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This book provides a comprehensive and practical overview of the knowledge required for the assessment and management of the older adult with arthritis and other rheumatological conditions. This book equips nurses and allied health professionals with the knowledge and skills to undertake a comprehensive holistic assessment to identify the physical, psychological and social impact of living with arthritis. It informs them on osteoarthritis, a leading cause of pain and disability in 10-15% of all adults over the age of 60. Polymyalgia rheumatic can prove challenging for the clinician to manage, whilst rheumatoid arthritis and gout, (two other inflammatory conditions) also have a substantial global burden. This book informs nurses and allied health professionals on to manage these conditions, as well as the symptoms of fatigue, pain and mood and how patients can be supported to engage in Self-Management. The pharmacological and non pharmacological approach to management is discussed in depth including the role of medications and exercise. The impact of arthritis on a person’s ability to engage in their day to day activities and social participation is also explored.
This book provides a practical guide to the diagnosis and management of rheumatic disease in geriatric patients. It details information on the effect of ageing on musculoskeletal and immune systems and specifies impact of a variety of inflammatory and degenerative rheumatic disorders on the elderly. The clinical diagnostic approach to an older individual with musculoskeletal complaints is a cornerstone of this book, which includes also insights into the most important comorbidities for this age and discusses in depth available treatments and rehabilitation tools. The symptoms, imaging features and recommendations on the interpretation of specific laboratory tests for rheumatic diseases in geriatrics are also covered. This book encompasses traditionally associated with older age conditions including temporal arteritis, polymyalgia rheumatica, osteoarthritis, as well as common systemic autoimmune diseases that can produce atypical manifestations in the elderly. It will enable the readers to develop a thorough understanding of how to deal with these patients in their clinical practice. Rheumatic Disease in Geriatrics: Diagnosis and Management systematically describes how to diagnose and treat geriatric patients with a variety of rheumatic conditions and is a valuable resource for all medical professionals involved.
Intro -- Foreword -- Acknowledgements -- Contents -- Part I: Nutritional Care in Geriatrics -- 1: Overview of Nutrition Care in Geriatrics and Orthogeriatrics -- 1.1 Defining Malnutrition -- 1.2 Nutrition Care in Older Adults: A Complex and Necessary Challenge -- 1.3 Malnutrition: A Truly Wicked Problem -- 1.4 Building the Rationale for Integrated Nutrition Care -- 1.5 Managing the Wicked Nutrition Problems with a SIMPLE Approach (or Other Tailored Models) -- 1.5.1 Keep It SIMPLE When Appropriate -- 1.5.2 A SIMPLE Case Example -- 1.5.2.1 S-Screen for Malnutrition -- 1.5.2.2 I-Interdisciplinary Assessment -- 1.5.2.3 M-Make the Diagnosis (es) -- 1.5.2.4 P-Plan with the Older Adult -- 1.5.2.5 L-Implement Interventions -- 1.5.2.6 E-Evaluate Ongoing Care Requirements -- 1.6 Bringing It All Together: Integrated Nutrition Care Across the Four Pillars of (Ortho) Geriatric Care -- 1.7 Summary: Finishing Off with a List of New Questions -- References -- Recommended Reading -- 2: Nutritional Requirements in Geriatrics -- 2.1 Nutritional Recommendations for Older Adults, Geriatric and Orthogeriatric Patients -- 2.2 Nutritional Recommendations for Older Adults -- 2.2.1 Energy Requirement and Recommended Intake -- 2.2.2 Protein Requirement and Recommended Intake -- 2.2.3 Micronutrients and Dietary Fibers -- 2.3 Nutritional Risk Factors in Older Adults -- 2.4 Estimating Intake in Older Adults -- 2.5 Nutritional Status of Older Adults, Geriatric and Orthogeriatric Patients -- 2.6 Summary -- References -- Recommended Reading -- 3: Nutritional Assessment, Diagnosis, and Treatment in Geriatrics -- 3.1 The Nutrition Care Process -- 3.2 Nutritional Screening/Risk Detection -- 3.3 Nutritional Assessment and Diagnosis -- 3.3.1 Nutrition Impact Symptoms -- 3.3.2 Nutritional Diagnosis -- 3.3.3 Etiologic Criteria.
The first book dedicated explicitly to the care of elderly patients with rheumatic diseases, this comprehensive resource is a practical guide for navigating the medical concerns of these complex patients. While patients over 65 years of age comprise roughly 15% of the population, they consume about 50% of rheumatology resources. This book presents current clinical practices with an eye toward achieving economically sustainable models of care. The world’s leading authorities have come together to cover the full spectrum of rheumatic diseases, the immune system in aging, and ultrasound evaluation and arthrocentesis. The book also addresses the milieu of co-morbidities that the clinician may encounter with an older patient, as well as the accompanying concerns about multiple pharmacologic therapies and drug interactions. Bringing in experts from a wide array of subspecialties, the editors present the essentials of multidisciplinary care, an approach which is the hallmark of geriatrics and which naturally translates into the field of gerontorheumatology. Designed for primary care physicians and rheumatology consultants, Geriatric Rheumatology is an invaluable guide to caring for this rapidly growing patient population.
