Geriatric Emergentvurgent And Ambulatory Care

Fast-track medical settings call for “at-your-fingertips” information. Here is an easy-to-use, quick-reference guide for nurse practitioners and other health care providers in emergency, medical, screening, fast track, and/or primary care settings with family patients. In a concise, optimally organized format that includes current, evidence-based guidelines, the resource delivers a wealth of information for assessment and management of the most commonly encountered problems in these settings. Concise yet packed with crucial knowledge, The Pocket NP is arranged in a logical head-to-toe format that includes the history and physical examination and essential medical decision-making considerations. The material is organized in a true rapidaccess format, with salient information presented for maximum efficiency and speed of retrieval. A variety of templates for dictation/documentation are provided to assist the clinician with the development of a concise and logical patient record. These templates can be mixed and matched as needed and, using a specific template for focused patient problems (e.g., knee pain), will facilitate assessment fine tuning. Also included are frequently used illustrations for anatomical records as well as templates to assist in identification of normal and abnormal presentations. Additional helpful features include “Tips” and “Don’t Miss” boxes with bullet points of critical information, a rapid “review of systems,” billing information, and a dedicated page for NP “Survival Information” and notes. Key Features: Provides ultra-quick access to patient treatment information Offers easy-to-use framework for quickly locating critical information Presents templates for identifying normal and abnormal presentations Contains a rapid “review of systems” Delivers content in head-to-toe format Includes “Tips” and “Don’t Miss” boxes with bullet points of critical information

Praise for the First Edition: "The pocket NP guide is an easy to use clinical companion guiding the assessment, diagnosis, and treatment of common presentations to the emergency setting. I personally use this resource in my clinical practice and also recommend it to all of my students. I highly recommend the pocket NP guide for any practitioners working or thinking of working in the emergency setting." -Theresa Campo DNP, FNP-C, ENP-BC, FAANP Updated to promote ultra-quick access to current information NPs need daily Now in its second edition, this reference guide for nurse practitioners and other health care providers in emergency, medical, screening, fast track, and/or geriatric settings continues to provide ultra-quick access to key assessment and management information. The Pocket NP delivers a wealth of information for assessment and management of the most-commonly encountered problems in fast-track settings. Arranged in a logical head-to-toe format, it includes the history, physical examination, and essential medical decision-making considerations needed to walk you step-by-step through a typical patient encounter. New to the Second Edition: Updated medical decision-making sections with documentation templates Updated pharmacology and drug administration information New ultrasound dictation templates for each section where it is performed New tables including eye chart for vision in trauma patients New ultrasound images New line drawings depicting various conditions Updated clinical guidelines Key Features: Provides ultra-quick access to patient treatment information Offers easy-to-use framework for quickly locating critical knowledge Presents templates for identifying normal and abnormal presentations Delivers content in logical head-to-toe format Includes time-tested "Tips" and "Don't Miss" boxes with bullet points of critical information Provides anatomic illustrations that assist in diagnosis/management of conditions Contains billing information

An essential, experience-based, practical guide for anyone looking to improve the care of older patients in the emergency department.

Fast-track medical settings call for “at-your-fingertips” information. Here is an easy-to-use, quick-reference guide for nurse practitioners and other health care providers in emergency, medical, screening, fast track, and/or primary care settings with family patients. In a concise, optimally organized format that includes current, evidence-based guidelines, the resource delivers a wealth of information for assessment and management of the most commonly encountered problems in these settings. Concise yet packed with crucial knowledge, The Pocket NP is arranged in a logical head-to-toe format that includes the history and physical examination and essential medical decision-making considerations. The material is organized in a true rapid access format, with salient information presented for maximum efficiency and speed of retrieval. A variety of templates for dictation/documentation are provided to assist the clinician with the development of a concise and logical patient record. These templates can be mixed and matched as needed and, using a specific template for focused patient problems (e.g., knee pain), will facilitate assessment fine tuning. Also included are frequently used illustrations for anatomical records as well as templates to assist in identification of normal and abnormal presentations. Additional helpful features include “Tips” and “Don’t Miss” boxes with bullet points of critical information, a rapid “review of systems,” billing information, and a dedicated page for NP “Survival Information” and notes. Key Features: Provides ultra-quick access to patient treatment information Offers easy-to-use framework for quickly locating critical information Presents templates for identifying normal and abnormal presentations Contains a rapid “review of systems” Delivers content in head-to-toe format Includes “Tips” and “Don’t Miss” boxes with bullet points of critical information

