Hospitalists' Guide to the Care of Older Patients


Book Description

The first book designed specifically for hospitalists and other hospital-based staff who need concise, evidence-based guidance on the vital topic of caring for older hospitalized patients Hospitalists' Guide to the Care of Older Patients is an up-to-date, practical reference in geriatric medicine for hospitalists, as well as other physicians and nurses working in the hospital setting. The book uses numerous tables, figures, and images to highlight the areas of geriatric medicine that are most relevant to hospitalists. Written by nationally recognized experts, chapters broadly follow the course of hospitalization, from admission through daily care and active management of the transition to post-hospital settings, providing practical, evidence-based guidance at each point. Contents include: A systematic approach to the care of older patients, emphasizing clinical skills and daily activities that can be implemented in today's hospital environment Techniques for effective communication with patients and their caregivers Tools and "pearls" for quickly and accurately assessing the whole patient, including risk for in-hospital complications, function, decision-making capacity, and home support Best practices for prevention and management of the complications of hospitalization, including delirium, falls, pressure ulcers, and hip fractures Specific recommendations in areas with wide practice variation, such as psychopharmacology and nutrition in older hospitalized patients Practical guidance on complex issues, such as establishing goals of care, managing patients who lack decision-making capacity, and managing the discharge transition Methods to improve the daily work and communication of the whole hospital team, including physicians, nurses, and other healthcare providers As the population ages, hospitalists are caring for an increasing number of older patients. This book helps hospitalists expand their knowledge, incorporate key clinical skills into daily practice, build more efficient patient care teams, and teach more effectively in today's fast-paced, complex hospital environment.




Prescribing for Elderly Patients


Book Description

A guide for doctors to quickly choose the right drugs in the right dose for the most important clinical problems in the elderly Prescribing medications for elderly patients is complex - this book gives clear advice on treatment regimes, drug interactions, adverse effects, and recommended dose changes Provides practical help with the problems that can arise in reaching an accurate diagnosis in the elderly, recommends clear treatment options, lists key drug interactions and side effects, and advises when to amend doses




Acute Care for Elders


Book Description

Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.




Palliative Skills for Frontline Clinicians


Book Description

Rooted in everyday hospital medicine, Palliative Skills for Frontline Clinicians addresses the challenges of delivering complex care to patients living with serious illnesses. Spanning emergency medicine, internal medicine, surgery and various subspecialties, each chapter reads like a story, comparing usual care with a step-by-step palliative-based approach. This case-based book features a multidisciplinary, palliative-trained authorship, including neurologists, nephrologists, emergency physicians, surgeons, intensivists, and obstetricians. Divided into four parts, Palliative Skills for Frontline Clinicians outlines common clinical scenarios across settings and specialties to highlight unmet needs of patients with potentially terminal illnesses. Each case is broken down into the usual standard approach, and delves into detail regarding different palliative interventions that can be appropriate in those scenarios. These are meant to be practice changing; down to the actual words used to communicate with patients. In addition to the book’s focus on the principles of palliative care and the “art” of treating the patient, approaches to communication with the patient’s families for the best long-term outcomes are discussed. Concise and pragmatic, Palliative Skills for Frontline Clinicians is meant to be practice changing. It provides readers with both a new conceptual framework, as well as actual words to communicate with patients and medication doses for symptom management. It is an invaluable resource for non-palliative trained clinicians who wish to strengthen their palliative care skills.




Evidence-Based Physical Examination Handbook


Book Description

Leading the way in providing evidence-based assessment guidance to prepare clinicians for their future in healthcare! This unique resource combines scientific and holistic approaches to assessment, and integrates best practices to guide history-taking and physical exam. Utilizing the evidence and summarizing clinical relevance, this handbook guides the incorporation of the most current evidence-based assessment guidelines from such sources as the U.S. Preventative Services Task Force. Chapters have a consistent structure and include key history questions and considerations, evidence-based physical examination techniques, red flag signs and symptoms, differential diagnoses for both normal and abnormal findings, and sample documentation. There are extensive color illustrations, and photographic images to strengthen and support advanced assessment skills. New to the Second Edition: Completely new chapters reflecting specific lifespan considerations including the child, adolescent, and older adult Increased coverage of evidence-based documentation Expanded coverage in every chapter regarding changing practice environments Focus on inclusive history taking and assessment techniques including considerations for diverse populations and social determinants of health Key Features: Includes focus on evidence to enable highest quality of care Emphasizes the importance of wellness and the assessment of well-being Delivers the evidence, acceptability, and clinical relevance behind history-taking, and physical examination techniques Focuses on the most current clinical guidelines from sources such as the U.S. Preventive Services Task Force Demonstrates techniques with valuable illustrations and photographic images




