Geriatrics Models of Care

Bringing 'Best Practice' to an Aging America

Author: Michael L. Malone,Elizabeth Capezuti,Robert M. Palmer

Publisher: Springer

ISBN: 3319160680

Category: Medical

Page: 319

View: 1574

This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community. Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.

Geriatrics Models of Care

Bringing 'Best Practice' to an Aging America

Author: Michael L. Malone,Elizabeth Capezuti,Robert M. Palmer

Publisher: Springer

ISBN: 9783319379289

Category: Medical

Page: 319

View: 3309

This book describes geriatrics practice models that are used to guide the care of older adults, allowing seniors to remain at home, prevent functional disability and preserve quality of life. The models include specific interventions which are performed by health care workers to address the needs of older persons and their caregivers. These models respect patient values, consider patient safety and appreciate psychosocial needs as well. Divided into six parts that discuss hospital-based models of care, transitions from hospital to home, outpatient-based models of care and emergency department models of care, this text addresses the needs of vulnerable patients and the community. Geriatric Models of Care is an excellent resource for health care leaders who must translate these programs to address the needs of the patients in their communities.

Principles and Practice of Geriatric Psychiatry

Author: Mohammed T. Abou-Saleh,Cornelius Katona,null,

Publisher: John Wiley & Sons

ISBN: 1119956668

Category: Medical

Page: 934

View: 7024

The renowned Principles and Practice of Geriatric Psychiatry, now in its third edition, addresses the social and biological concepts of geriatric mental health from an international perspective. Featuring contributions by distinguished authors from around the world, the book offers a distinctive angle on issues in this continually developing discipline. Principles and Practice of Geriatric Psychiatry provides a comprehensive review of: geriatric psychiatry spanning both psychiatric and non-psychiatric disorders scientific advances in service development specific clinical dilemmas New chapters on: genetics of aging somatoform disorders epidemiology of substance abuse somatoform disorders care of the dying patient Continuing the practice of earlier editions, the major sections of the book address aging, diagnosis and assessment and clinical conditions, incorporating an engaging discussion on substance abuse and schizophrenic disorders. Shorter sections include the presentation of mental illness in elderly people from different cultures—one of the most popular sections in previous editions. Learning and behavioural studies, as well as models of geriatric psychiatry practice, are covered extensively. This book provides a detailed overview of the entire range of mental illness in old age, presented within an accessible format. Principles and Practice of Geriatric Psychiatry is an essential read for psychiatrists, geriatricians, neurologists and psychologists. It is of particular use for instructors of general psychiatry programs and their residents.

Acute Care for Elders

A Model for Interdisciplinary Care

Author: Michael L. Malone,Elizabeth Capezuti,Robert M. Palmer

Publisher: Springer

ISBN: 1493910256

Category: Medical

Page: 259

View: 3506

Acute Care for Elders (ACE) is a model of care designed to improve functional outcomes and to improve the processes for the care of older patients. This model includes: an environment of care designed to promote improved function for older patients; an interdisciplinary team that works together to identify/address the vulnerabilities of the older patients; nursing care plans for prevention of disability; early planning to help prepare the patient to return home and a review of medical care to prevent iatrogenic illness. Acute Care for Elders: A Model for Interdisciplinary Care is an essential new resource aimed at assisting providers in developing and sustaining an ACE program. The interdisciplinary approach provides an introduction to the key vulnerabilities of older adults and defines the lessons learned from the Acute Care for Elders model. Expertly written chapters describe critical aspects of ACE: the interdisciplinary approach and the focus on function. The fundamental principles of ACE described in this book will further assist hospital leaders to develop, implement, sustain and disseminate the Acute Care for Elders model of care. Acute Care for Elders: A Model for Interdisciplinary Care is of great value to geriatricians, hospitalists, advance practice nurses, social workers and all others who provide high quality care to older patients.

