Download Case Studies in Geriatric Medicine by Judith C. Ahronheim, Zheng-Bo Huang, Vincent Yen, Christina PDF

By Judith C. Ahronheim, Zheng-Bo Huang, Vincent Yen, Christina Davitt, David Barile

This case-based method of geriatric drugs is appropriate for all healthiness execs and trainees who supply take care of the aged, together with interns, citizens, geriatric fellows, physicians in perform, and nurse practitioners. Illustrated with greater than forty circumstances according to the authors' adventure in medical perform, the examples variety from the fit aged to these with complicated cognitive or actual impairments. Discussions are evidence-based with huge references, emphasizing differential analysis, odd displays in overdue lifestyles, age-appropriate scientific administration, interdisciplinary tools and care within the context of other overall healthiness care settings. The authors have distilled a wealth of sensible and scientific event during this region to provide a simple consultant to geriatric medication. this is often the precise examine consultant for certifying examinations and hugely compatible as a textbook for classes in geriatric drugs and gerontology.

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Benzodiazepines, which are very sedating, are particularly likely to worsen confusion and can increase agitation, sometimes by producing disinhibition. Benzodiazepines should be entirely avoided if possible in patients with dementia. Wandering is best treated with nonpharmacologic methods. Environmental modification can be very helpful, such as putting up a large STOP sign over the door, disguising the door by covering it with a sheet or curtain, or installing a set of bells or a door alarm to alert the caregiver if the door is being opened.

5. 6. How can you explain Mrs. N’s decline in mental status? What can be done about her wandering? What can be done about her night time sleeplessness? What accounts for Mrs. N’s suspiciousness, and how can it be managed? Is the patient’s son correct that his mother must enter a nursing home? How can the primary care provider support the patient’s family caregivers? Answers 1. A hematoma on the face following a fall raises concern and, if there had been any worsening of mental status following the fall, or new neurologic findings, a subdural hematoma would need to be ruled out.

New York: CRC-Parthenon Press, pp. 118–92. Dubinsky, R. , Stein, A. , and Lyons, K. (2000). Practice parameter: risk of driving and Alzheimer’s disease (an evidence-based review). Report on the Quality Standards Subcommittee of the American Academy of Neurology. Neurology, 54, 2205–11. Fozard, J. , Reynolds, S. L. et al. (1994). Age differences and changes in reaction time: the Baltimore Longitudinal Study of Aging. Journals of Gerontology, 49, P179–89. , and Fulkerson, P. (2000). Evaluation of fitness to drive: the physician’s role in assessing elderly or demented patients.

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