Brain region Hemisphere Functional region Stroke symptom Cortex Left Language Speech fluency or language (Aphasia) Vision Visual field defects Sensorimotor Right-sided sensory impairment and/or hemiparesis or hemiplegia Cognition Inability to…
Alternative diagnosis Comments Asymptomatic bacteriuria Consider in patients presenting with delirium who lack the ability to give a urinary ROS Volume depletion Consider in patients presenting with malodorous urine without…
Over the last 2 weeks, how often have you been bothered by any of the following problems? Not at all Several days More than half of the days Nearly every…
Home-based medical care • Diagnostic • Urgent care • Hospital at home • Transitional care • Chronic primary care • Palliative care Home health agency • Nursing – Infusion – Wound care – Education – Assessment – Psychiatric nursing • Therapy – Physical – Occupational…
Malignancy (19–36 %) Gastrointestinal: accounts for 50 % Lung, lymphoma, prostate, ovarian, or bladder Nonmalignant gastrointestinal disease (9–19 %) Swallowing and motility disorders Peptic ulcer disease Malabsorption Chronic diseases Endocrine…
Fig. 12.1 Homecare medicine and palliative care : skills and settings Table 12.1 Primary palliative care Key components of primary palliative care Pain/symptom assessment and management Social/spiritual assessment Understanding of…
© Springer International Publishing Switzerland 2016Jennifer L. Hayashi and Bruce Leff (eds.)Geriatric Home-Based Medical Care10.1007/978-3-319-23365-9_1 1. Introducing Home-Based Medical Care Jennifer L. Hayashi1 and Bruce Leff1 (1) Division of Geriatric Medicine and Gerontology, Johns Hopkins University School of…
Patient characteristics Caregiver characteristics Dementia, especially with neuropsychiatric symptoms or behavioral disturbances [8] Increasing ADL/IADL dependence [10, 12] Presence of geriatric syndromes (e.g., falls, sleep disturbance) [10, 12] Spouse and/or…
Accurately understand the choices Manipulate relevant information and weigh risks and benefits Communicate a decision Be consistent 11.4.2 Threshold for Evaluation and Certification of Incapacity Even when a person can…
Patient-focused care Providing care that is respectful of and responsive to individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions. The support for a…
