Ie Current Diagnosis & Treatment Geriatrics, 3/E

Section1. Principles of Geriatric Assessment and Care

1. Introduction to the Care of Older Persons: Knowledge, Skills & System Change
1. Guiding Principles
2. Overview of Geriatric Assessment (6)
1. Geriatric Assessment in Primary Care
2. Teams
3. Patient Goals
4. Prognosis
5. Functional Assessment
6. Falls & Gait Impairment
7. Vision Impairment
8. Hearing Impairment
9. Dementia
10. Incontinence
11. Depression
12. Nutrition
13. Medication Use
14. Caregiver Support
15. Financial, Environmental and Social Resources
16. Abuse
17. Preventive Services
3. The Interprofessional Team (5)
1. Key Definitions & Context
2. Innovations in Geriatric Interprofessional Teams
3. Evidence for Interprofessional Teams
4. Barriers to Teamwork
5. Resources and Tools for Teamwork
4. Goals of Care and Consideration of Prognosis (3)
1. Guide to Goals of Care Discussions
2. Importance of Surrogate Decision Makers
3. Prognostication
4. Prognosis Related to Specific Diseases
5. Communicating Prognosis to Patient or Surrogate
5. Functional Assessment & Functional Decline (2)
1. Epidemiology of Functional Limitations
2. Assessment of Functional Status
3. Risk Factors for Functional Decline
4. Prevention of Functional Decline
5. Treatment of Functional Decline
6. Falls & Mobility Impairment (25)
1. Epidemiology of Falls
2. Assessment of Fall Risk and Mobility
3. Risk Factors for Falls
4. Prevention of Falls
5. Treatment of Mobility Impairment
7. Managing Vision Impairment (61)
1. Normal Changes in the Aging Eye
2. Cataracts
3. Age-Related Macular Degeneration
4. Diabetic Retinopathy
5. Glaucoma
6. Systemic Effects of Eye Medications
7. Visual Symptoms Indicating Need for Urgent Referral to an Eye-Care Specialist
8. Managing Hearing Impairment (62)
1. Age-related Hearing Changes
2. How and when to test for Hearing Impairment
3. Sensory Hearing Impairment
4. Neural Hearing Impairment
5. Conductive Hearing Impairment
6. Treatment for Hearing Impairment
9. Cognitive Impairment & Dementia (22)
1. Age-related Cognitive Changes
2. Screening for Cognitive Impairment
3. Mild Cognitive Impairment
4. Common types of Dementia
5. Dementia-related Behaviors
6. When to refer to subspecialty care
10. Urinary Incontinence (39)
1. Age-related Urogenital Changes
2. Screening for Urinary Incontinence
3. Common Causes, Diagnosis, and Treatment of Male-Sex Urinary Incontinence
4. Common Causes, Diagnosis, and Treatment of Female-Sex Urinary Incontinence
11. Sexual Health & Dysfunction (46)
1. Age-related physiologic changes affecting sexual function
2. Taking a Sexual History
3. Sexually-transmitted Infections
4. Common Causes, Diagnosis, and Treatment of Male-Sex Sexual Dysfunction
5. Common Causes, Diagnosis, and Treatment of Female-Sex Sexual Dysfunction
12. Depression & Other Mental Health Issues (45)
1. Depression
2. Suicide
3. Bipolar Disorder
4. Anxiety & Stress Disorders
5. Schizophrenia & Psychotic Disorders
13. Defining Adequate Nutrition (68)
1. Assessment of Nutritional status in Older Adults
2. Recommendation on Essential Nutrients, Vitamins and Minerals intake
3. Definition and potential causes of involuntary weight loss
4. Obesity in older adults
5. Interaction of food and medications
6. Types of nutrition deficiencies
7. Nutrition in special populations
14. Principles of Prescribing & Adherence (9)
1. General Principles & Polypharmacy
2. Drug Metabolism & Physiologic Effects
3. Geriatric Therapeutics
4. Prescribing for Older Adults
5. Adherence
6. Intervening to Reduce Polypharmacy
7. Prescribing Across the Care Continuum
15. Addressing Multimorbidity (10)
1. Background and Definitions
2. Multimorbidity & Health Outcomes
3. Challenges to Managing Multimorbidity
4. General Considerations in the Care of Multimorbid Older Adults
16. Atypical Presentations of Illness (7)
1. Defining Atypical Presentations
2. Identifying Patients at Risk
17. Caregiving and Caregiving Support (new)
1. Defining Caregiving
2. Caregiving in Context
3. Interventions to support caregivers
4. Caregiver resources
5. Potential Outcomes from Caregiving
6. Assessing for Caregiver Burden
7. Responding to Caregiver Burden
18. The Social Context (4—delete Medicare and include legal issues—conservatorship, etc. )
1. Financial Issues Facing Older Persons
2. Food Insecurity
3. Legal Issues & Conservatorship (new)
4. General Recommendations for Clinicians
19. Detecting, Assessing & Responding to Elder Mistreatment (72)
1. Detecting and Assessing Elder Mistreatment
2. Responding to Elder Mistreatment
20. Prevention & Health Promotion (8)
1. General Principles of Screening & Prevention in Older Persons
2. Screening for Geriatric Syndromes
3. Assessment of Health-Related Behaviors
4. Immunizations
5. Screening for Endocrine Disorders
6. Screening for Cardiovascular Disease
7. Cancer Screening
21. Ethics & Informed Decision Making (12)
1. Ethical Issues in the Care of Older Persons
2. Decision-Making Capacity & Informed Decision-Making
3. Advance Care Planning & Advance Directives
4. Surrogate Decision-Making
5. Balancing Promotion of Independence & Patient Safety
22. Geriatric Palliative Care (11)
1. General Principles
2. Psychological, Spiritual and Social Issues
3. Aid in Dying (new)
4. Challenges to Providing Palliative Care in Long-Term Care Settings
5. Caring for Family Members: Grief & Bereavement
23. Assessing Therapies for Longevity & the Biology of Aging (56—rename for John N)
1. Add domains here
24. Applying Evidence-Based Care to Older Persons (74)
1. Challenges with Current Evidence
2. Applying the Evidence to Older Persons

