Adult-Gerontology Practice Guidelines by Cash, Jill C. -- Read -- Imperial Library of Trantor

Index

Cover Title Page Copyright Dedication Contents Contributors Reviewers Preface Acknowledgments Share Adult-Gerontology Practice Guidelines Section I. Guidelines

1. Normal Physiological Changes in the Aging Adult

Brain/Nervous System/Cognition Breasts Ears/Hearing Eyes/Vision Hair Heart/Blood Circulation Immune System Kidneys Lungs Metabolism Musculoskeletal Oropharyngeal and Gastrointestinal Sexual Function Skin Sleep Smell Taste

2. Healthy Living for the Adult-Geriatric Patient

Health Maintenance During the Life Span Adult/Geriatric Screening Recommendations

Abdominal Aortic Aneurysm Bone Mass Density Measurement for Osteoporosis Cardiovascular Disease and Cardiac Screening Colorectal Screening Dental Care Depression Screening Diabetes Screening Hepatitis C Screening HIV Screening Immunizations Mammography Pap Smear/Pelvic Examination Prostate Cancer Screening Sexually Transmitted Infections Screening Vision Screens

3. Adult-Geriatric Assessments

Adult Risk Assessment Functional Capacity and Disability

Activities of Daily Living (ADL) Affective Assessment Cognitive/Dementia Assessment Environmental Assessment Fall Assessment Gait and Mobility Instrumental Activities of Daily Living (IADL)

Cultural Diversity and Sensitivity

4. Caregiver and End-of-Life Issues

Caregiver Support Issues

Formal and Informal Caregivers Demographics IC Concerns Providers’ Assistance With the Caregiver Caregiver Resources Advance Directives

Palliative Care

Special Considerations Key Factors of Care in the Elderly Patient at the EOL Physical Aspects of Care Symptom Management Social Aspects of Care Spiritual, Religious, Cultural, and Existential Aspects

5. Pain Management Guidelines

Pain Assessment and Management in the Aging Population

Acute Pain Ankylosing Spondylitis Chronic Pain Low Back Pain

6. Dermatology Guidelines

Acne Rosacea Acne Vulgaris Atopic Dermatitis Benign Skin Lesions Bites

Animal Bites, Mammalian Insect Bites and Stings

Bullous Pemphigoid Candidiasis Cellulitis and Abscess

Abscess Cellulitis

Contact Dermatitis Erythema Multiforme Folliculitis Herpes Simplex Virus Type 1 Herpes Zoster (Shingles) Lice (Pediculosis) Lichen Planus Pityriasis Rosea Precancerous or Cancerous Skin Lesions Psoriasis Scabies Seborrheic Dermatitis Tinea Corporis (Ringworm) Tinea Versicolor Warts Wound Care

Lower Extremity Ulcer Pressure Ulcers

Wounds of the Skin Xerosis (Winter Itch)

7. Eye Guidelines

Blepharitis Cataracts Chalazion Conjunctivitis Corneal Abrasion Dacryocystitis Dry Eyes Excessive Tears Eye Pain Glaucoma, Acute Angle–Closure Hordeolum (Stye) Macular Degeneration Refractive Disorders Retinopathy Subconjunctival Hemorrhage Uveitis

8. Ear Guidelines

Acute Otitis Media Cerumen Impaction (Earwax) Hearing Loss Otitis Externa Otitis Media With Effusion Presbycusis Tinnitus

9. Nasal Guidelines

Allergic Rhinitis Epistaxis Nonallergic Rhinitis Sinusitis

10. Throat and Mouth Guidelines

Dental Abscess Dysphagia Epiglottitis Oral Cancer, Leukoplakia Pharyngitis Stomatitis, Recurrent Aphthous Stomatitis Thrush

11. Respiratory Guidelines

Asthma Bronchitis, Acute Bronchitis, Chronic Chronic Obstructive Pulmonary Disease Common Cold/Upper Respiratory Infection Cough Dyspnea Emphysema H1N1 Influenza A (Swine Flu) Influenza (Flu) Obstructive Sleep Apnea Pneumonia (Bacterial) Pneumonia (Viral) Tuberculosis

