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Summary

This new edition of a critically-acclaimed text, completely revised and updated, offers practical and comprehensive coverage of the diseases, common problems, and medical care of older persons. Building on the third edition, this revision will present a new approach focusing on Evidence-Based Medicine, with new chapters including: Physiology of Aging, Clinical Strategies of Prescribing for Older Adults, Chronic Disease Management, Prevention, Doctor-Patient Communication Issues, Sources of Suffering in the Elderly, and many others. In addition, there will be a separate chapter on Evidence-Based Geriatrics, as well as sidebars in every chapter, where applicable, on Evidence-Based Medicine. This will be an all-encompassing, authoritative volume on geriatric medicine, needed more than ever because the over-80 population is the fastest growing age group in the country.

Table of Contents

Preface vii
Contributors xvii
Part I Basics of Gerontology
Evidence-Based Medicine and Geriatrics
3(12)
Rosanne M. Leipzig
Molecular and Biologic Factors in Aging
15(12)
Charles Mobbs
Physiology of Aging
27(10)
George E. Taffet
The Demography of Aging
37(8)
S. Jay Olshansky
Epidemiology and Aging
45(8)
Tamara B. Harris
Psychosocial Influences on Health in Later Life
53(12)
Elizabeth C. Clipp
Karen E. Steinhauser
Principles of Pharmacology
65(18)
Jerry Avorn
Jerry H. Gurwitz
Paula Rochon
Clinical Strategies of Prescribing for Older Adults
83(10)
Judith L. Beizer
Part II Changing Contexts of Care in Geriatric Medicine
Contexts of Care
93(6)
Laurence Z. Rubenstein
The Long and the Short of Long-Term Care
99(14)
Robert L. Kane
The Geriatrician in the Nursing Home
113(8)
Wayne C. McCormick
Home Care
121(12)
Sharon A. Levine
Patricia P. Barry
Acute Hospital Care
133(16)
Robert M. Palmer
Part III Clinical Approaches to the Geriatric Patient
Clinical Approach to the Older Patient: An Overview
149(14)
Glendo L. Tangarorang
Gerard J. Kerins
Richard W. Besdine
Chronic Disease Management
163(6)
Harrison G. Bloom
Prevention
169(16)
Harrison G. Bloom
Instruments to Assess Functional Status
185(10)
Brandon Koretz
David B. Reuben
Comprehensive Geriatric Assessment and Systems Approaches to Geriatric Care
195(10)
David B. Reuben
Neuropsychological Testing
205(8)
Marilyn S. Albert
Preoperative Assessment and Perioperative Care
213(16)
Peter Pompei
Anesthesia for the Geriatric Patient
229(10)
Jeffrey H. Silverstein
Surgical Approaches to the Geriatric Patient
239(20)
Ronnie Ann Rosenthal
Rehabilitation
259(22)
Kenneth Brummel-Smith
Part IV Palliative Care
Old Age and Care Near the End of Life
281(6)
Diane E. Meier
Doctor-Patient Communication Issues
287(12)
James A. Tulsky
Care Near the End of Life
299(12)
Sarah Goodlin
Sources of Suffering in the Elderly
311(12)
Maria Torroella Carney
Diane E. Meier
Acute and Chronic Pain
323(20)
Bruce A. Ferrell
Palliative Care in Early, Moderate, and Advanced Dementia
343(8)
Anna Monias
Diane E. Meier
The Value of Achieving a Peaceful Death
351(12)
Daniel Callahan
Part V Medical Care
Section A: Cancer in the Elderly
Cancer in the Elderly: An Overview
361(2)
Harvey Jay Cohen
The Science of Neoplasia and Its Relationship to Aging
363(12)
Robert E. Martell
Harvey Jay Cohen
Screening for Cancer
375(18)
Eugene Z. Oddone
Mitchell T. Heflin
John R. Feussner
Breast Cancer
393(24)
Ann Partridge
Eric Winer
Colon Cancer and Other Gastrointestinal Malignancies
417(24)
Peter C. Enzinger
Robert J. Mayer
Lung Cancer
441(14)
Eric B. Haura
Susan A. Blackwell
Jeffrey Crawford
Prostate Cancer
