Protocols in Primary Care Geriatrics

1. Front Matter

   Pages i-xiii

   PDF

2. Introduction

   1. Introduction

      • John P. Sloan

      Pages 1-2

3. Back Matter

   Pages 119-146

   PDF

4. Geriatrics Topics and Questions

   1. Front Matter

      Pages 3-3

      PDF

   2. Basis for Practice

      1. Aging and Frailty

         • John P. Sloan

         Pages 5-10

      2. Comprehensive Geriatric Assessment

         • John P. Sloan

         Pages 11-22

      3. Prescribing in the Elderly

         • John P. Sloan

         Pages 23-30

   3. Clinical Problems

      1. Mobility Failure

         • John P. Sloan

         Pages 33-38

      2. Incontinence

         • John P. Sloan

         Pages 39-45

      3. Cognitive Impairment

         • John P. Sloan

         Pages 46-53

      4. Depression

         • John P. Sloan

         Pages 54-60

      5. Abuse, Alcohol, and Automobiles

         • John P. Sloan

         Pages 61-69

      6. Constipation, Fecal Incontinence, and Pressure Sores

         • John P. Sloan

         Pages 70-77

      7. Difficult Behavior

         • John P. Sloan

         Pages 78-85

   4. Special Topics

      1. The Team and Case Management

         • John P. Sloan

         Pages 89-93

      2. Home Care and Caregiver Support

         • John P. Sloan

         Pages 94-99

      3. Nursing Home Care

         • John P. Sloan

         Pages 100-106

      4. Palliative Care

         • John P. Sloan

         Pages 107-112

      5. Ethical Issues

         • John P. Sloan

         Pages 113-118

5. Responses to Clinical Exercises

   1. Responses to Clinical Exercises

      • John P. Sloan

      Pages 119-146

The striking increase in average life expectancy during the twentieth century rates as one of the major events of our time. We are in the midst ofa social revolution-one rooted not in a new ideology, but in our changing population pat­ terns. For the first time in human history, infants in fortu­ nate nations like ours can expect to live well into their seventies and beyond. This demographic revolution increases pressure on re­ sources, as it also creates further social change and new opportunities for older persons. Such rapid changes have left most people "living in the past," with their generally negative attitudes about aging and elderly people. The same outmoded beliefs are embedded in many ofour health care programs. In our youth-oriented culture, most of us still view old people as physically decrepit or in rapid, inevitable decline. Mentally, they are viewed as forgetful or childish, with little ability to learn and adapt. Socially and economically, they are often considered a burden. With such stereotypes, where is the expectation and encouragement for their con­ tinuing capacity to enrich their own lives, and to enrich society? These deep-seated cultural stereotypes do not describe accurately the "new wave" ofelderly persons or their poten­ tial contributions to society. Today's aging individuals are mostly far from decrepit: fewer than 25 percent experience any disability and fewer than 5 percent are in nursing homes. Intellectually, given new opportunities to learn and grow, they thrive.

• Arztpraxis
• Assessment
• Case Management
• Depression
• Frailty
• Internist
• Palliative Care
• Protokoll

• Division of Community Geriatrics, Vancouver General Hospital, Vancouver, Canada

  John P. Sloan

Policies and ethics