12. Cardiovascular Guidelines

Acute Myocardial Infarction Arrhythmias Atherosclerosis and Hyperlipidemia Atrial Fibrillation Carotid Artery Stenosis Chest Pain Chronic Venous Insufficiency and Varicose Veins Deep Vein Thrombosis Heart Failure Hypertension Lymphedema Murmurs Palpitations Peripheral Arterial Disease Superficial Thrombophlebitis Syncope

13. Gastrointestinal Guidelines

Abdominal Pain Appendicitis Celiac Disease Cholecystitis Colorectal Cancer Screening Constipation Crohn’s Disease Cyclosporiasis Diarrhea Diverticulosis and Diverticulitis Elevated Liver Enzymes Fecal Incontinence Gastroenteritis, Bacterial and Viral Gastroesophageal Reflux Disease Giardiasis Intestinalis Hemorrhoids Hepatitis A Hepatitis B Hepatitis C Hernias, Abdominal Hernias, Pelvic Hiatal Hernia Irritable Bowel Syndrome Jaundice Malabsorption Nausea and Vomiting Peptic Ulcer Disease Post–Bariatric Surgery Management Ulcerative Colitis

14. Genitourinary Guidelines

Benign Prostatic Hypertrophy Chronic Kidney Disease Epididymitis Erectile Dysfunction Hematuria Interstitial Cystitis Nocturia Prostatitis Proteinuria Pyelonephritis Renal Calculi, or Kidney Stones (Nephrolithiasis) Testicular Torsion Urinary Incontinence Urinary Retention Urinary Tract Infection (Acute Cystitis) Varicocele

15. Obstetrics Guidelines

Antepartum

Preconception Counseling: Identifying Patients at Risk Routine Prenatal Care Anemia, Iron Deficiency Gestational Diabetes Mellitus Preeclampsia Preterm Labor (PTL) Pyelonephritis in Pregnancy Vaginal Bleeding: First Trimester Vaginal Bleeding: Second and Third Trimester

Postpartum

Breast Engorgement Endometritis Mastitis Postpartum Depression Secondary Postpartum Hemorrhage Six Weeks Postpartum Exam Wound Infection

16. Gynecologic Guidelines

Amenorrhea Atrophic Vaginitis Bacterial Vaginosis (Gardnerella) Bartholin Cyst or Abscess Breast Pain Cervicitis Contraception Dysmenorrhea Dyspareunia Emergency Contraception Endometriosis Infertility Menopause Pap Smear Interpretation Pelvic Inflammatory Disease Pelvic Organ Prolapse Premenstrual Syndrome Sexual Health Issues in the Aging Population Sexuality and Chronic Health Conditions Sexuality and End of Life Sexuality and Physical Disabilities Vulvovaginal Candidiasis

17. Sexually Transmitted Infections Guidelines

Chlamydia Gonorrhea Herpes Simplex Virus Type 2 Human Papillomavirus Syphilis Trichomoniasis

18. Infectious Disease Guidelines

Cytomegalovirus Encephalitis Lyme Disease Meningitis Mononucleosis (Epstein-Barr) Rheumatic Fever Rocky Mountain Spotted Fever Toxoplasmosis Varicella (Chickenpox) West Nile Virus

19. Systemic Disorders Guidelines

Anemia

Iron-Deficiency Anemia (Microcytic, Hypochromic) Pernicious Anemia (Megaloblastic Anemia)

Cancer Management Chronic Fatigue Fevers of Unknown Origin HIV Idiopathic (Autoimmune) Thrombocytopenic Purpura Lymphadenopathy

20. Musculoskeletal Guidelines

Aging Knee/Knee Pain Bunion Degenerative Disk Disease (Neck/Lumbar) Hammer Toe Morton’s Neuroma Neck and Upper Back Disorders Plantar Fasciitis and Bone Spurs Sciatica Shoulder Pain Spinal Stenosis Sprains: Ankle and Knee

