Handbook of Geriatric Assessment

by Gallo, Joseph J.; Fulmer, Terry; Paveza, Gregorn, J., Ph.D.; Reichel, William

• ISBN13: 9780763726157
• ISBN10: 076372615X
• Edition: 3rd
• Format: Hardcover
• Copyright: 2000-01-01
• Publisher: Jones & Bartlett Learning

Summary

Univ. of Pennsylvania, PA. Instructs the clinician on the evaluation of older adults and includes assessment of medical status, function, social situation, physical examination, health promotion and disease prevention. Shows how to incorporate multidimensional assessment into the care given to the elderly. Previous edition: c1995. DNLM: Geriatric Assessment.

Table of Contents

Contributors	vii
Preface	ix
The Context of Geriatric Care	1	(12)
The Context of Geriatric Care	1	(3)
Multidimensional Assessment	4	(5)
Conclusion	9	(4)
Ethnicity and Geriatric Assessment	13	(16)
Charles P. Mouton
Yolanda B. Esparza
Introduction	13	(1)
Heterogeneity within Older Ethnic Minorities	14	(1)
Reliability, Validity, and Use of Instruments for Ethnic Minorities	15	(2)
Enhancing Communication with Ethnically Diverse Older Adults	17	(1)
Eliciting Beliefs and Attitudes about Illness	18	(1)
Selected Domains of Geriatric Assessment	18	(5)
Conclusion	23	(6)
Mental Status Assessment	29	(72)
The Mental Status Examination	32	(10)
Differential Diagnosis of Dementia	42	(8)
Mental Status Assessment Instruments	50	(16)
Assessment of Mood	66	(6)
Depression Scales	72	(9)
Alcohol and Other Substance Misuse	81	(1)
Anxiety Disorders	82	(1)
Conclusion	82	(19)
Functional Assessment	101	(48)
Focus on Function	101	(4)
The Components of Functional Status	105	(11)
Performance Assessment of Function	116	(7)
Dementia Rating Scales	123	(12)
Assessment for Long-Term Care	135	(6)
Conclusion	141	(8)
The Older Driver	149	(10)
David Carr
George W. Rebok
Introduction	149	(1)
Behaviors and Characteristics of Older Drivers	150	(1)
Older Drivers At Risk for a Motor Vehicle Crash or Driving Cessation	151	(3)
Assessing Driving Skills	154	(1)
Ethical, Legal, and Public Policy Issues	154	(1)
Future Research Needs and Conclusions	155	(4)
Social Assessment	159	(36)
Assessment of Social Support	160	(7)
Assessment of Caregiver Burden	167	(2)
Assessment of Elder Mistreatment	169	(1)
Economic Assessment	170	(8)
Assessment of the Environment	178	(2)
Sexual Health Assessment	180	(4)
Spiritual Assessment	184	(1)
Suicide Assessment	185	(5)
Conclusion	190	(5)
Using the Values History To Enhance Advance Directive Communication	195	(18)
David J. Doukas
Laurence B. McCullough
The Values History: Assessing Patient Values and Directives Regarding Long-Term and End-of-Life Care	195	(1)
The Living Will	196	(1)
The Durable Power of Attorney	197	(1)
The Values History	198	(5)
Conclusion	203	(10)
The Values History	205	(8)
Physical Assessment	213	(38)
Communication and Rapport	214	(2)
Examination of Older Adults with Dementia	216	(1)
History Taking	216	(3)
Overview of the Physical Examination	219	(1)
Components of the Examination	219	(28)
Conclusion	247	(4)
Pain Assessment	251	(10)
James P. Richardson
Historical Assessment of Pain	252	(3)
Physical Assessment of Pain	255	(3)
Pain Assessment in Cognitively Impaired Older Adults	258	(1)
Conclusion	259	(2)
Health Promotion and Disease Prevention	261	(42)
Incorporating Prevention into Practice	263	(3)
Evidence-Based Guidelines	266	(3)
Ethics of Preventive Interventions	269	(5)
Rating the Recommendations	274	(1)
Specific Recommendations	275	(1)
Procedures and Measurements	275	(6)
Behaviors and Lifestyle	281	(4)
Home and Health	285	(2)
Supplements and Chemoprophylaxis	287	(2)
Immunizations and Infectious Disease	289	(1)
Other Considerations for Prevention in Geriatrics Not Covered in the Guidelines	290	(3)
Additional Notes	293	(1)
Conclusion	294	(9)
Assessment in Special Settings: Nursing Home, Home Care, and Hospice	303	(14)
Bruce E. Robinson
Assessment in the Nursing Home	303	(6)
Assessment in Home Care	309	(3)
Assessment in Hospice Care	312	(3)
Conclusion	315	(2)
Geriatric Assessment Program: The University Hospital Geriatric Evaluation Center, Cincinnati, Ohio	317	(12)
Irene Moore
Gregg Warshaw
Geriatric Evaluation Center Structure	317	(2)
Geriatric Evaluation Center Profile	319	(3)
Geriatric Evaluation Center	322	(6)
Conclusion	328	(1)
Putting Geriatric Assessment into Practice	329	(23)
Ethical Issues in Geriatric Assessment	330	(2)
Evidence of the Effectiveness of Geriatric Assessment	332	(1)
Integrating Geriatric Assessment into Primary Care	333	(6)
Organization of Geriatric Assessment Programs	339	(6)
Conclusion	345	(7)
Index	352