Inpatient Geriatric Psychiatry: Optimum Care, Emerging Limitations, and Realistic Goals

ISBN-13: 9783030104009 / Angielski / Miękka / 2019 / 415 str.

Howard Fenn; Ana Hategan; James Bourgeois

Recenzje

"The book is written for providers across all specialties who care for older adults with psychiatric illness in the inpatient setting, and the book is well suited for most of them." (Jessica M O'Mara, Doody's Book Reviews, December 7, 2019)

Spis treści

Foreword 1—Dilip Jeste and Ellen Lee
Foreword 2—Ira Glick  

PREFACE by Editors—include paragraph on flow-charts/Acknowledgements

OVERVIEW of INPATIENT GERIATRIC PSYCHIATRY

1.      Essential medical work-up and rule-outs

2.      Neuropsychological assessment

3.      Pharmacological overview in geriatrics: pharmacodynamics, pharmacokinetics, laboratory.

4.      Interdisciplinary roles and interface

5.      Legal Aspects of Inpatient Geriatric Psychiatry

PREVALENT PROBLEMS IN INPATIENT GERIATRIC PSYCHIATRY

6.      Major Neurocognitive Disorder with Behavioral Disturbance

7.      Acute medical events: falls, seizures, CVAs, urinary retention, cardiac events, hypotension, SIADH, dehydration, infection.

8.      Suicide in the geriatric population: risk factors, identification, and management.

9.      Sleep in Geriatric Psychiatry Inpatients

10.  Alcohol and Substance Use Disorders in the Geriatric Psychiatry Inpatient: Acute Treatment, Detoxification, Withdrawal

11.  Psychiatric symptoms co-morbid with neurological syndromes

12.  Delirium: risk factors, contributors, identification, work-up, and treatment.

13.  Involuntary treatment: medications, forced feeding, restraints, prevention of wandering. 

14.  Pain management

15.  Special syndromes: Serotonin Syndrome (SS), Neuroleptic Malignant Syndrome (NMS), and  Catatonia

16.  Neuromodulation interventions: ECT, rTMS: work-up, preparation and post-treatment care + ketamine in inpatient psychiatry

17.  Medication strategies: Switching, tapering, cross-over, overmedication, drug-drug interactions, discontinuation syndromes

18.  Psychotherapies and non-pharmacological interventions  

 

SPECIAL TOPICS

19.  Medical nursing care and communication barrier

20.  Telemedicine and IT --use of digital technology on inpatient units. 

21.  Placement, coordination, follow-up. 

O autorze

Howard H. Fenn, MD
Clinical Associate Professor (affiliated)
Department of Psychiatry and Behavioral Sciences
Stanford University
Stanford, California

Attending physician
Veterans Affairs Health Care System, Palo Alto, California

 

Ana Hategan, MD
Associate Clinical Professor
Geriatric Psychiatrist
Department of Psychiatry & Behavioural Neurosciences
McMaster University
Hamilton, ON
Canada

 

James A. Bourgeois, OD, MD
Chair, Department of Psychiatry
Baylor Scott & White Health, Central Texas Division
Clinical Professor, College of Medicine
Texas A&M University Health Science Center
2401 South 31st Street
Temple TX 76508
Professor Emeritus
Department of Psychiatry
University of California, San Francisco
School of Medicine

Blurb

This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide.  The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs.  This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings.

 

Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes.  

 

Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve.

 

Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.