LEADER 05513nam 2200637 450 001 9910812195003321 005 20200520144314.0 035 $a(CKB)2670000000609728 035 $a(EBL)2028117 035 $a(SSID)ssj0001540093 035 $a(PQKBManifestationID)11945656 035 $a(PQKBTitleCode)TC0001540093 035 $a(PQKBWorkID)11533843 035 $a(PQKB)10608424 035 $a(MiAaPQ)EBC2028117 035 $a(Au-PeEL)EBL2028117 035 $a(CaPaEBR)ebr11044610 035 $a(CaONFJC)MIL769432 035 $a(OCoLC)907676401 035 $a(PPN)219879125 035 $a(EXLCZ)992670000000609728 100 $a20150504h20152015 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 00$aPsychology and geriatrics $eintegrated care for an aging nation /$fedited by Benjamin A. Bensadon, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida, USA ; contributors, Maristela Baruiz Garcia, MD [and seventeen others] 210 1$aLondon, [England] :$cAcademic Press,$d2015. 210 4$dİ2015 215 $a1 online resource (280 p.) 300 $aDescription based upon print version of record. 311 $a0-12-420181-4 311 $a0-12-420123-7 320 $aIncludes bibliographical references at the end of each chapters and index. 327 $aFront Cover; Psychology and Geriatrics; Copyright Page; Contents; List of Contributors; Foreword; Introduction: Why Integrate?; Patient-Centered Outcomes Research Institute; Workforce; Politics of "Evidence"; Common Factors; Perception; References; 1 Goal-Oriented Care; Introduction; Goal-Oriented Care: A Practical Approach; Barriers/Challenges to Goal-Setting in Clinical Practice; System Level Barriers; Inadequate Resource Allocation; Time-Constrained Patient-Clinician Encounters; Care Fragmentation; Reductionism and Jurisdiction; Clinician Level Barriers 327 $aLack of Emphasis in the Academic CurriculaFailure to Contextualize; Paternalism, Lack of Introspection, and Difficulty Dealing with Uncertainty; Cultural Competence; Failure to Recognize Response Shifts; Patient Level Barriers; Difficulty in Making Decisions; Level of Patient Engagement in the Goal-Setting Process; Variability in Degree of Health Literacy; Unrealistic Goals; Heterogeneity Among Older Adults; Conclusion; References; 2 Family Caregiving; Introduction; The Scope of Caregiving in Contemporary Society; Identifying and Working with Caregivers in Clinical Settings 327 $aIncluding Caregivers in Patient DiscussionsMemory Concerns and Dementia; Case Example; Evaluating Memory Concerns; Depression; Anxiety; Personality Disorders; Difficulties Determining Who Is the Caregiver; Case Example; Types of Stress: Challenges and Resources; Secondary Stressors; "Persistent" Stressors; Intervention Strategies; Structural Characteristics of Treatment; Treatment Components; Case Example; Follow-up with Caregivers; Conclusions; References; 3 Attitudes, Beliefs, and Behavior; Introduction; Clinical Relevance; Memory; "Anti-Dementia" Therapy; Caregiver Burden 327 $aMild Cognitive ImpairmentBeyond Cognition; Adherence; Uncomfortable Discussions; Physician Beliefs; Sensitizing Learners to Chronic Disease Impact: The Oklahoma Experience; References; 4 Communication; Introduction; Communication Training; Cognition; Mood; Function and Stigma; Presence of a Third Person; Caregiver Burnout; Breaking Bad News; Time; Training Targets; Information Exchange; Teach-Back Method; Psychosocial Talk; Shared Decision-Making; Empathy; Final Recommendations; Future; References; 5 Culture of Medicine; Introduction; Hippocratic Oath; Patient-Centeredness; Trust and Respect 327 $aTouchy FeelyZero-Sum Game; Empathy Vs Blame; Hidden Curriculum; God Complex; Future Solutions; References; 6 Psychology Consult: When and Why; Introduction; Case Example: Late Life Depression and Suicide Risk; Dealing with Death; Case Example: Frailty and End of Life; Who is the Expert?; Consultation with Occupational and Physical Therapies; Psychiatry vs Psychology; Turf; Co-location; The Medical Model of Health care; Case Example: Differential Diagnosis; Long-Term Care; Living Old; Chronic Disease; Loss of Personal Control; Loss of Independence and Confidence; Burden 327 $aCase Example: Postoperative Reassurance and Follow-up 330 $aThis reference brings together psychological perspectives and medical approaches among professionals in research, educational, and clinical capacities to demonstrate the value of incorporating psychological knowledge and insight into medical training and care of geriatric patients. With a multidisciplinary panel of expert authors, this unprecedented book includes direct physician-psychologist communication, a model, itself, for integrated healthcare. Contributors will include leading doctors of psychology with proven expertise in elder care, a medical school curricula and evaluation authority 606 $aOlder people$xPsychology 606 $aAging$xPsychological aspects 615 0$aOlder people$xPsychology. 615 0$aAging$xPsychological aspects. 676 $a155.67 702 $aBensadon$b Benjamin A. 702 $aGarcia$b Maristela Baruiz 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910812195003321 996 $aPsychology and geriatrics$94111051 997 $aUNINA