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


Series: Geriatrics, Gerontology and Elderly Issues
BISAC: MED032000

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)

Table of Contents

Table of Contents


I. Chronic Disorders

Chapter 1. Depression

Chapter 2. Parkinson’s Disease

Chapter 3. Falls

Chapter 4. Osteoarthritis

Chapter 5. Osteoporosis and Fragility Fractures

Chapter 6. Other Prevalent Rheumatic Disorders in Elderlies

Chapter 7. Heart Failure

Chapter 8. Edema of the Legs

Chapter 9. Arterial Hypertension

Chapter 10. Ischemic Heart Disease

Chapter 11. Valvular Heart Disease

Chapter 12. Atrial Fibrillation and Atrial Flutter

Chapter 13. Peripheral Arterial Disease

Chapter 14. Chronic Venous Disease

Chapter 15. COPD

Chapter 16. Chronic Cough

Chapter 17. Diabetes Mellitus

Chapter 18. Thyroid Disorders

Chapter 19. Dysphagia

Chapter 20. Postprandial Syndromes

Chapter 21. Fecal Impaction

Chapter 22. Chronic Diarrhea

Chapter 23. Chronic Kidney Disease

Chapter 24. Urologic Disorders

Chapter 25. Unintentional Weight Loss

Chapter 26. Oropharyngeal Disorders

Chapter 27. Eye Problems

Chapter 28. ENT Disorders

Chapter 29. Mini-Clinic in Dermatology

II. Therapeutic Procedures

Chapter 30. Paracentesis for Refractory Ascites

Chapter 31. Prolonged Mechanical Ventilation

Chapter 32. Tracheostomy Care

Chapter 33. Colostomy Care

Chapter 34. Blood Transfusion

Chapter 35. Total Parenteral Nutrition



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