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Essential Medical Work-Up and Rule Outs
Pages 3-25
This book offers mental health guidelines for all medical professionals facing the emerging challenges presented by an aging population worldwide. The text acknowledges that as the geriatric demographic grows, limited resources and infrastructures demand quality protocols to deliver inpatient geriatric psychiatric care, and that many physicians may not be trained to address these specific needs. This text fills this gap with guidelines assessing, diagnosing, and treating aging patients as they present in the emergency room and other settings.
Unlike any other text, this book focuses on how to optimize the use of the inpatient setting by recommending evaluations and treatments, and offering flow-charts and figures of key points, to guide both general workup and continued evaluation and treatment. This approach aims to minimize instances of premature release or readmissions and to improve outcomes.
Chapters cover the various issues that clinicians face when working with an older patient, including legal topics, limitations to treatment, prescription-related complications, patients struggling with substance abuse, and various behavioral concerns. Written by experts in the field, the text takes a multidisciplinary approach to deliver high-quality care as needs of the aging population evolve.
Inpatient Geriatric Psychiatry is a vital resource for all clinicians working with an aging population, including geriatricians, psychiatrists, neurologists, primary care providers, hospitalists, psychologists, neuropsychologists, emergency room and geriatric nurses, social workers, and trainees.
Essential Medical Work-Up and Rule Outs
Pages 3-25
Neuropsychological Assessment
Pages 27-46
Pharmacological Overview in Geriatrics: Pharmacodynamics, Pharmacokinetics, Laboratory Monitoring
Pages 47-61
Interdisciplinary Roles and Interface
Pages 63-76
Legal Aspects of Inpatient Geriatric Psychiatry
Pages 77-94
Major Neurocognitive Disorder with Behavioral Disturbance (Behavioral and Psychological Symptoms of Dementia—BPSD)
Pages 97-128
Acute Medical Events: Falls, Seizures, CVAs, Urinary Retention, Cardiac Events, Hypotension, SIADH, Dehydration, and Infection
Pages 129-151
Suicide in the Geriatric Population: Risk Factors, Identification, and Management
Pages 153-167
Sleep in Geriatric Psychiatry Inpatients
Pages 169-188
Alcohol and Substance Use Disorders in the Geriatric Psychiatry Inpatient: Acute Treatment, Detoxification, and Withdrawal
Pages 189-199
Psychiatric Symptoms Comorbid with Neurological Syndromes
Pages 201-218
Delirium: Risk Factors, Contributors, Identification, Work-Up, and Treatment
Pages 219-235
Involuntary Interventions: Medications, Forced Feeding, Restraints, and Prevention of Wandering
Pages 237-257
Pain Management
Pages 259-276
Special Syndromes: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Catatonia
Pages 277-292
Neuromodulation Interventions: ECT and rTMS – Work-Up, Preparation, and Posttreatment Care + Ketamine in Inpatient Psychiatry
Pages 293-323
Medication Strategies: Switching, Tapering, Cross-Over, Overmedication, Drug-Drug Interactions, and Discontinuation Syndromes
Pages 325-338
Psychotherapies and Non-pharmacological Interventions
Pages 339-352
Medical Nursing Care and Communication Barriers
Pages 355-372
Telemedicine and IT: Use of Digital Technology on Inpatient Units
Pages 373-392
Placement, Coordination, and Follow-Up
Pages 393-404
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