Tabla de contenidos provista por Syndetics

• List of Tables and Figures(p. xi)
• Preface(p. xx)
• Part I The Aging Patient and Geriatric Assessment(p. 1)
• 1. Clinical Implications of the Aging Process(p. 3)
• Changes Associated with "Normal" Aging(p. 4)
• Biological Aging(p. 5)
• Clinical Implications(p. 10)
• Classifying Geriatric Problems(p. 12)
• Diagnosis versus Functional Status(p. 14)
• References(p. 14)
• Suggested Readings(p. 15)
• 2. The Geriatric Patient: Demography, Epidemiology, and Health Services Utilization(p. 17)
• Growth in Numbers(p. 18)
• Disability(p. 22)
• Social Support(p. 23)
• Use of Services(p. 24)
• Nursing Home Use(p. 26)
• References(p. 33)
• Suggested Readings(p. 33)
• 3. Evaluating the Geriatric Patient(p. 35)
• The History(p. 38)
• The Physical Examination(p. 44)
• Laboratory Assessment(p. 49)
• Functional Assessment(p. 49)
• Environmental Assessment(p. 56)
• Assessment for Pain(p. 57)
• Nutritional Assessment(p. 58)
• Geriatric Consultation(p. 62)
• Preoperative Evaluation(p. 64)
• References(p. 68)
• Suggested Readings(p. 70)
• 4. Developing Clinical Expectations(p. 71)
• Clinical Glide Paths(p. 73)
• Disease Management(p. 75)
• Benchmarks(p. 76)
• Minimum Data Set for Nursing Homes(p. 80)
• OASIS(p. 81)
• Role of Outcomes in Assuring Quality of Long-Term Care(p. 81)
• Technology for Quality Improvement(p. 86)
• Computer Technology(p. 87)
• Terminal Care(p. 89)
• Summary(p. 90)
• References(p. 90)
• Part II Differential Diagnosis and Management(p. 91)
• 5. Prevention(p. 93)
• General Principles(p. 93)
• Effectiveness of Prevention in Older People(p. 96)
• Osteoporosis(p. 104)
• Generic Approaches(p. 105)
• Preventing Disability(p. 109)
• Iatrogenesis(p. 110)
• Special Risks of Hospitals(p. 112)
• Labeling(p. 117)
• Summary(p. 118)
• References(p. 118)
• Suggested Readings(p. 119)
• 6. Confusion: Delirium and Dementia(p. 121)
• Defining Confusion(p. 121)
• Differential Diagnosis of Confusion(p. 123)
• Delirium(p. 124)
• Dementia(p. 129)
• Evaluation(p. 134)
• Management of Dementia(p. 140)
• References(p. 143)
• Suggested Readings(p. 145)
• 7. Diagnosis and Management of Depression(p. 147)
• Aging and Depression(p. 147)
• Symptoms and Signs of Depression(p. 148)
• Depression Associated with Medical Conditions(p. 153)
• Diagnosing Depression(p. 157)
• Management(p. 161)
• References(p. 169)
• Suggested Readings(p. 171)
• 8. Incontinence(p. 173)
• Normal Urination(p. 175)
• Causes and Types of Incontinence(p. 179)
• Evaluation(p. 188)
• Management(p. 195)
• Fecal Incontinence(p. 212)
• References(p. 215)
• Suggested Readings(p. 217)
• 9. Instability and Falls(p. 219)
• Aging and Instability(p. 220)
• Causes of Falls in Older Persons(p. 223)
• Evidence on Falls Prevention(p. 228)
• Evaluating the Elderly Patient Who Falls(p. 231)
• Management(p. 235)
• References(p. 242)
• Suggested Readings(p. 244)
• 10. Immobility(p. 245)
• Causes(p. 245)
• Complications(p. 247)
• Assessing Immobile Patients(p. 247)
• Management of Immobility(p. 250)
• Pain Management(p. 266)
• Exercise(p. 271)
• Rehabilitation(p. 271)
• References(p. 274)
• Suggested Readings(p. 275)
• Part III General Management Strategies(p. 279)
• 11. Cardiovascular Disorders(p. 281)
• Physiological Changes(p. 281)
• Hypertension(p. 283)
• Stroke and Transient Ischemic Attacks(p. 289)
