By Iona Murdoch, Sarah Turpin, Bree Johnston, Alasdair MacLullich, Eve Losman

ISBN-10: 1118655575

ISBN-13: 9781118655573

ISBN-10: 1118655648

ISBN-13: 9781118655641

ISBN-10: 1118655664

ISBN-13: 9781118655665

ISBN-10: 1118655672

ISBN-13: 9781118655672

Geriatric Emergencies is a pragmatic consultant to the typical stipulations affecting older sufferers who found in an emergency to health center or basic care.

Beginning with the necessities of heritage taking and medical exam, the publication covers a complete diversity of emergencies, emphasizing the several administration techniques that could be required in older sufferers. universal geriatric shows corresponding to falls, delirium and stroke, are explored intimately as well as extra different issues reminiscent of stomach soreness, significant trauma and head damage. moral concerns akin to complicated care making plans, palliative care and means overview are mentioned with useful tips about speaking with sufferers and their relatives.

Geriatric Emergencies presents concise up to date suggestions to the emergency administration of the older sufferer. it's a advised source for all well-being execs operating within the acute atmosphere, within which a wide share of sufferers are elderly over 65.

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Sample text

1. Whom to ask Family and friends When? Immediately following your initial assessment if they are in attendance or as soon as possible following admission. How? Ideally in person although telephone calls are acceptable. Family, friends or neighbours can provide enormous informal support to older people living alone in their homes. Whoever is closest to the patient will probably be able to provide the richest source of information. Remember, family who visit once every 2 or 3 weeks may be less aware of problems than a neighbour who pops in most days to help with tasks such as taking the rubbish out or collecting the weekly shopping.

23 Ahmad A, Mast MR, Nijpels G, Elders PJ, Dekker JM, Hugtenburg JG. Identification of drug-related problems of elderly patients discharged from hospital. Patient Prefer Adher 2014;8:155–165. 24 Royal College of Physicians (RCP). Acute Care Toolkit 3: Acute Medical Care for Frail Older People. uk/resources/acute-care-toolkit-3-acute-medical-care-frail-older-people [cited 2014 May 15]. 25 Kessler C, Williams MC, Moustoukas JN, Pappas C. Transitions of care for the geriatric patient in the emergency department.

Consider undertaking basic investigations in most older patients presenting in an emergency. 3 Tests associated with reduced sensitivity or specificity in the older patient. Reduced sensitivity (increased false negatives) A normal test result may be present in the older patient despite significant pathology Reduced specificity (increased false positives) A positive test may be due to a number of causes in the older patient and should be interpreted carefully The older patient may not demonstrate a leucocytosis or left shifted white blood count despite pneumonia, cholecystitis or other inflammatory or infective processes (13) Troponin may be a marker of myocardial ischaemia, but is also raised in other conditions such as pulmonary embolus, acute kidney injury and systemic, with uncertain prognostic value.

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Geriatric Emergencies by Iona Murdoch, Sarah Turpin, Bree Johnston, Alasdair MacLullich, Eve Losman

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