Hospitalists' Guide to the Care of Older Patients (eBook)

Brent C. Williams, MD, MPH, is an Associate Professor in the Divisions of Geriatric Medicine and General Medicine in the Department of Internal Medicine at the University of Michigan. A practicing general internist and geriatrician, Dr. Williams' research and publications relate to medical education, faculty development, and health care for older adults. Author of over 50 peer-reviewed publications, he has served as Deputy Editor of the Journal of General Internal Medicine. Dr. Williams is currently Medical Director of the University of Michigan Complex Care Management Program. Preeti N. Malani, MD, MSJ, is an Associate Professor of Medicine in the Divisions of Geriatric Medicine and Infectious Diseases at the University of Michigan and a Research Scientist at the Veterans Affairs Ann Arbor Healthcare System's Geriatric Research Education and Clinical Center. Dr. Malani's clinical and research interests include infections in older adults and inpatient geriatric consultation. She serves as an Associate Editor of the journal Infection Control and Hospital Epidemiology as well as Deputy Editor of Clinical Infectious Diseases. Dr. Malani is also a coeditor of the recently published 3rd edition of Practical Healthcare Epidemiology. David H. Wesorick, MD, FHM, is an Assistant Professor in the Division of General Medicine in the Department of Internal Medicine at the University of Michigan. He is a practicing hospitalist and a clinical educator. He has written several practical articles and textbook chapters, directed at a hospitalist audience, on topics including diabetes management and perioperative management. He has also been active in hospitalist quality improvement at the national level with the Society of Hospital Medicine.

CONTRIBUTORS vii

CHAPTER 1 INTRODUCTION AND OVERVIEW 1
Brent C. Williams, Preeti N. Malani, and David H. Wesorick

CHAPTER 2 THE HOSPITALIZED OLDER ADULT: COMMUNICATION AND PHYSICAL EXAMINATION 5
Mark E. Williams

CHAPTER 3 GERIATRIC ASSESSMENT FOR THE HOSPITALIST 17
Brent C. Williams

CHAPTER 4 INFORMED DECISION-MAKING AND THE EVALUATION OF DECISION-MAKING CAPACITY 31
Lisa S. Seyfried, Esther O. Akinyemi, and Scott Y.H. Kim

CHAPTER 5 CARING FOR PATIENTS WITH LIMITED PROGNOSIS: NEGOTIATING GOALS OF CARE AND PLANNING FOR THE END-OF-LIFE 47
Adam D. Marks and Caroline A. Vitale

CHAPTER 6 GERIATRIC PHARMACOTHERAPY 65
Gabe Solomon, Macgregor A. Montaño, and Paul C. Walker

CHAPTER 7 MANAGING BEHAVIORAL DISTURBANCES WITH PSYCHOACTIVE MEDICATIONS: DOS, DON'TS, AND MAYBES 93
David C. Belmonte, Jolene Bostwick, and Amy B. Rosinski

CHAPTER 8 ISSUES AND CONTROVERSIES SURROUNDING NUTRITION IN HOSPITALIZED OLDER ADULTS 115
Lauren W. Mazzurco, Joseph Murray, and Caroline A. Vitale

CHAPTER 9 HIP FRACTURE: MANAGING THE MEDICALLY COMPLEX, OLDER SURGICAL PATIENT 141
Paul J. Grant

CHAPTER 10 FALLS AND MOBILITY DURING HOSPITALIZATION 165
Cynthia J. Brown and Donna M. Bearden

CHAPTER 11 PRESSURE ULCERS: A PRIMER FOR THE HOSPITALIST 181
Aimée D. Garcia

CHAPTER 12 DELIRIUM 203
Tia R.M. Kostas and James L. Rudolph

CHAPTER 13 TRANSITIONAL CARE PLANNING: ASSURING A SAFE DISCHARGE 225
Satyen Nichani, Darius Joshi, and Christopher S. Kim

INDEX 247