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Psychology and Geriatrics
Integrated Care for an Aging Population
1st Edition - April 14, 2015
Editor: Benjamin A. Bensadon
Language: English
Hardback ISBN:9780124201231
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eBook ISBN:9780124201811
9 7 8 - 0 - 1 2 - 4 2 0 1 8 1 - 1
Psychology and Geriatrics demonstrates the value of integrating psychological knowledge and insight with medical training and geriatric care. Leading physician and geropsycholo…Read more
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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
Psychologists, gerontologists, and physicians in aging-related disciplines.
List of Contributors
Foreword
Introduction: Why Integrate?
Patient-Centered Outcomes Research Institute
Workforce
Politics of “Evidence”
Common Factors
Perception
References
Chapter 1. Goal-Oriented Care
Introduction
Goal-Oriented Care: A Practical Approach
Barriers/Challenges to Goal-Setting in Clinical Practice
Conclusion
References
Chapter 2. Family Caregiving
Introduction
The Scope of Caregiving in Contemporary Society
Identifying and Working with Caregivers in Clinical Settings
Types of Stress: Challenges and Resources
Intervention Strategies
Conclusions
References
Chapter 3. Attitudes, Beliefs, and Behavior
Introduction
Clinical Relevance
Memory
Beyond Cognition
Adherence
Uncomfortable Discussions
Physician Beliefs
Sensitizing Learners to Chronic Disease Impact: The Oklahoma Experience
References
Chapter 4. Communication
Introduction
Communication Training
Cognition
Mood
Function and Stigma
Presence of a Third Person
Caregiver Burnout
Breaking Bad News
Time
Training Targets
Final Recommendations
Future
References
Chapter 5. Culture of Medicine
Introduction
Hippocratic Oath
Patient-Centeredness
Trust and Respect
Touchy Feely
Zero-Sum Game
Empathy Vs Blame
God Complex
Future Solutions
References
Chapter 6. Psychology Consult: When and Why
Introduction
Case Example: Late Life Depression and Suicide Risk
Dealing with Death
Who is the Expert?
Consultation with Occupational and Physical Therapies
Psychiatry vs Psychology
Co-location
The Medical Model of Health care
Long-Term Care
Living Old
Patient Safety
Psychotherapy
Dementia
Managing Family Conflict
Summary
References
Chapter 7. Managing Safety and Mobility Needs of Older Drivers
Introduction
Identification of Unsafe Older Drivers
Psychology of Driving
Transitioning to Nondriving Status
Interprofessional Approaches
References
Chapter 8. Person-Centered Suicide Prevention
Introduction
Chapter Organization
Biomedicalism Misdirected
Biomedicalism Retained: Institutional and Provider Considerations
Humanism Re-Imagined
Conclusion
References
Chapter 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
Fear and Guilt
Don’t Shoot the Messenger
Trust
Adversaries
Systems Barriers
Perceptions
Empathy vs Blame
References
Chapter 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
Chapter 11. Simulation Education
Introduction
Objective Structured Clinical Examination
Mechanism of Action
Video: Necessary but Insufficient
The Fau Experience
Barriers
References
Index
No. of pages: 280
Language: English
Edition: 1
Published: April 14, 2015
Imprint: Academic Press
Hardback ISBN: 9780124201231
eBook ISBN: 9780124201811
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Benjamin A. Bensadon
Benjamin A. Bensadon, Ed. M, Ph.D., is an associate professor in the division of geriatric medicine through the department of aging and geriatric research. He is also a licensed clinical gero-psychologist. Dr. Bensadon’s training and professional experience is centered on integrating psychology and medicine, with the goal of transforming primary care and creating an age-friendly health care system. To achieve this, Dr. Bensadon has co-authored book chapters on management decisions in mild cognitive impairment (Clinics in Geriatric Medicine) and geriatric neurology (Scientific American in press), and created and led a team of physicians and psychologists as editor of a collaborative text titled Psychology and Geriatrics: Integrated Care for an Aging Population (Elsevier). More recently he was one of 15 selected to the inaugural cohort of National Geriatrics Leadership Scholars by the American Geriatrics Society, Association of Directors of Academic Geriatric Programs, and Tideswell at UCSF. Prior to UF, Dr. Bensadon was an assistant professor at the Schmidt College of Medicine at Florida Atlantic University (FAU), where he served as associate director of the Internal Medicine Residency Program’s Geriatrics & Palliative Care Rotation.
Throughout his young career, Dr. Bensadon has developed, implemented and evaluated training curricula in didactic and clinical settings for medical students and residents, advance practice nurses and other health sciences trainees. He has provided clinical services in long-term care/geriatric rehabilitation, outpatient primary care and specialty settings. He completed his doctoral training at the University of Florida and his postdoctoral residency and fellowship at the University of Oklahoma College of Medicine.