Global Emergency of Mental Disorders


Book Description

Global Emergency of Mental Disorders is a comprehensive, yet easy-to-read overview of the neurodevelopmental basis of multiple mental disorders and their accompanying consequences, including addiction, suicide and homelessness. Compared to other references that examine the treatment of psychiatric disorders, this book uniquely focuses on their neurodevelopment. It is designed for neuroscience, psychiatry, psychology students, and various other clinical professions. With chapters on anxiety, depression, schizophrenia and others, this volume provides information about incidence, prevalence and mortality rates in addition to developmental origins. With millions worldwide affected, this book will be an invaluable resource. - Explores psychiatric disorders from a neurodevelopmental perspective - Covers multiple disorders, including anxiety, depression and obsessive-compulsive disorder - Examines the brain mechanisms that underly disorders - Addresses the opioid epidemic and suicide - Reviews special patient populations by gender and age




Healthcare Changes and the Affordable Care Act


Book Description

Healthcare Changes Reach Main Street: A Call to Action for Physicians provides guidance, examples, and information on processes and time lines for physicians based on the implementation of The Affordable Care Act (ACA) that was established in 2010. This volume focuses on how geriatricians and other healthcare professionals can be engaged in responding to the roll-out of the ACA in their communities, and through this engagement assume leadership roles in local hospitals, healthcare organizations, and medical societies to advance quality improvement and new models of care for older adults. In-depth chapters provide an update on quality improvement efforts at the state level, as well as changes in Medicaid financing and the significant impact this will have for older adults, particularly dual-eligibles. Many elements of the ACA are yet to be rolled out and many healthcare decisions are yet to be made. Healthcare Changes Reach Main Street: A Call to Action for Physicians will guide healthcare decision makers and help them to play a leadership role in advancing quality care for older adults in our changing healthcare environment.​




The Caregiver's Encyclopedia


Book Description

An indispensable, comprehensive reference for family caregivers. Caregivers hold the key to the health, well-being, and happiness of their aging relatives, partners, or friends. The Caregiver's Encyclopedia provides you with all of the information you need to take the best care of your loved one—from making major medical decisions to making sure you don't burn out. Written by Muriel R. Gillick, MD, a geriatrician with more than 30 years' experience caring for older people, this book highlights the importance of understanding your friend's or family member's overall health. With compassion and expertise, this book will help you "think like a doctor." The content • helps you navigate the health-care system • shares important information about treating basic geriatric syndromes, including delirium, dementia, and falls • teaches you about preventive care options • enables you to manage medical decisions related to both acute and chronic conditions • discusses what Medicare covers—and what it doesn't • guides you through different approaches to care • weighs the risks and benefits of hospital vs. home, nursing home, or hospice care • provides a detailed list of medical supplies that you might want to keep on hand • offers you additional resources and emotional support Throughout, Gillick provides helpful information and concrete concepts that caregivers can put into practice today. Authoritative, comprehensive, holistic, and highly illustrated, The Caregiver's Encyclopedia will help you figure out how to be the best caregiver you can be.




Geriatric Admission, The: A Handbook For Hospitalists


Book Description

This is a guide book that showcases the commonest clinical problems encountered in the inpatient setting concerning elderly patients. Each chapter is based on a symptomatic theme and quizzes the reader through the evolution of a patient scenario upon hospitalisation. Engaging discussions occur after each quiz question, focusing on approaches and diagnostic and therapeutic pearls.This practical handbook will be exceedingly useful for both junior and senior clinicians who deal with elderly inpatients on a day to day basis. Medical students and other students of geriatric medicine will also find it beneficial for their revision.Nationally and globally, populations are ageing. We are seeing an increasing number of elderly patients being admitted to the hospital for a variety of medical problems. The government is placing increasing emphasis on recruiting, training and retaining generalist clinicians (hospitalists) who need to take care of elderly patients in hospitals. As such, this book will be an extremely practical resource for hospitalists around the world. Using a quiz format on a background of an evolving patient scenario, the reader is led on an exciting journey to discover one's gaps in diagnostic and management aspects and to learn useful approaches and tips from our experts.




Essentials of Hospital Medicine


Book Description

Hospital Medicine is the fasting growing field of Medicine, and the importance of hospitalists in the delivery of care and success of hospitals continues to increase. The practice of hospital medicine is both rewarding and challenging: hospitalists need to provide high-quality care using the best available evidence in an efficient, cost-effective manner. In recognition of the need for rapid access to essential information, this text provides a concise yet comprehensive source for busy clinicians. Essentials of Hospital Medicine provides detailed reviews of all clinical topics in inpatient medicine, including common diagnoses, hospital-acquired conditions, medical consultation, and palliative care, as well as key non-clinical topics, such as quality improvement tools, approach to medical errors, the business of medicine, and teaching tips. It is the single source needed for hospitalists striving to deliver outstanding care and provide value to their patients and hospitals.