Essentials of Clinical Geriatrics, Eighth Edition

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• 1. Clinical Implications of the Aging Process- Frailty 2. The Geriatric Patient: Demography and Health Services  Utilization3. Evaluation of the Geriatric Patient- Pre-op- Communicating with geriatric patients4. Chronic Disease Management*- Multi-morbidity  - Geriatric practice models  - Person-centered care5. Prevention in the Geriatric Population- Prevention of disability/exercise – physical, mental   - Primary (vaccines, diet, etc), secondary, and tertiary- The role of calculating prognosis (e.g. ePrognosis) in deciding about preventive practices such as colonoscopy, breast screening)- Prevention of infections in LTC (we are lacking a focus on infections – major geriatric issue – can include in Nursing Home Care chapter as well)6. Confusion: Delirium and Dementia- Hypoactive delirium7. Depression8. Incontinence9. Falls- Role of environment10. Immobility- Muscular and skeletal pain (include polymyalgia, DJD management)- Non-pharmacologic pain management- Complications – e.g. treatment of DVT- Update on osteoporosis, measuring Vitamin D, bone mineral density, and treatments11. Cardiovascular Disease- BP SPRINT Trial- Overtreatment of HTN causing complications– risk vs. benefit – individualizing care- Effects – or lack thereof on treating HTN on cognition- Treatment of hyperlipidemia- Management of A Fib – with discussion of anticoagulation in patients at risk for falls and risks and benefits of newer anticoagulants12. Frailty, Failure to Thrive, and Common Metabolic Problems- Assessing frailty ( 2 definitions)- Failure to thrive- Alcohol and substance abuse- Sarcopenia- Metabolic problems (sorting out all the new medications for diabetes, importance of preventing hypoglycemia; management of hypo and hyperthyroidism)- CKD (there are a lot of new data; should mention role of dialysis and transplant issues)- Neuropathy13. Sensory Function and Impairment- Role of cochlear implants- Treatment of AMD14. Drugs15. High Value Health Services in the Geriatric Population- Quality/ACOVE  - Value-based purchasing - Bundling- ACOs  - Teams - HCBS- Caregivers16. Nursing Home Care17. Ethics- Neglect and abuse awareness  18. Palliative Care