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 the course of hospitalization, from admission through daily
care and active management of the transition to post-hospital
settings, providing practical, evidence-based guidance at each
point. Contents include:
* A systematic approach to the care of older patients,
emphasizing clinical skills and daily activities that can be
implemented in today’s hospital environment
* Techniques for effective communication with patients and their
caregivers
* Tools and ‘pearls’ for quickly and accurately assessing the
whole patient, including risk for in-hospital complications,
function, decision-making capacity, and home support
* Best practices for prevention and management of the
complications of hospitalization, including delirium, falls,
pressure ulcers, and hip fractures
* Specific recommendations in areas with wide practice variation,
such as psychopharmacology and nutrition in older hospitalized
patients
* Practical guidance on complex issues, such as establishing
goals of care, managing patients who lack decision-making capacity,
and managing the discharge transition
* Methods to improve the daily work and communication of the
whole hospital team, including physicians, nurses, and other
healthcare providers
As the population ages, hospitalists are caring for an
increasing number of older patients. This book helps hospitalists
expand their knowledge, incorporate key clinical skills into daily
practice, build more efficient patient care teams, and teach more
effectively in today’s fast-paced, complex hospital
environment.
İçerik tablosu
CONTRIBUTORS vii
CHAPTER 1 INTRODUCTION AND OVERVIEW 1
Brent C. Williams, Preeti N. Malani, and David H. Wesorick
CHAPTER 2 THE HOSPITALIZED OLDER ADULT: COMMUNICATION AND PHYSICAL EXAMINATION 5
Mark E. Williams
CHAPTER 3 GERIATRIC ASSESSMENT FOR THE HOSPITALIST 17
Brent C. Williams
CHAPTER 4 INFORMED DECISION-MAKING AND THE EVALUATION OF DECISION-MAKING CAPACITY 31
Lisa S. Seyfried, Esther O. Akinyemi, and Scott Y.H. Kim
CHAPTER 5 CARING FOR PATIENTS WITH LIMITED PROGNOSIS: NEGOTIATING GOALS OF CARE AND PLANNING FOR THE END-OF-LIFE 47
Adam D. Marks and Caroline A. Vitale
CHAPTER 6 GERIATRIC PHARMACOTHERAPY 65
Gabe Solomon, Macgregor A. Montaño, and Paul C. Walker
CHAPTER 7 MANAGING BEHAVIORAL DISTURBANCES WITH PSYCHOACTIVE MEDICATIONS: DOS, DON’TS, AND MAYBES 93
David C. Belmonte, Jolene Bostwick, and Amy B. Rosinski
CHAPTER 8 ISSUES AND CONTROVERSIES SURROUNDING NUTRITION IN HOSPITALIZED OLDER ADULTS 115
Lauren W. Mazzurco, Joseph Murray, and Caroline A. Vitale
CHAPTER 9 HIP FRACTURE: MANAGING THE MEDICALLY COMPLEX, OLDER SURGICAL PATIENT 141
Paul J. Grant
CHAPTER 10 FALLS AND MOBILITY DURING HOSPITALIZATION 165
Cynthia J. Brown and Donna M. Bearden
CHAPTER 11 PRESSURE ULCERS: A PRIMER FOR THE HOSPITALIST 181
Aimée D. Garcia
CHAPTER 12 DELIRIUM 203
Tia R.M. Kostas and James L. Rudolph
CHAPTER 13 TRANSITIONAL CARE PLANNING: ASSURING A SAFE DISCHARGE 225
Satyen Nichani, Darius Joshi, and Christopher S. Kim
INDEX 247
Yazar hakkında
Brent C. Williams, MD, MPH, is an Associate Professor in the Divisions of Geriatric Medicine and General Medicine in the Department of Internal Medicine at the University of Michigan. A practicing general internist and geriatrician, Dr. Williams’ research and publications relate to medical education, faculty development, and health care for older adults. Author of over 50 peer-reviewed publications, he has served as Deputy Editor of the Journal of General Internal Medicine. Dr. Williams is currently Medical Director of the University of Michigan Complex Care Management Program.
Preeti N. Malani, MD, MSJ, is an Associate Professor of Medicine in the Divisions of Geriatric Medicine and Infectious Diseases at the University of Michigan and a Research Scientist at the Veterans Affairs Ann Arbor Healthcare System’s Geriatric Research Education and Clinical Center. Dr. Malani’s clinical and research interests include infections in older adults and inpatient geriatric consultation. She serves as an Associate Editor of the journal Infection Control and Hospital Epidemiology as well as Deputy Editor of Clinical Infectious Diseases. Dr. Malani is also a coeditor of the recently published 3rd edition of Practical Healthcare Epidemiology.
David H. Wesorick, MD, FHM, is an Assistant Professor in the Division of General Medicine in the Department of Internal Medicine at the University of Michigan. He is a practicing hospitalist and a clinical educator. He has written several practical articles and textbook chapters, directed at a hospitalist audience, on topics including diabetes management and perioperative management. He has also been active in hospitalist quality improvement at the national level with the Society of Hospital Medicine.
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