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Geriatric Education for Emergency Medical Services (GEMS) 3rd edition [Mīkstie vāki]

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  • Formāts: Paperback / softback, 300 pages, weight: 595 g
  • Izdošanas datums: 07-Feb-2023
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 1284280152
  • ISBN-13: 9781284280159
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Geriatric Education for Emergency Medical Services (GEMS) 3rd editionPalielināt
  • Formāts: Paperback / softback, 300 pages, weight: 595 g
  • Izdošanas datums: 07-Feb-2023
  • Izdevniecība: Jones and Bartlett Publishers, Inc
  • ISBN-10: 1284280152
  • ISBN-13: 9781284280159
Citas grāmatas par šo tēmu:
Permanent link: https://www.kriso.lv/db/9781284280159.html
Keywords:
According to the Centers for Disease Control and Prevention, Americans aged 65 and over comprise 15 percent of the population but account for nearly 40 percent of ambulance transports. This is not surprising given that older adults experience more chronic conditions, multiple diseases, and polypharmacy issues than the rest of the population. Yet despite EMS practitioners’ experience in the field, research shows that geriatric trauma patients are often undertriaged to trauma centers. High-quality geriatric-specific education can make a difference. With the right text, EMS practitioners can gain a deeper understanding of how the body ages, how multiple medications can create or exacerbate emergencies, how certain communication techniques can improve assessments, and more. Armed with new knowledge, EMS professionals can learn how to give older patients in their community better emergency care and an improved quality of life.The third edition of Geriatric Education for Emergency Medical Services is authored by experts in the field, reviewed by the American Geriatrics Society (AGS), and endorsed by the National Association of Emergency Medical Technicians (NAEMT). Comprehensive and updated, the new edition addresses the National EMS Education Standards in 15 chapters—covering communication, assessment, trauma, respiratory and cardiovascular emergencies, medication toxicity, elder abuse, and much more.The third edition provides even greater value:- New guidance on how to conduct a comprehensive geriatric assessment- New education on how to correctly triage older patients and transport them to the appropriate level of care- New updates to medications and dosages throughout the book, updates to ILCOR guidelines, the inclusion of COVID-19 considerations, and moreUnique in prehospital geriatric education, Geriatric Education for Emergency Medical Services engages EMS personnel in the complexities of geriatric care and prepares them with the updated guidance they need to successfully assess and care for their older patients. Chapter 1 AgingChapter 2 Changes with AgeChapter 3 CommunicationChapter 4 Assessment of the Older PatientChapter 5 Psychosocial Aspects of AgingChapter 6 Death and DyingChapter 7 TraumaChapter 8 Respiratory EmergenciesChapter 9 Cardiovascular EmergenciesChapter 10 Neurological EmergenciesChapter 11 Other Medical EmergenciesChapter 12 Pharmacology and Medication ToxicityChapter 13 Elder AbuseChapter 14 Mobile Integrated HealthcareChapter 15 Elderly in Disasters
Chapter 1 Aging
Older People and the EMS Provider
1(1)
Historical View of Aging
2(1)
