Geriatric Emergencies.

Geriatric Emergencies is a practical guide to the common conditions affecting older patients who present in an emergency to hospital or primary care. Beginning with the essentials of history taking and clinical examination, the book covers a comprehensive range of emergencies, emphasizing the differ...

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Bibliographic Details
Main Author: Murdoch, Iona
Other Authors: Turpin, Sarah, Johnston, Bree, MacLullich, Alasdair, Losman, Eve
Format: eBook
Language:English
Published: Hoboken : Wiley, 2014.
Subjects:
Online Access:Click for online access
Table of Contents:
  • Cover; Title Page; Copyright; Contents; Preface; Acknowledgements; List of Abbreviations; Chapter 1 Introduction to geriatric emergency medicine; Demographics; Emergency presentations; Frailty at the front door; Comprehensive geriatric assessment (CGA); Pathways in geriatric emergency care; References; Chapter 2 Essentials of assessment and management in geriatric emergency medicine; Introduction; Triage and initial assessment; Communication with older patients; Positioning and body language; Vision and hearing; Communicating with the cognitively impaired; Initial cognitive assessment.
  • History of presenting complaintChronic versus acute symptoms; Cognitive impairment; Collateral history; What to ask; Whom to ask; Systematic enquiry; Social and functional history; Medications and polypharmacy; Examination; General examination; Specific areas of focus on examination; Investigations; Computed tomography (CT) scans in older patients; When not to investigate; Management; How to make a problem list; Active problems; Inactive problems; Discharging a patient from hospital; Transitions of care; References; Chapter 3 Special skills in geriatric emergency medicine.
  • Pain in the older patientPain assessment; Management of acute pain; Chronic pain management; Palliative care in the acute setting; Definition; Background; Identifying patients requiring palliative care; General approach to the patient with palliative care needs; Palliative care emergencies; Addressing symptom management; Communication with patient, carers and family; Managing the dying patient in the emergency department; Decision-making capacity; When the patient lacks decision-making capacity; Advance directives; Cardiopulmonary resuscitation (CPR); Resuscitation decisions.
  • How to discuss resuscitation decisionsCeilings of care; Critical care referral; Take home messages; References; Chapter 4 Vulnerable adults and elder abuse; Introduction; Definition; Background; History; Think about it; Ask about it; Examination; Physical examination; Specific areas of focus; Investigation; Initial investigations; Management; Documentation; Referral; Overview of an approach to patients where abuse is a concern; Take home messages; Useful links and resources; UK (general); England; Northern Ireland; Scotland; Wales; USA; Case Studies; References.
  • Chapter 5 Chest pain and atrial fibrillationPart 1: Chest pain; Introduction; Background; History; Particular challenges in taking a history from patients with:; Examination; Physical examination: general; Specific areas of focus on examination; Investigations; Initial investigations; Further investigation; Management; General management; Acute coronary syndrome; Pulmonary embolus; Aortic dissection; Overview of an approach to a patient presenting with chest pain; Part 2: Atrial fibrillation; Atrial fibrillation; Background; Initial assessment; History and examination; Investigations.