Post-Acute and Long Term Geriatric Care Clinical Advisor. Volume I

Jochanan E. Naschitz
The Technion Israel Institute of Technology, Haifa, Israel and Geriatric Medical Center, Baitbalev, Nesher, Israel

Series: Geriatrics, Gerontology and Elderly Issues
BISAC: MED032000




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Changing demographics have resulted in the elderly constituting a more significant proportion of the population. Many older people will develop functional impairment and disability, necessitating either support at home or admission to long-term care facilities, rehabilitation centers, psychiatric institutions and hospices. Guidance in the clinical challenges that face the staff of such institutions is essential.

Clinical practice guidelines dealing with many of the prevalent conditions in long-term care facilities have been published by the American Medical Directors Association; these aim to educate staff, improve patient outcomes, decrease avoidable transfers and reduce costs. Yet, guidelines do not cater methodically to problems resulting from the complex situations seen in older patients with multiple comorbidities. Textbooks are also often deficient in providing a focused approach to conditions and issues that are of importance in geriatric long-term care.

The present manuscript (Volumes I and II) focuses on case management in geriatric long-term care. Concise recommendations are provided, addressing diagnostic issues and management strategies. We have adopted an approach of dividing recommendations into ‘‘do’’ and ‘’do not’’ categories in order to guide physicians and nurses in their approach to conditions encountered frequently, to help them recognize ‘’red flag’’ signals, and to highlight significant unusual situations. When fine-tuning of management is indicated, the text goes into specifics, such as details on nutrition, pharmacology, medication dosing, therapeutic procedures, and the recognition of adverse events. Recent progress, shifting evidence, controversial issues and uncertainties are pinpointed. Expert advice is provided.

It is hoped that this book might prove to be a worthy contribution to the medical field, enriching doctors and nurses committed to long-term geriatric care.
(Imprint: Nova Biomedical)


Chapter 1. Introduction

Chapter 2. Essentials of Geriatric Care

Chapter 3. Geriatric Syndromes

Chapter 4. Urgenices and Emergencies

Chapter 5. Acute Disorders


“The subject of post acute care is very important and is the subject that makes geriatric care its special impact in medicine. This book contains the most important subjects in Post-Acute and Long Term Geriatric Care and serves as an excellent clinical advisor to the clinician. It covers the most common problems and subjects with many references and is written in a practical way to the reader by using the "Do" parts. The book also gives the approach to the subject through the long experience in acute care; as well as post acute care of clinician with excellent capacities in clinical education. Therefore, I think that this book can contribute to the daily work of many clinicians in an open field.” - Professor Yitshal N.Berner, Head, Geriatric Medicine, Meir Medical Center, Kfar Saba

“The subject of post acute care is very important and is the subject that makes geriatric care its special impact in medicine. This book contains the most important subjects in Post-Acute and Long Term Geriatric Care and serves as an excellent clinical advisor to the clinician. It covers the most common problems and subjects with many references and is written in a practical way to the reader by using the "Do" parts. The book also gives the approach to the subject through the long experience in acute care; as well as post acute care of clinician with excellent capacities in clinical education. Therefore, I think that this book can contribute to the daily work of many clinicians in an open field.” - Professor Yitshal N.Berner, Head, Geriatric Medicine, Meir Medical Center, Kfar Saba


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Chapter 1

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Chapter 2

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Edwards ST, Prentice JC, Simon SR, Pizer SD. Home-based primary fare and the risk of ambulatory care–sensitive condition hospitalization among older veterans with diabetes mellitus. JAMA Intern Med. 2014. doi:10.1001/jamainternmed.2014.4327.
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Chapter 3

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Chapter 5

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Chapter 6

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Sessums LL, Zembrzuska H, Jackson JL. Does this patient have medical decision-making capacity? JAMA. 2011;306:420-427.

Chapter 7

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WHO Guidelines on Drawing Blood: Best Practices in Phlebotomy. Geneva: World Health Organization; 2010.
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Chapter 8

Batchvarov VN, Malik M, Camm AJ. Incorrect electrode cable connection during electrocardiographic recording. Europace 2007; 9:1081-1090.
Bonda RR, Finlava DD, Nugenta CD, Breenb C, Guldenringa D, Dayc MJ. The effects
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Chapter 9

Marshall EG, Clarke BS, Varatharasan N, Andrew MK. A long-term care-comprehensive geriatric assessment (LTC-CGA) tool: improving care for frail older adults? Can Geriatr J. 2015;18:2-10.
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Chapter 10

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Ashraf MJ, Cook JR, Rothberg MB. Clinical utility of folic acid testing for patients with anemia or dementia. J Gen Intern Med 2008;23:824-826.
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DiNicolantonio JJ, Niazi AK, SAdaf R, O’Keefe JH, Lucan SC, Lavie CJ. Dietary sodium restriction: take it with a grain of salt. A, J Med 2013;126: 951-955.
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Kotchen TA, Cowley AW Jr., Frohlich ED. Salt in health and disease - a delicate balance. N Engl J Med 2013; 368:1229-1237.
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