The first book designed specifically for hospitalists and otherhospital-based staff who need concise, evidence-based guidance onthe vital topic of caring for older hospitalized patients
Hospitalists' Guide to the Care of Older Patients is anup-to-date, practical reference in geriatric medicine forhospitalists, as well as other physicians and nurses working in thehospital setting. The book uses numerous tables, figures, andimages to highlight the areas of geriatric medicine that are mostrelevant to hospitalists.
Written by nationally recognized experts, chapters broadlyfollow the course of hospitalization, from admission through dailycare and active management of the transition to post-hospitalsettings, providing practical, evidence-based guidance at eachpoint. Contents include:
- A systematic approach to the care of older patients,emphasizing clinical skills and daily activities that can beimplemented in today's hospital environment
- Techniques for effective communication with patients and theircaregivers
- Tools and "pearls" for quickly and accurately assessing thewhole patient, including risk for in-hospital complications,function, decision-making capacity, and home support
- Best practices for prevention and management of thecomplications of hospitalization, including delirium, falls,pressure ulcers, and hip fractures
- Specific recommendations in areas with wide practice variation,such as psychopharmacology and nutrition in older hospitalizedpatients
- Practical guidance on complex issues, such as establishinggoals of care, managing patients who lack decision-making capacity,and managing the discharge transition
- Methods to improve the daily work and communication of thewhole hospital team, including physicians, nurses, and otherhealthcare providers
As the population ages, hospitalists are caring for anincreasing number of older patients. This book helps hospitalistsexpand their knowledge, incorporate key clinical skills into dailypractice, build more efficient patient care teams, and teach moreeffectively in today's fast-paced, complex hospitalenvironment.
About the Author
Preeti N. Malani, MD, MSJ, is an Associate Professor of Medicine in the Divisions of Geriatric Medicine and Infectious Diseases at the University of Michigan and a Research Scientist at the Veterans Affairs Ann Arbor Healthcare System’s Geriatric Research Education and Clinical Center. Dr. Malani’s clinical and research interests include infections in older adults and inpatient geriatric consultation. She serves as an Associate Editor of the journal Infection Control and Hospital Epidemiology as well as Deputy Editor of Clinical Infectious Diseases. Dr. Malani is also a coeditor of the recently published 3rd edition of Practical Healthcare Epidemiology.
David H. Wesorick, MD, FHM, is an Assistant Professor in the Division of General Medicine in the Department of Internal Medicine at the University of Michigan. He is a practicing hospitalist and a clinical educator. He has written several practical articles and textbook chapters, directed at a hospitalist audience, on topics including diabetes management and perioperative management. He has also been active in hospitalist quality improvement at the national level with the Society of Hospital Medicine.
Table of Contents
CHAPTER 1 INTRODUCTION AND OVERVIEW 1Brent C. Williams, Preeti N. Malani, and David H.Wesorick
CHAPTER 2 THE HOSPITALIZED OLDER ADULT: COMMUNICATION ANDPHYSICAL EXAMINATION 5Mark E. Williams
CHAPTER 3 GERIATRIC ASSESSMENT FOR THE HOSPITALIST 17Brent C. Williams
CHAPTER 4 INFORMED DECISION-MAKING AND THE EVALUATION OFDECISION-MAKING CAPACITY 31Lisa S. Seyfried, Esther O. Akinyemi, and Scott Y.H. Kim
CHAPTER 5 CARING FOR PATIENTS WITH LIMITED PROGNOSIS:NEGOTIATING GOALS OF CARE AND PLANNING FOR THE END-OF-LIFE 47Adam D. Marks and Caroline A. Vitale
CHAPTER 6 GERIATRIC PHARMACOTHERAPY 65Gabe Solomon, Macgregor A. Montaño, and Paul C.Walker
CHAPTER 7 MANAGING BEHAVIORAL DISTURBANCES WITH PSYCHOACTIVEMEDICATIONS: DOS, DON’TS, AND MAYBES 93David C. Belmonte, Jolene Bostwick, and Amy B. Rosinski
CHAPTER 8 ISSUES AND CONTROVERSIES SURROUNDING NUTRITION INHOSPITALIZED OLDER ADULTS 115Lauren W. Mazzurco, Joseph Murray, and Caroline A.Vitale
CHAPTER 9 HIP FRACTURE: MANAGING THE MEDICALLY COMPLEX, OLDERSURGICAL PATIENT 141Paul J. Grant
CHAPTER 10 FALLS AND MOBILITY DURING HOSPITALIZATION 165Cynthia J. Brown and Donna M. Bearden
CHAPTER 11 PRESSURE ULCERS: A PRIMER FOR THE HOSPITALIST181Aimée D. Garcia
CHAPTER 12 DELIRIUM 203Tia R.M. Kostas and James L. Rudolph
CHAPTER 13 TRANSITIONAL CARE PLANNING: ASSURING A SAFE DISCHARGE225Satyen Nichani, Darius Joshi, and Christopher S. Kim