Value Driven Healthcare and Geriatric Medicine: Implications for Today’s Changing Health System

 Geriatrics  Comments Off on Value Driven Healthcare and Geriatric Medicine: Implications for Today’s Changing Health System
May 192018
 

Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon.
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Geriatric Psychiatry: A Case-Based Textbook

 Geriatrics, Psychiatry  Comments Off on Geriatric Psychiatry: A Case-Based Textbook
Apr 052018
 

This textbook presents real-world cases and discussions that introduce the various mental health syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to students of geriatric psychiatry. With the latest DSM-5 guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both American and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry.
It will also appeal to audiences worldwide as a state-of-the-art resource for credentialing and/or practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care.

Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.

 

 

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Mandibular Implant Prostheses: Guidelines for Edentulous Geriatric Populations

 Geriatrics  Comments Off on Mandibular Implant Prostheses: Guidelines for Edentulous Geriatric Populations
Apr 022018
 

Written by leaders in the field, this comprehensive step-by-step guide combines up-to-date clinical and research information that will help clinicians to advance their theoretical and clinical knowledge on mandibular implant overdentures. Furthermore, it describes treatment considerations for geriatric populations, covering all relevant aspects from physiology to treatment planning and patient management in the surgical and prosthetic phases.
The phenomenon of aging is a global concern for policy makers, providers, and the public. Dentists worry especially about the burden their aging patients face to maintain their oral health-related quality of life and well-being. Furthermore, older patients require health care technologies that will enable them to maintain their oral health. Over the past few decades, mandibular implant-assisted complete prostheses have attracted the attention of both patients and clinicians, as research on the biological, functional, esthetic, and psychosocial benefits has increased. This book will be of value for all with an interest in the subject..

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The Encyclopedia of Elder Care, Fourth Edition

 Geriatrics  Comments Off on The Encyclopedia of Elder Care, Fourth Edition
Mar 302018
 

Praise for the Third Edition:
“The third edition of this outstanding resource reflects the many advances in the care of older people that have occurred since the publication of the second edition…The vast bulk of the content is accessible and relevant to an international audience. The indexing and cross-referencing are excellent… Score: 5/5 stars.”

– Margaret Arthur, Nursing Standard

“The information [in this book] is amazing. I reviewed topics in which I have expertise and was very satisfied. This is an excellent addition to my library and I will refer to it often, much like a medical dictionary… Score: 90, 4 Stars.”

–Doody’s Medical Reviews

“Provides 273 comprehensive, yet succinct, entries on a variety of topics related to elder care. In addition, many of the entries include see also references that help readers easily navigate the book. Recommended.”

–Choice: Current Reviews for Academic Libraries

This expanded, one-of-a-kind reference of more than 250 entries provides a comprehensive guide to all of the essential elements of elder care across a breadth of health and social service disciplines. Responding to the needs of providers, directcare workers, family, and other caregivers, the diverse array of entries included in this encyclopedia recognize and address the complex medical, social, and psychological problems associated with geriatric care. In addition to a brief, accessible summary of each topic, entries include several key references, including web links and mobile apps for additional sources of information.

This updated edition contains more than 30 new entries written by renowned experts that address a variety of elder care topics.

New to the Fourth Edition:
New entries addressing Ethics Consultation, Eye Disorders, Pain – Acute and Chronic, and many others

Key Features:
Provides succinct descriptions of over 250 key topics for health and social service clinicians
Offers crucial information for elder care providers across all settings and disciplines
Distills current, evidence-based literature sources
Written by nationally recognized expert researchers and clinicians
Includes links to useful websites and mobile apps

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Geriatric Diseases: Evaluation and Management

 Geriatrics  Comments Off on Geriatric Diseases: Evaluation and Management
Mar 282018
 

This volume provides a comprehensive overview of the unique clinical entities of diseases in older patients. The book arranges the organ systems in 21 sections, which include over 100 collective chapters on various age-related diseases in these organ systems. The text is specifically designed for ease-of-use and include learning tools that include multiple choice, short answer, and extended matching questions, case vignettes, self-assessments, and rich tables and illustrations.
Each section includes a review of the anatomy, physiology and pathology that are specific to aging patients. The text covers the complex factors that present diagnosis challenges, including the interaction of the disease process with co-existing morbidities, aged- related physiological changes and pre-existing functional challenges and psychosocial circumstances. The text also works with the previously published text Diseases in the Elderly: Age-Related Changes and Pathophysiology, which is tailored to complement this resource.
Written by experts in the field, Geriatric Diseases: Clinical Expression, Management and Impact is the ultimate guide on clinical expression and management of diseases in the elderly for medical students, residents, fellows, geriatricians, gerontologists, primary care physicians, internal medicine specialists, emergency room physicians, specialist nurses, and all other physicians and medical professionals treating older patients.

 

 

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Geriatric Trauma and Acute Care Surgery

 Geriatrics, Surgery  Comments Off on Geriatric Trauma and Acute Care Surgery
Mar 242018
 

The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population.
The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be.
A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.

