Geriatric Emergencies de Lee A. Lindquist

Geriatric Emergencies

Editat de Lee A. Lindquist, Scott M. Dresden

en Limba Engleză Paperback – 27 mai 2019

Observăm o schimbare de paradigmă necesară în unitățile de primiri urgențe, unde managementul tradițional se concentrează adesea pe afecțiuni acute, ignorând vulnerabilitățile specifice vârstei a treia. Geriatric Emergencies, editat de Lee A. Lindquist și Scott M. Dresden, oferă clinicianului instrumentele necesare pentru a transforma vizita la urgențe dintr-o poartă către internarea automată într-o oportunitate de evaluare geriatrică comprehensivă. Prin parcurgerea acestui volum, medicii și asistenții vor putea identifica mai eficient cauzele non-emergente ale prezentării la UPU — de la stresul îngrijitorului la declinul cognitiv — prevenind astfel complicațiile iatrogene și pierderea autonomiei pacienților.

Structura lucrării urmează modelul inovator GEDI (Geriatric Emergency Department Innovation), integrând studii de caz care acoperă spectrul larg al urgențelor geriatrice. Ne-a atras atenția modul în care autorii abordează nu doar patologia, ci și logistica și etica îngrijirii: de la sincope în mediul rural și erori de medicație, până la utilizarea opioidelor și planificarea avansată a îngrijirilor. Fiecare secțiune este concepută pentru a fi parcursă rapid, oferind puncte de reținut care pot fi aplicate imediat la patul pacientului.

Clinicienii care folosesc Geriatric Emergency Medicine de Christian Nickel ca referință vor găsi în acest titlu un complement practic excelent, axat mai mult pe fluxul de lucru și pe intervenții multidisciplinare specifice. În timp ce alte resurse se concentrează pe protocoale de diagnostic pur medicale, Geriatric Emergencies pune accent pe „geriatrizarea” departamentului de urgență prin modele de îngrijire state-of-the-art care prioritizează rezultatele funcționale pe termen lung ale pacienților vârstnici.

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Specificații

ISBN-13: 9783030124137
ISBN-10: 3030124134
Pagini: 224
Ilustrații: X, 214 p. 15 illus., 6 illus. in color.
Dimensiuni: 127 x 203 x 12 mm
Greutate: 0.28 kg
Ediția:1st ed. 2019
Editura: Springer
Locul publicării:Cham, Switzerland

De ce să citești această carte

Această resursă este esențială pentru personalul din departamentele de urgență care dorește să optimizeze îngrijirea pacienților vârstnici. Cititorul câștigă strategii concrete pentru a evita internările nenecesare și pentru a gestiona complexitatea polifarmaciei și a sindroamelor geriatrice. Este un ghid practic, bazat pe dovezi, care transformă teoria GEDI în acțiuni clinice zilnice, îmbunătățind semnificativ siguranța și calitatea vieții pacienților fragili.

Despre autor

Dr. Lee A. Lindquist este un expert recunoscut în geriatrie, activând în cadrul Northwestern University, unde a contribuit la pionieratul modelului GEDI (Geriatric Emergency Department Innovation). Munca sa se concentrează pe îmbunătățirea tranzițiilor de îngrijire și pe sprijinirea independenței persoanelor în vârstă. Dr. Scott M. Dresden completează această expertiză din perspectiva medicinei de urgență, fiind implicat direct în dezvoltarea curriculei multidisciplinare care stă la baza acestui volum. Împreună, cei doi editori reunesc experiența clinică și academică necesară pentru a defini standardele moderne în medicina de urgență geriatrică.

Descriere scurtă

Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older. The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission. It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission.
Northwestern has pioneered the Geriatric Emergency Department through the creation of the Geriatric Emergency Department Innovation model (GEDI), with goals to prevent admissions for older adults by assessing and meeting their geriatric-specific, non-acute care needs in the ED. The GEDI model at Northwestern centers on a multi-disciplinary curriculum composed of clinical, didactic, and practical arms developed by emergency medicine and geriatrics educational experts.
In this title, we will present case studies of older adults seen in the Emergency Department through the GEDI model and discuss means of identifying/screening for, diagnosing, and treating geriatric syndromes seen in the emergent care of the older adult patient. In addition, there will be a set of concise “take-home points” for each case study that will be easy to commit to memory and implement in clinical care of older adults.
As the number of seniors seeking emergent care will continue to increase, the ED setting must become responsive to geriatric-specific needs. This book will provide a variety of models detailing how to offer comprehensive, state-of-the-art, optimal care for managing the full range of geriatric syndromes that regularly present in the emergent care setting.

Cuprins

Growing Older in the Emergency Department.- Components of an effective Geriatric Emergency Department.- Cognitive Impairment in the ED.- Syncope in a rural emergency department setting.- ER referrals and hospitalizations from Post-Acute and Long-Term Care Facilities.- Can Home Visits Make a Difference to Emergency Department Visits? "I will just stop by his place on the way home: Who knew it would be a journey?".- Medication Errors in Aging Adults: A Case-Based Approach to Medication Management.- Pain, Opioid Use, and Palliative Care of Older Adults in the Emergency Department.- Acute Mental Status Changes and Over-the-Counter Medications in Older Adults.- Identifying fall risk in the Emergency Department.- Capacity, Advanced Planning, and Buying Time

Recenzii

“This book is meant for medical providers of all levels, including students, nurses, and seasoned professionals, and for older individuals seeking medical care or their families. … This book provides brief discussions of selected topics commonly complicating geriatric medical emergencies and offers discrete, bulleted suggestions. It may be useful for older patients and/or their families but is written mostly for medical providers.” (Benjamin A Willenbring, Doody's Book Reviews, August 23, 2019)

Notă biografică

Lee A. Lindquist, MD MPH MBA
Associate Professor of Medicine
Section Chief of Geriatrics
Northwestern University Feinberg School of Medicine
750 N. Lake Shore Drive, 10th Floor
Chicago, IL 60611
Scott Dresden, MD
Assistant Professor of Medicine
Department of Emergency Medicine
Northwestern University Feinberg School of Medicine
211 E. Ontario, Room 200
Chicago, IL 60611

Textul de pe ultima copertă

This book introduces the unique medical needs of aging patients in the emergency department and outlines the challenges that leave many clinicians struggling to adequately care for this demographic, including limited resources, management concerns, and other barriers. The text presents strategies for screening, diagnosing, and treating geriatric syndromes seen in the emergency care of the older adult patient. Topics include pharmacological interventions, transitioning care, and sustainability. The text includes complex cases that demonstrate the caution necessary to treat this delicate patient group. Each case concludes with a set of concise “take-home points” to make the guidelines easy to remember and/or reference.

Geriatric Emergencies: A Case-Based Approach to Improving the Acute Care of Seniors is an excellent resource for geriatricians, emergency medicine specialists, internal medicine physicians, hospitalists, nurses, social workers, students, residents, trainees, and all medical professionals working with older patients in an emergency setting.

Caracteristici

Written by experts in geriatric medicine Includes 11 case studies demonstrating the unique considerations of aging patients in the emergency room Each chapter concludes with "take-home points" Identifies solutions for challenging problems encountered commonly with older adult patients