455(14)
Khalid Matin
Donald L. Trump
Gynecologic Cancers
469(18)
Angeles A. Alvarez
Daniel L. Clarke-Pearson
Hematologic Malignancies
487(22)
Marc Gautier
Elizabeth M. Bengtson
Edward M. Liebers
Harvey Jay Cohen
Section B: Organ System Diseases and Disorders
Cardiovascular Disease
509(36)
Nanette Kass Wenger
Hypertension
545(16)
Mark A. Supiano
Peripheral Arterial Disease
561(12)
William R. Hiatt
Mark R. Nehler
Rheumatologic Diseases
573(48)
Daniel J. Brauner
Leif B. Sorensen
Michael H. Ellman
Skeletal Fragility in the Elderly
621(30)
Angela Inzerillo
Jameel Iqbal
Bruce Troen
Diane E. Meier
Orthopedic Problems with Aging
651(18)
Lawrence A. Pottenger
Medical Aspects of Hip Fracture Management
669(12)
R. Sean Morrison
Albert L. Siu
Treatment of Diabetes
681(14)
Kenneth L. Minaker
Thyroid Disorders
695(24)
David S. Cooper
Changes in Male Sexuality
719(8)
Thomas Mulligan
Waleed Siddiqi
Sexual Function and the Older Woman
727(10)
Fran E. Kaiser
Gynecologic and Urologic Problems of Older Women
737(18)
M. Chrystie Timmons
Benign Prostatic Hyperplasia
755(14)
Catherine E. DuBeau
Nephrology/Fluid and Electrolyte Disorders
769(14)
Sharon Anderson
Immunology of Aging
783(18)
Edith A. Burns
James S. Goodwin
Infectious Diseases
801(18)
Thomas T. Yoshikawa
Hematologic Problems
819(16)
Gerald Rothstein
Gastroenterologic Disorders
835(18)
Joanne A.P. Wilson
Pulmonary Disease
853(16)
James R. Webster, Jr.
Dermatologic Diseases and Problems
869(14)
Amy Krupnick Freeman
Marsha Gordon
Changes and Diseases of the Aging Eye
883(10)
Bruce P. Rosenthal
Otologic Changes and Disorders
893(8)
George A. Gates
Thomas S. Rees
Aging and the Oral Cavity
901(20)
Gretchen Gibson
Linda C. Niessen
Section C: Common Problems in Older Adults
Dietary Supplements for Geriatric Patients
921(10)
Cynthia X. Pan
Charles Mobbs
Urinary Incontinence
931(26)
Neil M. Resnick
Syncope in the Elderly
957(10)
Wishwa N. Kapoor
Management of Chronic Wounds
967(12)
David R. Thomas
Falls
979(16)
David C. Thomas
Helen K. Edelberg
Mary E. Tinetti
Chronic Dizziness and Vertigo
995(14)
Aman Nanda
Mary E. Tinetti
Nutrition
1009(14)
David A. Lipschitz
Exercise
1023(8)
Eric B. Larson
Robert A. Bruce
Sleep and Sleep Disorders
1031(12)
Tamar Shochat
Sonia Ancoli-Israel
Herpes Zoster
1043(14)
Kenneth Schmader
Elder Mistreatment
1057(10)
Terry Fulmer
Maria Hernandez
Frailty
1067(12)
Linda P. Fried
Jonathan Darer
Jeremy Walston
Part VI Neurologic and Psychiatric Disorders
Dementia
1079(16)
Gary J. Kennedy
Neurobiologic Basis of Age-Related Dementing Disorders
1095(18)
Patrick R. Hof
Thierry Bussiere
Joseph D. Buxbaum
John H. Morrison
Delirium
1113(10)
Sharon K. Inouye
Cerebrovascular Disease and Stroke
1123(16)
Stanley Tuhrim
Abnormalities of Posture and Movement
1139(24)
Jose C. Masdeu
Maria Cruz Rodriguez-Oroz
Depression, Anxiety, and Other Mood Disorders
1163(22)
Harold G. Koenig
Dan G. Blazer, II
Late-Life Psychosis
1185(16)
Steven C. Samuels
Deborah B. Marin
Part VII Ethics and Health Policy Issues for Older Adults
Mechanisms of Paying for Health Care
1201(12)
Bruce C. Vladeck
Justice and the Allocation of Health Care Resources
1213(8)
Nancy S. Jecker
Medical Treatment and the Physician's Legal Duties
1221(12)
Marshall B. Kapp
Determination of Decision-Making Capacity
1233(10)
Jason H.T. Karlawish
Robert A. Pearlman
Ethical and Policy Issues in End-of-Life Care
1243(10)
Melissa A. Bottrell
Christine K. Cassel
Emily R. Felzenberg
Ethical Challenges to Research in Geriatric Medicine
1253(10)
Greg A. Sachs
Harvey Jay Cohen
Index 1263

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