This book provides a comprehensive and practical overview of the knowledge required for the assessment and management of the older adult with arthritis and other rheumatological conditions. This book equips nurses and allied health professionals with the knowledge and skills to undertake a comprehensive holistic assessment to identify the physical, psychological and social impact of living with arthritis. It informs them on osteoarthritis, a leading cause of pain and disability in 10-15% of all adults over the age of 60. Polymyalgia rheumatic can prove challenging for the clinician to manage, whilst rheumatoid arthritis and gout, (two other inflammatory conditions) also have a substantial global burden. This book informs nurses and allied health professionals on to manage these conditions, as well as the symptoms of fatigue, pain and mood and how patients can be supported to engage in Self-Management. The pharmacological and non pharmacological approach to management is discussed in depth including the role of medications and exercise. The impact of arthritis on a person's ability to engage in their day to day activities and social participation is also explored. .
As the first of the nation's 78 million baby boomers begin reaching age 65 in 2011, they will face a health care workforce that is too small and woefully unprepared to meet their specific health needs. Retooling for an Aging America calls for bold initiatives starting immediately to train all health care providers in the basics of geriatric care and to prepare family members and other informal caregivers, who currently receive little or no training in how to tend to their aging loved ones. The book also recommends that Medicare, Medicaid, and other health plans pay higher rates to boost recruitment and retention of geriatric specialists and care aides. Educators and health professional groups can use Retooling for an Aging America to institute or increase formal education and training in geriatrics. Consumer groups can use the book to advocate for improving the care for older adults. Health care professional and occupational groups can use it to improve the quality of health care jobs.
The WHO World report on ageing and health is not for the book shelf it is a living breathing testament to all older people who have fought for their voice to be heard at all levels of government across disciplines and sectors. - Mr Bjarne Hastrup President International Federation on Ageing and CEO DaneAge This report outlines a framework for action to foster Healthy Ageing built around the new concept of functional ability. This will require a transformation of health systems away from disease based curative models and towards the provision of older-person-centred and integrated care. It will require the development sometimes from nothing of comprehensive systems of long term care. It will require a coordinated response from many other sectors and multiple levels of government. And it will need to draw on better ways of measuring and monitoring the health and functioning of older populations. These actions are likely to be a sound investment in society's future. A future that gives older people the freedom to live lives that previous generations might never have imagined. The World report on ageing and health responds to these challenges by recommending equally profound changes in the way health policies for ageing populations are formulated and services are provided. As the foundation for its recommendations the report looks at what the latest evidence has to say about the ageing process noting that many common perceptions and assumptions about older people are based on outdated stereotypes. The report's recommendations are anchored in the evidence comprehensive and forward-looking yet eminently practical. Throughout examples of experiences from different countries are used to illustrate how specific problems can be addressed through innovation solutions. Topics explored range from strategies to deliver comprehensive and person-centred services to older populations to policies that enable older people to live in comfort and safety to ways to correct the problems and injustices inherent in current systems for long-term care.
Alexander’s Nursing Practice is the most comprehensive textbook available for undergraduate nursing students today. This resource will prepare students for their future role as healthcare professionals in a variety of settings. It covers all the basics of nursing, including care of patients with common disorders, core nursing issues like medicines management and infection prevention and control, and how to nurse specific patient groups. The sixth edition has been fully updated to incorporate the latest evidence, policies and registration requirements, and reflects the transformative changes currently occurring in healthcare policies, procedures and technologies. With a host of features to enhance the learning and teaching experience, this book will make a significant contribution to preparing compassionate nurses who will deliver patient-centred, high quality and holistic care. Key features Designed to help the reader navigate the demands of the latest NMC educational requirements Expert team of contributors led by renowned editor, Ian Peate OBE FRCN Fully updated with the latest evidence and trends - incorporates the latest practice guidelines, research findings and clinical standards relevant to the nursing field Addresses the role of nurses in primary care settings, general practice nursing responsibilities, chronic disease management, health screening and the delivery of integrated, patient-centred care within the UK primary care landscape Richly illustrated throughout to reinforce key concepts, demonstrate clinical procedures and engage students in active learning Includes a wide range of helpful learning features including case studies and critical thinking exercises – helps the reader to analyse complex situations, make evidence-based decisions and communicate effectively with patients and healthcare team members Pedagogical features to help students navigate the textbook, organise their learning and review key concepts efficiently Supplemented with online material including MCQs, image bank, critical thinking questions, extra online material (supplementary text), website figure references and extra online images
This book covers all aspects of the specialized field of gerontorheumatology, providing a complete overview of rheumatic and musculoskeletal diseases and related conditions in the elderly. The emphasis is particularly on pathogenesis, diagnosis, prevention, and treatment, including the latest advances in biological and pharmacological therapy and potential treatment side effects. The book will provide the reader with a keen awareness of the characteristic features, distinctive etiologies, and different courses of the various disorders of the musculoskeletal system in the geriatric population. Diagnostic and treatment considerations of special relevance in daily practice are highlighted, and the importance of comorbidities and their rheumatic consequences is also emphasized. The book will be of value for gerontologists, rheumatologists, internists, and rehabilitation physicians and will offer excellent guidance for general practitioners, who are typically the first to deal with disorders of the musculoskeletal system in elderly patients.
This book will enable readers to understand the principles underpinning the management of pain which a particular emphasis upon the care of the older adult. The chapters will explore concepts that are recognised to be involved in the pain experience but each author will then add their own unique perspective by applying the principles to their specialist area of practice and the care of the older adult. It is structured to include the aims and outcomes of the chapter at the beginning so that readers can track their progress, and provides chapter outlines and further reading suggestions foir this unique topic area.