The GEMS Diamond
2(2)
Attitude and the EMS Provider
4(1)
Ageism
4(1)
Sociology of Aging
5(2)
Influences in the Life Course
6(1)
End-of-Life Issues
7(1)
Demographics of the Older Population
7(2)
Life Expectancy
7(1)
Rate of Aging
7(1)
Geographic Distribution
8(1)
Living Arrangements
8(1)
Income and Poverty
8(1)
Overall Health
8(1)
Older People and the Healthcare System
9(1)
Use of Healthcare Services
9(1)
Types of Care Facilities for Older People
10(2)
Active Adult Communities
10(1)
Independent Living in Senior Apartments
10(1)
Independent Living in Congregate Housing
10(1)
Assisted Living
10(1)
Alzheimer's Care Facilities
10(1)
Nursing Homes
11(1)
Home Care
11(1)
Hospice Care
11(1)
Respite Care
12(1)
Ethnogeriatrics
12(2)
Summary
14(1)
References
14(1)
Additional Resources
15
Case Study
1(14)
Summary
15(1)
Case Study 2 Summary
15(2)
Chapter 2 Changes with Age
17(12)
Introduction
17(2)
Nervous System
19(1)
Sensory Changes
20(1)
Psychological Changes
21(1)
Respiratory System
21(1)
Cardiovascular System
22(1)
Integumentary System
23(1)
Musculoskeletal System
23(2)
Endocrine System
25(1)
Gastrointestinal System
25(1)
Immune System
26(1)
Genitourinary System
26(1)
Summary
26(1)
References
26(1)
Case Study 1 Summary
27(1)
Case Study 2 Summary
27(2)
Chapter 3 Communication
Communication and the Older Adult
29(1)
Types of Communication Skills
30(1)
Verbal and Nonverbal Communication
30(1)
Listening
30(1)
Age-Related Communication Challenges
31(1)
Vision
31(1)
Hearing
31(3)
Speech
34(1)
Communication Disorders
35(1)
Aphasia
35(1)
Dementia
36(1)
Other Disorders Affecting Communication
36(1)
Additional Communication Challenges
37(1)
Communication Techniques
38(2)
Summary
40(1)
References
40(1)
Additional Resources
40(1)
Case Study 1 Summary
40(1)
Case Study 2 Summary
40(1)
Chapter 4 Assessment of the Older Patient
41(28)
Introduction
41(1)
Principles of Geriatric Assessment
42(2)
Scene Size-Up
44(1)
Initial Assessment
45(1)
Mental Status Assessment
45(1)
Circulatory Assessment
46(1)
Airway Assessment
47(1)
Breathing Assessment
47(1)
Patient Medications
48(1)
Trauma Assessment
49(1)
Mechanism of Injury
49(1)
Immobilization Concerns
50(1)
Physical Exam
51(1)
Putting It All Together
52(1)
Assessing the Chief Complaint
53(1)
Identifying Priority Patients
54(1)
Detailed Physical Exam
54(1)
Ongoing Assessment
55(2)
Common Complaints of the Older Patient
57(1)
Chest Pain
58(2)
Abdominal Pain
60(2)
Dizziness and Vertigo
62(1)
Fever
63(1)
Generalized Pain
64(1)
Nausea, Vomiting, and Diarrhea
65(1)
Summary
66(1)
References
67(1)
Case Study 1 Summary
67(1)
Case Study 2 Summary
67(1)
Case Study 3 Summary
68(1)
Chapter 5 Psychosocial Aspects of Aging
69(22)
Introduction
69(1)
Psychosocial Changes with Age
69(1)
Cognition
70(1)
Memory
70(1)
Personality
71(1)
Depression
71(1)
Red Flags Possible Depression
71(1)
Impact
72(1)
Screening for Depression
72(1)
Treatment
73(1)
Suicide
74(1)
Etiology of Suicide
75(1)
Suicide among Older People in Long-Term Care Facilities
76(1)
Screening for Suicide Potential
76(2)
DOs and DONTs for Patients at Risk of Suicide
78(1)
Take Caxe of Yourself
78(1)
Chemical Dependency and Substance Abuse
78(1)
Epidemiology
79(1)
Medication Misuse and Abuse
79(1)
Risk Factors for Substance Abuse
80(3)
Pathophysiology of Alcohol Abuse in Older Adults
83(1)
Screening for Substance Abuse or Misuse
84(1)
Approaching the Older Patient
85(1)
Assessment Coals
85(1)