Care for older adults in Emergency Departments (EDs) has historically been focused on acute medical conditions with little emphasis on geriatric-specific issues. In 2010, emergency departments (EDs) throughout the nation saw almost 130 million patients, 15% of whom were 65 or older. The number of older adults who visit an ED has doubled in the last decade and continues to grow rapidly. Older adults receiving care in an ED are highly likely to be admitted to the hospital, much more so than their younger counterparts. Preventing a hospital admission saves older adults from frequently encountered adverse events, including hospital-acquired delirium, functional status impairment, cognitive loss, and nursing home admission. It is unknown how many older adults are hospitalized for reasons other than acute medical illness, such as functional decline, polypharmacy, progressive dementia, caregiver stress, or unstable living situation. These non-emergent conditions are rarely addressed during a typical ED visit due to lack of resources, significant patient volumes, and the need for rapid turnover of care spaces. The predominant management strategy of emergency physicians to handle these important but not imminently life-threatening geriatric issues is to recommend hospital admission. Northwestern has pioneered the Geriatric Emergency Department through the creation of the Geriatric Emergency Department Innovation model (GEDI), with goals to prevent admissions for older adults by assessing and meeting their geriatric-specific, non-acute care needs in the ED. The GEDI model at Northwestern centers on a multi-disciplinary curriculum composed of clinical, didactic, and practical arms developed by emergency medicine and geriatrics educational experts. In this title, we will present case studies of older adults seen in the Emergency Department through the GEDI model and discuss means of identifying/screening for, diagnosing, and treating geriatric syndromes seen in the emergent care of the older adult patient. In addition, there will be a set of concise “take-home points” for each case study that will be easy to commit to memory and implement in clinical care of older adults. As the number of seniors seeking emergent care will continue to increase, the ED setting must become responsive to geriatric-specific needs. This book will provide a variety of models detailing how to offer comprehensive, state-of-the-art, optimal care for managing the full range of geriatric syndromes that regularly present in the emergent care setting.

In this issue of Clinics in Geriatric Medicine, guest editors Drs. Maura Kennedy and Shan Liu bring their considerable expertise to the topic of Geriatric Emergency Care. Top experts in the field cover critical topics or concepts in geriatric emergency medicine and topics for which there is new research, including guidance on “geriatricizing the ED and ED observation unit, caring for persons with dementia, and examining the intersection of DEI and care of an aging population. Contains 13 relevant, practice-oriented topics including the aging process: physiologic changes and frailty; elder abuse and neglect: recognition and management in the emergency department; best practices in end of life and palliative care in the ED; falls and other trauma in the older adult; and more. Provides in-depth clinical reviews on geriatric emergency care, offering actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create clinically significant, topic-based reviews.

This issue of Clinics in Geriatric Medicine, guest edited by Drs. Michael Malone and Kevin Biese, is devoted to Care for the Older Adult in the Emergency Department. Articles in this outstanding issue include: Approach to the Older Patient in the Emergency Department; Ten Best Practices for Older Adults in the Emergency Department; Delirium and Dementia; Falls and Geriatric Trauma; Older Adults in the Emergency Department with Frailty; Communication Strategies to Better Care for Older Individuals in the Emergency Department; Systems-based Practice to Improve Care Within and Beyond the Emergency Department; Common Medication Management Approaches for Older Adults in the Emergency Department; Elder Abuse and Neglect; Care of those with end-of-life needs / Advanced illnesses in the Emergency Department; Behavioral Health Needs of Older Adults in the Emergency Department; and Pain Management Strategies for Older Adults.

This book discusses all important aspects of emergency medicine in older people, identifying the particular care needs of this population, which all too often remain unmet. The up-to-date and in-depth coverage will assist emergency physicians in identifying patients at risk for adverse outcomes, in conducting appropriate assessment,and in providing timely and adequate care. Particular attention is paid to the commonpitfalls in emergency management andmeans of avoiding them. Between 1980 and 2013, the number of older patients in emergency departmentsworldwide doubled. Compared with younger patients, older people suffer from more comorbidities, a higher mortality rate, require more complex assessment and diagnostic testing, and tend to stay longer in the emergency department. This book, written by internationally recognized experts in emergency medicine and geriatrics, not only presents the state of the art in the care of this population but also underlines the increasing need for adequate training and development in the field.