 

 

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Post-Acute and Long Term Geriatric Care Clinical Advisor

 Geriatrics  Comments Off on Post-Acute and Long Term Geriatric Care Clinical Advisor
Mar 152018
 

Changing demographics have resulted in the elderly constituting a more significant proportion of the population. Many older people will develop functional impairment and disability, necessitating either support at home or admission to long-term care facilities, rehabilitation centers, psychiatric institutions and hospices. Guidance in the clinical challenges that face the staff of such institutions is essential.

Clinical practice guidelines dealing with many of the prevalent conditions in long-term care facilities have been published by the American Medical Directors Association; these aim to educate staff, improve patient outcomes, decrease avoidable transfers and reduce costs. Yet, guidelines do not cater methodically to problems resulting from the complex situations seen in older patients with multiple comorbidities. Textbooks are also often deficient in providing a focused approach to conditions and issues that are of importance in geriatric long-term care.

The present manuscript (Volumes I and II) focuses on case management in geriatric long-term care. Concise recommendations are provided, addressing diagnostic issues and management strategies. We have adopted an approach of dividing recommendations into ‘‘do’’ and ‘’do not’’ categories in order to guide physicians and nurses in their approach to conditions encountered frequently, to help them recognize ‘’red flag’’ signals, and to highlight significant unusual situations. When fine-tuning of management is indicated, the text goes into specifics, such as details on nutrition, pharmacology, medication dosing, therapeutic procedures, and the recognition of adverse events. Recent progress, shifting evidence, controversial issues and uncertainties are pinpointed. Expert advice is provided.
It is hoped that this book might prove to be a worthy contribution to the medical field, enriching doctors and nurses committed to long-term geriatric care

Book Review
“The subject of post acute care is very important and is the subject that makes geriatric care its special impact in medicine. This book contains the most important subjects in Post-Acute and Long Term Geriatric Care and serves as an excellent clinical advisor to the clinician. It covers the most common problems and subjects with many references and is written in a practical way to the reader by using the “Do” parts. The book also gives the approach to the subject through the long experience in acute care; as well as post acute care of clinician with excellent capacities in clinical education. Therefore, I think that this book can contribute to the daily work of many clinicians in an open field.” – Professor Yitshal N.Berner, Head, Geriatric Medicine, Meir Medical Center, Kfar Saba

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Geriatric Orthoptics and Non-Paretic Diplopia in Adults

 Geriatrics  Comments Off on Geriatric Orthoptics and Non-Paretic Diplopia in Adults
Mar 072018
 

Elderly patients are often afflicted with the onset of a convergent strabismus as a sign of aging, without any other neurologic disorder. Unfortunately, physicians and even ophthalmologists are generally unaware of this fact. Consequently, such patients fail to find timely help for their double vision. In addition, there are other geriatric alterations (such as cataracts, glaucoma and age-related maculopathy), which are connected with binocularity disorders but do not always result in double vision. These masked diplopia are only perceptible as the closing of one eye and the patient’s complaint of seeing clouds. Erroneous diagnoses have a dramatic outcome for many elderly people whose ability to read is vitally important for their quality of life. Studies on this topic and suggestions for improving the patients’ situation are contained in this book. The book also covers intractable diplopia, or “horror fusionis”, which is particularly difficult to understand. Examinations of the micromotility of the eyes could explain some of the puzzling observations. Although eye muscle palsies are generally outside the scope of this book’s focus, connections between neuro-ophthalmology (e.g. in Parkinson’s disease) and reading problems due to convergence insufficiency are discussed. Finally, this book examines what happens in adulthood to the numerous patients whose squints were operated on during childhood. Many of these patients later suffer problems such as double vision, which may be misinterpreted as eye muscle palsy.

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Fractures in the Elderly: A Guide to Practical Management, Second Edition

 Geriatrics, Orthopedics  Comments Off on Fractures in the Elderly: A Guide to Practical Management, Second Edition
Mar 032018
 

Newly revised and updated, this book provides geriatricians and orthopedic surgeons with the most vital tools to treat elderly patients who sustain a variety of fractures. The text uniquely encompass the etiologies of fracture in the elderly, perioperative management, the surgical treatment of common fractures in the elderly, as well as rehabilitation and prevention in the older patient.
It focuses on the most current data and opinions regarding assessment and management of geriatric conditions that predispose the elderly to fracture, perioperative complications and subsequent functional decline. Unlike any other text, experts in both orthopedics and geriatrics review the content of each chapter for readability and appeal to his/her respective discipline, making this the physician’s ultimate guide to treating elderly patients with injuries.

Fractures in the Elderly, Second Edition is a valuable resource for geriatricians, orthopedic surgeons, physiologists, and rehabilitation specialists.

 

 

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Comprehensive Geriatric Assessment

 Geriatrics  Comments Off on Comprehensive Geriatric Assessment
Feb 232018
 

This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are “core business” in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.

 

 

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