Essentials of Clinical Geriatrics, Eighth Edition

1. Clinical Implications of the Aging Process
  - Frailty 

2. The Geriatric Patient: Demography and Health Services  Utilization

3. Evaluation of the Geriatric Patient
  - Pre-op
  - Communicating with geriatric patients

4. Chronic Disease Management*
  - Multi-morbidity  
  - Geriatric practice models  
  - Person-centered care

5. Prevention in the Geriatric Population
  - Prevention of disability/exercise – physical, mental   
  - Primary (vaccines, diet, etc), secondary, and tertiary
  - The role of calculating prognosis (e.g. ePrognosis) in deciding about preventive practices such as colonoscopy, breast screening)
  - Prevention of infections in LTC (we are lacking a focus on infections – major geriatric issue – can include in Nursing Home Care chapter as well)

6. Confusion: Delirium and Dementia
  - Hypoactive delirium

7. Depression

8. Incontinence

9. Falls
  - Role of environment

10. Immobility
  - Muscular and skeletal pain (include polymyalgia, DJD management)
  - Non-pharmacologic pain management
  - Complications – e.g. treatment of DVT
  - Update on osteoporosis, measuring Vitamin D, bone mineral density, and treatments

11. Cardiovascular Disease
  - BP SPRINT Trial
  - Overtreatment of HTN causing complications– risk vs. benefit – individualizing care
  - Effects – or lack thereof on treating HTN on cognition
  - Treatment of hyperlipidemia
  - Management of A Fib – with discussion of anticoagulation in patients at risk for falls and risks and benefits of newer anticoagulants

12. Frailty, Failure to Thrive, and Common Metabolic Problems
  - Assessing frailty ( 2 definitions)
  - Failure to thrive
  - Alcohol and substance abuse
  - Sarcopenia
  - Metabolic problems (sorting out all the new medications for diabetes, importance of preventing hypoglycemia; management of hypo and hyperthyroidism)
  - CKD (there are a lot of new data; should mention role of dialysis and transplant issues)
  - Neuropathy

13. Sensory Function and Impairment
  - Role of cochlear implants
  - Treatment of AMD

14. Drugs

15. High Value Health Services in the Geriatric Population
  - Quality/ACOVE  
  - Value-based purchasing 
  - Bundling
  - ACOs  
  - Teams 
  - HCBS
  - Caregivers

16. Nursing Home Care

17. Ethics
  - Neglect and abuse awareness  

18. Palliative Care

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