Ethical Considerations and Challenges in Geriatrics


Book Description

This book is designed to present an overview of common geriatrics ethical issues that arise during patient care and research activities. Each chapter includes a case example and practical learning pearls that are useful in day-to-day patient care. Coverage includes a brief overview of geriatric epidemiology, highlighting the high rates of dementia, use of surrogate decisions makers at the end-of-life, relocation from home to long-term care facilities, and low health literacy in the geriatrics population. Sections are devoted to issues around capacity, surrogate decision making, end-of-life care, hemodialysis in the elderly, and futility as well as challenges presented by independence questions, such as dementia care, driving, feeding, and intimacy in nursing homes. The text also addresses questions around recognizing, reporting, and treating elder abuse and self-neglect, ethics related to research and technology in the geriatric population, and the use of e-mail, Facebook, and open notes. Written by experts in the field, Ethical Considerations and Challenges in Geriatrics is a valuable tool for trainees at a variety of levels including medical students, residents, and fellows. In addition, it provides practical guidance and a useful reference for practicing geriatricians, primary care physicians, geriatric nurses, social workers, nursing home workers, hospice care employees, and all medical health professionals working with the elderly.




Essentials of Clinical Geriatrics


Book Description

The third edition of the highly acclaimed Essentials of Clinical Geriatrics gives you clear guidelines on diagnosis, treatment, and follow-up care of all common geriatric disorders. Plus, you'll review important nonclinical issues, including environmental factors, documentation issues, ethics, and demographics. At the heart of the text is its problem-based approach to diagnosis and its succinct, but complete, review of management strategies. Look for this as you review care of the nursing home patient, incontinence, falls, confusion, long-term care, approach to the patient, and much more. And an appendix of Clinical Worksheets provides practical advice for data collection.




Oxford Textbook of Geriatric Medicine


Book Description

The third edition of the definitive international reference book on all aspects of the medical care of older persons will provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.




Geriatric Medicine


Book Description




Geriatric Gastroenterology


Book Description

As aging trends in the United States and Europe in particular are strongly suggestive of increasingly older society, it would be prudent for health care providers to better prepare for such changes. By including physiology, disease, nutrition, pharmacology, pathology, radiology and other relevant associated topics, Geriatric Gastroenterology fills the void in the literature for a volume devoted specifically to gastrointestinal illness in the elderly. This unique volume includes provision of training for current and future generations of physicians to deal with the health problems of older adults. It will also serve as a comprehensive guide to practicing physicians for ease of reference. Relevant to the geriatric age group, the volume covers epidemiology, physiology of aging, gastrointestinal physiology, pharmacology, radiology, pathology, motility disorders, luminal disorders, hepato-biliary disease, systemic manifestations, neoplastic disorders, gastrointestinal bleeding, cancer and medication related interactions and adverse events, all extremely common in older adults; these are often hard to evaluate and judge, especially considering the complex aging physiology. All have become important components of modern medicine. Special emphasis is be given to nutrition and related disorders. Capsule endoscopy and its utility in the geriatric population is also covered. Presented in simple, easy to read style, the volume includes numerous tables, figures and key points enabling ease of understanding. Chapters on imaging and pathology are profusely illustrated. All chapters are written by specialists and include up to date scientific information. Geriatric Gastroenterology is of great utility to residents in internal medicine, fellows in gastroenterology and geriatric medicine as well as gastroenterologists, geriatricians and practicing physicians including primary care physicians caring for older adults.




Ethical Practice in Geropsychology


Book Description

Working with an older adults can present a unique array of ethical issues, such as balancing respect for client autonomy with beneficence. This book presents a decision-making framework and clinical vignettes to help clinicians navigate such complex quandaries.




The American Psychiatric Association Practice Guideline on the Use of Antipsychotics to Treat Agitation or Psychosis in Patients With Dementia


Book Description

The guideline offers clear, concise, and actionable recommendation statements to help clinicians to incorporate recommendations into clinical practice, with the goal of improving quality of care. Each recommendation is given a rating that reflects the level of confidence that potential benefits of an intervention outweigh potential harms.




Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.




Challenges of an Aging Society


Book Description

In this important and timely collection, some of the best minds in gerontology and bioethics -- including Nancy Dubler, Rick Moody, Andrew Achenbaum, Robert Hudson, and Robert Binstock -- explore the ethical, social, and political challenges of an aging society. A unique combination of disciplines and perspectives -- from economics to nursing, psychology to theology -- this valuable synthesis of theory and practice provides frameworks and analyses for considering the ethical issues of both individual and societal aging. The contributors address the major policy challenges of Social Security, Medicare, and prescription drugs as well as ethical issues ranging from individual autonomy to family responsibility to distributive justice. Specific topics covered include end-of-life decision making, family relations across generations, age-based intergenerational policies, and the reform of Social Security. Contributors:W. Andrew Achenbaum, Ph.D., University of Houston, Houston; Vern L. Bengtson, Ph.D., University of Southern California, Los Angeles; Robert H. Binstock, Ph.D., Case Western Reserve University; Christine E. Bishop, Ph.D., Brandeis University; Thomas R. Cole, Ph.D., University of Texas Medical School at Houston; Peter A. Diamond, Ph.D., Massachusetts Institute of Technology; Nancy Neveloff Dubler, LL.B., Albert Einstein College of Medici Msgr. Charles J. Fahey, Fordham University; Lucy Feild, Ph.D., R.N., Partners Human Research Quality Improvement Program; Martha B. Holstein, Ph.D., DePaul University; Robert B. Hudson, Ph.D., Boston University; Eric R. Kingson, Ph.D., Syracuse University; Ronald J. Manheimer, Ph.D., University of North Carolina at Ashevil Kyriakos S. Markides, Ph.D., University of Texas Medical Branch; Daniel C. Marson, J.D., Ph.D., University of Alabama at Birmingham; H. Rick Moody, Ph.D., AARP Peter R. Orszag, Ph.D., Brookings Institution; Rachel Pruchno, Ph.D., University of Medicine and Dentistry of New Jersey--School of Osteopathic Medici Norella M. Putney, Ph.D., University of Southern California, Los Angeles; Michael Smyer, Ph.D., Boston Colle Bruce Stuart, Ph.D.,University of Maryl Melanie A. Wakeman, Ph.D., California State University, Los Angeles; Steven P. Wallace, Ph.D., University of California at Los Angeles; John B. Williamson, Ph.D., Boston College.




Pathy's Principles and Practice of Geriatric Medicine


Book Description

This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM