Evidence-Based Geriatric Medicine

Dr. Jayna Holroyd-Leduc is an Associate Professor in the Departments of Medicine and Community Health Sciences, University of Calgary, Alberta, Canada. She received her medical degree at the University of Toronto, Canada. She completed residency training in Internal Medicine and Geriatrics at the University of Toronto, before completing a research fellowship in Geriatrics and Quality Improvement at the San Francisco VA Medical Centre and the University of California, San Francisco. Her research interests include systematic reviews, knowledge translation, clinical decision support and improving care provided to older patients. She is the University of Calgary Geriatric Medicine Training Program Director and the Department of Medicine QI Lead. Madhuri Reddy MD MSc is an Internist and Geriatric Medicine specialist. She is currently Director of the Wound Healing Clinic at the Hebrew Rehabilitation Center in Boston, Massachusetts. She has published several original research papers, been editor or on the editorial board of several publications, has written book chapters for clinicians, as well as a book for patients and their caregivers on the care of chronic wounds (Healing Wounds, Healthy Skin). Dr Reddy completed her Geriatric Medicine training at the University of Toronto in Canada.

List of contributors, vi

Foreword, ix
Sharon Straus

1 Function and frailty: the cornerstones of geriatric assessment, 1
Paige K. Moorhouse & Kenneth Rockwood

2 Computer-based clinical decision support systems in the care of older patients, 13
Marina Martin & Mary K. Goldstein

3 Simplifying the pillbox: drugs and aging, 25
Sudeep S. Gill & Dallas P. Seitz

4 Breathing easier: respiratory disease in the older adult, 43
Salahaddin Mahmudi-Azer

5 Breathing easier: an approach to heart failure in a patient with an aging heart, 58
Jayna M. Holroyd-Leduc, Madhuri Reddy, & Anita Asgar

6 Clarifying confusion: prevention and managing delirium, 65
Ranjani Aiyar & Jayna M. Holroyd-Leduc

7 Preserving the memories: managing dementia, 73
Dallas P. Seitz, Philip E. Lee, Sudeep S. Gill, & Paula A. Rochon

8 Enjoying the golden years: diagnosing and treating depression, 94
Jane Pearce & Stuart Carney

9 A balancing act: preventing and treating falls, 105
Emily Kwan & Sharon Straus

10 Keeping dry: managing urinary incontinence, 124
Cara Tannenbaum

11 Keeping things moving: preventing and managing constipation, 140
Dov Gandell & Shabbir M.H. Alibhai

12 Preventing and treating pressure ulcers, 155
Madhuri Reddy, Sudeep S. Gill, Sunila R. Kalkar, Wei Wu, & Paula A. Rochon

13 Elder Abuse, 166
Erik J. Lindbloom, Landon D. Hough, & Karli R.E. Urban

14 A good death: appropriate end-of-life care, 175
Cari Levy & Jean S. Kutner

Index, 187