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Case Studies in Geriatric Primary Care & Multimorbidity Management

  • Book

  • April 2019
  • Elsevier Health Science
  • ID: 4659940
Awarded first place in the 2019 AJN Book of the Year Awards in the Gerontologic Nursing category second place in the Advanced Practice Nursing category. Gain expert primary care of older adults with a case-based approach to geriatric primary care and multimorbidity management Written by two leading academic and clinical experts in geriatric primary care, Case Studies in Geriatric Primary Care and Multimorbidity Management, 1st Edition uses detailed Exemplar Case Studies and Practice case studies to teach you how to think like an expert geriatric clinician. Because most older adults have more than one condition when seeking care, both Exemplar and Practice Case Studies place a strong emphasis on "multimorbidity" management, (the management of patients with a host of complex, interacting conditions). To provide extensive practice in learning how to think like an expert, case studies reflect the reality that care does not necessarily begin or end in the primary care setting, cases move fluidly from primary care to acute care to inpatient rehabilitation to assisted living to long-term care. Building on foundational introductory chapters, cases also call on you to develop interprofessional collaboration skills and reflect the diversity of today's older adults, in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more! As you work through both basic-level and advanced Practice Case Studies, you can make extensive notes in the printed book and then go online to submit answers for grading and receive expert feedback for self-reflection.

- NEW! Introductory unit on the core principles of caring for older adults gives you a strong foundation in the principles of geriatric primary care and multimorbidity management. - NEW! and UNIQUE! Exceptionally detailed, unfolding Exemplar Case Studies demonstrate how an expert advanced practitioner "thinks clinically" to provide care to older adults with multiple conditions. - NEW and UNIQUE! Exceptionally detailed, unfolding Practice Case Studies emphasize patient diversity and multimorbidity management across healthcare settings to help you develop advanced clinical reasoning skills for geriatric primary care. - NEW and UNIQUE! Strong emphasis on multimorbidity management focuses on caring for older adults with multiple chronic conditions. - NEW! Emphasis on the continuum of care across settings reflects the reality that care does not necessarily begin or end in the primary care setting but can move from primary care to acute care to inpatient rehabilitation to assisted living to long-term care, and so forth. - NEW! Online answer submission for grading and expert feedback for self-reflection. - NEW! Emphasis on patient diversity reflects the makeup of today's older adult, population in terms of age (young-old to old-old), gender, culture, ethnicity, sexuality, socioeconomic status, and more. - NEW! Emphasis on interprofessional collaboration use Exemplar Case Studies and Practice Case Studies to allow you to demonstrate your interprofessional collaboration skills.

Table of Contents

Unit 1: Principles of Geriatrics and Multimorbidity Management Chapter 1: The Physiology and Psychology of Aging Chapter 2: Principles of Pharmacology in Geriatric Practice Chapter 3: Untangling the Geriatric Assessment Chapter 4: Palliative Care

Unit 2: Exemplar Case Studies in Multimorbidity Management Exemplar Case Study 1: Weakness (Transient Ischemic Attack) Exemplar Case Study 2: Agitation (Cognitive Dysfunction) Exemplar Case Study 3: Shortness of Breath with Activity (Atherosclerotic Cardiovascular Disease) Exemplar Case Study 4: Wheezing (Chronic Obstructive Lung Disease) Exemplar Case Study 5: Homelessness Exemplar Case Study 6: Initial Primary Care Encounter (Hyperlipidemia) Exemplar Case Study 7: Rash (Bullous Pemphigoid) Exemplar Case Study 8: Dizziness (Atrial Fibrillation) Exemplar Case Study 9: Fatigue (Anemia) Exemplar Case Study 10: Agoraphobia (Chronic Mental Illness) Exemplar Case Study 11: Joint Pain (Polymyalgia Rheumatica) Exemplar Case Study 12: Urinary Frequency (Ovarian Cancer) Exemplar Case Study 13: Hoarseness (Squamous Cell Throat Cancer) Exemplar Case Study 14: Weight Gain (Type 2 Diabetes Mellitus) Exemplar Case Study 15: Knee Pain (Post-Knee Replacement) Exemplar Case Study 16: Insomnia (Heart Failure) Exemplar Case Study 17: Fainting (Syncope) Exemplar Case Study 18: Pain/Burning Sensation on the Back (Herpes Zoster)

Unit 3: Practice Case Studies in Multimorbidity Management Basic Case Studies Practice Case Study 1: Heartburn Practice Case Study 2: Back Pain Practice Case Study 3: Worsening Shortness of Breath with Activity Practice Case Study 4: Hallucinations Practice Case Study 5: Rhinitis Practice Case Study 6: Shortness of Breath Practice Case Study 7: Worsening Memory Practice Case Study 8: Swelling Practice Case Study 9: Abdominal Pain Practice Case Study 10: Burning When Urinating Practice Case Study 11: Painful wallowing

Advanced Case Studies Practice Case Study 12: Painful Toe Practice Case Study 13: Cough Practice Case Study 14: Nosebleed Practice Case Study 15: Loss of Height Practice Case Study 16: Headache Practice Case Study 17: Blood in the Urine Practice Case Study 18: Falling Practice Case Study 19: Weight Loss Practice Case Study 20: Confusion Practice Case Study 21: Leg Numbness Practice Case Study 22: "Wooziness”

Authors

Karen Dick Associate Dean for Advanced Practice Programs, Graduate School of Nursing, University of Massachusetts Medical School, Worcester, Massachusetts; Hebrew Senior Life, Boston, Massachusetts. Terry Mahan Buttaro Clinical Assistant Professor, Coastal Medical Associates, Salisbury, Massachusetts; University of Massachusetts Boston, Boston, Massachusetts.