Geriatric Emergencies

>Shamai Grossman, Assistant Professor of Medicine; Director, Clinical Decision Unit and Cardiac Emergency Center. Beth Israel Deaconess Medical Center, Boston, MA.

The elderly represent the fastest growing segment of the population in developed countries, reflected in the patient population presenting to EDs and hospitals. These patients more often than not have greater co-morbidities, more complicated workups and utilize more laboratory and radiologic services.
 
This text is designed to teach emergency physicians how best to care for this specific demographic of patients. It addresses physiologic changes, high-risk conditions, and atypical presentations associated with elderly patients in the ED that result in frequent misdiagnosis or delays in diagnosis. It instructs the readers how best to care for elderly patients in order to minimize morbidity and mortality, addressing some of the difficult psychosocial issues that confront health care providers that care for elderly patients, such as psychiatric disease and end-of-life care. The utility of this text is not limited to emergency physicians, but it should be useful to all health care providers involved in the treatment of elderly patients with acute medical or surgical conditions.

List of Contributors, vii
 
1 General assessment of the elderly patient, 1
Alison Southern & Scott Wilber
 
2 Physiologic changes with aging, 13
Kate D. Zimmerman & Robert S. Anderson, Jr.
 
3 Functional assessment of the elderly, 28
Kirk A. Stiffler
 
4 Pharmacological issues in the elderly, 43
Ruben Olmedo & Denise Nassisi
 
5 Altered mental status in the elderly, 58
Josh Joseph & Maura Kennedy
 
6 Geriatric psychiatric emergencies, 71
Josh Joseph & Maura Kennedy
 
7 Acute abdominal pain in the elderly: Surgical causes, 83
Katren Tyler & Maura Kennedy
 
8 Nonsurgical abdominal pain in the elderly, 99
Katren Tyler & Maura Kennedy
 
9 Back pain, 110
Nicholas Santavicca & Michael E. Winters
 
10 Headache, 123
Benjamin W. Friedman & Rebecca Nerenberg
 
11 Dyspnea in the elderly, 139
Mercedes Torres & Siamak Moayedi
 
12 Acute chest pain in the geriatric patient, 152
Marianne Haughey
 
13 Acute cardiac disease in elder patients, 168
Susanne DeMeester
 
14 Syncope in Geriatrics, 191
Timothy C Peck, Nissa J Ali & Shamai A Grossman
 
15 Stroke, 203
Julie Watkins-Torrey, Roxanna Sadri & Kama Guluma
 
16 Infections, 218
Jason Ondrejka & Scott Wilber
 
17 Dizziness and vertigo in the geriatric population, 234
Jonathan Edlow & Alessandro Cancelliere
 
18 Weakness and functional decline, 252
Colleen M McQuown
 
19 Emergency department evaluation of falls in the elderly, 264
Tania D. Strout & Robert S. Anderson
 
20 Trauma in the geriatric patient, 280
Christopher R. Carpenter & Peter L. Rosen
 
21 Surgical considerations in the elderly, 304
Charles W. O'Connell, Davut Savaser & Colleen Campbell
 
22 Oncologic emergencies, 321
Gabriel Wardi, Alexander Bromfield & Leslie C. Oyama
 
23 Elder abuse and neglect, 351
Michael C. Bond & Kenneth H. Butler
 
24 Geriatric emergency pain management case, 363
Teresita M Hogan & Alexandra Wong
 
25 Ethical issues and end-of-life care, 386
Phillip D. Magidson & Jon Mark Hirshon
 
26 Geriatric dispositions and transitions of care, 394
Barbara Morano, Carmen Morano, Kevin Biese, Eric A. Coleman & Ula Hwang
 
27 The geriatric ED, 407
Phillip D. Magidson, John G. Schumacher & Elizabeth A. Couser
 
Index, 417

Lieferung vom Verlag mit leichten Qualitätsmängeln möglich