Handbook of Geriatric Oncology

Author: Beatriz Korc-Grodzicki, MD, PhD,William P. Tew, MD

Publisher: Springer Publishing Company

ISBN: 1617052825

Category: Medical

Page: 394

View: 3214

Handbook of Geriatric Oncology is a practical resource for oncologists and related clinicians who want to provide comprehensive, patient-centered care to the elderly cancer patient. Divided into nine succinct sections, it includes topics spanning an Overview of Geriatric Oncology and Aging, Geriatric Syndromes, Geriatric Assessment, Select Cancers Commonly Diagnosed in the Elderly, Communication with the Older Cancer Patient, the Nursing Home Patient with Cancer, Models of Care and Survivorship, Palliative Care, and Integrative Medicine. Complex issues such as the physiologic changes of aging and their effect on cancer, corresponding social and psychological aspects that accompany aging and a cancer diagnosis, assessment of frailty, managing comorbid conditions and diseases, effective communication among healthcare providers, the patient and caregivers, as well as the risks and benefits of cancer screening, are made simpler with helpful clinical guidance and clinical pearls. Spearheaded by world experts in geriatric oncology from Memorial Sloan Kettering Cancer Center in New York, this book is the definitive resource for oncologists and related clinicians to meet the demands of clinical management along the continuum of geriatric cancer care. Key Features: Provides best practices for evaluating geriatric syndromes such as functional dependency, falls, cognitive impairment and dementia, delirium, depression and anxiety, social isolation as well as syndromes related to nutrition, comorbid conditions, and polypharmacy. Includes practical guidance on when to treat and when not to treat cancer in older patients Discusses unique factors associated with breast cancer, prostate cancer, colorectal cancer, lung cancer, ovarian cancer, bladder cancer, pancreatic cancer, head and neck cancers, and myelodysplastic syndromes in the elderly that impact care plans and treatment.

Primary Care for Older Adults

Models and Challenges

Author: Michael Wasserman,James Riopelle

Publisher: Springer

ISBN: 3319613294

Category: Medical

Page: 228

View: 5062

This book provides a comprehensive and systematic state-of-the science review of major primary care delivery models, how they address specific needs of older adults, and available evidence for their efficacy. Written by experts in the field, this book explores the patient-centered medical home model (PCMH) in depth and dives into the complexities of the “medical neighborhood”. It describes and analyzes primary care specifically directed toward special, complex populations, such as the Health Home for safety net patients with mental health needs, and intensive primary care for older adults. It reviews an array of primary care models related to dual eligible patients including the GRACE primary care consultation model and PACE models. It describes primary care with Advanced Practice Nurses and Physician Assistants and explores in-depth the massive effort within the VA to develop the Patient Activated Care Team (PACT), a VA form of the PCMH that also has several offshoots that address complex older veterans and veterans with severe mental illness. Finally, it illuminates rarely discussed primary care that occurs within the home and within long-term care. Throughout the entire book, experts navigate the workforce, care quality, and financing challenges of primary care for older adults. Primary Care for Older Adults is a valuable resource for clinicians, researchers, patients, caregivers and their advocates, and policy makers who have an interest in designing, promoting, and implementing high quality primary care for older adults.

Principles and Practice of Geriatric Surgery

Author: Ronnie Ann Rosenthal,Michael E. Zenilman,Mark R. Katlic

Publisher: Springer Science & Business Media

ISBN: 1441969993

Category: Medical

Page: 1387

View: 5756

"In the preface to this impressive and well-produced book, the editors state that their aim is not to describe a new surgical specialty, since most surgeons will soon need to be "geriatric surgeons," but to assemble a comprehensive account that will allow "all providers of healthcare to the elderly to understand the issues involved in choosing surgery as a treatment option for their patients." This is a useful book that deserves to do well. I hope that the editors and their publisher will have the stamina to make this the first of several editions, as it is clear that updated information about surgery in the elderly will be required to keep pace with this important field." NEJM Book Review

Geriatric Depression

A Clinical Guide

Author: Gary J. Kennedy

Publisher: Guilford Publications

ISBN: 1462519865

Category: Psychology

Page: 234

View: 7592

Written for a broad range of mental health professionals, this book explains why depression can be challenging to treat in older adults and describes the most effective interventions. Noted geriatric psychiatrist Gary J. Kennedy draws on extensive clinical experience and research to present current best practices in pharmacotherapy, psychotherapy, other psychosocial and lifestyle interventions, and electroconvulsive therapy. Depressive disorders complicated by psychosis, mania, dementia, and bereavement are addressed in detail, as is suicide prevention. Kennedy emphasizes the importance of integrating care across service settings and building strong partnerships with patients and their families. Quick-reference tables throughout the book distill critical elements of intervention. See also the author's award-winning "Geriatric Mental Health Care: A Treatment Guide for Health Professionals," which provides a framework for treating the most frequently encountered psychiatric problems in this population.

The Encyclopedia of Elder Care

The Comprehensive Resource on Geriatric Health and Social Care, Third Edition

Author: Elizabeth A. Capezuti,Liz Capezuti,Michael L. Malone, MD,Paul R. Katz, MD,Mathy Mezey

