Handbook Of Geriatric Assessment

by Gallo, Joseph J.; Bogner, Hillary R.; Fulmer, Terry; Paveza, Gregory J.

• ISBN13: 9780763730567
• ISBN10: 0763730564
• Edition: 4th
• Format: Hardcover
• Copyright: 2005-09-15
• Publisher: Jones & Bartlett

Summary

The Perfect Resource for NPs and PAs!   Handbook of Geriatric Assessment emphasizes the multidisciplinary functions of the geriatric assessment team, and is applicable for healthcare professionals, nurses, social workers, and researchers. The revised and updated Fourth Edition fosters a multidimensional approach by discussing the assessment of domains that have a significant bearing on the life of older persons, with renewed interest in the prevention of functional decline.   the text provides instruments, questionnaires, and concepts that can be employed in designing clinical assessment procedures. New chapters include: Emergency Assessment Recognizing Elder Abuse and Neglect Depression Assessment Substance Use and Abuse Assessment Social Assessment of Older Adults Assessment of Daily-Living Assessment of Older Adults in Their Home, In the Nursing Home, at the Time of Hospitalization Adherence to Medical Treatment Developing and Managing a High Functioning Interdisciplinary Team in the Wake of Terrorism: Mechanisms of Geriatric Assessment With discussions of the domains of geriatric assessment conveniently compiled in one reference, readers will continue to find practical and useful ideas to take into their daily work with older people.  

