Search results for: care-of-the-elderly-patient

Care of the Elderly Patient

Author : Institute of Medicine
File Size : 59.60 MB
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A guiding principle of the Council on Health Care Technology is a special focus on medical technology assessment measures that coincide with patient well-being, quality of health care, and quality of life. Of particular concern is care of the elderly, which constitutes a special and vulnerable patient population. This comprehensive book discusses the appropriate use of technology to minimize risks posed to the elderly patient in the delivery of health care services. It covers home and community care as well as acute hospital care, and system resources and constraints.

Perioperative Care of the Elderly Patient

Author : Sheila Ryan Barnett
File Size : 68.78 MB
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Older patients carry some of the highest risks of suffering an adverse event or death following anesthesia and surgery. They are inherently vulnerable, presenting with numerous comorbidities and reduced physiological reserve, requiring 'gero-centric' perioperative care for everything from routine eye surgery to major cardiac surgeries. Dementia, frailty, and the need for palliative care and pain management for the orthopedic patient are important areas requiring special consideration in this group. This book provides a general overview of these topics for those healthcare providers who may not have extensive knowledge of this patient population, while at the same time offering practical tips for the more experienced clinician. Chapters cover the spectrum of perioperative care including preoperative management of comorbid conditions, intraoperative anesthetic management, postoperative pain control, and a primer on advanced directive discussions. This book is appropriate not only for anesthesiologists but for any perioperative physician caring for the older patient.

Choosing the place of care for an elderly patient with a long term illness

Author : Sics Editore
File Size : 76.36 MB
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An elderly person with a long-term illness may receive the care related to his/her primary disease either at home or in an institution. The care facilities for elderly patients with a long-term illness vary as regards the number of staff, skill levels and the medical equipment available. The various care facilities have therefore been graded to match the level of care required by the patient; those who need the least amount of care are assigned to care facilities with the smallest number of staff and those with higher care requirements are placed in care facilities with higher staff numbers. The grading of care facilities is supported by its cost effectiveness, but the transferring of ill and elderly patients during their last years of life can be considered a drawback.

Nursing Care of Older People

Author : Andrew Hindle
File Size : 53.1 MB
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Nursing care of older people provides a new, contemporary, evidence based and practical guide to meeting the holistic health needs of older patients. With a clear and engaging style, the authors outline a rigorous and robust account of underlying principles and evidence with tools and tips for best nursing practice. This comprehensive textbook examines the changes brought about by the ageing process to both physical and mental health as well as learning disabilities. Providing essential insights necessary to deliver high quality nursing in primary and hospital care, this text covers a wide range of issues and clinical topics. Learning is aided by case studies, nursing insights, activities, and reflection enabling readers to apply theory to practice. This text is particularly useful for pre and post registration student nurses, qualified nursing staff, and other healthcare professionals working alongside nurses to deliver care to older people. The online resource centre to accompany Nursing care of older people features: For students and lecturers · Additional interactive case studies. · National policy links. · Website links to national older people organizations, charities and support groups and links to journals on older patients in health care. · Audio podcasts on the nursing care of older people.

Care of the Long Stay Elderly Patient

Author : Michael J. Denham
File Size : 76.40 MB
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Since the first edition of this book was published there have been considerable changes in continuing care. NHS nursing homes have been created, enthusiasts have developed new initiatives, and attempts have been made to improve attitudes. The recent White Paper on Community Care is likely to accelerate the transfer of large numbers of elderly patients from long-stay hospital beds to private-sector accommodation: a move often accompanied by much anxiety about standards of care. Although Health Authorities visit private nursing homes and apply the National Association of Health Authorities' standards to them, anxieties continue. Unfortunately for the patients who remain in hospital, many Health Authorities seem reluctant to apply these same standards to their own long-stay departments, since many would fail abysmally. The 1987 annual report of the Health Advisory Service (see Chapter 3) presents a damning indictment of the care given to old people: A recent review of twelve consecutive HAS Reports on services for older people in hospitals shows that long-stay wards consistently offered environments which were unable to offer privacy, homely surroundings, personal space and possessions or adequate furniture. In the twelve districts there was not one comprehensive personalised clothing service. Half of the reports commented on the lack of effec tive management of continence. Catering was often provided according to the needs of the institution rather than those of the resident patients.