Section 2: Care Settings

25. Ambulatory Care & Care Coordination (14—look at content)
1. General Principles
2. Models of Ambulatory Care
3. Care Coordination and Integration Across Health Systems and Services
26. Transitions of Care (13)
1. General Principles
2. Background & Definitions
3. Adverse Events During Transitions
4. Barriers to Successful Care Transitions
5. Evidence-Based Interventions & Best Practices
6. Innovations
7. Future of Care Transitions
27. Emergency Department Care (15)
1. General Principles
2. Models of Emergency Care
3. Structural Enhancements
4. Financing
5. Clinical Care
6. Future of Emergency Care
28. Hospital Care (16)
1. General Principles
2. Hazards of Hospitalization
3. Successful Models of Care
4. Approach to the Hospitalized Older Person
5. Therapy
6. Prevention
7. Transitioning from Hospital to Home
29. Perioperative Care for Older Surgical Patients (17)
1. General Principles
2. Surgical Risk in Older Persons
3. Clinical Care
4. Models of Surgical Care
30. Home-Based Care (19)
1. General Principles
2. Models of Medical House Calls (Home-Based Primary Care, Transitional Care, Hospital at Home, Home-Based Palliative Care)
3. Models of Home Nursing & Rehabilitation
4. Eligibility Requirements & Payment Denials
5. Approach to Home Care & Assessments
6. Innovations
31.  Residential Care and Assisted Living Care (new)
1. General Principles
2. Models of Residential Care and Assisted Living Care
32. Nursing Home Care & Rehabilitation (18)
1. General Principles
2. Institutional Long-Term Care
3. Short-stay Rehabilitation (new)
4. Consider Dementia locked unit care? Other domains?
33. Technology to Enhance Geriatric Care (new)
1. New technology for older adults in the community
2. New technology for older adults in institution
3. How to evaluate the efficacy and benefits of these new technology
4. Potential list of reliable sites to rate these devices or services
5. The Geriatric Care Industry
6. Safety Enhancing technology
7. Transportation Enhancing technology

