Fundamentals of Geriatric Medicine: A Case-Based Approach

Springer Science & Business Media
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Prior to the evolution of modern medicine, with its superabundance of diagnostic and therapeutic medical technology and the rise of the litigious society, the value of clinical skills was evident in both history taking and the physical examination. Even today, physicians can make a correct di- nosis solely by utilizing their clinical skills in about 90% of patient enco- ters. Furthermore, in the past physicians understood their role as a “psychologist” and were more apt to be familiar with the social context of their patients. House calls were common. The doctor was also a “placebo” who, at his best, inspired hope and probably sped recovery. Geriatricians use both clinical skills and take advantage of modern technology sparingly, for they know they are dealing with the most ch- lenging and frail of patients—older patients who so often present with multiple, complex, interacting behavioral, social, and physical problems. In contrast to medicine for young people, working with the older patient is much more demanding. Furthermore, the complex issue of societal at- tudes toward old people can come into play, speci? cally the physician’s need to deal with natural fears of aging, dependency, depression, dementia, and death. Ageism is the enemy of effective medical treatment. At its best, geriatrics exempli? es ways that medical care for all ages can become more humane, problem-oriented, and holistic.
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Additional Information

Publisher
Springer Science & Business Media
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Published on
May 26, 2007
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Pages
628
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ISBN
9780387323268
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Language
English
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Genres
Medical / Clinical Medicine
Medical / Family & General Practice
Medical / Geriatrics
Medical / Practice Management & Reimbursement
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Content Protection
This content is DRM protected.
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This textbook presents real-world cases and discussions that introduce the various mental health syndromes found in the aging population before delving into the core concepts covered by geriatric psychiatry curricula. The text follows each case study with the vital information necessary for physicians in training, including key features of each disorder and its presentation, practical guidelines for diagnosis and treatment, clinical pearls, and other devices that are essential to students of geriatric psychiatry. With the latest DSM-5 guidelines and with rich learning tools that include key points, review questions, tables, and illustrations, this text is the only resource that is specifically designed to train both American and Canadian candidates for specialty and subspecialty certification or recertification in geriatric psychiatry. It will also appeal to audiences worldwide as a state-of-the-art resource for credentialing and/or practice guidance. The text meets the needs of the future head on with its straightforward coverage of the most frequently encountered challenges, including neuropsychiatric syndromes, psychopharmacology, eldercare and the law, substance misuse, mental health following a physical condition, medical psychiatry, and palliative care.

Written by experts in the field, Geriatric Psychiatry: A Case-Based Textbook is the ultimate resource for graduate and undergraduate medical students and certificate candidates providing mental health care for aging adults, including psychiatrists, psychologists, geriatricians, primary care and family practice doctors, neurologists, social workers, nurses, and others.
The striking increase in average life expectancy during the twentieth century rates as one of the major events of our time. We are in the midst ofa social revolution-one rooted not in a new ideology, but in our changing population pat terns. For the first time in human history, infants in fortu nate nations like ours can expect to live well into their seventies and beyond. This demographic revolution increases pressure on re sources, as it also creates further social change and new opportunities for older persons. Such rapid changes have left most people "living in the past," with their generally negative attitudes about aging and elderly people. The same outmoded beliefs are embedded in many ofour health care programs. In our youth-oriented culture, most of us still view old people as physically decrepit or in rapid, inevitable decline. Mentally, they are viewed as forgetful or childish, with little ability to learn and adapt. Socially and economically, they are often considered a burden. With such stereotypes, where is the expectation and encouragement for their con tinuing capacity to enrich their own lives, and to enrich society? These deep-seated cultural stereotypes do not describe accurately the "new wave" ofelderly persons or their poten tial contributions to society. Today's aging individuals are mostly far from decrepit: fewer than 25 percent experience any disability and fewer than 5 percent are in nursing homes. Intellectually, given new opportunities to learn and grow, they thrive.
Praise for the First Edition:

“Developing a comprehensive differential diagnosis for a specific complaint is a daunting task even for experienced advanced practice nurses. This user-friendly clinical guide provides a strategy and standard format for working through this complex task. It is a wonderful tool for both students and new advanced practice nurses...” -- 5 stars, Doody’s

This easy-access clinical guide to over 70 commonly seen symptoms, written for advanced practice provider (APP) students and new practitioners, describes a step-by-step process for obtaining a reliable patient history, choosing the appropriate physical exam, and using the patient history and physical exam findings to form a differential diagnosis. The second edition continues to include the case study approach, and is updated to incorporate 22 new symptoms along with contributions by a new editor, who is a leader in holistic health.

The guide is distinguished by several unique features including focused patient history questions and responses, Physical Exam Findings, a Differential Diagnosis Table (clearly comparing potential diagnostic choices based on symptoms), a Diagnostic Examination table (including estimated costs and codes), and a Case Study Summary highlighting the critical thinking process. Symptoms are presented alphabetically in a systematic, unfolding case study approach and include chief complaint, presenting history, past history, and explicit methodology for determining correct diagnosis.

Key Features:

Describes over 70 (22 new to the second edition) commonly presented symptoms with unfolding case scenarios Offers a step-by-step approach to building clinical decision-making skills

Provides quick access to differential diagnosis, requisite diagnostic tests, and clinical-decision making

Guides APP students and novice practitioners in conducting a problem-focused history and examination Includes unique Differential Diagnosis tables and Diagnostic Examinations tables that help clarify strategies for diagnostic decision making
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