By Judith C. Ahronheim, Zheng-Bo Huang, Vincent Yen, Christina Davitt, David Barile
This case-based method of geriatric medication is appropriate for all healthiness pros 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 situations according to the authors' event in scientific perform, the examples variety from the fit aged to these with complicated cognitive or actual impairments. Discussions are evidence-based with large references, emphasizing differential analysis, extraordinary shows in overdue existence, age-appropriate scientific administration, interdisciplinary equipment and care within the context of alternative well-being care settings. The authors have distilled a wealth of functional and scientific event during this quarter to supply a straight forward consultant to geriatric medication. this can be the correct learn advisor for certifying examinations and hugely appropriate as a textbook for classes in geriatric medication and gerontology.
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Additional resources for Case Studies in Geriatric Medicine
Davitt, and D. Barile 42 Case studies in geriatric medicine Currently, the patient is alert and follows commands. She has poverty of speech, and answers some questions with short phrases, but does not hold a meaningful conversation. Her affect is flat, she has increased tone of her upper extremities, and requires assistance to stand and take a few steps. Her skin is intact. On a chair scale, the patient weighs 103 pounds. Questions 1. 2. 3. 4. What accounts for the social worker’s admonition? How can Mrs.
Her abdomen is soft and rectal examination reveals moderate amount of soft stool, which is negative for occult blood. ” The daughter tells you the patient has accused her of stealing her money as well. Except for her Mini-Mental State Examination score, which is now 14/30, the neurologic examination is unchanged from her baseline. Questions 1. 2. 3. 4. 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?
Pdf; accessed February 10, 2005. , Gruber-Baldini, A. , Zimmerman, S. et al. for the Epidemiology of Dementia in Nursing Homes Research Group. (2003). Dementia as a risk factor for falls and fall injuries among nursing home residents. Journal of the American Geriatrics Society, 51, 1213–18. , Harper, D. , Manning, B. C. et al. (2001). Sundowning and circadian rhythms in Alzheimer’s disease. American Journal of Psychiatry, 158, 704–11. Case 6 Severe dementia Mrs. N, whom we met in Cases 4 and 5, eventually moved in with her daughter, who has hired a part-time home attendant to assist while she is at work.