Section 3: Common Conditions & Diseases inGeriatrics

34. Osteoarthritis (26)
35. Osteoporosis & Hip Fractures (27)
36. Delirium (21)
37. Parkinson’s Disease & Essential Tremor (24)
38. Cerebrovascular Disease (23)
39. Coronary Artery Disease (28)
1. Acute Coronary Syndrome
2. Chronic Coronary Artery Disease
40. Heart Failure & Heart Rhythm Disorders (29)
1. Heart Failure
2. Bradyarrhythmias
3. Tachyarrhythmias—Atrial Fibrillation & Atrial Flutter
4. Ventricular Arrhythmias
5. Decision-Making about Implantable Devices (new)
41. Hypertension (30)
42. Valvular Disease (31)
1. Aortic Stenosis
2. Aortic Insufficiency
3. Mitral Stenosis
4. Mitral Regurgitation
43. Peripheral Arterial Disease & Venous Thromboembolism (32)
44. Anticoagulation (55)
1. Classes of Anticoagulant Therapy
2. Management of Bleeding in Older Persons on Anticoagulants
45. Chronic Venous Insufficiency, Stasis Ulcers & Lymphedema (33)
46. Chronic Lung Disease (replaces COPD chap 34)
47. Gastrointestinal Disease (35)
1. Gastroesophageal Reflux Disease
2. Dysphagia
3. Motility Disorders
4. Peptic Ulcer Disease
5. Dyspepsia
6. Diarrhea
7. Diverticular Disease
8. Inflammatory Bowel Disease
9. Fecal Incontinence
10. Colonic Ischemia
11. Abdominal Pain
48. Fluid & Electrolyte Abnormalities (37)
1. Hyponatremia
2. Hypernatremia
3. Hypokalemia
4. Hyperkalemia
5. Nocturnal Polyuria
49. Chronic Kidney Disease (38)
50. Thyroid, Parathyroid & Adrenal Gland Disorders (41)
1. Subclinical Hypothyroidism
2. Subclinical Hyperthyroidism
3. Hypothyroidism & Myxedema Coma
4. Hyperthyroidism
5. Nodular Thyroid Disease & Neoplasia
6. Acute Adrenal Insufficiency
7. Cushing Syndrome
8. Hyperparathyroidism
51. Diabetes (42)
52. Anemia (43)
53. Common Cancers (44)
1. Breast Cancer
2. Lung Cancer
3. Colorectal Cancer
4. Prostate Cancer (new)
5. Pancreatic Cancer
6. Ovarian Cancer
7. Leukemia
8. Lymphoma
54. Common Infections (47)
1. Urinary Tract Infections
2. Respiratory Tract Infections
3. Gastrointestinal Infections
4. Skin & Soft-Tissue Infections
5. Prosthetic Joint Infections & Osteomyelitis
55. HIV & AIDS (new)
56. Common Skin Disorders (49)
1. Seborrheic Keratosis
2. Epidermal Inclusion Cyst
3. Warts (Verruca Vulgaris & Verruca Plantaris)
4. Onychomycosis
5. Dry Skin, Pruritis & Asteatotic Dermatitis
6. Seborrheic Dermatitis
7. Stasis Dermatitis
8. Psoriasis
9. Rosacea
10. Contact Dermatitis
11. Drug Eruption (Morbilliform)
12. Herpes Zoster
13. Scabies
14. Bullous Pemphigoid
15. Actinic Keratosis
16. Basal Cell Carcinoma
17. Squamous Cell Carcinoma
18. Melanoma
57. Common Oral Diseases & Disorders (51)
1. Dry mouth/Xerostomia
2. Dental Caries
3. Dentures
58. Common Rheumatologic Disorders (65—renamed Joint Pain chapter)
1. Gout
2. Calcium Pyrophosphate Crystal Disease
3. Polymyalgia Rheumatica

Section 4: Managing Common Symptoms andConcerns in Geriatrics

59. Sleep Disorders (50)
1. Insomnia
2. Sleep Apnea
3. Periodic Limb Movement During Sleep & Restless Leg Syndrome
4. Narcolepsy
5. Circadian Rhythm Sleep Disorders
6. REM Behavior Disorder
7. Sleep Problems in Special Populations
60. Confusion (52)
61. Constipation (36)
62. Benign Prostatic Hyperplasia & Lower Urinary Tract Symptoms (40--added LUTS)
63. Chronic Pain (54—also include Back Pain (66) in this chapter)
64. Headaches (60)
65. Chest Pain (63)
66. Dyspnea (64)
67. Syncope (59)
68. Pressure Ulcers (48)
69. Driving Safety (new)
70. Misuse of Alcohol & Psychoactive Prescription Medications (58)
1. Health Risks
2. Definitions to Guide Screening and Interventions
3. Brief Interventions
71. Complementary & Integrative Medicines (57)
1. Massage & Chiropractic Therapy
2. Herbs & Supplements
3. Marijuana (new)
4. Other Forms of Complementary or Integrative Medicine
72. Encouraging Appropriate Exercise (67)

Section 5: Special Populations & HealthPolicies for an Aging Society

73. Unique Needs of LGBTQ Older Persons (73)
1. Background & Definitions
2. Health Issues for LGBTQ Older Persons
3. Biopsychosocial Aspects of Care
4. Next Steps
74. Helping Older Persons with Low Health Literacy (69)
1. Unique Health Literacy Considerations in Older Persons
2. Screening for Health Literacy
3. Clear Health Communication Strategies
4. Systems Approaches
75. Effects of Homelessness & Housing Instability on Older Persons (70)
1. Pathways to Homelessness Among Older Persons
2. Strategies to Prevent Homelessness
3. Health Status of Older Homeless Persons
4. Interaction Between Health Status and Environment
5. Next Steps
76. Helping Older Persons in the Criminal Justice System (71)
1. Background & Definitions
2. Clinical Care
77. Older Travelers (20)
1. General Principles
2. Overview of Travel Problems
3. Risk of Venous Thromboembolism Due to Travel
4. Ship Travel
5. Air Travel
6. Resources About Travel Risks
78. Unique Needs of Older Immigrants (new)
1. Access to Care
2. Cultural and Linguistic Barriers to Care
79. International Perspectives in Geriatric Care (75)
1. Aging Around the World
2. Models of Geriatric Care
80. Medicare, Medicaid & Advocacy to Fund Age Friendly Health Systems (76—renamed public policy chapter and added Advocacy)
1. Defining Quality and Safety in Geriatric Care
2. Financing Geriatric Care and Age Friendly Health Systems