Table of Contents
Contributors xiii
Preface xix
Acknowledgments xxi
1 Introduction 1Terry Mahan Buttaro
2 Health Assessment 9Kate A. Barba
3 Clinical Issues 22
Unit 1 Skin Disorders 22
Part 1 Overview 22Terry Mahan Buttaro
Part 2 Burns 24Terry Mahan Buttaro
Part 3 Cellulitis 27Terry Mahan Buttaro
Part 4 Contact Dermatitis 31Terry Mahan Buttaro
Part 5 Herpes Zoster 33Terry Mahan Buttaro
Part 6 Purpura 37Terry Mahan Buttaro
Part 7 Pruritus 41Terry Mahan Buttaro
Part 8 Acne Rosacea 44Terry Mahan Buttaro
Part 9 Seborrheic Dermatitis 46Terry Mahan Buttaro
Part 10 Thrush 50Terry Mahan Buttaro
Part 11 Tinea 52Terry Mahan Buttaro
Part 12 Pressure Ulcers 56Linda Olson
Part 13 Lower Extremity Ulcers 64Linda Olson
Part 14 Skin Tears 74Linda Olson
Unit 2 Cardiovascular Disorders 79
Part 1 Acute Coronary Syndrome 79Sharon Zisk
Part 2 Atrial Fibrillation 86Theresa E. Evans
Part 3 Venous Thromboembolism 92Eva Beliveau
Part 4 Heart Failure 99Theresa E. Evans
Part 5 Hypertension 105Chelby Cierpial and Susan Stengrevics
Part 6 Peripheral Vascular Disease 112Ashley Moore Gibbs
Part 7 Heart Valve Disease 117Theresa E. Evans
Unit 3 Respiratory Disorders 124
Part 1 Asthma 124Marian Jeffries and Rosemarie Marks
Part 2 Chronic Obstructive Pulmonary Disease (COPD) 128Marian Jeffries and Rosemarie Marks
Part 3 Influenza 134Marian Jeffries and Rosemarie Marks
Part 4 Pneumonia 138Marian Jeffries and Rosemarie Marks
Unit 4 Gastrointestinal Disorders 148
Part 1 Appendicitis 148Patricia Fitzgerald
Part 2 Diverticular Disease 152Patricia Fitzgerald
Part 3 Ischemic Bowel 158Patricia Fitzgerald
Part 4 Pancreatitis 162Patricia Fitzgerald
Part 5 Constipation 167Patricia Fitzgerald
Part 6 Diarrhea 173Patricia Fitzgerald
Part 7 Gastroesophageal Reflux Disease 178Patricia Fitzgerald
Unit 5 Genitourinary Disorders 183
Part 1 Acute Kidney Injury 183Carol A. Tyksienski
Part 2 Chronic Kidney Disease 191Carol A. Tyksienski
Part 3 Urinary Tract Infections 197Terry Mahan Buttaro
Unit 6 Neurologic Disorders 202
Part 1 Dementia 202Constance Cruz, Sara A. Fisher, Mary Lussier-Cushing and Jennifer Repper-DeLisi
Part 2 Delirium in the Older Hospitalized Adult 209Mary Lussier-Cushing, Jennifer Repper-DeLisi, Sara A. Fisher and Constance Cruz
Part 3 Ischemic Stroke 221Marion Phipps
Part 4 Dizziness 230Jean B. Fahey
Part 5 Normal Pressure Hydrocephalus 236Jean B. Fahey
Part 6 Parkinson’s Disease 241Marion Phipps
Part 7 Seizures 249Susan R. Gavaghan
Unit 7 Endocrine 255
Part 1 Diabetes 255Susan L. Wood
Part 2 Hypo/Hyperthyroidism 269Susan L. Wood
Part 3 Hyperparathyroidism/Hypoparathyroidism 275Susan L. Wood
Part 4 Syndrome of Inappropriate Antidiuretic Hormone Secretion 283Susan L. Wood
Unit 8 Musculoskeletal 288
Part 1 Septic Arthritis 288Susan Bardzik
Part 2 Gout 292Sharon R. Smart
Part 3 Joint Replacement 296Nichole Spencer
Part 4 Osteomyelitis 303Lesley Caracci
Part 5 Metabolic Bone Disease: Osteoporosis and Paget’s Disease 308Nichole Spencer
Unit 9 Hematology/Oncology 316
Part 1 The Oncology Patient 316Kristina N. Wickman
Unit 10 Infectious Disease 324
Part 1 HIV/AIDS 324Caroline Sturm-Reganato
Part 2 Sepsis and ARDS 337Vince M. Vacca, Jr .
Part 3 Tuberculosis 343Melissa Donovan
Unit 11 Multisystem Disorders 351
Part 1 Fever 351Monica G. Staples
Part 2 Polymyalgia Rheumatica 359Monica G. Staples
Part 3 Rheumatoid Arthritis 364Monica G. Staples
Part 4 Systemic Lupus Erythematosus 369Kate Roche
Part 5 Temporal Arteritis 376Kate Roche
Part 6 Vasculitis 379Kate Roche
Unit 12 The Surgical Patient 386
Part 1 The Surgical Patient 386Deanne C. Munroe
Unit 13 Fluid and Electrolytes 403
Part 1 Dehydration and other Hypovolemic Fluid Disorders 403Terry Mahan Buttaro
Part 2 Hypercalcemia and Hypocalcemia 408Nancy A. Kelly
Part 3 Hyperkalemia and Hypokalemia 416Grace A. Good
Part 4 Hyponatremia and Hypernatremia 423Grace A. Good
Part 5 Hypomagnesemia and hypermagnesemia 432Nancy A. Kelly
Unit 14 Psychological Issues 440
Part 1 Anxiety Disorders 440Constance Cruz, Sara A. Fisher, Mary Lussier-Cushing and Jennifer Repper-DeLisi
Part 2 Depression 445Jennifer Repper-DeLisi, Constance Cruz, Sara A. Fisher and Mary Lussier-Cushing
4 Special Considerations 454
Part 1 Nosocomial Infections 454Hallie S. Greenberg
Part 2 Elder Abuse and Neglect 461Margaretta Byrne
Part 3 Advance Directives 469Anita M. Coppola-Ash
Part 4 Nutrition and Older Adults 474Deborah A. D ’ Avolio
Part 5 Fall Prevention 480Deborah A. D’Avolio
Part 6 Pain and Older Adults 488Deborah A. D’Avolio
Part 7 Palliative Care 494Jennifer R. Howard
Part 8 Medications and Older Adults 501Deborah A. D’Avolio
Part 9 Sleep Disorders 506Donna M. Glynn
Part 10 Urinary Incontinence 511Mary L. McDonough
Part 11 Discharge Planning and Teaching 518Arlene J. Lowenstein
Part 12 SBAR Communication 525Eva Beliveau
Glossary 531
Selected Websites for Geriatric Information 536
Index 537