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

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

Beginning with the necessities of background taking and scientific exam, the ebook covers a complete diversity of emergencies, emphasizing the various administration methods that may be required in older sufferers. universal geriatric displays comparable to falls, delirium and stroke, are explored intimately as well as extra diversified subject matters resembling stomach discomfort, significant trauma and head damage. moral issues corresponding to complex care making plans, palliative care and skill review are mentioned with sensible pointers on speaking with sufferers and their relatives.

Geriatric Emergencies offers concise updated assistance to the emergency administration of the older sufferer. it's a steered source for all future health execs operating within the acute setting, within which a wide share of sufferers are elderly over 65.

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Sample text

The patient has a life-limiting diagnosis such as dementia, malignancy, chronic cardiac, respiratory, renal or liver failure in addition to one or more of the following factors: 1 Surprise: You would not be surprised if the patient died within 12 months 2 Bounce backs: more than one ED or hospital visit in the last few months for the same condition 3 Difficult to control symptoms: ED visit prompted by increased intensity of physiological or psychological symptoms 4 Complex care requirements: dependent on carers, home oxygen, feeding or ventilatory support.

G. g. 1 Methods of assessing pain intensity in the older population (3). 2 Algoplus® pain scale: acute pain-behaviour scale for older persons with inability to commu- nicate verbally. Source: From Rat P, Jouve E, Pickering G, et al. Validation of an acute pain-behavior scale for older persons with inability to communicate verbally. e191–10; with permission from Wiley & Sons. a number available, may be required for patients with cognitive impairment. 2). Management of acute pain Treat the underlying cause Acute onset of pain may represent a life-threatening emergency, such as ST elevation MI, or bowel perforation, and resuscitation and other management should take place simultaneously.

8 Who sorts out the bills? 9 Do you get out and about much? How about day centres? Can you drive? Medications and polypharmacy It is generally recognised that as patients age, they tend to take more medications. There is no consensus definition of polypharmacy, but it is generally accepted to be the presence of several daily medications, some of which may be inappropriate (8). 2 Activities of daily living. Basic activities of daily living Instrumental activities of daily living Bathing Dressing Toileting Transfers Continence Feeding Shopping Cooking Housework Telephone use Transport Medications Finances definition of polypharmacy.

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