• Coronary Artery Disease(p. 294)
• Valvular Heart Disease(p. 296)
• Arrhythmias(p. 299)
• Congestive Heart Failure(p. 300)
• References(p. 301)
• Suggested Readings(p. 303)
• 12. Decreased Vitality(p. 305)
• Endocrine Disease(p. 305)
• Anemia(p. 318)
• Nutrition(p. 322)
• Infections(p. 324)
• Disorders of Temperature Regulation(p. 328)
• References(p. 332)
• Suggested Readings(p. 333)
• 13. Sensory Impairment(p. 335)
• Vision(p. 335)
• Hearing(p. 344)
• Taste(p. 352)
• Polyneuropathy(p. 352)
• Acknowledgment(p. 353)
• References(p. 353)
• Suggested Readings(p. 356)
• 14. Drug Therapy(p. 357)
• Nonpharmacological Factors Influencing Drug Therapy(p. 357)
• Adverse Drug Reactions and Interactions(p. 361)
• Aging and Pharmacology(p. 366)
• Geriatric Prescribing(p. 379)
• Geriatric Psychopharmacology(p. 379)
• References(p. 387)
• Suggested Readings(p. 388)
• 15. Health Services(p. 389)
• Public Programs(p. 391)
• Long-term Care(p. 398)
• The Nursing Home(p. 406)
• Assisted Living(p. 414)
• Home Care(p. 415)
• Other Services(p. 419)
• Case Management(p. 420)
• References(p. 421)
• Suggested Readings(p. 423)
• 16. Nursing Home Care(p. 425)
• The Goals of Nursing Home Care(p. 425)
• Clinical Aspects of Care for Nursing Home Residents(p. 427)
• Process of Care in the Nursing Home(p. 429)
• Strategies to Improve Medical Care in Nursing Homes(p. 439)
• Subacute Care and the Nursing Home--Acute-Care Hospital Interface(p. 451)
• Ethical Issues in Nursing Home Care(p. 452)
• References(p. 452)
• Suggested Readings(p. 454)
• 17. Ethical Issues in the Care of Older Persons(p. 455)
• Autonomy and Beneficence(p. 456)
• Competence and Informed Consent(p. 456)
• Advance Directives and End-of-Life Care(p. 459)
• The Physician's Role(p. 464)
• Special Problems with Nursing Home Residents(p. 466)
• Special Case of Dementia(p. 469)
• Policy Issues(p. 469)
• Summary(p. 471)
• References(p. 472)
• Suggested Readings(p. 474)
• Appendix A Suggested Geriatric Medical Forms(p. 475)
• Katz Index of Independence in Activities of Daily Living (ADL)(p. 475)
• Lawton/Brody Instrumental Activities of Daily Living Scale(p. 477)
• Main Components of the Tinetti Fall Risk Scale(p. 479)
• Reuben's Physical Performance Test(p. 480)
• Mini-Mental State Exam (MMSE)(p. 482)
• The Geriatric Depression Scale(p. 483)
• Key Components of a Comprehensive Geriatric Assessment: The Medical History and Physical Exam(p. 484)
• Dementia Assessment(p. 494)
• Incontinence Assessment(p. 500)
• Assessment for Patients Who Fall(p. 507)
• Appendix B Selected Internet Resources on Geriatrics(p. 511)
• Organizations(p. 511)
• Clinical Topics-For Professionals(p. 512)
• Clinical Topics-For Patients(p. 515)
• Index(p. 519)

Notas de autor provistas por Syndetics

Robert L. Kane, MD: Professor and Minnesota Endowed Chair in Long-Term Care and Aging, School of Public Health, University of Minnesota, Minneapolis
Joseph G. Ouslander, MD: Professor of Medicine and Nursing Director, Division of Geriatric Medicine and Gerontology; Chief Medical Officer, Wesley Woods Center; Director, Center for Health in Aging, Emory University; Research Scientist, Birmingham/Atlanta VA GRECC Atlanta, Georgia
Itamar B. Abrass, MD: Professor and Head, Division of Gerontology and Geriatric Medicine, University of Washington Seattle