GERIATRICS

Common Cognitive Issues in Home-Based Medical Care

Jan 31, 2017 by in GERIATRICS Comments Off on Common Cognitive Issues in Home-Based Medical Care

Anticholinergics Antihistamines, including H2 blockers Overactive bladder treatments Antispasmodics Anti-Parkinsonian agents Antidepressants Antipsychotics Benzodiazapines Nonsteroidal anti-inflammatory drugs (NSAIDs) Opioids Sedatives Steroids Table 5.2 Causes of non-AD-related cognitive impairment Type of…

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Common Infections

Jan 31, 2017 by in GERIATRICS Comments Off on Common Infections

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…

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Adult Psychiatric Care in the Home

Jan 31, 2017 by in GERIATRICS Comments Off on Adult Psychiatric Care in the Home

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…

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Common Neurologic Issues

Jan 31, 2017 by in GERIATRICS Comments Off on Common Neurologic Issues

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…

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Common Functional Problems

Jan 31, 2017 by in GERIATRICS Comments Off on Common Functional Problems

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…

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Care Planning and Coordination of Services

Jan 31, 2017 by in GERIATRICS Comments Off on Care Planning and Coordination of Services

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…

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Introducing Home-Based Medical Care

Jan 31, 2017 by in GERIATRICS Comments Off on Introducing Home-Based Medical Care

© 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…

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Social and Ethical Issues in Home-Based Medical Care

Jan 31, 2017 by in GERIATRICS Comments Off on Social and Ethical Issues in Home-Based Medical Care

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…

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Palliative Care

Jan 31, 2017 by in GERIATRICS Comments Off on Palliative Care

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…

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Caregiving

Jan 31, 2017 by in GERIATRICS Comments Off on Caregiving

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…

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