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Acute Care Surgery in Geriatric Patients

Acute Care Surgery in Geriatric Patients
Author: Patrizio Petrone
Publisher: Springer Nature
Total Pages: 603
Release: 2023-09-04
Genre: Medical
ISBN: 3031306511

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This comprehensive text will provide a state-of-the art review of the field of geriatric acute care surgery, reviewing new epidemiology data about risk factors for this type of trauma. Assessment of the geriatric trauma patient is unique, and this population requires special attention. Moreover, geriatric patients often suffer from mild to severe cognitive impairment, cardiovascular, and pulmonary insufficiency, which can complicate trauma. This comorbidity informs the evaluation, diagnosis and management of geriatric trauma and stresses the importance of team-based interprofessional care for affected patients. Opening chapters describe general principles of geriatric acute care, the physiology of aging, frailty, injury prevention, and goals of care. The main section of the book presents the latest treatment strategies for traumatic orthopedic, cardiovascular and gastrointestinal trauma, including sepsis, complications and critical care monitoring, before turning to nursing considerations for this ever-growing population. Additional chapters on outcomes and COVID management complete the presentation. Providing a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts, this text will serve as a very useful resource for physicians, medical students, residents, nurses, therapists, and researchers dealing with, and interested in this challenging type of trauma.


Geriatric Trauma and Acute Care Surgery

Geriatric Trauma and Acute Care Surgery
Author: Aurelio Rodriguez
Publisher: Springer
Total Pages: 453
Release: 2018-03-21
Genre: Medical
ISBN: 3319574035

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The purpose of this book is to give providers of all levels a simple and essential source of practical information in treating the elderly trauma and emergency surgery patient. The Introduction instructs practitioners how to evaluate and assess risk including frailty and use this information in Goals of Care discussions to facilitate shared decision making so crucial to this population. The individual chapters consist of best practices and care guidelines from some of the most well-known thought leaders and best trauma centers in the country across the spectrum from geriatricians to trauma and acute care surgeons and nurses. Each chapter contains easy-to-read algorithms and references that the readers can use and adapt for their own setting. Chapters on Pre-hospital care will help guide EMS organizations and even systems in the right care and triage of the elderly. Each chapter also contains a Nursing Focus section for helpful nursing tips in caring for the elderly with those injuries and problems. These sections make this book a must-have for any center looking to improve its care of the elderly patient or just trying to be sure its care is already the best it can be. A special section on Post Acute Care will introduce the provider to the common issues surrounding particular disposition destinations for the elderly patient. This will facilitate discussions with families, case managers and facilities to help improve time to disposition.


Emergency General Surgery in Geriatrics

Emergency General Surgery in Geriatrics
Author: Rifat Latifi
Publisher: Springer Nature
Total Pages: 491
Release: 2021-03-29
Genre: Medical
ISBN: 3030622150

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There is a growing need for a book on emergency general surgery in the elderly, as adults age 65 and older are the fastest growing segment of the population worldwide, and their number is expected to double to 89 million between now and 2050. Based on these changing demographics, it is expected that there will be a concurrent rise in the demand for a variety of surgical services, including vascular surgery (with a projected growth of 31%) and general surgery (with a projected growth of 18%), as well as in all sub-disciplines of surgery (thoracic, cardiac, oncology, hepatobiliary, transplant, plastic colorectal, orthopedic, gynecologic, urology and neurosurgery).In addition, older surgical patients often require a different level of care than younger patients during the preoperative, intraoperative and postoperative phases. Many of our geriatric population have multiple chronic illnesses beyond the one for which surgery is required, and therefore are prone to developing postoperative complications, functional decline, loss of independence, and other undesirable outcomes. In response, this book offers surgeons, geriatrists and nurses state-of-the-art surgical approaches and essential information on the complex perioperative care of the elderly.


