By Judith C. Ahronheim, Zheng-Bo Huang, Vincent Yen, Christina Davitt, David Barile
This case-based method of geriatric drugs is appropriate for all health and wellbeing pros and trainees who offer take care of the aged, together with interns, citizens, geriatric fellows, physicians in perform, and nurse practitioners. Illustrated with greater than forty circumstances in keeping with the authors' event in scientific perform, the examples diversity from the fit aged to these with complicated cognitive or actual impairments. Discussions are evidence-based with huge references, emphasizing differential analysis, peculiar shows in overdue existence, age-appropriate scientific administration, interdisciplinary tools and care within the context of alternative wellbeing and fitness care settings. The authors have distilled a wealth of useful and scientific adventure during this region to provide a undemanding advisor to geriatric drugs. this is often the suitable examine advisor for certifying examinations and hugely compatible as a textbook for classes in geriatric drugs and gerontology.
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Extra resources for Case Studies in Geriatric Medicine
Sample text
She could still remain in the nursing home, but, unless she had long-term care insurance or Medicaid, the high monthly bill would have to be paid out of pocket. As of this writing, the average cost of nursing home care in the United States is $50 000 per year with regional variations in rural and metropolitan areas. 2. The patient and not the daughter is responsible for the bill. Once Mrs. N’s funds have been depleted (whether by nursing home costs or by expenses living at home), she may become eligible for Medicaid (see Case 5).
In contrast, while the impaired driver may put others at risk, it is not possible to identify any specific individual who would be helped by reporting someone to the motor vehicle bureau. In any case, taking away his driving privileges would be insufficient if he still had access to a car, just as the younger impaired driver may continue to cause accidents despite prior convictions for driving while impaired and despite loss of license. Some professional organizations recommend that all patients with Alzheimer’s disease be advised to stop driving completely.
N’s daughter now reports that the police have found her mother wandering three times in the past 2 months. There has been no change in mental status since the fall but the daughter is afraid of what will happen if this behavior continues because no one is at home to watch her mother. In addition, the patient, who often naps during the day, is awake for part of the night and the family’s sleep is interrupted by the disturbance and concern that the patient will fall or leave the house. Her hygiene has been deteriorating and her daughter says, “It’s a real struggle to get her to take her bath at night!