Acute Geriatric Care: From Hospital to Territorial Charge

ISBN-13: 9783031488122 / Angielski

Nicola Vargas; Andrea Fabbo; Antonio M. Esquinas

Spis treści

Chapter 1. Introduction to the book.- Part I. .- Chapter 2. Case report of elder patient treated with non-invasive ventilation in a hospital ward: setting description and role of a team.- Chapter 3. Case report of Acute elder patients in intensive care unit: analysis of the outcome and recommendation.- Chapter 4. Case report of older patients with delirium: clinical hospital pathway.- Chapter 5. Case report Acute respiratory failure in elderly: hospital management model.- Chapter 6. Case report of Older patients in the emergency room: discussion about recommendations and guidelines.- Chapter 7. A case report about indications to ICU admission in elderly patients: the role of the multidisciplinary team.- Chapter 8. A case report of palliative medicine in elderly patients: the role of the hospital organization.- Chapter 9. The clinical complexity of the elderly patients admitted to hospital: from multimorbidity to frailty evaluation. Case series.- Chapter 10. Older patients with pneumonia due to Covid disease: evaluation of complications.- Part II. .- Chapter 11. Case series about territorial network setting for the elderly patients with dementia.- Chapter 12. Integrated elderly home assistance after hospital discharge.- Chapter 13. Case report of patients in intermediate territorial settings.- Chapter 14. A case report about the role of family and case manager nurse.- Chapter 15. Hospital primary nursing and family medicine management of the older patients.- Chapter 16. The non - invasive ventilation at home: case report and recommendations.- Chapter 17. Analysis of health services integration projects proposed by the European Community.- Chapter 18. A new model of an emergency room for elderly patients.- Chapter 19. Conclusion.

O autorze

Dr. Nicola Vargas is a geriatric and works as Director of a geriatric and intensive geriatric care ward in Italy. He studied and applied the use of noninvasive ventilation in elderly patients. He is an author of several publications, chapters of books and books both as an author as well as editor. Dr. Vargas was a speaker at many geriatric congresses and he teaches a three-year geriatric health course for undergraduate students in Physiotherapy and Nursing at the University of Naples as a member of the teaching site of San Giuseppe Moscati Hospital-Avellino.

He co-edited, together with Dr. Antonio Esquinas, two volumes for Springer (Ventilatory support and Oxygen Therapy in the elder, Palliative and End-of-life care, 2020; and Covid-19 airway Management and Ventilation Strategy for critically ill Older Patients, 2020); he is also author of Physical Activity and Function in the elderly, Nova Medicine &Health, New York, 2019.

Dr. Andrea Fabbo is a geriatrician expert in dementia care and management (pharmacological therapies and psychosocial interventions) and quality of care organization, especially in long-term care; he works as head of Cognitive Disorders and Dementia Unit, Primary Care Department, Health Authority and Services of Modena, Italy.

Dr. Fabbo is responsible for coordinating 10 Memory Clinic and specialized services for dementia (Day Centers and Special Care Unit for people living with dementia) in the Primary Care Department and Hospital (and local Municipalities. He is involved in Recharge Project (2018-2023), which has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No779237. Dr. Fabbo is a specialist registrar at 1)  School of Geriatrics, the University of Modena and Reggio Emilia; 2) School of Occupational Therapy, University of Modena and Reggio Emilia, Neurological and Geriatric Services) and he is a consultant in the "Dementia Project" for Emilia-Romagna Regional Government. Dr. Fabbo collaborates with Alzheimer's caregiver's associations on many projects (Alzheimer Uniti Italy Onlus, Federazione Alzheimer Italia) and with the European Interdem Group (Early detection and timely INTERvention in DEMentia). He is a member of the National Dementia Task Force (dedicated to the implementation of the National Dementia Plan) for the Ministry of Health and ISS (National Institute of Health) as representative of the Emilia Romagna Regional Government. In the last years, Dr. Fabbo has been working on the diffusion of the Dementia Friendly Community Model in some villages of Modena county with the collaboration of Federazione Alzheimer Italia.

Dr. Antonio M. Esquinas, MD, PhD, FCCP, FNIV, International fellow of the American Association for Respiratory Care (AARC) and Fellow of the American Collage Chest Physicians (ACCP), is a critical care specialist and staff physician at the Intensive Care Unit at the Hospital Morales Meseguer, Murcia, Spain. He is the Director of the International School of Noninvasive Mechanical Ventilation (Spain), International College of Experts in Noninvasive Ventilation, Director, Academy of Noninvasive Ventilation and Director International Noninvasive Ventilation Fellowship Program and President of International Association of Noninvasive Ventilation and Member of the ERS College of Experts. His main research activities are related to noninvasive mechanical ventilation in pulmonary and critical care. Prof. Esquinas is the author of more than 670 scientific publications (402 on peer-reviewed journals), editor of 60 books (published in English, Portuguese, Spanish and Chinese) and author of 325 chapters of book/position paper. He was invited speaker at 356 presentations and presented 450 oral communications or posters at national and international congresses. He acts in international networking groups promoting education programs and research in noninvasive ventilation.

Blurb

This book is focused on geriatric patients in critically ill conditions in the Emergency Room.

Their percentage is very high, about 60% of the total percentage of patients, and the availability of intensive care admission is reduced for them as clearly shown during last Covid-19 pandemic. However, the modern approach is not yet able to stop the frailty cascade after hospitalization. In this book authors offer an analysis to overcome this gap. 

The volume contains two main sections: in the first one, authors discuss recommendations and guidelines for setting organizations and treatment through different case reports of practical management of critically ill geriatric patients (especially patients treated with noninvasive ventilation). In the second part, they analyze the territorial networks that take charge of the older patients. Furthermore, a chapter will be reserved to a comparative investigation of the different types of hospital territorial integration in Europe.

The book, written by renowned experts in their fields and by their teams, represents a new tool rich of suggestions for all those physicians involved in the management of this frail population.