21. Rheumatological Guidelines

Fibromyalgia Gout Osteoarthritis Osteoporosis/Kyphosis/Fracture Polymyalgia Rheumatica Raynaud’s Syndrome Rheumatoid Arthritis Systemic Lupus Erythematosus Temporal Arteritis/Giant Cell Arteritis Vitamin D Deficiency

22. Neurologic Guidelines

Alzheimer’s Disease Bell’s Palsy Carpal Tunnel Syndrome Guillain–Barré Syndrome Headache Migraine Headache Mild Traumatic Brain Injury Multiple Sclerosis Myasthenia Gravis Neurocognitive Disorders (Dementia) Parkinson’s Disease Seizures Stroke Transient Ischemic Attack Trigeminal Neuralgia Vertigo

23. Endocrine Guidelines

Addison’s Disease Cushing’s Syndrome Diabetes Mellitus Galactorrhea Gynecomastia Hypogonadism Metabolic Syndrome/Insulin Resistance Syndrome Obesity Polycystic Ovarian Syndrome Thyroid Disease

Hyperthyroidism Hypothyroidism Thyrotoxicosis/Thyroid Storm

24. Psychiatric Guidelines

Anxiety Depression Failure to Thrive Grief Intimate Partner Violence Sleep Disorders Substance Use Disorders Suicide Violence Against the Older Adult

Section II. Procedures

Bimanual Examination: Cervical Evaluation During Pregnancy Canalith Repositioning (Epley) Procedure for Vertigo Clock-Draw Test Cystometry Establishing the Estimated Date of Delivery Evaluation of Sprains Hernia Reduction (Inguinal/Groin) Inserting an Oral Airway Intrauterine Device (IUD) Insertion Neurologic Examination Nonstress Test (NST) Pap Smear and Maturation Index Procedures Pessary Insertion and Management Prostatic Massage Technique: 2-Glass Test Rectal Prolapse Reduction Removal of a Foreign Body From the Nose Removal of a Tick Trichloroacetic Acid (TCA)/Podophyllin Therapy Wet Mount/Cervical Cultures

Section III. Patient Teaching Guides

Patient Teaching Guides for Chapter 3: Adult-Geriatric Assessments

Safety Issues: Fall Prevention Safety Issues: Medication Safety

Patient Teaching Guides for Chapter 5: Pain Management

Back Stretches Chronic Pain

Patient Teaching Guides for Chapter 6: Dermatology Conditions

Acne Rosacea Acne Vulgaris Dermatitis Eczema Erythema Multiforme Folliculitis Herpes Zoster (Shingles) Insect Bites and Stings Lice (Pediculosis) Lichen Planus Pityriasis Rosea Psoriasis Ringworm (Tinea) Scabies Seborrheic Dermatitis Skin Care Assessment Tinea Versicolor Warts Wound Care: Lower Extremity Ulcers Wound Care: Pressure Ulcers Wounds of the Skin Xerosis (Winter Itch)

Patient Teaching Guides for Chapter 7: Eye Disorders

Conjunctivitis How to Administer Eye Medications

Patient Teaching Guides for Chapter 8: Ear Disorders

Cerumen Impaction (Earwax) Otitis Externa Otitis Media With Effusion Tinnitus

Patient Teaching Guides for Chapter 9: Nasal Disorders

Allergic Rhinitis Nosebleeds Sinusitis

Patient Teaching Guides for Chapter 10: Throat and Mouth Disorders

Aphthous Stomatitis Pharyngitis Thrush

Patient Teaching Guides for Chapter 11: Respiratory Disorders

Asthma

Asthma Action Plan and Peak Flow Monitoring How to Use a Metered-Dose Inhaler

Bacterial Pneumonia Bronchitis, Acute Bronchitis, Chronic Chronic Obstructive Pulmonary Disease (COPD) Common Cold Cough Emphysema Influenza (Flu) Nicotine Dependence Pneumonia, Viral Sleep Apnea