Care of the Long Stay Elderly Patient

Author : Michael J. Denham
File Size : 85.15 MB
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Since the first edition of this book was published there have been considerable changes in continuing care. NHS nursing homes have been created, enthusiasts have developed new initiatives, and attempts have been made to improve attitudes. The recent White Paper on Community Care is likely to accelerate the transfer of large numbers of elderly patients from long-stay hospital beds to private-sector accommodation: a move often accompanied by much anxiety about standards of care. Although Health Authorities visit private nursing homes and apply the National Association of Health Authorities' standards to them, anxieties continue. Unfortunately for the patients who remain in hospital, many Health Authorities seem reluctant to apply these same standards to their own long-stay departments, since many would fail abysmally. The 1987 annual report of the Health Advisory Service (see Chapter 3) presents a damning indictment of the care given to old people: A recent review of twelve consecutive HAS Reports on services for older people in hospitals shows that long-stay wards consistently offered environments which were unable to offer privacy, homely surroundings, personal space and possessions or adequate furniture. In the twelve districts there was not one comprehensive personalised clothing service. Half of the reports commented on the lack of effec tive management of continence. Catering was often provided according to the needs of the institution rather than those of the resident patients.

Nursing Care of the Elderly

Author : Helen I. Weber
File Size : 58.39 MB
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Perioperative Care of the Orthopedic Patient

Author : C. Ronald MacKenzie
File Size : 24.90 MB
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Written by experts at the top-ranked Hospital for Special Surgery in New York, Perioperative Care of the Orthopedic Patient is a comprehensive, multidisciplinary manual providing preoperative considerations, postoperative complications, and guidelines for the anesthetic and medical management of patients undergoing orthopedic surgery. Beginning with chapters covering preoperative evaluations and general principles and practices of perioperative medicine, the book then considers anesthesiologic management in orthopedic surgery and the role of postoperative pain management. This is followed by a section on medical management in specific clinical settings, discussing patients with connective tissue disease, cardiac disease, chronic pulmonary and renal diseases, diabetes and psychiatric and neurological diseases. A fourth section covers specific perioperative problems in orthopedic surgery, such as care of the elderly patient, venous thromboembolism, infection, nutrition, compartment syndrome, and bone health. Finally, the role of allied services, quality improvement and ethics are highlighted, and selected case studies are included to illustrate real-world perioperative issues and management strategies in orthopedic surgery. A comprehensive yet concise reference, Perioperative Care of the Orthopedic Patient will be an invaluable resource for orthopedic surgeons, sports medicine specialists and any professional involved in orthopedic surgery.

Acute Emergencies and Critical Care of the Geriatric Patient

Author : Thomas T. Yoshikawa
File Size : 67.29 MB
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This incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disease states and gauges optimal responses to each, supporting recommendations with valuable case studies. Written by over 40 distinguished medical experts, Acute Emergencies and Critical Care of the Geriatric Patient describes ideal patient-physician relationships in critical care settings highlights emergency management of myocardial infarction and cardiogenic pulmonary edema illuminates ethical questions surrounding confidentiality, informed consent, surrogate decision making, and patient comfort assesses special pharmacokinetic and pharmacodynamic conditions in geriatric patients provides vital information on stroke, seizures, and spinal cord compression investigates critical complications caused by pneumonia, meningitis, and endocarditis explores acute lung disorders such as emphysema, chronic bronchitis, pneumonia, central nervous system dysfunction, and abnormal control of ventilation clarifies preoperative procedures for emergency surgery reviews anesthesia strategies for pulmonary, cardiovascular, renal, hepatic, and neurological conditions in the elderly and more! Including over 1000 references, tables, and illustrations, Acute Emergencies and Critical Care of the Geriatric Patient is an indispensable resource for geriatricians, primary care physicians, internists, emergency medicine physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in these disciplines, as well as nurses, pharmacists, and medical students.

Diversity and Inclusion in Quality Patient Care

Author : Marcus L. Martin
File Size : 47.89 MB
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No other hospital department cares for patients as diverse as those who come to the Emergency Department (ED). These patients encompass all stages and positions of life and health. Many belong to distinct minority cultures defined by the patient's sexual orientation and gender identity, disability, spirituality, language, race, and ethnicity. It has been well documented that minorities experience inadequate emergency treatment and face poorer healthcare outcomes. Furthermore, research has established that the elderly, ethnic minorities, the poor, and persons with Medicaid coverage are more likely than other people to utilize the emergency department rather than primary care services. With the passage of the Affordable Care Act, particularly the Medicaid expansion, EDs across the United States are poised to care for an unprecedented number of underserved minorities. The need to equip emergency healthcare professionals to practice medicine that is culturally competent in the broadest possible sense has never been greater. Diversity and Inclusion in Quality Patient Care aims to fill this need.