History
85(1)
Environmental Observations
85(1)
Medical Examination and Care
85(2)
Social Setting
87(1)
Management Considerations
87(1)
Summary
88(1)
References
88(1)
Case Study 1 Summary
89(1)
Case Study 2 Summary
89
Case Study
3(86)
Summary
89(2)
Chapter 6 End-of-Life Care Issues
91(14)
Introduction
91(1)
Definition of Death
91(1)
Determination of Death
91(1)
Pronouncement of Death
92(1)
Certification of Death
93(1)
Epidemiology
93(1)
Palliative Care and Hospice
93(1)
Good Death
94(1)
Impending Death
94(1)
Ethical and Legal Considerations
95(1)
Autonomy and Consent
95(1)
Advanced Health Care Directives
95(1)
Surrogate Decision Maker
96(1)
Implied Consent
96(1)
Medical Orders for Life Sustaining Treatment (MOLST) or Physician Orders for Life Sustaining Treatment (POLST)
96(1)
Do Not Resuscitate (DNR) and Do Not Attempt Resuscitation (DNAR) Orders
96(2)
Communication with Families and Companions of Deceased Patients
98(2)
Bereavement and Grief
100(1)
Role of EMS on Scene
101(1)
Critical Incident Stress Management
101(1)
Summary
102(1)
References
102(1)
Case Study 1 Summary
102(1)
Case Study 2 Summary
103(2)
Chapter 7 Trauma
105(24)
Introduction
105(1)
Epidemiology of Trauma in the Older Population
106(1)
Falls
106(2)
Motor Vehicle Collisions
108(1)
Burns
108(1)
Physiological Changes Associated with Aging That Impact Trauma
108(1)
Musculoskeletal Disorders
109(2)
Specific Injuries in the Older Patient
111(1)
Cervical and Spinal Injuries
111(1)
Torso Trauma
111(1)
Hip Fractures
112(1)
Lower Extremity Injuries
112(1)
Upper Extremity Injuries
112(1)
Injuries Associated with Prosthetic Joint Replacement
113(1)
Assessment of Geriatric Trauma
113(2)
Management of Geriatric Trauma
115(1)
Immobilizing an Older Trauma Patient
116(4)
Preventing Falls and Injuries in Older People
120(1)
Reducing Medications
120(1)
Improving Sensory Function
121(1)
Exercise and Balance Training
121(1)
Use of Assistive Devices
122(1)
Making the Home Safe
122(2)
Proper Footwear
124(1)
Hip Protectors
124(1)
Personal Alarms
125(1)
Teaching the Older Adult to Get Up Safely After a Fall
125(1)
Other Risk Reduction Tips
126(1)
Summary
126(1)
References
126(1)
Case Study 1 Summary
127(1)
Case Study 2 Summary
127(1)
Case Study 3 Summary
127(2)
Chapter 8 Respiratory Emergencies
129(14)
Introduction
129(1)
Approach to the Older Patient with Respiratory Signs and Symptoms
130(1)
Signs and Symptoms
130(2)
Assessment
132(1)
Specific Lung Conditions
133(1)
Chronic Obstructive Pulmonary Disease
133(2)
Influenza
135(1)
Pneumonia
135(1)
Pulmonary Embolism
136(1)
Lung Cancer
136(1)
Tuberculosis
137(1)
Acute Respiratory Distress Syndrome (ARDS)
138(1)
Pulmonary Fibrosis
138(1)
Heart Failure and Pulmonary Edema
139(1)
Patient Education
140(1)
Summary
140(1)
References
141(1)
Case Study 1 Summary
141(1)
Case Study 2 Summary
142(1)
Chapter 9 Cardiovascular Emergencies
143(18)
Introduction
143(1)
Coronary Artery Disease
143(2)
Acute Coronary Syndrome
145(4)
Valvular Heart Disease
149(1)
Aortic Valve Disorders
149(1)
Mitral Valve Disorders
150(1)
Heart Failure
151(1)
Assessment
152(1)
Management
153(1)
Electrical Disturbances
154(1)
Assessment
154(1)
Management
155(1)
Hypertensive Emergencies
156(1)
Assessment
156(1)
Management
157(1)
Syncope
157(1)
Assessment
157(1)
Management
157(1)
Cardiac Arrest
157(1)
Summary
158(1)
References
158(1)
Case Study 1 Summary
159(1)
Case Study 2 Summary
159(2)
