Current Diagnosis and Treatment: Geriatrics 2E
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- Section I. Principles of Geriatric Care
- 1. Transforming the Care of Older Adults: Knowledge, Skills, & System Change
- Guiding Principles
- 2. Consideration of Function & Functional Decline
- Geriatric Principles
- Epidemiology of Functional Limitations
- Assessment of Functional Status
- Risk Factors for Functional Decline
- Prevention of Functional Decline
- Rehabilitation: The Treatment of Functional Decline
- 3. Goals of Care & Consideration of Prognosis
- Goals of Care Discussions
- A Practical Guide to Goals of Care Discussions
- Importance of Surrogate Decision Makers
- Prognostication
- Prognosis Related to Specific Diseases
- Communicating Prognosis to Patient or Surrogate
- 4. The Social Context of Older Adults
- Financial Issues in the Third Age
- Food Insecurity and Older Adults
- Medicare
- Housing and Long-Term Care
- Caregiving
- Recommendations for Clinicians
- 5. The Interprofessional Team
- Key Definitions and Concepts
- Interprofessional Team Innovations in Geriatrics
- Evidence of Interprofessional Teams in the Care of Older Adults
- Resources and Tools for Teamwork
- Barriers to the Advancement of Teamwork
- Future Steps
- 6. Geriatric Assessment
- Teams and Clinical Sites of Care
- Prognosis
- Patient Goals
- Functional Assessment
- Preventive Services
- Falls and Gait Impairment
- Vision Impairment
- Hearing Impairment
- Dementia
- Incontinence
- Depression
- Nutrition
- Medication Use
- Caregiver Support
- Financial, Environmental and Social Resources
- Abuse
- Geriatric Assessment in Primary Care
- 7. Atypical Presentations of Illness in Older Adults
- Defining Atypical Presentations
- Identifying Patients at Risk
- 8. Prevention & Health Promotion
- Screening Issues for the Geriatric Population
- Geriatric Syndromes
- Health-Related Behaviors
- Immunizations
- Endocrine Disorders
- Cardiovascular Disease
- Cancer
- 9. Principles of Prescribing for Older Adults
- Geriatric Principles
- Drug Metabolism and Physiologic Effects in Older Adults
- Geriatric Therapeutics
- Prescribing for Older Adults
- Adherence
- Managing Complexity
- Prescribing Across the Care Continuum
- 10. Addressing Multimorbidity in Older Adults
- Background and Definitions
- Multimorbidity and Health Outcomes
- Clinician Challenges in the Care of Older Adults with Multimorbidity
- General Considerations in the Care of Multimorbid Older Adults
- 11. Geriatrics & Palliative Care
- Overview of Palliative Care
- Psychological, Spiritual, and Social Issues
- Communication, Decision Making, and Advance Care Planning
- Challenges to Providing Palliative Care in Long-Term Care Settings
- Caring for Family Members: Grief and Bereavement
- 12. Ethics & Informed Decision Making
- Ethical Issues in the Care of Older Adults
- Decision-Making Capacity and Informed Decision Making
- Advance Care Planning and Advance Directives
- Surrogate Decision Making
- Balancing Promotion of Independence and Patient Safety
- Section II. Care Settings
- 13. Transitions and Continuity of Care
- General Principles in Older Adults
- Definitions
- Background
- Adverse Events During Transitions
- Barriers to Successful Care Transitions
- Overcoming the Barriers: Best Practices
- Evidence-Based Interventions
- Innovations
- Conclusion
- 14. Ambulatory Care & the Patient-Centered Medical Home
- General Principles in Older Adults
- Personal Physician
- Physician Directed Medical Practice
- Whole-Person Orientation
- Care Coordination and Integration
- Quality and Safety
- Enhanced Access
- 15. Providing Quality Care to Older Adults in the Emergency Department
- General Principles
- Models of Emergency Care
- Structural Enhancements
- Financing
- Clinical Care
- Future of Emergency Care
- 16. Hospital Care
- General Pr