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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