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Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.
Table des matières
SECTION I: IMPACT OF AGING ON HEALTH.- 1. Changing Demographics of the American Population.- 2. Cardiovascular Physiology.- 3. Pulmonary Artery.- 4. Renal Function in the Elderly.- 5. Skin, Soft Tissue, and Wound Healing in the Elderly.- 6. Immunologic.- 7. Hematological Changes with Aging.- 8. Geriatric Psychology and the Injured Elderly.- 9. Health Care Economics and the Impact of Aging on Rising Health Care Costs.- 10. Operative Risk Stratification.- SECTION II: SURGICAL EMERGENCIES IN THE ELDERLY.- 11. Appendicitis.- 12. Biliary.- 13. Diverticulitis.- 14. Intestinal Obstruction.- 15. Intestinal Hemorrhage in the Elderly.- 16. Acute Abdomen.- 17. Necrotizing Soft Tissue Infections.- 18. Acute Vascular Insufficiency in the Elderly.- 19. Thoracic Diseases in the Elderly.- SECTION III: TRAUMATIC INJURY IN THE ELDERLY.- 20. Epidemiology of Injury in the Elderly.- 21. Geriatric Trauma and Injury Prevention.- 22. Outcomes for Surgical Care in the Elderly.- 23. Geriatric Neurotrauma.- 24. Chest Wall Injury.- 25. Thoracic.- 26. Pelvic Fracture.- 27. Extremity Injury.- 28. Penetrating Injury in the Elderly.- 29. Critical Care Epidemiology and Outcomes/Resource Use in the Elderly.- 30. Cardiovascular/Invasive Monitoring.- SECTION IV: CRITICAL CARE MANAGEMENT OF THE ELDERLY PATIENT.- 31. Pulmonary Critical Care and Mechanical Ventilation.- 32. Renal Replacement Therapy (RRT).- 33. Nutrition Support.- 34. Pharmacology.- 35. Rehabilitation Concerns in Geriatric Trauma.- 36. End-of-Life Care.- 37. Ethics in Geriatric Trauma.
Résumé
Geriatric Trauma and Critical Care provides a multidisciplinary overview of the assessment and management of the elderly patient presenting with surgical pathology. By utilizing current literature and evidence-based resources, the textbook elucidates the unique nature of caring for the elderly population. The structure of the volume provides the reader with an overview of the physiologic and psychological changes, as well as the impact on the healthcare system, associated with the aging process. Emphasis is placed on the impact of aging, pre-existing medical problems, effects of polypharmacy, advanced directives and end-of-life wishes on acute surgical problems, including trauma and surgical critical care. Special attention is given to the ethical implications of management of the aged. The multidisciplinary contributors provide a unique point of view not common to surgical texts. The textbook is the definitive resource for practicing surgeons, emergency medicine physicians, intensivists, anesthesiologists, hospitalists, geriatricians, as well as surgical residents, nurses and therapists, all who care for elderly patients with surgical emergencies.
Texte suppl.
“This book is intended to be used by a multidisciplinary team that provides care to the older adult with surgical pathology. … This book can be used as a resource for emergency nurses but also is intended for critical care nurses, intensivists, anesthesiologists, and physicians.” (Joan Somes, Journal of Emergency Nursing, Vol. 41 (3), May, 2015)
“This is a survey book designed to review trauma and intensive care unit management issues specific to elderly patients. … Intensivists managing injured elderly patients and trauma surgeons facing this population are an appropriate audience for this book … . This book is designed to address important changes in practice management to parallel our aging society.” (David J. Dries, Doody’s Book Reviews, July, 2014)
Commentaire
"This book is intended to be used by a multidisciplinary team that provides care to the older adult with surgical pathology. ... This book can be used as a resource for emergency nurses but also is intended for critical care nurses, intensivists, anesthesiologists, and physicians." (Joan Somes, Journal of Emergency Nursing, Vol. 41 (3), May, 2015)
"This is a survey book designed to review trauma and intensive care unit management issues specific to elderly patients. ... Intensivists managing injured elderly patients and trauma surgeons facing this population are an appropriate audience for this book ... . This book is designed to address important changes in practice management to parallel our aging society." (David J. Dries, Doody's Book Reviews, July, 2014)
