Psychology and Geriatrics : Integrated Care for an Aging Population.
- 1st ed.
- 1 online resource (280 pages)
Front Cover -- Psychology and Geriatrics -- Copyright Page -- Contents -- List of Contributors -- Foreword -- Introduction: Why Integrate? -- Patient-Centered Outcomes Research Institute -- Workforce -- Politics of "Evidence" -- Common Factors -- Perception -- References -- 1 Goal-Oriented Care -- Introduction -- Goal-Oriented Care: A Practical Approach -- Barriers/Challenges to Goal-Setting in Clinical Practice -- System Level Barriers -- Inadequate Resource Allocation -- Time-Constrained Patient-Clinician Encounters -- Care Fragmentation -- Reductionism and Jurisdiction -- Clinician Level Barriers -- Lack of Emphasis in the Academic Curricula -- Failure to Contextualize -- Paternalism, Lack of Introspection, and Difficulty Dealing with Uncertainty -- Cultural Competence -- Failure to Recognize Response Shifts -- Patient Level Barriers -- Difficulty in Making Decisions -- Level of Patient Engagement in the Goal-Setting Process -- Variability in Degree of Health Literacy -- Unrealistic Goals -- Heterogeneity Among Older Adults -- Conclusion -- References -- 2 Family Caregiving -- Introduction -- The Scope of Caregiving in Contemporary Society -- Identifying and Working with Caregivers in Clinical Settings -- Including Caregivers in Patient Discussions -- Memory Concerns and Dementia -- Case Example -- Evaluating Memory Concerns -- Depression -- Anxiety -- Personality Disorders -- Difficulties Determining Who Is the Caregiver -- Case Example -- Types of Stress: Challenges and Resources -- Secondary Stressors -- "Persistent" Stressors -- Intervention Strategies -- Structural Characteristics of Treatment -- Treatment Components -- Case Example -- Follow-up with Caregivers -- Conclusions -- References -- 3 Attitudes, Beliefs, and Behavior -- Introduction -- Clinical Relevance -- Memory -- "Anti-Dementia" Therapy -- Caregiver Burden. Mild Cognitive Impairment -- Beyond Cognition -- Adherence -- Uncomfortable Discussions -- Physician Beliefs -- Sensitizing Learners to Chronic Disease Impact: The Oklahoma Experience -- References -- 4 Communication -- Introduction -- Communication Training -- Cognition -- Mood -- Function and Stigma -- Presence of a Third Person -- Caregiver Burnout -- Breaking Bad News -- Time -- Training Targets -- Information Exchange -- Teach-Back Method -- Psychosocial Talk -- Shared Decision-Making -- Empathy -- Final Recommendations -- Future -- References -- 5 Culture of Medicine -- Introduction -- Hippocratic Oath -- Patient-Centeredness -- Trust and Respect -- Touchy Feely -- Zero-Sum Game -- Empathy Vs Blame -- Hidden Curriculum -- God Complex -- Future Solutions -- References -- 6 Psychology Consult: When and Why -- Introduction -- Case Example: Late Life Depression and Suicide Risk -- Dealing with Death -- Case Example: Frailty and End of Life -- Who is the Expert? -- Consultation with Occupational and Physical Therapies -- Psychiatry vs Psychology -- Turf -- Co-location -- The Medical Model of Health care -- Case Example: Differential Diagnosis -- Long-Term Care -- Living Old -- Chronic Disease -- Loss of Personal Control -- Loss of Independence and Confidence -- Burden -- Case Example: Postoperative Reassurance and Follow-up -- Patient Safety -- Case Example: The Pink Giraffe -- Psychotherapy -- Dementia -- Managing Family Conflict -- Summary -- References -- 7 Managing Safety and Mobility Needs of Older Drivers -- Introduction -- Identification of Unsafe Older Drivers -- Neuropsychological Testing -- Cognitive Interventions to Support Safe Driving -- Psychology of Driving -- Transitioning to Nondriving Status -- Negative Health Effects -- Retained Mobility after Driving -- Interprofessional Approaches -- References. 8 Person-Centered Suicide Prevention -- Introduction -- Chapter Organization -- Biomedicalism Misdirected -- Part 1: Suicide is not a Biomedical Problem -- Part 2: Primary vs Specialty Care -- Prior Studies of Suicide Prevention in Primary Care -- Biomedicalism Retained: Institutional and Provider Considerations -- Institutional Considerations -- Economic Explanations: Financial Incentives -- Psychosocial Explanations: Social Norms -- Provider Considerations -- Humanism Re-Imagined -- The Old Humanism -- Challenges of the New Humanism -- Engineering Humanism -- Conclusion -- References -- 9 End-of-Life Care -- Introduction -- The Current State of End-of-Life Care -- Communication -- Language Matters -- Advance Care Planning -- Conflict -- Hospice -- Palliative Care -- Physician Perspectives -- Training -- Fear and Guilt -- Don't Shoot the Messenger -- Trust -- Adversaries -- Systems Barriers -- Reimbursement -- Role Confusion -- Perceptions -- Empathy vs Blame -- References -- 10 Experiential Learning and "Selling" Geriatrics -- Introduction -- Professional Factors -- Early Exposure -- Bias -- The Allure of Cure -- Building Relationships -- Personal Factors -- Medical Culture -- Training Factors -- Role Modeling -- Time and Money -- Educational Interventions -- Support Groups -- Summary -- References -- 11 Simulation Education -- Introduction -- Objective Structured Clinical Examination -- Mechanism of Action -- Video: Necessary but Insufficient -- The Fau Experience -- Barriers -- References -- Index.
Psychology and Geriatrics demonstrates the value of integrating psychological knowledge and insight with medical training and geriatric care. Leading physician and geropsychologist contributors come together to share their collective wisdom about topics that are as emotionally uncomfortable as they are universally relevant. As the world struggles to respond to unprecedented gains in life expectancy and an explosion of new retirees living with chronic health conditions, this collaboration could not be more timely. This exceptional resource is, itself, evidence that physicians and psychologists can work together to optimize truly patient-centered geriatric care. Here at last is a scientifically rigorous, evidence-based response to the aging mind and body from those most expertly trained. Illustrates why and how psychologists must assume a more integrated role in meeting the health care needs of older patients Confronts emotionally laden topics such as cognitively impaired driving, caregiver burden, end-of-life communication, suicide, and systemic issues such as bias, payment, and the culture of medicine Challenges decades-long barriers to integration, from both physician and psychologist perspectives, suggesting how they can finally be overcome Provides an innovative, practical response to academic medicine's growing emphasis on psychological and behavioral science Demonstrates how health care reform creates a behavioral health niche that clinical psychologists are uniquely qualified to fill.
9780124201811
Older people -- Psychology. Aging -- Psychological aspects.