Acute Geriatric Medicine by J. R. Playfer (auth.), M. Lye (eds.)

By J. R. Playfer (auth.), M. Lye (eds.)

Most sufferers in built countries with scientific difficulties requiring health center care are aged. more and more the dividing line among common inner medi­ cine and acute geriatric medication is turning into extra blurred. it's, however, obvious that a few aged sufferers on scientific or sub-specialty medical institution wards turn into 'bed blockers'. Why? additionally, why are 'bed blockers' much less of an issue on an acute geriatric ward? Many clinicians think this can be with regards to a swifter entry to the long-stay beds of the geriatric unit. Even a quick research of health center working records will express this isn't and can't be the case. whilst geria­ tricians are requested to determine aged 'bed blockers' on colleagues' wards they method with nervousness simply because those sufferers frequently need to be put on an extended ready record for those scarce and extremely dear carrying on with care beds. Do geria­ tricians see diverse acute scientific difficulties in comparison with their colleagues? the answer's now not instantly visible, although geriatricians are inclined to obtain extra power 'bed blockers' than their basic clinical colleagues. How is it then, that geriatricians appear to cope larger than their colleagues? All geriatricians have event of basic inner medication however the contrary regrettably doesn't carry. This ebook is written within the wish of redressing the imbalance.

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4) There are no signs suggesting a non-stroke cause for the neurological deficit. (1) 40 ACUTE GERIATRIC MEDICINE A previous history of transient ischaemic attacks or of strokes or of risk factors for stroke (see below) will support the diagnosis. It is obviously also important to enquire about head injury, diabetes, renal problems, drugs and alcohol. The number of different clinical pictures produced by cerebral blood vessel occlusion is legion. For example, each of the cerebral vessels (anterior, middle and posterior cerebral arteries) may be included in the main trunk, in one of the important penetrating arteries or one of the terminal branches.

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Nursing and medical support of the acutely ill or severely disabled patient 5. Prevention, diagnosis and treatment of medical complications 6. Early physical and social rehabilitation ACUTE STROKE ILLNESS IN THE ELDERLY 39 are most apparent in wards where the stroke patient is tolerated rather than managed and admission considered as a 'holding operation' while spontaneous recovery or long term placement is awaited. DIAGNOSIS AND ASSESSMENT Is It a Stroke? When a patient is referred to hospital with a 'stroke', it is important to appreciate that this is a presumptive diagnosis.

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