Principles of Geriatric Medicine and Gerontology

by Hazzard, William R.; Bierman, Edwin L., M.D. (CON)

• ISBN13: 9780070275010
• ISBN10: 0070275017
• Format: Hardcover
• Copyright: 1994-01-01
• Publisher: McGraw-Hill

Summary

This comprehensive text continues its tradition of presenting the latest in diagnosis and management of disorders affecting the elderly. Featuring experts from geriatric medicine and gerontology, this text provides a uniquely holistic approach for elder care. The new Fifth Edition has been significantly reorganized to enhance geriatric assessment skills, general medical management, management of specific diseases, surgical management, gender issues in clinical geriatrics, and more.

Table of Contents

Contributors	p. xiii
Preface	p. xxv
Principles of Gerontology
The Biology of Aging and Longevity	p. 3
Genetics of Age-Dependent Human Diseases	p. 17
Immunology of Aging	p. 35
Demography and Epidemiology	p. 53
Psychosocial Aspects of Aging	p. 77
Preventive Gerontology: Strategies for Optimizing Health Across the Life Span	p. 85
Principles of Geriatric Care
Approach to Clinical Care of the Older Patient	p. 95
Assessment
Principles of Geriatric Assessment	p. 99
Mental Status and Neurologic Examination in the Elderly	p. 111
Assessment of Decisional Capacity and Competency	p. 121
Diagnostic Tests	p. 127
Principles of Screening in Older Adults	p. 137
Organization of Care
The Health Care System	p. 145
Acute Care	p. 157
Critical Care in the Elderly: Optimizing Outcomes for Older Patients Admitted to Intensive Care	p. 169
Subacute Care	p. 181
Nursing Home Care	p. 197
Community-Based Long-Term Care and Home Care	p. 211
General Management
Medication Use	p. 219
Complementary and Alternative Medicine in Aging	p. 231
Team Care	p. 243
Families, Social Support, and Caregiving	p. 255
Health Behaviors and Adherence	p. 265
Geriatric Rehabilitation	p. 285
Pain Management	p. 303
Care of the Dying Patient	p. 323
Legal Issues	p. 335
Spirituality and the Elderly	p. 347
Ethical Issues in Geriatric Medicine: Informed Consent, Surrogate Decision Making, and Advance Care Planning	p. 353
Surgical Management
Perioperative Evaluation and Management	p. 361
Anesthesia for Elderly Patients	p. 373
Surgery in the Elderly Population	p. 385
Organ Systems and Diseases
Cardiology
Aging of the Cardiovascular System	p. 403
Aging and Atherosclerosis	p. 423
Coronary Heart Disease	p. 433
Valvular Heart Disease	p. 445
Heart Failure	p. 453
Cardiac Arrhythmias in Elderly People: Advances in Diagnosis and Management	p. 475
Peripheral Vascular Disease	p. 491
Hypertension	p. 499
Respiratory System
Aging of the Respiratory System	p. 511
Chronic Obstructive Pulmonary Disease	p. 517
Diffuse Parenchymal Lung Disease in the Elderly Population	p. 535
Nephrology
Changes in Renal Function	p. 543
Renal Disease	p. 551
End-State Renal Disease	p. 569
Disorders of Fluid Balance	p. 581
Gastroentorology
Effect of Aging on Gastrointestinal Function	p. 593
Hepatic, Biliary and Pancreatic Disease	p. 601
Upper Gastrointestinal Disorders	p. 613
Common Large Intestinal Disorders	p. 641
Constipation in Older People	p. 655
Oncology and Hematology
Oncology and Aging: General Principles of Cancer in the Elderly	p. 671
Breast Disease	p. 685
Prostate Cancer and the Geriatric Patient	p. 695
Lung Cancer	p. 703
Gastrointestinal Malignancies	p. 715
Intracranial Neoplasms in Elderly People	p. 739
Skin Cancer	p. 747
Aging of the Hematopoietic System	p. 763
Anemia	p. 771
White Cell Disorders	p. 779
Non-Hodgkin's Lymphoma, Hodgkin's Disease, and Multiple Myeloma	p. 791
Thrombotic and Hemorrhagic Disorders	p. 803
Endocrinology and Metabolism
Aging of the Endocrine System and Selected Endocrine Disorders	p. 819
Thyroid Diseases	p. 837
Diabetes Mellitus	p. 855
Dyslipoproteinemia	p. 875
Hyperparathyroidism and Paget's Disease of Bone	p. 893
Mobility and Musculoskeletal System
Aging of the Muscles and Joints	p. 905
Biomechanics of Mobility in Older Adults	p. 919
Exercise in Elderly People: Physiologic and Functional Effects	p. 931
Mobility	p. 947
Osteoarthritis	p. 961
Osteoporosis	p. 973
Hip Fractures	p. 987
Myopathies, Polymyalgia Rheumatica, and Giant Cell Arteritis	p. 997
Rheumatoid Arthritis and Other Autoimmune Diseases	p. 1015
Back Pain and Spinal Stenosis	p. 1033
Common Foot Problems	p. 1041
Other Arthropathies and Regional Musculoskeletal Disorders	p. 1053
Infectious Diseases and Immunology
Infection in the Elderly	p. 1071
Pneumonia	p. 1083
Tuberculosis	p. 1099
Urinary Tract Infections in the Elderly	p. 1107
Infections of the Nervous System	p. 1117
Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome	p. 1127
Zoster	p. 1133
Influenza	p. 1139
Cross Cutting Domains
Nutrition
Nutrition and Aging	p. 1151
Weight and Age: Paradoxes and Conundrums	p. 1171
Malnutrition and Enteral/Parenteral Alimentation	p. 1179
Disorders of Swallowing	p. 1193
The Oral Cavity	p. 1213
Sensory Function
Assessment and Rehabilitation of Older Adults with Low Vision	p. 1223
Age-Related Changes in the Auditory System	p. 1239
Gender and Sexuality
Sex and Gender Across the Human Life Span: Implications of the Sex Differentials in Longevity and Health for the Care and Welfare of the Elderly	p. 1253
Sexuality and Aging	p. 1277
Menopause and Midlife Health Changes	p. 1283
Gynecologic Disorders	p. 1295
Benign Prostate Disorders	p. 1303
Sexual Dysfunction in Older Persons	p. 1311
Trophic Factors and Male Hormone Replacement	p. 1325
Neuropsychiatry
Cellular and Neurochemical Aspects of the Aging Human Brain	p. 1341
Aging and Cognition: What is Normal?	p. 1355
Cerebrovascular Disease	p. 1373
Dementias Including Alzheimer's Disease	p. 1391
Parkinson's Disease and Related Disorders	p. 1401
Other Neurodegenerative Disorders	p. 1409
Traumatic Brain Injury in Elderly Patients	p. 1421
Epilepsy in the Elderly	p. 1431
Late-Life Mood Disorders	p. 1443
Schizophrenia	p. 1459
General Topics in Geriatric Psychiatry	p. 1465
Management of Agitation in Dementia	p. 1479
Geriatric Syndromes
Frailty and Failure to Thrive	p. 1487
Delirium	p. 1503
Falls	p. 1517
Sleep Disorders	p. 1531
Dizziness	p. 1543
Syncope	p. 1553
Pressure Ulcers	p. 1563
Incontinence	p. 1571
Disorders of Temperature Regulation	p. 1587
Elder Mistreatment	p. 1593
Index	p. 1599
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