Chapter 10 Neurological Emergencies
161(22)
Introduction
161(1)
Normal Age-Related Changes in the Nervous System
162(1)
Mental Function and Status
162(1)
Cranial Nerve Function
162(1)
Motor Function
163(1)
Sensation and Reflexes
163(1)
Posture and Gait
163(1)
Neurological Examination of the Older Patient
164(1)
Complaints Related to the Nervous System
165(1)
Stroke and Cerebral Vascular Disease
165(3)
Transient Ischemic Attack
168(1)
Sudden Loss of Focal Neurological Function
169(1)
Generalized Weakness
170(1)
Altered Mental Status
170(2)
Dementia
172(1)
Delirium Versus Dementia
173(1)
Alzhejmer's Disease
173(2)
Parkinson's Disease
175(1)
Seizure Disorders
175(1)
Loss of Consciousness
176(1)
Paraplegia and Quadriplegia
177(1)
Head and Spine Trauma
178(1)
Secondary Neurological Disorders
179(1)
Behavioral Emergencies: Intervention, Management, and Transport
180(1)
Behavior That Is Potentially Threatening to the Patient
180(1)
Behavior That is Potentially Threatening to the Caregiver
180(1)
Uncooperative Patients and Refusal of Transport
181(1)
Summary
181(1)
References
181(1)
Resources
182(1)
Case Study 1 Summary
182(1)
Case Study 2 Summary
182(1)
Chapter 11 Other Medical Emergencies
183(30)
Introduction
183(1)
Infectious Diseases
184(1)
Age-Related Changes of Immune Function
184(1)
Infection in Community-Dwelling Versus Nursing Home Residents
184(1)
HIV
185(1)
Hepatitis
185(1)
COVID-19
185(1)
Sepsis
186(1)
Management
186(1)
Urinary Tract Infections
186(1)
Management
187(1)
Endocrine Emergencies
187(1)
Diabetes
187(1)
Thyroid Disorders
187(2)
Integumentary System Emergencies
189(1)
Age-Related Changes in the Integumentary System
189(1)
Pressure Ulcers
189(4)
Infection in the Aging Skin
193(1)
Gastrointestinal Emergencies
193(1)
Age-Related Changes in the Gastrointestinal System
193(1)
Gastroesophageal Reflux Disease (GERD)
194(1)
Gastrointestinal Bleeding
194(3)
Gallbladder Disease
197(1)
Colorectal Cancer
197(1)
Problems with Elimination: Constipation and Fecal Incontinence
197(1)
Malnutrition and Dehydration
198(1)
Assessment
199(2)
Management
201(1)
Prevention
202(1)
Environmental Emergencies
202(1)
Age-Related Changes in Temperature Regulation
202(1)
Hypothermia
202(1)
Hyperthermia
203(1)
Prevention
204(1)
Burns
205(1)
Management
205(1)
Prevention
206(1)
Cancer
206(3)
Summary
209(1)
References
209(1)
Case Study 1 Summary
210(1)
Case Study 2 Summary
210(1)
Case Study 3 Summary
211(2)
Chapter 12 Pharmacology and Medication Toxicity
213(16)
Introduction
213(1)
Medications and Age-Related Changes in the Geriatric Patient
213(1)
Passage of Medications Through the Body
214(2)
Drug Interactions
216(1)
Drug-Drug Interactions
217(1)
Drug-Nutrient Interactions
217(1)
Drug-Disease Interactions
218(1)
Drug-Herb Interactions
219(2)
Evidence-Based Research
221(1)
Assessing Problems Related to Medication Toxicity or Adverse Effects
221(1)
History
221(1)
Medication Nonadherence
222(1)
Adverse Drug Events
223(2)
Drug Withdrawal Problems
225(1)
Intervention, Management, and Transport
225(2)
Prevention
227(1)
Summary
227(1)
References
227(1)
Case Study 1 Summary
228(1)
Case Study 2 Summary
228(1)
Chapter 13 Elder Abuse
229(20)
Introduction
229(1)
Definitions
229(2)
Incidence
231(1)
Elder Abuse in Long-Term Care Facilities
231(1)
Characteristics of Elder Mistreatment in Long-Term Care Facilities
231(1)
The Nursing Home Reform Act
232(1)
Long-Term Care Ombudsman
232(3)
