Acute care surgery in geriatric patients / Patrizio Petrone, Collin E.M. Brathwaite, editors.
Petrone, Patrizio, 1968-; Brathwaite, Collin E. M.
2023
RD145
Available Online

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Title Acute care surgery in geriatric patients / Patrizio Petrone, Collin E.M. Brathwaite, editors.
ISBN 9783031306518 (electronic bk.)
3031306511 (electronic bk.)
3031306503
9783031306501
DOI https://doi.org/10.1007/978-3-031-30651-8
Publication Details Cham : Springer, 2023.
Language English
Description 1 online resource (603 p.)
Item Number 10.1007/978-3-031-30651-8 doi
Call Number RD145
Dewey Decimal Classification 617.97
Summary This comprehensive text will provide a state-of-the art review of the field of geriatric acute care surgery, reviewing new epidemiology data about risk factors for this type of trauma. Assessment of the geriatric trauma patient is unique, and this population requires special attention. Moreover, geriatric patients often suffer from mild to severe cognitive impairment, cardiovascular, and pulmonary insufficiency, which can complicate trauma. This comorbidity informs the evaluation, diagnosis and management of geriatric trauma and stresses the importance of team-based interprofessional care for affected patients. Opening chapters describe general principles of geriatric acute care, the physiology of aging, frailty, injury prevention, and goals of care. The main section of the book presents the latest treatment strategies for traumatic orthopedic, cardiovascular and gastrointestinal trauma, including sepsis, complications and critical care monitoring, before turning to nursing considerations for this ever-growing population. Additional chapters on outcomes and COVID management complete the presentation. Providing a concise yet comprehensive summary of the current status of the field that will help guide patient management and stimulate investigative efforts, this text will serve as a very useful resource for physicians, medical students, residents, nurses, therapists, and researchers dealing with, and interested in this challenging type of trauma.
Note Effects of Aging on the Hematologic system
Includes index.
Access Note Access limited to authorized users.
Source of Description Online resource; title from PDF title page (SpringerLink, viewed August 15, 2023).
Added Author Petrone, Patrizio, 1968-
Brathwaite, Collin E. M.
Available in Other Form Acute Care Surgery in Geriatric Patients
Linked Resources Online Access
Record Appears in Online Resources > Ebooks
All Resources
Intro
Foreword
Foreword
Prologue
Contents
1: Acute Care Surgery in the Geriatric Patient Population: General Principles
Acute Care Surgery Evolution
Acute Care Surgery Principles
Emergency General Surgery in Elderly Patients
Geriatric Trauma
Surgical Rescue
Goal Concordant Decision-Making
Summary
References
2: Healthcare Economics and Aging
Population Trends
How Medicare Rates Are Determined
Physician Charges (Medicare Part B)
Facility Charges (Part A)
Medicare Budgets and Projected Payment Levels

Medicare Rates are Insufficient and not Keeping Up with Cost Inflation
Physician and Surgeon Reimbursement
Hospital Reimbursement
Tactics Medicare Uses to Decrease Reimbursements
Bundled Payments: A Major Medicare Cost Savings Initiative
Impact on Facilities and Providers
Looking to the Future
References
3: A Rationale and Systems Impact for Geriatric Trauma and Acute Care Surgery
Introduction
Rationale for Geriatric Trauma and Acute Care Surgery
Medical Comorbidities and Surgical Risk
Frailty and Sarcopenia
Cognitive Impairment and Postoperative Delirium

Nutrition
Polypharmacy
Geriatric Vulnerabilities
Care Planning and Shared Decision-Making
Capacity
Surrogates
Palliative Care
Advance Care Planning and Goals of Care
Withdrawing and Withholding Therapy
Care at the End of Life
Geriatric-Specific Prediction Models in Trauma and EGS
Opportunities for Improvements in Geriatric Care
National Quality Programs for Geriatric Patients
Conclusions
References
4: Physiology of Aging
Introduction
Various Issues Specific to the Elderly Population
Frailty
Function
Nutritional Status

Medications/Polypharmacy
Medical Decision-Making in the Elderly Population
Elder Abuse
Neuropsychiatric
Physiology
Clinical Issues
Cardiovascular
Physiology
Clinical Context
Pulmonary
Physiology
Clinical Context
Gastrointestinal
Physiology
Clinical Context
Renal/Volume/Electrolytes
Physiology
Clinical Context
Endocrine
Physiology
Clinical Context
Common Emergency General Surgery Cases
Small Bowel Obstruction
Acute Mesenteric Ischemia
Diverticulitis
Trauma
Falls
Rib Fractures
Traumatic Brain Injury
References

5: Frailty in Geriatric Trauma and Emergency General Surgery
Overview
Frailty in Geriatric Trauma
Measuring Frailty
Association Between Frailty and Outcomes Among Geriatric Trauma Patients
Optimization of Frail Trauma Patients
Frailty in Geriatric Emergency General Surgery
Measuring Frailty
Association Between Frailty and Outcomes Among Geriatric EGS Patients
Optimization of Frail EGS Patients
Geriatric Specialists and Multidisciplinary Care
References
6: Hematologic Changes with Aging
Overview of the Hematologic System

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