Geriatric Medicine: Practical Decision-Making for Falls, Delirium, Dementia, Frailty, and Acute Functional Change (en Inglés)
Reseña del libro "Geriatric Medicine: Practical Decision-Making for Falls, Delirium, Dementia, Frailty, and Acute Functional Change (en Inglés)"
In geriatric care, the most important clue is often not the diagnosis listed in the chart. It may be the fall that happened without warning, the confusion that began overnight, the slow loss of strength, the missed medications, the new difficulty walking to the bathroom, or the family member who says, “This is not normal for them.” Geriatric Medicine is a practical clinical guide for understanding those changes before they become missed opportunities for care. This book helps clinicians move beyond disease-by-disease thinking and approach older adults through the realities that shape outcomes: function, cognition, mobility, medication burden, frailty, caregiver support, safety, and goals of care. It is written for real clinical settings where older patients often present with overlapping symptoms, incomplete histories, multiple conditions, and treatment choices that require careful judgment. Readers will learn how to approach common and high-risk geriatric problems with greater clarity, including: Falls, gait instability, weakness, dizziness, and mobility decline Delirium, acute confusion, dementia progression, depression, and medication-related cognitive change Frailty, reduced physiologic reserve, vulnerability, and acute functional decline Polypharmacy, high-risk medications, deprescribing, and treatment burden Complex chronic disease management when standard treatment plans may not fit the patient Home safety, rehabilitation needs, discharge readiness, caregiver strain, and long-term support planning Shared decision-making when comfort, independence, longevity, and quality of life must be balanced The goal of this book is not to make geriatric medicine look simple. It is to make complex care more organized, more thoughtful, and more clinically useful. Each topic is approached with the understanding that older adults may decline quickly, recover slowly, or respond differently to treatment than younger patients. This makes early recognition, careful reassessment, and patient-centered planning essential. Geriatric Medicine is suitable for physicians, residents, nurse practitioners, physician associates, geriatric nurses, medical students, rehabilitation clinicians, care coordinators, and healthcare professionals working in primary care, hospital medicine, emergency care, long-term care, or community-based elder care. For clinicians who want to improve decision-making around falls, delirium, dementia, frailty, and functional change, this guide offers a practical way to think through risk, reduce preventable harm, protect independence, and make care decisions that fit the older adult as a whole person.
