Full Description
Over the next forty years in the United States, there will be an unprecedented increase in the older adult population. By 2060, 98 million adults are expected to be 65 or older and will make up approximately 25% of the population. Any decline in visual function can severely impact an elderly person's quality of life. With a decline in physiological reserves, old and frail patients are more likely to have complications or poor outcomes with eye surgeries and treatments. They may also have difficulties adhering to treatment regimens because of cognitive impairment, physical disabilities, or other comorbidities. Some eye conditions in the elderly can result in significant visual impairment or blindness if not properly managed; and severe vision loss can lead to accidents, falls, depression, or overall decline in health, increasing the risk of mortality.
This book examines the three critical concepts in geriatric ophthalmology: function, frailty, and futility. This book will be among a limited number of published books on geriatric ophthalmology. The major difference between this book and prior publications is that this book emphasizes and centers on a comprehensive and balanced view of the patient's overall health status, functional abilities, and life expectancy, instead of focusing on the eye diseases alone.
This book will educate healthcare providers on the importance to treat each elderly patient as an individual taking into account their overall health, lifestyle, and treatment goals and not to generalize and make assumptions based on age alone.
Contents
.- Chapter 1: Impact of vision loss on daily function in geriatric patients.
.- Chapter 2: Mobility and functional decline in older adults with ocular diseases.
.- Chapter 3: Visual field evaluation and independence in older adults.
.- Chapter 4: Visual requirement for driving in the geriatric population.
.- Chapter 5: Relationship between mental health, visual function, and ocular diseases in older adults.
.- Chapter 6: Variation of prevalence and therapeutic response of age-related eye disease among geriatric population.
.- Chapter 7: Visual rehabilitation in various ocular diseases and low vision counseling in older adults.
.- Chapter 8: Social determinants of health that impact ophthalmic diseases and vision loss among older adults.
.- Chapter 9: Sustained behavioral changes in the workplace to achieve equity eye care for the elderly.
.- Chapter 10: Influences of cultural and religious belief in eyecare for the older adults.
.- Chapter 11: Prevention of visual function decline in older adults.
.- Chapter 12: Nutrition, exercise, and alternative medicine in geriatric eyecare.
.- Part II. Frailty - Management according to the physical and mental vulnerability of the geriatric patient.
.- Chapter 13: Detection and assessment of frailty in geriatric ophthalmological practice.
.- Chapter 14: Autonomy, informed consent, and legal consideration in geriatric population.
.- Chapter 15: Ophthalmological care in nursing facility and hospice.
.- Chapter 16: Elder abuse among ophthalmic patients.
.- Chapter 17: Application of tele-medicine in geriatric eye care.
.- Chapter 18: Application of home monitoring technology in geriatric eye care.
.- Chapter 19: Adverse reaction and toxicity of ophthalmic medical therapy in geriatric eye care.
.- Chapter 20: Risks and complications of ophthalmic surgical therapy in geriatric eye care.
.- Chapter 21: Anesthesiology concerns in geriatric population undergoing ocular surgeries.
.- Chapter 22: Management of ocular emergencies in the geriatric population.
.- Chapter 23: Management of ocular diseases in patients with dementia.
.- Part III. Fatality - Personalized treatment decisions in geriatric ophthalmology according to overall health and life expectancy.
.- Chapter 24: Relationship between age-related eye diseases and mortality.
.- Chapter 25: Influence of medical co-morbidities in geriatric eye care.
.- Chapter 26: Influence of remaining life-expectancy on aggressiveness of ocular disease management.
.- Chapter 27: Specific ethical issues surrounding ocular diseases in the oldest old.
.- Chapter 28: Management of elderly patients forgoing reasonable and effective treatment for common ocular diseases.
.- Chapter 29: Competence in geriatric care among ophthalmologists.
.- Chapter 30: Ethical consideration for aging eye care providers.
.- Chapter 31: Impact of provider retirement and workforce replacement on geriatric eye care.
.- Chapter 32: Ageism in ophthalmology.
.- Chapter 33: Future research and direction in geriatric ophthalmology.
