Geriatric Psychiatry : A Case-Based Textbook

• Autore: Hategan Ana
• Pubblicazione: Cham : , : Springer International Publishing AG, , 2024; ©2024
• Edizione: 2nd ed.
• Descrizione fisica: 1 online resource (939 pages)
• Disciplina: 618.97689
• Altri autori: BourgeoisJames A HirschCalvin H GirouxCaroline
• Nota di contenuto: Intro -- Foreword 1 -- Foreword 2 -- References -- Preface -- References -- Contents -- Contributors -- I: Basic Principles in the Assessment and Treatment of Late-Life Neuropsychiatric Syndromes -- 1: Physiology and Pathology of Aging -- 1.1 Background -- 1.1.1 Normal Versus Normative Aging -- 1.1.2 Loss of Resilience -- 1.1.3 Construct of Frailty -- 1.1.4 Multimorbidity -- Prevalence of Multimorbidity in Older Adults -- Physiological Mechanisms Underlying Multimorbidity and Functional Decline -- The Aging Effects of Chronic Inflammation -- Chronic Inflammation and Physical Performance -- Inflammation and Geriatric Depression -- 1.1.5 Telomere Length, Inflammation, and Multimorbidity -- Significance of Telomeres and Aging -- 1.1.6 Aging in Individual Organ Systems and Implications for Disease and Treatment -- The Aging Nervous System -- Morphological and Metabolic Changes in the Brain -- Cognitive Changes with Aging -- Changes in the Peripheral Nervous System -- Aging and the Perception of Pain -- 1.1.7 Age-Related Changes in the Heart -- Ventricular Function -- Atrial Fibrillation and Cognitive Function -- Autonomic Changes -- Orthostatic Hypotension -- Aging of the Cardiac Conduction System -- 1.1.8 The Aging Lung -- 1.1.9 The Aging Endocrine System -- Thyroid Disorders -- Sex Hormones, Aging, and Cognition -- Estrogen Replacement Therapy in Postmenopausal Women -- Neurocognitive Effects of Testosterone in Older Men -- Testosterone and Cognition -- Testosterone and Depression -- 1.1.10 Clinically Relevant Age-Associated Changes in Kidney and Liver Function -- 1.1.11 Sarcopenia of Aging -- 1.2 Case Studies -- 1.2.1 Case 1 -- Case 1 History -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- 1.2.2 Case 2 -- Case 2 History -- Case 2 Questions and Answers -- Case 2 Questions -- Case 2 Answers -- Case 2 (Continued). ; 1.3 Key Points: Physiology and Pathology of Aging -- 1.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 2: Comprehensive Geriatric Assessment -- 2.1 Background -- 2.1.1 Overview -- 2.1.2 Cognition and Mood -- 2.1.3 Functional Ability -- 2.1.4 Physical Health -- Vision and Hearing -- Urinary Incontinence -- Nutrition -- Falls -- 2.1.5 Medication Review -- 2.1.6 Social Supports -- 2.1.7 Focused Geriatric Physical Examination -- Vital Signs -- Head and Neck Examination -- Cardiopulmonary Examination -- Abdominal Examination -- Lower Extremity Examination -- Neurological Examination -- Level of Consciousness -- Cranial Nerves (CN) -- Motor Exam -- Abnormal Muscle Movements -- Coordination and Gait -- Reflexes -- Sensory -- 2.1.8 Special Challenges with Geriatric Patients -- Atypical Presentation -- The Older Psychiatric Patient as Poor Historian -- 2.2 Case Studies -- 2.2.1 Case 1 -- Case 1 History -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- Case 1 (Continued) -- Case 1 (Continued) -- 2.2.2 Case 2 -- Case 2 History -- Case 2 Questions and Answers -- Case 2 Questions -- Case 2 Answers -- Case 2 (Continued) -- Case 2 (Continued) -- 2.3 Key Points: Comprehensive Geriatric Assessment -- 2.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 3: Neuroimaging in Clinical Geriatric Psychiatry -- 3.1 Background -- 3.1.1 Introduction -- 3.1.2 Brain Structure and Networks -- Neuroanatomical Landmarks -- Cortical Cytoarchitecture Classification (Brodmann Areas) -- Functional Brain Networks -- 3.1.3 Age-Related Changes in Brain Structure and Brain Networks -- 3.1.4 Overview of Brain Imaging Modalities -- Structural Brain Imaging -- Computed Tomography (CT) -- Magnetic Resonance Imaging (MRI) -- Contraindications for Structural Imaging -- Functional Brain Imaging: SPECT and PET. ; Neuroimaging in the Clinic -- Structural Brain Imaging in the Clinic: CT and MRI Scan -- Functional Brain Imaging in the Clinic: PET and SPECT Scans -- 3.2 Case Studies -- 3.2.1 Case 1 -- Case 1 History -- Mental Status Examination -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- Case 1 (Continued) -- 3.2.2 Functional Imaging Brief Cases -- Case 1 -- Case 2 -- Case 3 -- Case 4 -- Case 5 -- Case 6 -- 3.2.3 Sampler CT Scan Cases -- 3.3 Key Points: Neuroimaging in Clinical Geriatric Psychiatry -- 3.