Table
of Contents
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Contributors |
ix |
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Preface |
xv |
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SECTION I |
THE CONTEXT OF ASSESSMENT |
1 |
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Chapter 1 |
The Context of Geriatric Care Joseph Gallo, Hillary R. Bogner |
3 |
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The Context of Geriatric Care |
3 |
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Multidimensional Assessment |
6 |
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Conclusion |
11 |
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Chapter 2 |
Emergency Assessment of the Older Adult |
15 |
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Emergency Care |
15 |
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Prehospital |
17 |
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ED Environment |
19 |
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Emergency Medicine Model of Care |
20 |
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Principles of Geriatric Emergency Medicine |
22 |
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Summary |
26 |
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Chapter 3 |
Ethnicity and Geriatric Assessment Charles P. Mouton, Yolanda B. Esparza |
29 |
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Heterogeneity within Older Ethnic Minorities |
30 |
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Reliability, Validity, and Use of Instruments for Ethnic
Minorities |
31 |
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Enhancing Communication with Ethnically Diverse Older Adults |
33 |
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Eliciting Beliefs and Attitudes About Illness |
34 |
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Selected Domains of Geriatric Assessment |
35 |
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Conclusion |
39 |
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Chapter 4 |
The Older Adult Driver David Carr, George W. Rebok |
45 |
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Older Drivers |
45 |
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Behaviors and Characteristics of Older Drivers |
46 |
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Older Drivers at Risk for a Motor Vehicle Crash |
48 |
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Driving Retirement |
51 |
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Assessing Driving Skills |
52 |
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Ethical, Legal, and Public Policy Issues |
54 |
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Future Research Needs and Conclusions |
54 |
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Chapter 5 |
Enhancing Advance Directive Discussions Using the Values History David J. Doukas, Laurence B.
McCullough, Monica K. Crane |
59 |
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The Living Will |
60 |
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The DPA/HC |
61 |
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The Family Covenant |
62 |
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The Values History |
63 |
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Case Vignette |
66 |
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Conclusion |
68 |
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Appendix A |
The Values
History |
70 |
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Chapter 6 |
Recognizing Mistreatment in Older Adults Carla VandeWeerd,
Adolfo Firpo,
Terry Fulmer, Gregory J. Paveza, Marguarette
M. Bolton |
77 |
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The Scope and Consequences of EM |
78 |
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EM Assessment |
78 |
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Physical Abuse Assessment |
80 |
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Sexual Abuse Assessment |
83 |
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Psychological Mistreatment Assessment |
86 |
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Neglect Assessment |
88 |
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Financial Abuse Assessment |
91 |
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Screening Tools |
93 |
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Conclusion |
97 |
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SECTION II |
DOMAINS OF ASSESSMENT |
103 |
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Chapter 7 |
Cognitive Assessment Joseph J. Gallo, Marsha N. Wittink |
105 |
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The Mental Status Examination |
107 |
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Differential Diagnosis of Dementia |
118 |
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Mental Status Assessment Instruments |
127 |
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Summary of Mental Status Assessment |
143 |
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Chapter 8 |
Depression Assessment Joseph J. Gallo, Marsha N. Wittink |
153 |
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Depression Scales |
158 |
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Chapter 9 |
Substance Use and Abuse Assessment Faika Zanjani, David Oslin |
175 |
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Classification |
177 |
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Alcohol Consumption |
178 |
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Drug Use |
181 |
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Tobacco Use |
185 |
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Barriers to the Use of Substance Use Assessments |
185 |
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Conclusions/Recommendations |
187 |
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Appendix |
MAST-G |
191 |
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Appendix |
SMAST-G |
192 |
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Chapter 10 |
Activities of Daily Living and Instrumental Activities of Daily Living
Assessment Joseph J. Gallo, Gregory J. Paveza |
193 |
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Focus on Function |
193 |
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The Components of Functional Status |
197 |
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Performance Assessment of Function |
208 |
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Case Study: Assessment of ADLs |
214 |
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Dementia Rating Scales |
216 |
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Assessment for Long-Term Care |
230 |
