Description of the Clinical Problem
313(1)
Why Is Zenker's Diverticulum Particularly Important in the Geriatric Population?
313(1)
Basic Science
313(2)
History
315(1)
Physical Examination
315(1)
Testing
316(1)
Differential Diagnosis
316(1)
Treatment Options
317(3)
Algorithm
320(1)
Conclusion
321(1)
References
321(2)
Bibliography
323(2)
Surgical Management of Aspiration in the Geriatric Patient
325(6)
David E. Eibling
Introduction
325(1)
Ethical Dilemmas
325(1)
Approach to the Patient
326(1)
Treatment of Intractable Aspiration
326(1)
Vocal Cord Medialization
327(1)
Cricopharyngeal Myotomy or Chemodenervation
327(1)
Aerodigestive Separation
327(1)
Laryngeal Stenting
327(1)
Total Laryngectomy
328(1)
Laryngeal Closure
328(1)
Laryngotracheal Separation
328(1)
Summary
329(1)
References
329(2)
Sialorrhea in the Geriatric Population
331(6)
Sam J. Daniel
General Description of the Clinical Problem
331(1)
Why Is Sialorrhea Particularly Important in the Geriatric Population?
331(1)
Basic Science
331(1)
History
332(1)
Physical Examination
332(1)
Differential Diagnosis
332(1)
Testing
333(1)
Treatment Options
333(2)
Summary
335(1)
Bibliography
335(2)
Post-Stroke Swallowing Rehabilitation
337(12)
Stephanie K. Daniels
Anne L. Foundas
Introduction
337(1)
Lesion Localization and Swallowing
337(2)
Screening for Dysphagia in Acute Stroke
339(2)
Instrumental Evaluation of Oropharyngeal Dysphagia
341(1)
Treatment of Oropharyngeal Dysphagia
342(2)
Summary
344(1)
References
345(4)
The Effects of Age on the Voice
349(16)
Robert Thayer Sataloff
Sue Ellen Linville
Introduction
349(1)
Anatomy and Physiology
349(3)
Correlates of Anatomic Changes from Young Adulthood to Old Age
352(1)
Variability in Measures of Voice and Speech
353(1)
The Adult Voice
353(1)
The Aging Voice
353(1)
Aging
354(1)
Medical Intervention
354(1)
Psychology and Intellect
355(1)
Endocrine System
355(1)
Neurologic Diseases
356(1)
Head and Neck
356(1)
Other Conditions
356(1)
Voice Therapy
356(1)
Surgery
357(3)
Conclusion
360(1)
References
360(5)
Vocal Fold Paralysis: Surgical Treatment
365(10)
Steven M. Zeitels
General Description of the Clinical Problem
365(1)
Why Is UVP Particularly Important in the Geriatric Population, Including Recent Concepts in Pathophysiology?
365(1)
History
366(1)
Physical Examination
367(1)
Differential Diagnosis
367(1)
Testing
367(1)
Treatment Options
368(1)
Injection Medialization
368(1)
Laryngoplastic Phonosurgery: Background
369(1)
Principles and Theory of Laryngeal Framework Surgery
369(1)
Medialization Laryngoplasty
369(1)
Arytenoid Procedures: Posterior Glottal Incompetence
370(1)
Cricothyroid Subluxation
371(1)
References
372(1)
Recommended Reading
373(2)
Cough
375(8)
David E. Eibling
Introduction
375(1)
Cough as a Physiologic Function
375(1)
Cough as a Symptom
376(1)
Chronic Cough as a Complaint
376(2)
Chronic Cough in the Elderly
378(1)
Approach to the Patient with Cough
378(1)
History of the Patient with Cough
378(1)
Physical Examination of the Patient with Cough
379(1)
Additional Testing
380(1)
Treatment of Chronic Cough
381(1)
Summary
381(1)
References
382(1)
Laryngopharyngeal Reflux in the Elderly
383(12)
Karen M. Kost
Richard J. Payne
Introduction
383(1)
Laryngopharyngeal Reflux
384(2)
Clinical Evaluation
386(3)
Management of LPR
389(2)
Summary
391(1)
References
392(3)
PART V: SLEEP DISORDERS
Identifying and Treating Sleep Disorders in the Elderly
395(16)
Lianqi Liu
Sonia Ancoli-Israel
Lavinia Fiorentino
General Description of the Clinical Problem
395(1)
Normal Sleep
395(1)
Why Is Poor Sleep Particularly Important in the Geriatric Population?