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 4: Neuropsychology in Late Life -- 4.1 Background -- 4.1.1 Rationale -- 4.1.2 Neuropsychology of Normal Aging -- Attention and Executive Cognitive Changes -- Memory-Related Changes -- 4.1.3 Neurocognitive Disorder -- 4.1.4 Neuropsychological Assessment Procedures -- Interview -- Establishing Premorbid Level of Functioning -- Subjective Cognitive and Physical Changes -- Establishing Nature and Course of Decline -- Daily Functioning -- Collateral Interview -- Cognitive Screening -- Comprehensive Neuropsychological Assessment -- Format of Assessment -- Intellectual Ability -- Attention/Executive Function -- Memory -- Language -- Visual-Spatial and Constructional Skills -- Praxis -- Importance of Qualitative Observations -- 4.2 Case Studies -- 4.2.1 Case 1 -- Case 1 History -- Interview -- Collateral Interview -- Medical History -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- 4.2.2 Case 2 -- Case 2 History -- Case 2 Questions and Answers -- Case 2 Questions -- Case 2 Answers -- 4.3 Key Points: Neuropsychology in Late Life -- 4.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 5: Pharmacotherapy: Safe Prescribing and Adverse Drug Events -- 5.1 Background. ; 5.1.1 General Principles of Pharmacotherapy in Old Age -- 5.1.2 Epidemiology of Polypharmacy and Adverse Drug Events -- 5.1.3 Prescription Complexity -- 5.1.4 Drug-Food/Nutrient Interactions -- Absorption -- Metabolism of Drugs -- Distribution of Drugs -- Altered Effect -- Nutritional Status -- 5.1.5 Dietary Supplements and Drug-Supplement Interactions -- 5.1.6 Potentially Inappropriate Medications (PIMs) -- Identifying PIMs -- 5.1.7 Medications of Special Concern for Older Adults -- Anticholinergic Medications -- Psychotropics and Fall Risk -- Antipsychotics and Metabolic Syndrome -- Psychotropic Medication and Hyponatremia -- Definition of Hyponatremia -- Hyponatremia Associated with Psychotropic Medication -- Diagnosis and Management of SIADH -- The Adverse Effects of Lithium in Older Patients -- 5.1.8 Adverse Reactions Meriting Special Consideration -- Neuroleptic Malignant Syndrome and Serotonin Syndrome: Recognition and Management -- Neuroleptic Malignant Syndrome -- Serotonin Syndrome -- Management of Neuroleptic Malignant Syndrome and Serotonin Syndrome -- QTc Prolongation and Risk of Ventricular Arrhythmias -- Selective Serotonin Reuptake Inhibitors and Risk of Bleeding -- 5.1.9 Deprescribing: A Clinical Approach to Polypharmacy -- 5.2 Case Studies -- 5.2.1 Case 1 -- Case 1 History -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- Case 1 (Continued) -- 5.2.2 Case 2 -- Case 2 History -- Case 2 Questions and Answers -- Case 2 Questions -- Case 2 Answers -- 5.3 Key Points: Pharmacotherapy: Safe Prescribing and Adverse Drug Events -- 5.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 6: Neuromodulation Therapies I: Electroconvulsive Therapy -- 6.1 Background -- 6.1.1 Introduction -- 6.1.2 History of Electroconvulsive Therapy (ECT) -- 6.1.3 The Electrical Stimulus -- 6.1.4 Electrode Placement. ; 6.1.5 Stimulus Dosing -- 6.1.6 Seizure Monitoring -- 6.1.7 Mechanism of Action -- 6.1.8 Cardiovascular Response to ECT -- 6.1.9 Pre-ECT Evaluation -- 6.1.10 Informed Consent -- 6.1.11 Management of Medications -- 6.1.12 Use of ECT in Geriatric Psychiatry -- 6.1.13 Diagnostic Indications and Efficacy -- Major Depressive Disorder -- Bipolar Disorder -- Other Disorders -- Schizophrenia -- Catatonia and Neuroleptic Malignant Syndrome (NMS) -- Parkinson Disease and Dyskinesias -- Major Neurocognitive Disorder (Dementia) -- Poststroke Depressive Disorder -- 6.1.14 Side Effects in Geriatric Patients -- Cardiac Complications -- Pulmonary Complications -- Postictal and Interictal Confusion -- Cognitive Impairment -- 6.1.15 Continuation ECT and Maintenance ECT -- 6.1.16 Electroconvulsive Therapy Versus Repetitive Transcranial Magnetic Stimulation -- 6.1.17 Electroconvulsive Therapy Plus Ketamine and ECT Versus Ketamine -- 6.2 Case Studies -- 6.2.1 Case 1 -- Case 1 History -- Case 1 Questions and Answers -- Case 1 Questions -- Case 1 Answers -- Case 1 (Continued) -- 6.2.2 Case 2 -- Case 2 History -- Case 2 Questions and Answers -- Case 2 Questions -- Case 2 Answers -- 6.3 Key Points: Neuromodulation Therapies I: Electroconvulsive Therapy -- 6.4 Comprehension Multiple Choice Question (MCQ) Test and Answers -- References -- 7: Neuromodulation Therapies II: Repetitive Transcranial Magnetic Stimulation and Deep Brain Stimulation -- 7.1 Background -- 7.1.1 Neuromodulation Therapies -- 7.1.2 Repetitive Transcranial Magnetic Stimulation (rTMS) -- History of rTMS -- Methods of Stimulation -- Mechanism of Action -- rTMS in the General Adult Population -- Trials Including Older Patients -- Trials Specific to Older Patients -- Indications for rTMS -- Major Depressive Disorder -- Bipolar Depression -- Depressive Episode with Psychotic Features. ; Vascular Depressive Disorder.
• Titolo autorizzato: Geriatric Psychiatry
• ISBN: 3-031-47802-9
• Formato: Materiale a stampa
• Livello bibliografico: Monografia
• Lingua di pubblicazione: Inglese
• Record Nr.: 9910847085603321
• Lo trovi qui: Univ. Federico II