Publisher: Springer Publishing Company

ISBN: 0826137350

Category: Medical

Page: 848

View: 1513

Print+CourseSmart

Psychological Treatment of Older Adults

A Holistic Model

Author: Lee Hyer, PhD, ABPP

Publisher: Springer Publishing Company

ISBN: 082619592X

Category: Social Science

Page: 476

View: 6863

“This is one of the best mental health and aging books I have ever read. [It] is one that I will turn to often in my teaching of doctoral students, and in my work with older adults. One of the phenomenal aspects of this book is the research reviews; which are in-depth and broad in their scope. It is clear that Lee Hyer is an exceptional scholar-clinician and geropsychologist..”--Peter A. Lichtenberg, PhD Drawing from current research and clinical practice, this text espouses a unique interdisciplinary approach to the assessment and treatment of psychosocial impairment in older adults. This approach, called “Watch and Wait,” is grounded in a "whole person" model of care rather than one that addresses symptoms or syndromes in isolation. This model advocates relationship building, prevention, psychoeducation, multipronged interventions for comorbid problems, and communication. It does so in the context of a multidisciplinary health care team, the patient, and family. The model encompasses five core factors of psychosocial impairment in older adults: depression, anxiety, cognitive deficits, adjustment or life problems, and health issues. Considered together, they provide an integrated understanding of the older adult that is more likely than single-disorder models to facilitate successful outcomes for common psychosocial difficulties that occur in later life. The book describes in depth the unique components and complex interactive influences of these five factors as they apply to older adults seeking mental health treatment. A cornerstone of the author’s approach is treatment based on stringent care-based assessment and thorough monitoring of empirically supported interventions. Each factor is considered individually from its empirically supported basis as well as its interaction with the other factors. Distinct treatment modules are isolated for each factor and assembled to provide the optimal pathway for clinical treatment. The text also addresses the unique difficulties of diagnosing the aging population, the pitfalls of existing treatments, and the need for brain-based models for care. Key Features: Advocates for integrative, interdisciplinary care and primary care involvement for the older adult Emphasizes core components of care: depression, anxiety, cognition, pain/sleep/health issues, adjustment in the community Demonstrates how a single-problem approach for older adults with psychiatric problems is not effective or efficient care Espouses a "Watch and Wait" paradigm of care, based on person-centered diagnosis and careful monitoring of treatment Translates and integrates current research findings with clarity Covers use of SSRIs and other medications, suicide, subsyndromal states, issues involving cost of care for the older patient, among other topics Plentiful case examples

The Business of Geriatrics

Author: Michael Wasserman

Publisher: Springer

ISBN: 3319285467

Category: Medical

Page: 174

View: 5036

This book takes a fresh look at how caring for Medicare beneficiaries can lead to success in today’s healthcare marketplace. Using examples from highly successful practice models, the book will take the reader through the key components necessary to run a profitable geriatric practice. The author, who co-founded what became one of the largest geriatric private practices in the country, discusses each part of the continuum of care from the perspective of the provider-client relationship, highlighting the importance of business cultures in this environment. The text also features an overview of payment models, starting with traditional fee-for-service, insurance (Medicare HMO’s), and finishing with the concept of bundled payment models that have been heralded as the future of physician reimbursement. Finally, this book focuses on the practical aspects of business planning, budgeting and hiring and concludes with chapters about the key challenges faced by a geriatric practice, focusing on provider productivity, coding and billing, and dealing with potential competition in the marketplace. The Business of Geriatrics is the ultimate business guide for primary care physicians, geriatricians, residents, medical students, healthcare administrators, policymakers, business and medical administrative students, and practice managers.

Creating a Value Proposition for Geriatric Care

The Transformation of American Healthcare

Author: James S. Powers

Publisher: Springer

ISBN: 3319622714

Category: Medical

Page: 54

View: 6833

This book creates a value proposition in geriatric care - a promise of value to be delivered to improve care and to provide specific benefits to healthcare systems. It describes strategies and understanding of the incentives, barriers encountered in promoting changes in the healthcare systems, and discusses numerous examples and outcomes. Drawn from many fields such as medicine and science, sociology, politics, business and economics, the book helps guide the introduction of geriatric principles into mainstream medical care with the goal of improving the care and quality of life of older persons in all healthcare systems.

Perioperative Care of the Elderly

Clinical and Organizational Aspects

Author: Gabriella Bettelli

Publisher: Cambridge University Press

ISBN: 1108166784

Category: Medical

Page: N.A

View: 9613

This innovative, comprehensive book covers the key elements of perioperative management of older patients. The book's chapter structure coincides with the clinical path patients tread during their treatment, from preoperative evaluation to post-hospital care. Epidemiological aspects and aging processes are illustrated, providing keys to understanding the quick expansion of geriatric surgery and defining the clinical profile of older surgical patients in a cybernetic perspective. Preoperative evaluation and preparation for surgery, including medication reconciliation and pre-habilitation, are developed in the light of supporting decision-making about surgery in an evidence-based and patient-focused way. Intra- and postoperative management are discussed, aiming to tailor anesthetic, surgical and nursing approaches to specific patients' needs, in order to prevent both general and age-related complications. This volume also addresses issues relevant to geriatric surgery, from different organizational models to clinical risk management and systems engineering applied to hospital organization.

