Geriatric Ophthalmology (eBook)

A Competency-based Approach

Andrew G. Lee, Hilary A. Beaver (Herausgeber)

eBook Download: PDF

2010 | 2010
XV, 127 Seiten
Springer New York (Verlag)
978-1-4419-0014-2 (ISBN)

Infos

As the Baby Boom generation ages, an increased need for geriatric specialty care becomes particularly important. This shift will especially affect ophthalmology, as the occurrence of common visual disorders such as cataracts, macular degeneration, glaucoma and diabetic retinopathy increases with age. This book anticipates this pending and inevitable demographic shift and fulfills the need for a practical, 'bread-and-butter' approach to Geriatric Ophthalmology.

Andrew G. Lee, M.D. is a graduate of the University of Virginia undergraduate school and the School of Medicine. He completed his ophthalmology residency and was the chief resident at Baylor College of Medicine in Houston, Texas in 1993. Following residency, Dr. Lee completed a fellowship in neuro-ophthalmology with Neil R. Miller MD at the Wilmer Eye Institute and was a post-doctoral Fight for Sight fellow at the Johns Hopkins Hospital in Baltimore, Maryland from 1993-1994. He was formerly an Associate Professor at Baylor College of Medicine and Adjunct Associate Professor at the M.D. Anderson Cancer Center in Houston from 1994-2000. He has published over 240 peer reviewed articles, 40 book chapters, and two full textbooks in ophthalmology. Dr. Lee serves on the Editorial Board of 12 journals including the American Journal of Ophthalmology, the Canadian Journal of Ophthalmology, and Eye. He has received the American Academy of Ophthalmology (AAO) Honor Award, the AAO Secretariat Award, and the AAO Senior Achievement Award.

Dr. Lee is currently Professor of Ophthalmology, Neurology, and Neurosurgery in the H. Stanley Thompson Neuro-ophthalmology Clinic at the University of Iowa Hospitals and Clinics. Dr. Lee is the Associate Program Director of Ophthalmology and is the Director of Graduate Medical Education (GME) new educational initiatives at the University of Iowa. Dr. Lee's interest in geriatrics stems from his belief that ophthalmologists should strive to be physicians first and ophthalmologists second. He has served as the chair of the AAO Committee on Aging and on the Council of the Section of Surgical and Related Medical Specialties at the American Geriatrics Society.

Andrew G. Lee MD

Chair, Blanton Eye Institute

Houston Methodist Hospital

Professor of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medicine

Professor of Ophthalmology, UTMB and UT MD Anderson Cancer Center and Texas A and M College of Medicine (Adjunct)

Adjunct Professor, Baylor College of Medicine and the Center for Space Medicine, the University of Iowa Hospitals and Clinics, and the University of Buffalo 

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As the Baby Boom generation ages, an increased need for geriatric specialty care becomes particularly important. This shift will especially affect ophthalmology, as the occurrence of common visual disorders such as cataracts, macular degeneration, glaucoma and diabetic retinopathy increases with age. This book anticipates this pending and inevitable demographic shift and fulfills the need for a practical, "e;bread-and-butter"e; approach to Geriatric Ophthalmology.