396(1)
History
396(1)
Differential Diagnosis
397(5)
Testing
402(1)
Treatment
403(4)
Conclusion
407(1)
References
408(3)
Methodologies in the Diagnosis of Sleep Apnea
411(18)
Gopal Allada
Definitions of Sleep-Disordered Breathing (SDB)
411(1)
Epidemiology of SDB in the Elderly
412(1)
Reasons for Sleep Apnea in the Elderly
412(1)
Taking the History of a Patient with Suspected OSAHS
413(1)
Clinical Examination of a Patient with Suspected OSAHS
414(2)
Radiologic Imaging in the Diagnosis of Obstructive Sleep Apnea
416(1)
Specific Methodologies in the Diagnosis of OSAHS
417(1)
Unattended Monitoring in Diagnosing OSAHS
418(3)
Polysomnography in the Evaluation of OSAHS
421(1)
Recent Reviews and Guidelines
422(3)
Clinical Decision-Making Algorithm
425(1)
Summary
425(1)
References
425(4)
Snoring: Simple to Obstructive Apnea
429(8)
Kenny P. Pang
Amy R. Blanchard
David J. Terris
Introduction
429(1)
Epidemiology
430(1)
Pathophysiology
430(1)
Differential Diagnosis
431(1)
Clinical Examination
432(1)
Lateral Cephalometry
433(1)
Diagnosis of SDB
434(1)
Snoring Treatment
434(1)
Summary
435(1)
References
436(1)
Upper Airway Resistance Syndrome
437(12)
Michel A. Cramer Bornemann
Vance D. Bachelder
Robert H. Maisel
Introduction
437(1)
Definitions in Sleep-Disordered Breathing
438(1)
Determinants of Upper Airway Patency During Sleep
438(1)
Sleep in the Elderly
439(1)
The First Descriptions of UARS
440(2)
Pathophysiology of UARS
442(1)
Clinical Features and Diagnosis of UARS
443(2)
Sequelae of UARS
445(1)
Noninvasive Clinical Management
446(1)
Difficulties in Assessing Surgical Outcomes in UARS
446(1)
References
447(2)
Surgical Treatment of Sleep-Disordered Breathing
449(10)
Kenny P. Pang
Amy R. Blanchard
David J. Terris
Introduction
449(1)
Nasal CPAP
450(1)
Oral Appliances
450(1)
Surgical Treatment
451(5)
Conclusions
456(1)
References
456(3)
Obstructive Sleep Apnea Epidemiology and Patient-Centered Measures
459(12)
Eric J. Kezirian
Edward M. Weaver
Introduction
459(1)
Definitions of Obstructive Sleep Apnea Syndrome
459(1)
Prevalence of Obstructive Sleep Apnea Syndrome in Geriatrics
460(1)
Is Sleep Apnea Different in the Elderly?
461(1)
Sleep Apnea and Quality of Life
462(1)
Assessment of Symptoms in Sleep Apnea
463(1)
Assessment of Sleep Apnea---Related Quality of Life
463(1)
Geriatric Sleep Apnea and Quality of Life
463(3)
Conclusions
466(1)
References
466(5)
PART VI: HEAD AND NECK PROBLEMS
Overview of Head and Neck Cancer
471(12)
Miriam N. Lango
Ara A. Chalian
Introduction
471(1)
Aging and Cancer
472(1)
Biology of Aging and Cancer
473(2)
Treatment of the Elderly Head and Neck Cancer Patient
475(1)
Age, Comorbidity, and Functional Status
475(1)
Comorbidity
476(1)
Functional Status
477(1)
Cognition/Nutrition/Social Support/Polypharmacy
478(1)
Therapeutic Options for Elderly Head and Neck Cancer Patients
478(1)
Perioperative Risk Assessment
479(1)
Incidence of Surgical and Nonsurgical Complications in the Elderly
479(1)
Therapeutic Modalities: Functional Outcomes and Quality of Life
480(1)
References
480(1)
Annotated Bibliography
481(2)
Head and Neck Cancer in the Geriatric Patient
483(8)
Jack L. Gluckman
Michael Wolfe
Introduction
483(1)
Evaluation of the Geriatric Patient with Head and Neck Cancer
484(2)
The Decision-Making Process
486(1)
Therapeutic Modalities
