journal
MENU ▼
Read by QxMD icon Read
search

Clinics in Geriatric Medicine

journal
https://www.readbyqxmd.com/read/30031431/-unknown-title
#1
EDITORIAL
Tim A Lash, Marcus R Escobedo
No abstract text is available yet for this article.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031430/improving-the-emergency-department-care-of-older-adults-in-north-america
#2
EDITORIAL
Michael L Malone, Kevin Biese
No abstract text is available yet for this article.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031429/older-adult-emergency-department-pain-management-strategies
#3
REVIEW
Lauren J Gleason, Emily D Escue, Teresita M Hogan
Older adults frequently present to the emergency department (ED) with pain, which is often underrecognized and undertreated. There is high variability of pain management and prescribing practices by ED providers. This article focuses on treatment of older adults in the ED who present with pain and addresses special considerations for this population. Social supports and follow-up must be considered in discharge treatment recommendations.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031428/behavioral-health-needs-of-older-adults-in-the-emergency-department
#4
REVIEW
Laurel J Bessey, Rebecca M Radue, Elizabeth N Chapman, Lisa L Boyle, Manish N Shah
Behavioral health disorders are common among older adults and, owing to limited access to resources for mental health care in the community, emergency department providers are often on the front lines of mental health crises. This article reviews the available literature regarding the care of behavioral health emergencies in older adults and provides a framework for navigating the evaluation and management of older adults presenting to the emergency department with behavioral health concerns.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031427/care-of-geriatric-patients-with-advanced-illnesses-and-end-of-life-needs-in-the-emergency-department
#5
REVIEW
Daniel Bell, Margaret Brungraber Ruttenberg, Emily Chai
Older patients with advanced illness are presenting more frequently to emergency departments (EDs). These patients have complex needs, which challenge busy EDs tuned to provide emergent, life-sustaining interventions, and rapid dispositions. This article outlines communication skills to assess patient goals so that the ED provider can create a care plan that matches level of medical intervention with patient wishes. Furthermore, this article outlines symptom-based care for the actively dying geriatric patient in the ED, specifically, acute pain, dyspnea, terminal delirium, secretions, dry mouth, fever, and bereavement...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031426/identifying-and-initiating-intervention-for-elder-abuse-and-neglect-in-the-emergency-department
#6
REVIEW
Tony Rosen, Michael E Stern, Alyssa Elman, Mary R Mulcare
Elder abuse and neglect are common and may have serious medical and social consequences but are infrequently identified. An emergency department (ED) visit represents a unique but usually missed opportunity to identify potential abuse and initiate intervention. ED assessment should include observation of patient-caregiver interaction, comprehensive medical history, and head-to-toe physical examination. Formal screening protocols may also be useful. ED providers concerned about elder abuse or neglect should document their findings in detail...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031425/common-medication-management-approaches-for-older-adults-in-the-emergency-department
#7
REVIEW
Scott M Dresden, Katherine Allen, Abbie Erickson Lyden
Adverse drug events (ADEs) can lead to emergency department (ED) visits and hospitalizations. Many ADEs are preventable. Incomplete information, poor understanding, and time constraints often lead to use of potentially inappropriate medications and drug-drug interactions. In an ED, physiologic changes, such as lean body mass, kidney and liver function, and susceptibility to central nervous system depressants, must be considered. High-risk medications should be reviewed and potential drug-drug interactions should be discussed and avoided when possible...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031424/systems-based-practice-to-improve-care-within-and-beyond-the-emergency-department
#8
REVIEW
Marsha Vollbrecht, Kevin Biese, Susan Nicole Hastings, Kelly J Ko, Laura Ann Previll
There is evidence that an emergency department (ED) visit signifies a period of vulnerability for older adults. Transition between the ED and community care can be fraught with challenges. There are essential elements for improved care transition from the ED to the community. Starting a new program requires buy-in from leaders, clinical team, and community. Improving care within an ED requires looking beyond the ED. Following implementation science will increase the success of program implementation and dissemination...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031423/communication-strategies-for-better-care-of-older-individuals-in-the-emergency-department
#9
REVIEW
Teresita M Hogan, Aaron Malsch
The need for teamwork and communication among emergency department staff is central to excellent health care and of particular importance for the complex older adult population. Communication can decrease error, enhance safety, and improve throughput. Communication strategies both among multiple health care professionals, and between professionals and family and/or patients can improve care for older adults in the unique emergency department environment.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031422/older-adults-in-the-emergency-department-with-frailty
#10
REVIEW
Olga Theou, Samuel Campbell, Michael L Malone, Kenneth Rockwood
In the emergency department (ED), frailty represents the vulnerability of an individual because of their underlying health status. An older patient can be identified as frail by using a frailty index, the Clinical Frailty Scale, a frailty phenotype, or a screening measure such as the Identification of Seniors at Risk (ISAR). In the ED, the frail older person should have an interdisciplinary assessment, a thoughtful review of their medications, a screen for other geriatric syndromes, and a care plan that addresses the individual's needs, includes the patient's goals and preferences, and follows the patient beyond the ED...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031421/older-adult-falls-in-emergency-medicine-a-sentinel-event
#11
REVIEW
Christopher R Carpenter, Amy Cameron, David A Ganz, Shan Liu
Standing-level falls represent the most frequent cause of trauma-related death in older adults and a common emergency department presentation. However, these patients rarely receive guideline-directed screening and interventions during or following an episode of care. Reducing injurious falls in an aging society begins with prehospital evaluations and continues through risk assessments and interventions that occur after emergency department care. Although obstacles to emergency department-initiated, evidence-based older adult fall reduction strategies include the absence of a compelling emergency medicine evidence basis, innovations underway include validation of screening instruments and incorporation of contemporary technology like smart phones to improve fall detection rates...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031420/delirium-and-dementia
#12
REVIEW
Jin H Han, Joe Suyama
Approximately 35% to 37% of older emergency department (ED) patients will have delirium or dementia, which can negatively affect safe and appropriate clinical care. This article describes the epidemiology of delirium and dementia in the ED and how it affects clinical care and patient outcomes. Screening for delirium and dementia in the context of the busy ED environment, as well as their diagnostic evaluation and management, is discussed.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031419/ten-best-practices-for-the-older-patient-in-the-emergency-department
#13
REVIEW
Don Melady, Adam Perry
This article reviews 10 best practices that integrate geriatric principles into emergency department processes of care. These best practices are grouped around ten words: complexity; clinician education; geriatric-specific; atypical; medication; variability; cognitive impairment; psychosocial issues; end-of-life care; and interdisciplinary.
