Medical Implications Of Elder Abuse And Neglect An Issue Of Clinics In Geratric Medicine

This issue of Clinics in Geriatric Medicine, devoted to Medical Implications of Elder Abuse and Neglect, is edited by Drs. Lisa Gibbs and Laura Mosqueda. Articles in this issue include: Aging: Physiology, Disease, and Abuse; Understanding the Medical Markers of Elder Abuse and Neglect: Physical Examination Findings; Medical and Laboratory Indicators of Elder Abuse and Neglect; Common Presentations of Elder Abuse in Health Care Settings; Prevention and Early Identification of Elder Abuse; Elder Physical Abuse; Elder Neglect; Case Series of Sexual Assault in Older Persons; Medical Implications of Elder Abuse: Self-Neglect; Evaluating Abuse in the Patient with Dementia; Mental Health/Psychiatric Issues in Elder Abuse and Neglect; The Role of Capacity Assessments in Elder Abuse Investigations and Guardianships; Care of the Victim; and Health Professionals' Roles and Relationships with Other Agencies.

This issue of Clinics in Geriatric Medicine, devoted to Medical Implications of Elder Abuse and Neglect, is edited by Drs. Lisa Gibbs and Laura Mosqueda. Articles in this issue include: Physiology of Aging; Understanding the Medical Markers of Elder Abuse and Neglect: Physical Exam Findings; Medical Markers of Elder Abuse and Neglect: Laboratory Findings; Common Presentations of Elder Abuse in Healthcare Settings; Physical Abuse; Elder Abuse and Neglect by Others; Geriatric Sexual Abuse; Emotional Abuse in Geriatrics; Self- Neglect in Geriatrics; Capacity Assessment in Elder Abuse and Neglect; Geriatric Dementia and Abuse; Mental Health/ Psychiatric Issues in Elder Abuse and Neglect; Care of the Victim in Elder Abuse and Neglect; Prevention and Early Identification of Elder Abuse and Neglect; and Doctors Roles and Relationships with other Agencies in Elder Abuse and Neglect.

Elder Abuse and Neglect remains an important topic in Geriatric Medicine not only because of our nation's large number of nursing homes (approx. 17,000), but also because of basic short term care that may fall into the defined categories of physical abuse, verbal/emotional abuse, and physical, medical and emotional neglect. This issue, guest edited by Martin Gorbien of Rush University Medical Center, serves to clearly define elder abuse and neglect. Topics ranging from cultural issues in elder abuse to the legal system's response and public policy initiatives are addressed by experts in this issue.

This issue of Clinics in Geriatric Medicine, Guest Edited by Drs. Frederick Luchette and Robert D. Barraco, is devoted to Surgery and the Geriatric Patient. Articles in this issue include: Changing Epidemiology of the American Population; Frailty and Prognostication in Geriatric Surgery and Trauma; Utilization of Geriatric Consultation and Team-Based Care; Palliative Care and Geriatric Surgery; Transitions of Care in Geriatric Medicine; Surgical Oncology and the Geriatric Patient; Orthopedic Surgery and the Geriatric Patient; Vascular Surgery and the Geriatric Patient; Elder Abuse; Falls in the Geriatric Population; Driving in the Geriatric Population; and Suicide and the Geriatric Population.

This issue of Clinics in Geriatric Medicine is devoted to Nutrition in Older Adults. Guest Editor John E. Morley, MD has assembled a group of expert authors to review the following topics: Anorexia of Aging; Protein and Older Persons; Screening for Malnutrition in Older People; Obesity and Aging; Vitamins; Sarcopenia; Diabetes: Nutrition and Exercise; Frailty, Exercise and Nutrition; Dehydration; Cholesterol and Older Persons; Cognition and Nutrition; and Gastric Emptying in the Elderly.

This issue of Clinics in Geriatric Medicine, guest edited by Dr. Soo Borson, is devoted to Geriatric Psychiatry. Articles in this issue include: Diagnosis; Providing high quality care for dementia patients and family caregivers; Common psychiatric problems in cognitively impaired patients – causes and management; Partnering with family caregivers; Palliation and end of life care; Geriatric depression; Treatment for depression and evaluating response; Post-traumatic stress in older adults; Sleep disorders; Substance Abuse; Suicide; and Mental Health Services for Older Adults.

This issue of Clinics in Geriatric Medicine is centered on the management of the geriatric fragility fracture patient. This issue features expert clinical reviews on topics such as Principles of comanagement, Lean business model and implementation of a Geriatric Fracture Center, Preoperative optimization and risk assessment, Preoperative reversal and management of anticoagulation and antiplatelet agents, Classification and surgical approach to hip fractures for non-surgeons, Special anesthetic consideration for the fragility fracture patient, Non-surgical management and palliation of fragility fractures, and Management of post-operative complications including Delerium, Anemia, Venous thromboembolism, and Cardiovascular disease and volume management. Also included are articles on Transitions in care and rehabilitation, Osteoporosis related secondary fracture prevention, Post-operative assessment of falls risk and prevention, and Fragility fractures requiring special consideration.

This issue of Clinics in Geriatric Medicine is devoted to Palliative Care. Guest Editors Thomas Smith, MD and Madeline Leong, MD have assembled a group of expert authors to review the following topics: Palliative Care in the Era of Healthcare Redesign; Communications to Patients; Communications by Professionals; International Palliative Care; Public Health and Palliative Care; Culturally Relevant Palliative Care; Spirituality, Religion, and Healing in Palliative Care; Alternative, Complementary and Mainstream Therapies in Palliative Care; Symptom Management in the Older Adult; Interaction of Palliative Care and Primary Care; Palliative Care in the Ambulatory Geriatric Practice; Choosing Cancer Therapy Based on Geriatric Assessment; and Emergency Medicine and Palliative Care.