Geriatric Trauma and Critical Care

Geriatric Trauma and Critical Care
Author: Fred A. Luchette
Publisher: Springer
Total Pages: 456
Release: 2017-07-30
Genre: Medical
ISBN: 331948687X

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With the expertise of an author panel of leading clinicians in the field of surgery, trauma, critical care and geriatrics the new edition of this text addresses the explosion in knowledge on the impact aging has on injury, acute illness and critical care management. The text covers the physiologic changes associated with aging, as well as the clinical assessment, stratification, and management of acute illness and injury. Furthermore, the new edition discusses the full spectrum of critical care management of the elderly. Part I explores the impact of aging on health and the healthcare system. There will be detailed discussion on the physiologic effects of aging and the impact on clinical management. The management of common surgical emergencies in the elderly is addressed in Part II. Part III addresses the evaluation and management of trauma and injury. Finally, Part IV explores the specific challenges of critical care management, including end-of-life and ethics, in the geriatric population. Updated information, reflective of the expansive literature, is addressed in all sections. New to the second edition are chapters on prehospital care, burns, nursing concerns, and abdominal solid organ injury. Appropriate chapters will include case vignettes and clinical algorithms. All chapters include a bullet-point summary. Geriatric Trauma and Critical Care, 2nd Edition will be of great value to trauma surgeons, acute care surgeons, critical care specialists, emergency medicine physicians, geriatricians, general surgeons, and trainees in surgery, critical care, and emergency medicine. Advanced practice nurses, critical care nurses, and physician assistants will also find this a useful and practical resource.


Surgery and the Geriatric Patient, An Issue of Clinics in Geriatric Medicine

Surgery and the Geriatric Patient, An Issue of Clinics in Geriatric Medicine
Author: Fred A. Luchette
Publisher: Elsevier Health Sciences
Total Pages: 161
Release: 2018-11-12
Genre: Medical
ISBN: 0323654509

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This issue of Clinics in Geriatric Medicine, Guest Edited by Drs. Frederick Luchette and Robert D. Barraco, is devoted to Surgery and the Geriatric Patient. Articles in this issue include: Changing Epidemiology of the American Population; Frailty and Prognostication in Geriatric Surgery and Trauma; Utilization of Geriatric Consultation and Team-Based Care; Palliative Care and Geriatric Surgery; Transitions of Care in Geriatric Medicine; Surgical Oncology and the Geriatric Patient; Orthopedic Surgery and the Geriatric Patient; Vascular Surgery and the Geriatric Patient; Elder Abuse; Falls in the Geriatric Population; Driving in the Geriatric Population; and Suicide and the Geriatric Population.


Acute Emergencies and Critical Care of the Geriatric Patient

Acute Emergencies and Critical Care of the Geriatric Patient
Author: Thomas T. Yoshikawa
Publisher: CRC Press
Total Pages: 532
Release: 2000-03-30
Genre: Medical
ISBN: 0824746538

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This incisive reference systematically reviews the diagnosis and treatment of common surgical and medical emergencies in elderly patients-thoroughly examining surgical interventions, drug therapies and drug prescribing protocols, life-threatening drug reactions, ethical issues, and methods of profiling patients for nursing care. Evaluates disease states and gauges optimal responses to each, supporting recommendations with valuable case studies. Written by over 40 distinguished medical experts, Acute Emergencies and Critical Care of the Geriatric Patient describes ideal patient-physician relationships in critical care settings highlights emergency management of myocardial infarction and cardiogenic pulmonary edema illuminates ethical questions surrounding confidentiality, informed consent, surrogate decision making, and patient comfort assesses special pharmacokinetic and pharmacodynamic conditions in geriatric patients provides vital information on stroke, seizures, and spinal cord compression investigates critical complications caused by pneumonia, meningitis, and endocarditis explores acute lung disorders such as emphysema, chronic bronchitis, pneumonia, central nervous system dysfunction, and abnormal control of ventilation clarifies preoperative procedures for emergency surgery reviews anesthesia strategies for pulmonary, cardiovascular, renal, hepatic, and neurological conditions in the elderly and more! Including over 1000 references, tables, and illustrations, Acute Emergencies and Critical Care of the Geriatric Patient is an indispensable resource for geriatricians, primary care physicians, internists, emergency medicine physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in these disciplines, as well as nurses, pharmacists, and medical students.