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/30031418/an-approach-to-the-older-patient-in-the-emergency-department
#14
REVIEW
Adam Perry, Jonny Macias Tejada, Don Melady
Older patients in the emergency department (ED) present unique diagnostic and therapeutic challenges. The ED clinicians must simultaneously evaluate and treat older adults along multiple domains: cognitive impairment, atypical presentations, functional impairment, medication management, trauma and falls, and end-of-life care. This article reviews these domains and suggests strategies for a more comprehensive, patient-centered ED approach to older patients. Incorporating assessment of these domains into the ED process improves patient outcomes, provider satisfaction, and ED flow...
August 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661340/geriatric-otolaryngology-why-it-matters
#15
EDITORIAL
Karen M Kost
No abstract text is available yet for this article.
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661339/frailty-and-polypharmacy-in-older-patients-with-otolaryngologic-diseases
#16
REVIEW
David Eibling
Frailty and Polypharmacy commonly impact disease processes and treatment of patients with otolaryngologic disorders. Although well known to geriatricians, the 2 concepts often elude other physicians, including otolaryngologists. This article reviews the common manifestations likely to be encountered in otolaryngology patients, reviews frailty measures in surgical patients, and makes recommendations regarding education of nongeriatricians.
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661338/anesthesia-in-the-elderly-patient-undergoing-otolaryngology-head-and-neck-surgery
#17
REVIEW
Takumi Codère-Maruyama, Albert Moore
Geriatric patients undergoing surgery have a whole set of specific physiologic changes, perioperative needs, and postoperative complications. This review presents an overview of the basic concepts and the evolving challenges pertaining to the care of geriatric patients undergoing otolaryngologic procedures from the perspective of the anesthesiologist.
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661337/thyroid-disorders-in-the-elderly-an-overall-summary
#18
REVIEW
Kevin Higgins
Medical care for elderly patients is often distinctly different from that of younger counterparts. This is no truer than in a thyroid disorder context, where patients are often asymptomatic and polypharmacy is a potential consideration. Understanding how treatment of these patients can deviate from common practices is an essential asset to any health care provider. The purpose of this article is to shed light on those deviations and address inherent complexities in caring for elderly patients in an effort to improve quality of care...
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661336/cutaneous-head-and-neck-malignancies-in-the-elderly
#19
REVIEW
Brian B Hughley, Cecelia E Schmalbach
Cutaneous malignancy of the head and neck affects a large proportion of elderly patients. The severity ranges from small, easily treatable lesions to large, invasive, potentially metastatic tumors. Surgical treatment is the primary treatment of most skin cancers; however, geriatric patients are more likely to have multiple comorbidities that increase the risk of surgery. Multiple treatment modalities exist, including surgical, radiation, and medical therapy. Recommendations and treatment options for basal cell carcinoma, squamous cell carcinoma, Merkel cell carcinoma, and melanoma are outlined and reviewed...
May 2018: Clinics in Geriatric Medicine
https://www.readbyqxmd.com/read/29661335/head-and-neck-cancer-in-the-elderly-frailty-shared-decisions-and-avoidance-of-low-value-care
#20
REVIEW
Leila J Mady, Marci L Nilsen, Jonas T Johnson
Head and neck cancer (HNC) is a disease of older adults. Recurrent and metastatic head and neck squamous cell carcinoma portends a poor prognosis, with median overall survival of less than 12 months. Within this vulnerable population, significant treatment-related toxicities and physical and psychosocial sequelae can be devastating to quality of life at the end of life. Shared decision making and early comprehensive palliative and support services are at the crux of the approach to older adults with HNC. In doing so, low-value care that fails to meet the goals of patients and their caregivers at the end-of-life may be avoided...
May 2018: Clinics in Geriatric Medicine
journal
journal
29234
1
2
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"