Table of Contents

Contributors	ix
Preface	xv
Section I: The Context of Assessment	1	(102)
The Context of Geriatric Care	3	(12)
Joseph Gallo
Hillary R. Bogner
The Context of Geriatric Care	3	(3)
Multidimensional Assessment	6	(5)
Conclusion	11	(4)
Emergency Assessment of the Older Adult	15	(14)
Chad VanDerHeyden
Arthur Sanders
Emergency Care	15	(2)
Prehospital EMS System	17	(2)
ED Environment	19	(1)
Emergency Medicine Model of Care	20	(2)
Principles of Geriatric Emergency Medicine	22	(4)
Summary	26	(3)
Ethnicity and Geriatric Assessment	29	(16)
Charles P. Mouton
Yolanda B. Esparza
Heterogeneity Within Older Ethnic Minorities	30	(1)
Reliability, Validity, and Use of Instruments for Ethnic Minorities	31	(2)
Enhancing Communication With Ethnically Diverse Older Adults	33	(1)
Eliciting Beliefs and Attitudes About Illness	34	(1)
Selected Domains of Geriatric Assessment	35	(4)
Conclusion	39	(6)
The Older Adult Driver	45	(14)
David Carr
George W. Rebok
Older Drivers	45	(1)
Behaviors and Characteristics of Older Drivers	46	(2)
Older Drivers at Risk for a Motor Vehicle Crash	48	(3)
Driving Retirement	51	(1)
Assessing Driving Skills	52	(2)
Ethical, Legal, and Public Policy Issues	54	(1)
Future Research Needs and Conclusions	54	(5)
Enhancing Advance Directive Discussions Using the Values History	59	(18)
David J. Doukas
Laurence B. McCullough
Monica K. Crane
The Living Will	60	(1)
The DPA/HC	61	(1)
The Family Covenant	62	(1)
The Values History	63	(3)
Case Vignette	66	(2)
Conclusion	68	(2)
Appendix A---The Values History	70	(7)
Recognizing Mistreatment in Older Adults	77	(26)
Carla VandeWeerd
Adolfo Firpo
Terry Fulmer
Gregory J. Paveza
Marguarette M. Bolton
The Scope and Consequences of EM	78	(1)
EM Assessment	78	(2)
Physical Abuse Assessment	80	(3)
Sexual Abuse Assessment	83	(3)
Psychological Mistreatment Assessment	86	(2)
Neglect Assessment	88	(3)
Financial Abuse Assessment	91	(2)
Screening Tools	93	(4)
Conclusion	97	(6)
Section II: Domains of Assessment	103	(266)
Cognitive Assessment	105	(48)
Joseph J. Gallo
Marsha N. Wittink
The Mental Status Examination	107	(11)
Differential Diagnosis of Dementia	118	(9)
Mental Status Assessment Instruments	127	(16)
Summary of Mental Status Assessment	143	(10)
Depression Assessment	153	(22)
Joseph J. Gallo
Marsha N. Wittink
Depression Scales	158	(17)
Substance Use and Abuse Assessment	175	(18)
Faika Zanjani
David Oslin
Classification	177	(1)
Alcohol Consumption	178	(3)
Drug Use	181	(4)
Tobacco Use	185	(1)
Barriers to the Use of Substance Use Assessments	185	(2)
Conclusions/Recommendations	187	(4)
Appendix---MAST-G	191	(1)
Appendix---SMAST-G	192	(1)
Activities of Daily Living and Instrumental Activities of Daily Living Assessment	193	(48)
Joseph J. Gallo
Gregory J. Paveza
Focus on Function	193	(4)
The Components of Functional Status	197	(11)
Performance Assessment of Function	208	(6)
Case Study: Assessment of ADLs	214	(2)
Dementia Rating Scales	216	(14)
Assessment for Long-Term Care	230	(2)
Case Study: Assessment for Long-Term Care	232	(2)
Conclusion	234	(7)
Social Assessment	241	(32)
Carmen Morano
Barbara Morano
Assessment of Social Support	242	(6)
Assessment of Caregiver Burden and Satisfaction	248	(4)
Assessment of Older Person Mistreatment	252	(3)
Economic Assessment	255	(3)
Medicare	258	(1)
Medicaid	258	(1)
Private Health Insurance	259	(1)
Long-Term Care Insurance	259	(1)
Assessment of the Environment	260	(1)
Spiritual Assessment	261	(12)
Physical Assessment	273	(46)
David Nicklin
Communication and Rapport	274	(2)
Examination of Older Adults with Dementia	276	(1)
History Taking	277	(2)
Overview of the Physical Examination	279	(1)
Components of the Examination	279	(25)
Sexual Health Assessment	304	(7)
Conclusion	311	(8)
Pain Assessment	319	(12)
James P. Richardson
Case Vignette	319	(2)
Historical Assessment of Pain	321	(3)
Physical Assessment of Pain	324	(4)
Pain Assessment in Cognitively Impaired Older Adults	328	(1)
Conclusion	328	(3)
Health Promotion	331	(38)
Meredith Wallace
Joyce Shea
Carrie Guttman
Primary Health Promotion and Disease Prevention	337	(13)
Secondary Prevention	350	(14)
Summary and Conclusion	364	(5)
Section III: Settings of Assessment	369	(50)
Assessment of Older Adults in Their Home	371	(12)
Lucia C. Kim
Carmel Bitondo Dyer
Case Vignette	371	(1)
Home Visit Versus Outpatient Clinic Visit	372	(1)
Practical Tips on Making Home Visits	373	(1)
Initial/New Patient Home Visit	374	(2)
Follow-Up Visits	376	(1)
Acute Visits	376	(1)
Triage of Acute Problems	377	(1)
After the Visit	378	(1)
Phone Calls	379	(1)
Interdisciplinary Team Meeting	379	(1)
Conclusion	380	(3)
Geriatric Assessment in Nursing Homes	383	(16)
Miriam B. Rodin
MDS and Its Implications	384	(11)
Summary and Conclusions	395	(4)
Assessment at the Time of Hospitalization	399	(20)
Marilyn Lopez
Aging Society	399	(5)
Care Issues	404	(6)
Nursing Practices	410	(9)
Section IV: Specialty Topics for Clinicians	419	(42)
Adherence to Medical Treatment	421	(10)
Hillary R. Bogner
Monica K. Crane
Cognitive Function	424	(1)
Social Support	425	(1)
Beliefs About Illness and Its Treatment	425	(1)
Interventions	426	(1)
Conclusion	427	(4)
Developing and Managing a High-Functioning Interdisciplinary Team	431	(10)
Eugenia L. Siegler
Case Vignette	431	(1)
Evidence for Effectiveness of Teams	432	(1)
Practical Matters: Creating and Maintaining Teams	433	(5)
Team Training	438	(1)
Conclusions	438	(3)
Assessing Disaster Preparedness and Response	441	(20)
Ian Portelli
Terry Fulmer
Definition and Typology of a Terror Disaster	441	(2)
The Impact of Disaster in Older Adults	443	(1)
Predisaster Preparedness for Older Adults	443	(3)
The Effects of Terrorism on the Older Adult	446	(1)
Postdisaster Issues for Older Adults	446	(3)
Assessment After Disaster	449	(7)
Conclusion and Recommendations	456	(5)
Index	461