Risk Factors
235(1)
Theories of Abuse and Neglect
235(2)
Observing for Clues to Elder Abuse
237(1)
Environmental Assessment
237(1)
Clinical Assessment
238(4)
Functional Assessment
242(1)
Sexual Assault in the Elderly
242(1)
Interviewing the Patient
243(1)
Interviewing Suspected Abusers
244(1)
Putting It All Together
244(1)
Documentation
245(1)
Summary
246(1)
References
246(1)
Additional Resources
246(1)
Case Study 1 Summary
247(1)
Case Study 2 Summary
247(1)
Case Study 3 Summary
247(2)
Chapter 14 Mobile Integrated Healthcare
249(10)
Introduction
249(1)
Mobile Integrated Healthcare Defined
249(1)
Health Care Reform and Mobile Integrated Healthcare
250(1)
MIH Program Development
250(1)
EMS Providers Versus MIH Providers
251(1)
The Importance of Collaboration with Stakeholders
251(1)
Types of MIH Programs That Benefit Older Persons
251(1)
Frequent Users of 911 Program
252(1)
Heart Failure Program
252(1)
Observation Admission Avoidance Program
252(1)
Other MIH Programs
252(1)
Coordinating with Primary Care Services in MIH
252(1)
MIH and Quality of Life
253(1)
Emotional Health
253(1)
Physical Health: Nutrition and Hydration
253(1)
Social Connections
253(1)
Economic Security
254(1)
Safety
254(1)
Resources
255(2)
Summary
257(1)
Case Study 1 Summary
257(1)
Case Study 2 Summary
257(2)
Chapter 15 Disasters and Older People
259(14)
Introduction
259(1)
Emergency Management Phases
260(1)
Preparedness Strategies for Older People
261(1)
Personal
261(1)
Agency
262(1)
Community
262(2)
Responsibilities of Assisted Living and Long-Term Care Facilities During Disaster
264(1)
Shelters
265(1)
Determining Needs of Older Persons in Shelters
266(1)
Recommendations
267(3)
Summary
270(1)
References
271(1)
Additional Resources
271(1)
Case Study 1 Summary
272(1)
Case Study 2 Summary
272(1)
APPENDIX A Procedures and Home Health Devices
273(28)
Urinary Catheters
274(3)
Ureterostomy
277(1)
Colostomy/Ileostomy
278(1)
Tracheostomy
279(2)
Respirators/ventilators
281(2)
Patient-Controlled Analgesic Pumps
283(2)
Enteral Feeding
285(2)
Vascular Access Devices
287(5)
Dialysis
292(3)
Ventricular Shunts
295(1)
Automatic Implantable Cardioverter Defibrillators
296(2)
Ventricular Assist Devices
298(3)
Glossary 301(10)
Index 311
Formed in 1975 and more than 32,000 members strong, the National Association of Emergency Medical Technicians (NAEMT) is the nations only organization solely dedicated to representing the professional interests of all EMS practitioners, including paramedics, emergency medical technicians, emergency medical responders and other professionals working in prehospital emergency medicine. NAEMT members work in all sectors of EMS, including government service agencies, fire departments, hospital-based ambulance services, private companies, industrial and special operations settings, and in the military. NAEMT represents all EMS practitioners in promoting: Greater understanding and appreciation by government agencies at the local, state and national levels of the role that EMS plays in our nation's health care, public safety, and disaster response systems. Pay and benefits that reflects their professional training, responsibilities and dedication. Leadership at the federal level that fosters and supports the delivery of quality EMS nationwide. Adequate and sustainable funding for EMS in all locations. Public policy that supports EMS practitioners and the patients they serve.