Patient Teaching Guides for Chapter 12: Cardiovascular Disorders

Atherosclerosis and Hyperlipidemia Atrial Fibrillation Chronic Venous Insufficiency Deep Vein Thrombosis Lymphedema Peripheral Arterial Disease Superficial Thrombophlebitis Varicose Veins

Patient Teaching Guides for Chapter 13: Gastrointestinal Disorders

Abdominal Pain Crohn’s Disease Diarrhea Fecal Incontinence Gastroesophageal Reflux Disease (GERD) Hemorrhoids Irritable Bowel Syndrome Jaundice and Hepatitis Lactose Intolerance and Malabsorption Management of Ulcers Tips to Relieve Constipation

Patient Teaching Guides for Chapter 14: Genitourinary Disorders

Benign Prostatic Hypertrophy (BPH) Chronic Kidney Disease (CKD) Epididymitis Nocturia Prostatitis Testicular Self-Examination Urinary Incontinence: Women Urinary Retention Urinary Tract Infection (UTI)

Patient Teaching Guides for Chapter 15: Obstetrics

Antepartum

First-Trimester Vaginal Bleeding Gestational Diabetes Insulin Therapy During Pregnancy Iron-Deficiency Anemia (Pregnancy) Preterm Labor Urinary Tract Infection During Pregnancy: Pyelonephritis Vaginal Bleeding: Second and Third Trimester

Postpartum

Breast Engorgement and Sore Nipples Endometritis Mastitis Wound Infection: Episiotomy and Cesarean Section

Patient Teaching Guides for Chapter 16: Gynecology

Amenorrhea Atrophic Vaginitis Bacterial Vaginosis Basal Body Temperature Measurement Cervicitis Contraception: How to Take Birth Control Pills (for a 28-Day Cycle) Dysmenorrhea (Painful Menstrual Cramps or Periods) Dyspareunia (Pain With Intercourse) Emergency Contraception Fibrocystic Breast Changes and Breast Pain Instructions for Postcoital Testing Menopause Pelvic Inflammatory Disease Premenstrual Syndrome Vaginal Yeast Infection

Patient Teaching Guides for Chapter 17: Sexually Transmitted Infections

Chlamydia Gonorrhea Herpes Simplex Virus Human Papillomavirus (HPV) Syphilis Trichomoniasis

Patient Teaching Guides for Chapter 18: Infectious Diseases

Lyme Disease and Removal of a Tick Mononucleosis Rocky Mountain Spotted Fever and Removal of a Tick Toxoplasmosis

Patient Teaching Guides for Chapter 19: Systemic Disorders

Iron-Deficiency Anemia Pernicious Anemia Reference Resources for Patients With HIV/AIDS

Patient Teaching Guides for Chapter 20: Musculoskeletal Disorders

Ankle Exercises Knee Exercises Neck Exercises RICE Therapy and Exercise Therapy

Patient Teaching Guides for Chapter 21: Rheumatology

Fibromyalgia Gout Osteoarthritis Osteoporosis Polymyalgia Rheumatica Systemic Lupus Erythematous (SLE)

Patient Teaching Guides for Chapter 22: Neurologic Disorders

Bell’s Palsy Dementia Managing Your Parkinson’s Disease Migraine Headaches Mild Head Injury Myasthenia Gravis Transient Ischemic Attack Trigeminal Neuralgia

Patient Teaching Guides for Chapter 23: Endocrine Disorders

Addison’s Disease Cushing’s Syndrome Diabetes

Patient Teaching Guides for Chapter 24: Psychiatric Disorders

Alcohol and Drug Dependence Coping Strategies for Teens and Adults With ADHD Grief Sleep Disorders/Insomnia

Appendices

Appendix A. Normal Laboratory Values Appendix B. Diet Recommendations

Bland Diet DASH Diet: Dietary Approaches to Stop Hypertension Gluten-Free Diet High-Fiber Diet Lactose-Intolerance Diet Low-Fat/Low-Cholesterol Diet Nausea and Vomiting Diet Suggestions Nutrition for Wound Healing Food Sources and Recommendations for Vitamin D and Calcium

Index

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