Inhalt

Foreword 6
Preface 8
Contents 11
Contributors 13
Scope of the Problem and Demographic Shiftin Population: Visual Disease Incidenceand Prevalence in the Elderly Population 14
Medical Knowledge 14
Case Vignette 14
Practice-Based Learning and Improvement 15
Patient Care 16
Medical Knowledge 16
Interpersonal and Communication Skills 16
Professionalism 17
Systems-Based Practice 17
Case Resolution 17
References 18
Refractive Error in the Geriatric Population 19
Case Vignette 19
Patient Care 20
Medical Knowledge 21
Interpersonal and Communication Skills 23
Professionalism 23
Systems-Based Practice 23
Scenario Resolution 24
References 24
Cataracts and Cataract Surgery 26
Case Vignette 26
Patient Care 26
Medical Knowledge 29
Interpersonal and Communication Skills 30
Professionalism 31
Practice-Based Learning and Improvement 31
Systems-Based Practice 33
Case Resolution 34
References 35
Glaucoma in the Elderly 37
Case Vignette 37
Patient Care 38
Medical Knowledge 40
Interpersonal and Communication Skills 42
Professionalism 43
Practice-Based Learning and Improvement 43
Systems-Based Practice 44
Case Resolution 45
References 45
Diabetic Retinopathy and Its Management 47
Case Vignette 47
Systems-Based Competency 48
Communication Skills and Professionalism 49
Management of Diabetic Retinopathy in Older People: Medical Knowledge and Patient Care 50
Management of Diabetic Macular Edema 50
Practice-Based Learning 51
Management of the Level of Diabetic Retinopathy 53
Case Resolution 55
References 57
Age-Related Macular Degeneration and Its Management 58
Case Vignette 58
Patient Care 59
Management of AMD in Older People 60
Management of Intermediate and Often Large Drusen 60
Management of the Neovascular Stage 62
Impact on Patient’s Perception of Quality of Life Because of Vision 64
Case Resolution 64
References 66
Low Vision: When Vision Fails 67
Case Report 67
Practice-Based Learning and Improvement 67
Medical Knowledge 68
Patient Care 69
Interpersonal and Communication Skills 69
Professionalism 69
Systems-Based Practice 69
Case Resolution 70
References 71
Visual Loss and Depression 72
Case Vignette 72
Introduction 72
Practice-Based Learning 73
Communication Skills 74
Systems-Based Learning 74
Professionalism 75
Patient Care Summary 75
References 76
Visual Loss and Dementia 78
Case Vignette 78
Introduction 79
Perimetry 81
Neuroimaging 81
Practice-Based Learning 82
Communication Skills and Professionalism 82
Systems-Based Practice 82
Patient Resolution 82
References 83
Visual Loss and Hearing Loss 84
Case Vignette 84
Introduction 84
Practice-Based Learning 85
Communication Skills 86
Professionalism 86
Systems-Based Care 86
Summary 87
References 87
Visual Loss and Falls 89
Case Vignette 89
Introduction 89
Practice-Based Learning 90
Practice-Based Improvement 91
Systems-Based Learning 92
Communication Skills 92
Patient Care Summary 92
References 93
Elder Abuse 94
Case Vignette 94
Patient care 96
Five Common Manifestations of Adult Maltreatment (Adapted from. Lachs et al.3) 97
Medical Knowledge 98
Eight Red Flags for Elder Abuse (Adapted from Purdy10) 99
Interpersonal Skills and Communication 99
Nine Questions to Ask a Suspected Victim of Adult Mistreatment2 99
Professionalism 100
Practice-Based Learning and Improvement 100
Systems-Based Practice 101
Elder Abuse Resources (Adapted from Aravanis2 and Kleinschmidt 7) 101
Case Resolution 102
References 102
Functional Impairment and Visual Loss 104
Case Vignette 104
Practice-Based Learning and Improvement 105
Patient Care 106
Medical Knowledge 106
Interpersonal and Communication Skills 107
Professionalism 107
Approach to the Visually Impaired Patient 107
Systems Based Practice 108
Case Resolution: System-Based Practice 108
References 108
The Research Agenda-Setting Project (RASP) 109
Screening for Comorbidities 112
Case Vignette 112
Introduction 112
Practice-Based Learning 113
Communication Skills 114
System-Based Learning 114
Professionalism 115
Patient Care Summary 115
References 115
Refer Comorbidities 117
Case Vignette 117
Introduction 117
Practice-Based Learning 118
Communication Skills 119
System-Based Learning 120
Professionalism 120
Patient Care Summary 120
References 121
Index 122

Produkt-Details

• Erscheint lt. Verlag: 7.7.2010
• Zusatzinfo: XV, 127 p. 18 illus.
• Verlagsort: New York
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Augenheilkunde
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Geriatrie
• Schlagworte: Age • cataracts • dementia • Depression • geriatric medicine • macular degeneration • Ophthalmology
• ISBN-10: 1-4419-0014-4 / 1441900144
• ISBN-13: 978-1-4419-0014-2 / 9781441900142