The Care of the Older Person PDF
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THE CARE of the OLDER PERSON Fourth Edition www.careoftheolderperson.com www.rmcpublishingllc.com Copyrighted Material The Care of the Older Person Copyright © 2018, 2019, 2021 RMC Publishing, LLC All rights reserved. No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means—electronic, mechanical, photocopying, recording or otherwise —without prior written permission from the publisher, except for the inclusion of brief quotations in a review. ISBN: 978-1-7350093-4-6 (paperback) 978-1-7350093-2-2 (epub) Interior design by booknook.biz DISCLAIMER: The contents of this book and e-book and all materials contained in this book and e-book are for informational purposes only. The materials and information contained in this book and e-book are not intended to be a substitute for professional medical advice, diagnosis, or treatment. You should always seek the advice of your physician or other qualified health provider if you have questions regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you may have read in this book and e-book. Medical professionals should not rely on any drug, drug dosage, or other information in this e-book and book, which is for informational purposes only. If you think you may have a medical emergency, call your doctor or 911 immediately. The authors do not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned in this book and e-book. Reliance on any information provided in this book and e-book is solely at your own risk. This book and e-book and its contents are provided on an “as is” basis. CONTENTS DISCLAIMER iii EDITORS/CONTRIBUTORS vii CONTRIBUTORS ix INTRODUCTION 1 Caring for the older person 7 Frailty 15 Physical activity as a countermeasure to frailty 21 Doctor, my wife is getting forgetful 33 Update on Alzheimer’s disease diagnosis and management 37 Navigating the journey of dementia as a caregiver 45 How to diagnose and manage delirium 53 Why does my patient have gait & balance disorders? 61 Could my patient be malnourished? 69 Are the immunizations of my patient up to date? 79 Management of older patients in the emergency department: this man is old, but is it an emergency? 89 Critical care of the older person 95 COVID-19 in long-term care 105 Stroke prevention in the elderly 117 v vi The Care of the Older Person Advances in cardiac care for older persons 125 How to manage type 2 diabetes in frail elderly patients 147 Cancer in older adults 157 Cancer screening in the older adult 163 Psycho oncology: living with the fear of death 181 Incontinence in older adults 187 Polypharmacy and deprescribing in the elderly 197 After the menopause 207 Skin care of the older person: the skin and its associated changes 217 Elder abuse 227 Late-life anxiety 235 An overview of late-life depression 245 Assessment of decision-making capacity 255 How do I protect my patient? 265 Financial guidance for seniors 277 The role of religious belief in the end-of-life care of older persons 295 Glossary: medical terms and their meaning 303 Bibliography & Supplemental Bibliography 395 EDITORS/CONTRIBUTORS Olivier Beauchet, MD, PhD, Professor of Geriatrics, Dr. Joseph Kaufmann Chair in Geriatric Medicine, Director of centre of excellence on aging and chronic diseases, McGill University Howard Bergman, MD, FCFP, FRCP(C), Chair, Department of Family Medicine, Professor, Departments of Family Medicine, Medicine, and Oncology, McGill University Ronald M. Caplan, MD, CM, FACS, FACOG, FRCS(C), Clinical Associate Professor Emeritus Obstetrics and Gynecology, Weill Medical College of Cornell University Abraham Fuks, MD, CM, FRCP(C), Professor, Department of Medicine, McGill University Serge Gauthier, CM, CQ, MD, FRCP(C), Director, Alzheimer Disease Research Unit, McGill Center for Studies in Aging, Professor, Departments of Neurology & Neurosurgery, Psychiatry, Medicine, McGill University Phil Gold, CC, OQ, MD, PhD, FRSC, DSc (Hon), MACP, FRCP(C), Douglas G. Cameron Professor of Medicine, Professor of Physiology and Oncology, McGill University, Executive Director Clinical Research Center (MGH) McGill University Health Centre Jose A. Morais, MD, FRCP(C), Professor, Faculty of Medicine, Director, Division of Geriatric Medicine, Lead, Dementia Education Program, McGill University, Co-Director, Quebec Network for Research on Aging vii CONTRIBUTORS Karen C. Altfest, PhD, CFP®, Executive Vice President and Principal Advisor, Altfest Personal Wealth Management, New York City Paulina Bajsarowicz, MD, FRCPC, Geriatric Psychiatrist, Douglas Mental Health University Institute, Assistant Professor McGill University Guy Hajj Boutros, MSc, Kinesiologist and Research Assistant, Research Institute of McGill University Health Centre Lysanne Campeau, MDCM, PhD, FRCS(C), Assistant Professor of Surgery, Division of Urology, McGill University Julia Chabot, MDCM, FRCPC, MSc, Assistant Professor, Faculty of Medicine, McGill University A. Mark Clarfield, MD, FRCPC, Professor Emeritus of Geriatrics, Ben-Gurion University, Medical School for International Health, Faculty of Health Sciences, Ben- Gurion University of the Negev Philippe Desmarais, MD, FRCPC, MHSc, Assistant Clinical Professor, Faculty of Medicine, University de Montreal Liam Durcan, MD, FRCPC, Assistant Professor, Department of Neurology and Neurosurgery, McGill University, Consultant Neurologist, Stroke Service, McGill University Health Centre Hao Feng, MD, MHS, Assistant Professor, Director of Laser Surgery and Cosmetic Dermatology, Department of Dermatology, University of Connecticut Health Centre Catherine Ferrier, MD, Assistant Professor, Department of Family Medicine, Faculty of Medicine, McGill University ix
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