486(2)
Patient Follow-Up
488(1)
Rehabilitation
489(1)
Conclusion
489(1)
References
489(1)
Annotated Bibliography
490(1)
Thyroid Diseases in the Elderly
491(10)
Maisie Shindo
Frances Tanzella
Introduction
491(1)
Hypothyroidism
491(2)
Hyperthyroidism
493(3)
Nontoxic Goiters
496(2)
Thyroid Malignancies
498(1)
References
499(2)
Parathyroid Diseases in the Elderly
501(12)
Maisie Shindo
Frances Tanzella
Pathophysiology of Hyperparathyroidism
501(1)
Diagnosis
502(1)
Manifestations of Primary Hyperparathyroidism
502(2)
Evaluation
504(1)
Surgical Treatment
504(4)
Nonsurgical Management
508(1)
Outcome of Treatment
508(1)
Conclusions
509(1)
References
509(4)
Facial Nerve Dysfunction: Etiology and Incidence in the Elderly---Acute Management
513(8)
Catherine P. Winslow
Mark K. Wax
Introduction
513(1)
Anatomy
513(1)
Etiology
514(1)
Classification
514(1)
Investigation
514(1)
Management
515(4)
References
519(2)
Disorders of the Salivary Glands
521(8)
Karen T. Pitman
Jonas T. Johnson
Introduction
521(1)
Basic Science
521(1)
History
522(1)
Physical Examination
523(1)
Diagnostic Testing
524(1)
Common Salivary Disorders
524(2)
Treatment Options
526(1)
Summary
527(1)
References
527(2)
Reconstructive Issues in the Elderly Patient with Head and Neck Cancer
529(12)
Eric Genden
Mark K. Wax
Introduction
529(1)
Types of Flaps
530(2)
Fasciocutaneous Free Tissue
532(4)
Summary
536(2)
References
538(3)
PART VII: APPEARANCE CHANGES
Appearance Changes with Aging
541(14)
Donna J. Millay
Introduction
541(1)
Skin Changes
541(4)
Skin Lesions
545(1)
Appearance Changes of the Head and Neck
546(1)
Forehead
547(2)
Periorbital Region
549(1)
Midface Region
550(1)
Nose
550(1)
Perioral Region
551(1)
Neck
551(1)
Ear
552(1)
Summary
553(1)
References
553(2)
Reconstruction in the Elderly Patient
555(26)
Adam T. Ross
Tom D. Wang
Introduction
555(1)
Reconstruction and Depression
556(1)
Anesthesia
556(1)
Effects of Aging
557(1)
Etiology
557(1)
Preoperative Assessment
558(1)
General Reconstructive Concepts
558(4)
Types of Reconstruction
562(8)
Anatomical Considerations in the Elderly
570(5)
Trauma and the Elderly Patient
575(2)
Summary
577(1)
References
578(3)
Cosmetic Surgery in the Elderly Patient
581(22)
Oren Friedman
Tom D. Wang
Ted A. Cook
Introduction
581(1)
The Aging Process
582(1)
Rejuvenation of the Aging Face
582(1)
The Aging Face Syndrome
583(16)
Conclusion
599(1)
References
599(4)
PART VIII: PSYCHOSOCIAL ISSUES IN THE CARE OF THE ELDERLY
Delirium and Dementia in the Elderly
603(6)
Serge Gauthier
Delirium
603(1)
Dementia
604(4)
References
608(1)
Sensory Impairment and Deprivation in the Elderly
609(8)
Allen R. Huang
Visual Impairment
610(1)
Auditory Impairment
611(1)
Smell and Taste Disturbances
611(1)
Tactile Impairment
612(1)
Assessment
612(1)
Management and Interventions
613(2)
Conclusions
615(1)
References
615(2)
Social Isolation
617(8)
Vanessa Sakadakis
Introduction
617(1)
Social Isolation and Loneliness
617(1)
Social Isolation and Elderly People
618(1)
Assessment and Intervention
619(2)
Conclusion
621(1)
References
621(1)
Annotated Bibliography
622(3)
Substance Misuse in the Elderly
625(10)
David W. Oslin
Introduction
625(1)
General Description of the Clinical Problem
625(1)
Magnitude of the Problem
626(1)
Why Is Substance Abuse Particularly Important in the Geriatric Population?
