Hospitalists' guide to the care of older patients [[electronic resource] /] / Brent Williams, Preeti Malani, David Wesorick

• Record Nr.: UNINA9910811646703321
• Autore: Williams Brent (Brent C.)
• Pubbl/distr/stampa: Hoboken, New Jersey, : John Wiley and Sons, Inc., 2013
• ISBN: 1-118-67496-0; 1-118-67495-2
• Edizione: [1st ed.]
• Descrizione fisica: 1 online resource (281 p.)
• Collana: Hospital Medicine: Current Concepts
• Altri autori (Persone): MalaniPreeti N; WesorickDavid
• Disciplina: 618.97
• Soggetti: Geriatric nursing; Geriatrics
• Lingua di pubblicazione: Inglese
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Note generali: Description based upon print version of record.
• Nota di bibliografia: Includes bibliographical references.
• Nota di contenuto: Cover; Hospital Medicine: Current Concepts; Title page; Copyright page; Contents; Contributors; CHAPTER 1: Introduction and Overview; Intended Audience and Use; Acknowledgments; References; CHAPTER 2: The Hospitalized Older Adult: Communication and Physical Examination; Introduction; Pearls for Communicating with Older Patients; Make It a Habit to Demonstrate Reverence for Older Patients; Control the Environment to Facilitate Communication; Sit Down and Listen to the Patient; Performing the Geriatric Physical Examination; Appearance; Dress; Language; Behaviors; The Face; The Eyes; The Mouth; Arm and Hand MovementsSitting and Standing Postures; Putting It All Together; Illness versus Disease; Further Reading; CHAPTER 3: Geriatric Assessment for the Hospitalist; Introduction; Framework for Geriatric Assessment in the Hospital; Evidence for Geriatric Assessment; Comprehensive Geriatric Assessment; Acute Care of the Elderly (ACE) Units; Geriatric Assessment in "Usual Care" Hospital Services: Hospital Elder Life Programs (HELPs); Geriatric Assessment in Hospitalist Practice; At Admission and During the Hospital Stay; Discharge Planning (Transition Care); Integrating Assessment in the Hospital Team WorkflowTools to Integrate Assessment into Hospital Care of Older Patients; Conclusion; ; References; CHAPTER 4: Informed Decision-Making and the Evaluation of Decision-Making Capacity; Introduction; How Often Do Patients Lack Decision-Making Capacity?; Neuropsychiatric Conditions that Affect Capacity; Delirium; Dementia; Psychiatric Illness; Determination of Decision-Making Capacity; Before the Assessment: The Clinician's Responsibilities to the Patient; Applying the "Four Abilities" Model: Considering Function in Context; Documentation of the EvaluationClinical Implications of a Capacity Evaluation Document; Beyond Capacity Assessment: Working with Patients Making Decisions; Influences on Medical Decision-Making; Obstacles to Good Decision-Making; Conclusion; References; CHAPTER 5: Caring for Patients with Limited Prognosis: Negotiating Goals of Care and Planning for the End-of-Life; Introduction; Role of Palliative Care in the Care of Patients with Limited Prognosis; Assessing Prognosis; General Concepts of Prognosis; Tools used in Prognosis: Debility and Dementia; Debility; Dementia; Communication with Patient and Families Regarding Prognosis and Negotiating Goals of CareFamily Meeting: Before You Begin; Family Meeting: The Opening; Family Meeting: Elements of Effective Communication; Family Meeting: Closing and Follow-Up; Goals of Care: Specific Topics and Scenarios; Code Status and Do-Not-Resuscitate Orders; The Role of Advance Directives in Decision-Making; Dealing with Conflict: The Family That Wants "Everything" and the Concept of Futile Care; Planning for the End of Life: Hospice Care; Conclusion; References; CHAPTER 6: Geriatric Pharmacotherapy; Challenges in Prescribing for Older Adults
• Sommario/riassunto: 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