LEADER 05480nam 2200685Ia 450 001 9910811646703321 005 20240314022805.0 010 $a1-118-67496-0 010 $a1-118-67495-2 035 $a(CKB)2670000000402005 035 $a(EBL)1324464 035 $a(OCoLC)854977402 035 $a(SSID)ssj0000951318 035 $a(PQKBManifestationID)11577464 035 $a(PQKBTitleCode)TC0000951318 035 $a(PQKBWorkID)10893242 035 $a(PQKB)11662946 035 $a(MiAaPQ)EBC1324464 035 $a(Au-PeEL)EBL1324464 035 $a(CaPaEBR)ebr10740148 035 $a(CaONFJC)MIL507224 035 $a(EXLCZ)992670000000402005 100 $a20130711d2013 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aHospitalists' guide to the care of older patients /$fBrent Williams, Preeti Malani, David Wesorick 205 $a1st ed. 210 $aHoboken, New Jersey $cJohn Wiley and Sons, Inc.$d2013 215 $a1 online resource (281 p.) 225 1 $aHospital Medicine: Current Concepts 300 $aDescription based upon print version of record. 311 $a1-299-75973-4 311 $a1-118-12792-7 320 $aIncludes bibliographical references. 327 $aCover; 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 327 $aArm 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) 327 $aIntegrating 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 327 $aDocumentation 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 327 $aCommunication 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 327 $aChallenges in Prescribing for Older Adults 330 $a The first book designed specifically for hospitalists and other hospital-based staff who need concise, evidence-based guidance on the vital topic of caring for older hospitalized patients Hospitalists' Guide to the Care of Older Patients is an up-to-date, practical reference in geriatric medicine for hospitalists, as well as other physicians and nurses working in the hospital setting. The book uses numerous tables, figures, and images to highlight the areas of geriatric medicine that are most relevant to hospitalists. Written by nationally recognized experts, chapters broadly follow 410 0$aHospital Medicine: Current Concepts 606 $aGeriatric nursing 606 $aGeriatrics$vHandbooks, manuals, etc 615 0$aGeriatric nursing. 615 0$aGeriatrics 676 $a618.97 700 $aWilliams$b Brent$g(Brent C.)$01666265 701 $aMalani$b Preeti N$01666266 701 $aWesorick$b David$01666267 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910811646703321 996 $aHospitalists' guide to the care of older patients$94025435 997 $aUNINA