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Inpatient Geriatric Psychiatry

Optimum Care, Emerging Limitations, and Realistic Goals

  • Book
  • © 2019

Overview

Editors:
  1. Howard H. Fenn

    1. Department of Psychiatry and Stanford/VA Alzheimer’s Center, VA Health Care System, Palo Alto, USA

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  2. Ana Hategan

    1. Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada

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    You can also search for this editor in PubMed   Google Scholar

  3. James A. Bourgeois

    1. Department of Psychiatry, Baylor Scott and White Central Texas, Division College of Medicine, Texas A & M University, Health Science Center, Temple, USA

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    You can also search for this editor in PubMed   Google Scholar

  • Written by experts in the field
  • Offers a multidisciplinary approach to mental healthcare for the aging patient
  • Includes practical guidelines to prevent premature release and remission

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Table of contents (21 chapters)

  1. Front Matter

    Pages i-xxiii
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  2. Foundations of Inpatient Geriatric Psychiatry

    1. Front Matter

      Pages 1-1
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    2. Essential Medical Work-Up and Rule Outs

      • Mirela S. Bucur, Heather Sylvester, Ana Hategan
      Pages 3-25

    3. Neuropsychological Assessment

      • Heather E. McNeely, Jelena P. King
      Pages 27-46

    4. Pharmacological Overview in Geriatrics: Pharmacodynamics, Pharmacokinetics, Laboratory Monitoring

      • Poh Choo How, Glen Xiong
      Pages 47-61

    5. Interdisciplinary Roles and Interface

      • Debra Bakerjian
      Pages 63-76

    6. Legal Aspects of Inpatient Geriatric Psychiatry

      • Kelli Columbo, Mike Kelly, Leah McGowan
      Pages 77-94

  3. Prevalent Problems in Inpatient Geriatric Psychiatry

    1. Front Matter

      Pages 95-95
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    2. Major Neurocognitive Disorder with Behavioral Disturbance (Behavioral and Psychological Symptoms of Dementia—BPSD)

      • Christopher O’Connell, Howard H. Fenn, Rita Hitching
      Pages 97-128

    3. Acute Medical Events: Falls, Seizures, CVAs, Urinary Retention, Cardiac Events, Hypotension, SIADH, Dehydration, and Infection

      • Niamh O’Regan, Jenny Thain, Andrew Thain, Amer M. Burhan
      Pages 129-151

    4. Suicide in the Geriatric Population: Risk Factors, Identification, and Management

      • Manisha Shenava, Rita Hitching, Laura B. Dunn
      Pages 153-167

    5. Sleep in Geriatric Psychiatry Inpatients

      • Kim A. Hardin, Zachary C. Ryder
      Pages 169-188

    6. Alcohol and Substance Use Disorders in the Geriatric Psychiatry Inpatient: Acute Treatment, Detoxification, and Withdrawal

      • Karin Kerfoot, Amer M. Burhan
      Pages 189-199

    7. Psychiatric Symptoms Comorbid with Neurological Syndromes

      • Elyse Ross, Shaji Khan, Amer M. Burhan
      Pages 201-218

    8. Delirium: Risk Factors, Contributors, Identification, Work-Up, and Treatment

      • Timothy Lau, Elizabeth Kozyra, Catherine Cheng
      Pages 219-235

    9. Involuntary Interventions: Medications, Forced Feeding, Restraints, and Prevention of Wandering

      • Catherine Cheng, Eric Gee, Timothy Lau
      Pages 237-257

    10. Pain Management

      • Calvin H. Hirsch
      Pages 259-276

    11. Special Syndromes: Serotonin Syndrome, Neuroleptic Malignant Syndrome, and Catatonia

      • Julia Kulikowski, Usha Parthasarathi
      Pages 277-292

    12. Neuromodulation Interventions: ECT and rTMS – Work-Up, Preparation, and Posttreatment Care + Ketamine in Inpatient Psychiatry

      • Lisa A. McMurray, Barbara Deren
      Pages 293-323

    13. Medication Strategies: Switching, Tapering, Cross-Over, Overmedication, Drug-Drug Interactions, and Discontinuation Syndromes

      • Elizabeth Kozyra, Timothy Lau
      Pages 325-338
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Keywords

About this book

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.

 

 



Reviews

“The book is written for providers across all specialties who care for older adults with psychiatric illness in the inpatient setting, and the book is well suited for most of them.” (Jessica M O'Mara, Doody's Book Reviews, December 7, 2019)

Editors and Affiliations

  • Department of Psychiatry and Stanford/VA Alzheimer’s Center, VA Health Care System, Palo Alto, USA

    Howard H. Fenn

  • Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, Canada

    Ana Hategan

  • Department of Psychiatry, Baylor Scott and White Central Texas, Division College of Medicine, Texas A & M University, Health Science Center, Temple, USA

    James A. Bourgeois

About the editors

Howard H. Fenn, MD
Clinical Associate Professor (affiliated)
Department of Psychiatry and Behavioral Sciences
Stanford University
Stanford, California

Attending physician
Veterans Affairs Health Care System, Palo Alto, California

 

Ana Hategan, MD
Associate Clinical Professor
Geriatric Psychiatrist
Department of Psychiatry & Behavioural Neurosciences
McMaster University
Hamilton, ON
Canada

 

James A. Bourgeois, OD, MD
Chair, Department of Psychiatry
Baylor Scott & White Health, Central Texas Division
Clinical Professor, College of Medicine
Texas A&M University Health Science Center
2401 South 31st Street
Temple TX 76508
Professor Emeritus
Department of Psychiatry
University of California, San Francisco
School of Medicine

Bibliographic Information

  • Book Title: Inpatient Geriatric Psychiatry

  • Book Subtitle: Optimum Care, Emerging Limitations, and Realistic Goals

  • Editors: Howard H. Fenn, Ana Hategan, James A. Bourgeois

  • DOI: https://doi.org/10.1007/978-3-030-10401-6

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: Springer Nature Switzerland AG 2019

  • Softcover ISBN: 978-3-030-10400-9Published: 24 June 2019

  • eBook ISBN: 978-3-030-10401-6Published: 07 June 2019

  • Edition Number: 1

  • Number of Pages: XXIII, 415

  • Number of Illustrations: 4 b/w illustrations, 120 illustrations in colour

  • Topics: Geriatrics/Gerontology, Psychiatry, Emergency Medicine, General Practice / Family Medicine, Neurology, Public Health

  • Industry Sectors: Health & Hospitals

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