By Thomas T. Yoshikawa, Dean C. Norman
This incisive reference systematically studies the analysis and therapy of universal surgical and scientific emergencies in aged patients-thoroughly studying surgical interventions, drug remedies and drug prescribing protocols, life-threatening drug reactions, moral concerns, and techniques of profiling sufferers for nursing care. Evaluates ailment states and gauges optimum responses to every, helping options with important case experiences. Written through over forty distinct medical examiners, Acute Emergencies and important Care of the Geriatric sufferer ·describes excellent patient-physician relationships in serious care settings ·highlights emergency administration of myocardial infarction and cardiogenic pulmonary edema ·illuminates moral questions surrounding confidentiality, expert consent, surrogate selection making, and sufferer convenience ·assesses particular pharmacokinetic and pharmacodynamic stipulations in geriatric sufferers ·provides very important details on stroke, seizures, and spinal twine compression ·investigates severe problems as a result of pneumonia, meningitis, and endocarditis ·explores acute lung problems equivalent to emphysema, power bronchitis, pneumonia, imperative frightened method disorder, and irregular keep an eye on of air flow ·clarifies preoperative approaches for emergency surgical procedure ·reviews anesthesia thoughts for pulmonary, cardiovascular, renal, hepatic, and neurological stipulations within the aged ·and extra! together with over one thousand references, tables, and illustrations, Acute Emergencies and demanding Care of the Geriatric sufferer is an fundamental source for geriatricians, fundamental care physicians, internists, emergency drugs physicians, intensivists, hosptialists, surgeons, anesthesiologists, orthopedists, cardiologists, psychiatrists, neurologists, and internists/residents in those disciplines, in addition to nurses, pharmacists, and clinical scholars.
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Extra info for Acute Emergencies and Critical Care of the Geriatric Patient
Education of the entire patient care team is necessary to avoid potentiation of the anticoagulant effects. The presence of blood during needle and catheter placement does not necessitate postponement of surgery. However, initiation of LMWH therapy in this setting should be delayed for 24 hours postoperatively. Traumatic needle or catheter placement may signify an increased risk of spinal hematoma, and it is recommended that this consideration be discussed with the surgeon. Patients receiving preoperative LMWH can be assumed to have altered coagulation.
Patient and family satisfaction should be a very important avenue of pursuit for quality improvement. Telephone calls to patients or surrogates to ask about the emergency room experience should be considered as a potentially valuable aspect of quality improvement activities. B. Fostering Respect and Compassion The patient’s overall perception of the experience in the emergency department is shaped by the total of encounters that occurs. Every encounter that the patient Ethics in Emergency Care of Patients 27 has with a care provider should be characterized by an attitude of patient-centered concern, respect, and compassion.
Ann Intern Med 114:151–154, 1991. 12. Teno JM, Lynn J. Putting advance-care planning into action. J Clin Ethics 7:205– 213, 1996. 13. Redelmeier MD, Tan SH, Booth MD. The treatment of unrelated disorders in patients with chronic medical diseases. N Engl J Med 338:1516–1520, 1998. 14. Gurwitz JH, Fore JM, Goldberg RJ, Rubinson M, Chandra N, Rogers WJ. Elderly patients received thrombolytic agents less often. Recent age-related trends in the use of thrombolytic therapy in patients who have had acute myocardial infarction.
Acute Emergencies and Critical Care of the Geriatric Patient by Thomas T. Yoshikawa, Dean C. Norman