Senior Trauma Patients

Senior Trauma Patients
Author: Hans-Christoph Pape
Publisher: Springer Nature
Total Pages: 352
Release: 2022-03-15
Genre: Medical
ISBN: 3030914836

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This book describes a fully integrated approach to the management of elderly patients who are at risk of or suffer trauma, drawing on up-to-date knowledge from multiple specialties in recognition of the fact that the number and severity of comorbidities in this population requires expertise in many fields. Readers will find comprehensive and detailed coverage of the prevention of complications related to aging, geriatric care concepts, specific treatments in acute care, including fracture stabilization and diagnostic procedures, and the surgical management of different types of fracture and soft tissue trauma. Intensive care management of the geriatric patient is also extensively addressed. Information is provided on diverse aspects of the physiology of ageing, and the coverage is completed by discussion of fracture care service models and specific models of rehabilitation and aftercare designed to prevent further falls and adverse late outcomes. The authors are a group of renowned experts from each of the relevant fields, and the book will be a valuable asset for surgeons, intensivists, geriatricians, gerontologists, and rehabilitation specialists.


Surgical Decision Making in Geriatrics

Surgical Decision Making in Geriatrics
Author: Rifat Latifi
Publisher: Springer Nature
Total Pages: 452
Release: 2020-08-12
Genre: Medical
ISBN: 3030479633

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This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.


Caring for the Geriatric Surgical Patient, An Issue of Surgical Clinics

Caring for the Geriatric Surgical Patient, An Issue of Surgical Clinics
Author: Fred A. Luchette
Publisher: Elsevier Health Sciences
Total Pages: 241
Release: 2014-12-24
Genre: Medical
ISBN: 0323354696

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Caring for the Geriatric Surgical Patient is covered extensively in this important Surgical Clinics of North America issue. Articles include: Changing Demographics of the American Population; Effect of Aging on Cardiac Function plus Monitoring and Support; Effect of Aging on Vascular System plus Monitoring and Support; Effect of Aging on Pulmonary Function plus Monitoring and Support; Effect of Aging on Renal Function plus Monitoring and Support; Management of the Gastrointestinal Tract and Nutrition in the Geriatric Surgical Patient; Management of Skin/Soft Tissue/Pressure Sores in the Geriatric Surgical Patient; Hematologic Issues in the Geriatric Surgical Patient; Healthcare-Economic Impact of Caring for the Elderly; Operative Risk Stratification in the Geriatric Surgical Patient; Management of Fractures in the Geriatric Surgical Patient; Pharmacology for the Geriatric Surgical Patient; Rehabilitation of the Geriatric Surgical Patient; End-of-Life Care of the Geriatric Surgical Patient, and more.


Manual of Geriatric Anesthesia

Manual of Geriatric Anesthesia
Author: Sheila Ryan Barnett
Publisher: Springer Science & Business Media
Total Pages: 444
Release: 2012-08-11
Genre: Medical
ISBN: 1461438888

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The Manual of Geriatric Anesthesia is a practical guide for physicians, residents, and students interested in the care of the elderly patient undergoing surgery. Although primarily written for anesthesiologists, other perioperative physicians and nurses will also find the information highly valuable. Highlights of the text include concise and clear discussions of preoperative assessment, anesthetic administration, the immediate postoperative care, as well as the more classic ‘geriatric’ topics such as the hip fracture patient, cataract surgery, postoperative delirium, dementia, ethics and end of life care. Clinical geriatric principles are woven into the text so that the reader can develop skills in geriatrics and develop a broader understanding of terminology and principles used in geriatric medicine.