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Case Study: Assessment for Long-Term Care |
232 |
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Conclusion |
234 |
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Chapter 11 |
Social Assessment Carmen Morano, Barbara Morano |
241 |
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Assessment of Social Support |
242 |
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Assessment of Caregiver Burden and Satisfaction |
248 |
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Assessment of Older Person Mistreatment |
252 |
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Economic Assessment |
255 |
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Medicare |
258 |
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Medicaid |
258 |
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Private Health Insurance |
259 |
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Long-Term Care Insurance |
259 |
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Assessment of the Environment |
260 |
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Spiritual Assessment |
261 |
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Chapter 12 |
Physical Assessment David Nicklin |
273 |
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Communication and Rapport |
274 |
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Examination of Older Adults with Dementia |
276 |
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History Taking |
277 |
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Overview of the Physical Examination |
279 |
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Components of the Examination |
279 |
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Sexual Health Assessment |
304 |
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Conclusion |
311 |
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Chapter 13 |
Pain Assessment Fames P. Richardson |
319 |
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Case Vignette |
319 |
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Historical Assessment of Pain |
321 |
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Physical Assessment of Pain |
324 |
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Pain Assessment in Cognitively Impaired Older Adults |
328 |
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Conclusion |
328 |
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Chapter 14 |
Health Promotion Meredith Wallace, Joyce Shea, Carrie Guttman |
331 |
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Primary Health Promotion and Disease Prevention |
337 |
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Secondary Prevention |
350 |
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Summary and Conclusion |
364 |
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SECTION III |
SETTINGS OF ASSESSMENT |
369 |
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Chapter 15 |
Assessment of Older Adults in their Home Lucia C. Kim, |
371 |
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Case Vignette |
371 |
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Home Visit versus Outpatient Clinic Visit |
372 |
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Practical Tips on Making Home Visits |
373 |
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Initial/New Patient Home Visit |
374 |
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Follow-Up Visits |
376 |
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Acute Visits |
376 |
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Triage of Acute Problems |
377 |
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After the Visit |
378 |
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Phone Calls |
379 |
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Interdisciplinary Team Meeting |
379 |
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Conclusion |
380 |
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Chapter 16 |
Geriatric Assessment in Nursing Homes Miriam B. Rodin |
383 |
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MDS and its Implications |
384 |
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Summary and Conclusions |
395 |
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Chapter 17 |
Assessment at the Time of Hospitalization Marilyn Lopez |
399 |
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Aging Society |
399 |
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Care Issues |
404 |
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Nursing Practices |
410 |
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SECTION IV |
SPECIALTY TOPICS FOR CLINICIANS |
419 |
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Chapter 18 |
Adherence to Medical Treatment Hillary R. Bogner, Monica K. Crane |
421 |
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Cognitive Function |
424 |
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Social Support |
425 |
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Beliefs About Illness and its Treatment |
425 |
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Interventions |
426 |
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Conclusion |
427 |
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Chapter 19 |
Developing and Managing a High-Functioning Interdisciplinary Team Eugenia L. Siegler |
431 |
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Case Vignette |
431 |
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Evidence for Effectiveness of Teams |
432 |
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Practical Matters: Creating and Maintaining Teams |
433 |
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Team Training |
438 |
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Conclusions |
438 |
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Chapter 20 |
Assessing Disaster Preparedness and Response Ian Portelli,
Terry Fulmer |
441 |
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Definition and Typology of a Terror Disaster |
441 |
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The Impact of Disaster in Older Adults |
443 |
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Predisaster Preparedness for Older Adults |
443 |
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The Effects of Terrorism on the Older Adult |
446 |
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Postdisaster Issues for Older Adults |
446 |
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Assessment After Disaster |
449 |
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Conclusion and Reommendations |
456 |
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Index |
461 |
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