627(1)
Common Presentations in the Geriatric Population
628(1)
Physical Exam and Lab Testing
629(1)
Treatment Options
630(3)
Summary
633(1)
References
633(2)
Elder Abuse
635(12)
Mark J. Yaffe
Introduction
635(1)
Definition
635(1)
Manifestations
636(1)
Epidemiology
637(1)
Risk Factors
638(1)
Mortality Consequences of Elder Abuse
638(1)
Physician Detection
639(1)
Elder Abuse Screening
640(1)
Outcomes from Detection
640(1)
Summary
641(1)
References
641(6)
Anxiety and Depression in Older Patients
647(14)
Jeffrey P. Staab
Introduction
647(1)
Overview of Anxiety and Depression in the Elderly
647(1)
Manifestations of Anxiety and Depression in Otorhinolaryngologic Practice
648(2)
Association of Anxiety and Depression with Otorhinolaryngologic Illnesses
650(3)
Head and Neck Surgery
653(1)
Diagnosis and Treatment of Anxiety and Depression in Otorhinolaryngologic Practice
654(3)
Treatment Options
657(1)
Conclusion
658(1)
References
659(1)
Annotated Bibliography
660(1)
Coordination of Care
661(6)
Steven C. Zweig
Care Coordination
661(3)
The Future of Care Coordination
664(1)
References
664(3)
Polypharmacy in Older Adults
667(8)
Emily R. Hajjar
Joseph T. Hanlon
Introduction
667(1)
Polypharmacy Definitions and Epidemiology
667(1)
Consequences of Polypharmacy
668(2)
Principles of Geriatric Pharmacotherapy
670(1)
Summary
671(1)
References
671(4)
PART IX: PERIOPERATIVE ISSUES
Preoperative Evaluation
675(10)
Christopher D. Newell
Introduction
675(1)
Cardiovascular System
675(2)
Pulmonary System
677(1)
Endocrine System
677(1)
Renal System
677(1)
Nervous System
678(1)
Nutrition
678(1)
Preoperative Testing
678(3)
Risk Stratification
681(1)
Conclusion
682(1)
References
682(3)
Anesthesia for Otorhinolaryngologic Surgery in the Elderly
685(20)
Myrdalis Diaz-Ramirez
Introduction
685(1)
Physiologic Changes in the Elderly and Common Comorbidities
686(5)
Preoperative Evaluation and Treatment
691(2)
Intraoperative Care
693(6)
Postoperative Complications
699(1)
Specific Cases
699(2)
Conclusion
701(1)
References
701(4)
Postoperative Care for the Geriatric Patient
705(10)
Robert L. Cross Jr.
Richard Hanson
Introduction
705(1)
Cardiovascular System
705(1)
Pulmonary System
706(2)
Gastrointestinal System
708(1)
Renal System
709(1)
Endocrine System
709(1)
Neurologic System
710(2)
Conclusion
712(1)
Bibliography
712(3)
Informed Consent
715(6)
Cheryl Ellis Vaiani
References
721(1)
Pain Management in the Elderly
721(18)
David Sibell
The Size of the Problem
721(1)
Basic Science of Chronic Pain
722(2)
Diagnosis of Painful Disorders in the Elderly
724(2)
Differential Diagnosis
726(2)
Treatment Options
728(5)
Interventional Treatments
733(2)
General Treatment Concepts
735(1)
References
735(4)
PART X: END OF LIFE
Advance Directives and Do Not Resuscitate Orders
739(6)
Cheryl Ellis Vaiani
References
742(3)
End-of-Life Issues in the Otolaryngology---Head and Neck Surgery Patient
745(20)
Gerry F. Funk
Introduction
745(1)
HNC Management from a Palliative Care Perspective
745(1)
Special Considerations in the Terminal Care of HNC Patients
746(1)
History and Information Gathering
747(1)
Physical Examination
748(1)
Developing a Plan
749(1)
Specific Management Issues
750(10)
Summary
760(1)
Case Studies
760(2)
References
762(2)
Annotated Bibliography
764(1)
Hospice for the Otolaryngologist
765(6)
Paul Bascom
Historical Perspective
765(1)
Hospice---A Philosophy of Care and a Program of Services
766(1)
Discussing Hospice Care with Patients and Families
767(4)
Index 771

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Reviews for Geriatric Otolaryngology (9780824728502)