Value Driven Healthcare and Geriatric Medicine

Implications for Today's Changing Health System

Author: James S. Powers

Publisher: Springer

ISBN: 3319770578

Category: Medical

Page: 156

View: 4553

Value driven healthcare is the lasting legacy of the Affordable Care Act, which had three goals: to improve access to healthcare by increasing healthcare insurance coverage, to improve the patient’s experience and quality of care, and to slow the rate of increase in healthcare costs. Regardless of changes to the financing of healthcare or changes in policy, value-based purchasing for healthcare is to remain a constant feature of the healthcare horizon. Value-based purchasing is a demand side strategy to reward quality in health care delivery. Value-based purchasing involves cost considerations and includes the actions of employers, the public sector, health plans, and individual consumers in making healthcare decisions. Effective health care services and high performing health care providers are incentivized to provide quality outcomes and to control cost. Value-based purchasing drives quality metrics which are publicly reported and serve as important levers for changes in healthcare delivery. Geriatric patients consume a disproportionate share of healthcare resources, so CMS directs Medicare and drives geriatric healthcare models. All other insurers generally model CMS/Medicare guidelines. Innovative geriatric care models which demonstrate improved outcomes and cost moderation are scaled and lessons learned used to create new healthcare models. The best data for broader value driven healthcare comes from the geriatric models, which currently have the best data available. This book traces the origins of value-based purchasing and current geriatric care models and synthesizes their implications for today's changing health system. It also discusses healthcare accountability and risk sharing. The audience includes geriatric healthcare professionals, but also a wider audience interested in broader healthcare models and value driven healthcare from a policy, economic, and ethical perspective. These include primary care physicians, specialists who work with aging patients, hospital administrators, healthcare educators, healthcare organizations, and all medical professionals working with aging patients and patients affected by healthcare reform.

Handbook of Geriatric Assessment

Author: Joseph J. Gallo

Publisher: Jones & Bartlett Learning

ISBN: 9780763730567

Category: Business & Economics

Page: 473

View: 9355

Nursing

The Mental Health and Substance Use Workforce for Older Adults

In Whose Hands?

Author: Committee on the Mental Health Workforce for Geriatric Populations,Board on Health Care Services,Institute of Medicine

Publisher: National Academies Press

ISBN: 0309256666

Category: Medical

Page: 357

View: 8965

At least 5.6 million to 8 million--nearly one in five--older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. For decades, policymakers have been warned that the nation's health care workforce is ill-equipped to care for a rapidly growing and increasingly diverse population. In the specific disciplines of mental health and substance use, there have been similar warnings about serious workforce shortages, insufficient workforce diversity, and lack of basic competence and core knowledge in key areas. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. The Mental Health and Substance Use Workforce for Older Adults: In Whose Hands? assesses the needs of this population and the workforce that serves it. The breadth and magnitude of inadequate workforce training and personnel shortages have grown to such proportions, says the committee, that no single approach, nor a few isolated changes in disparate federal agencies or programs, can adequately address the issue. Overcoming these challenges will require focused and coordinated action by all.

Geriatric Medicine: an Evidence-Based Approach

Author: Frank Lally,Christine Roffe

Publisher: Oxford University Press, USA

ISBN: 0199689644

Category: Medical

Page: 221

View: 9355

People are living longer and the population over the age of 60 is burgeoning, with repercussions for health services and healthcare expenditure in developed countries. Crucially, disease aetiology, diagnosis, and treatment in older people differ from the general adult population. Older people often have complicated co-morbidities and respond to treatment in different ways compared to younger people. Evidence of efficacy of different treatments is often lacking because older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed specifically in more general texts. Geriatric medicine: an evidence based approach is a clinical reference for health care professionals who manage older patients, and summarizes up-to-date research literature in a style that can be directly applied by busy healthcare professionals and provide a useful resource for reference.

Oxford Textbook of Geriatric Medicine

Author: Jean-Pierre Michel,Jeremy D. Walston

Publisher: Oxford University Press

ISBN: 0198701594

Category:

Page: 1432

View: 3298

Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients. Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems. Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care. The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.

Geriatric Neuropsychology

Assessment and Intervention

Author: Deborah K. Attix,Kathleen A. Welsh-Bohmer

Publisher: Guilford Publications

ISBN: 146251457X

Category: Psychology

Page: 467

View: 9633

This major clinical reference and text is the first volume to systematically address the entire process of neuropsychological assessment and intervention with older adults. The expert editors and contributors detail the current state of knowledge about frequently encountered conditions ranging from mild cognitive impairment to progressive, stable, and reversible dementias. Evidence-based assessment and intervention strategies are described, and specific guidance is provided for linking neuropsychological evaluation to individualized treatment planning. Demonstrating an array of cognitive training, compensatory, and psychotherapeutic approaches, the volume shows how these can successfully be used to improve patients' functioning and quality of life.