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Older adults represent the most rapidly growing demographic in the U.S. and in many developed countries around the world. The field of geriatric medicine is still relatively young, and is only recently seeing a significant increase in peer reviewed literature. Medicare and Medicaid expenditures related to older adults are nearly a trillion dollars/year in the US. How our healthcare system cares for older adults, and how those older adults navigate an increasingly complex system, is of the utmost importance. According to the Institute of Medicine, physicians and other healthcare professionals receive an inadequate amount of training in geriatric medicine. Geriatric medicine is based on the concept of delivering person centered care with a focus on function and quality of life. It is essential that physicians, nurse practitioners, physician assistants, pharmacists, social workers and other health care professionals all be knowledgeable about thegeriatric approach to care.
Geriatric medicine varies from most other fields in medicine. While many specialties function on the basis of evidence-based literature, geriatricians and other clinicians caring for older adults must integrate relatively limited evidence with variable physiological changes and complex psychosocial determinants. Geriatricians are used to caring for 90 year olds with multiple chronic illnesses. Their variable physiology leads to uncertain responses to pharmacotherapy, and their personal goals and wishes need to be incorporated into any plan of care. Practicing geriatric medicine requires the ability to see patterns. But it goes one step further, as the rules are constantly in flux. Every patient is an individual with particular needs and goals. In order to provide true person centered care to older adults, one has to incorporate these factors into the decision making process.
The proposed handbookis designed to present a comprehensive and state-of the-art update that incorporates existing literature with clinical experience. Basic science and the physiology of aging create a background, but are not the main focus. This is because every chapter has been written through the lens of “person centered care.” This book is about focusing on what matters to the person, and how that is not always about pathology and physiology. The reader generally will not find simple solutions to symptoms, diseases and syndromes. In fact, the key to caring for geriatric patients is the ability to think both critically and divergently at the same time. Geriatrics encompasses multiple disciplines and spans all of the subspecialties. It requires knowledge of working within an interdisciplinary team. It requires an appreciation of how quality of life varies with each individual and creates treatment and care plans that also vary. And most of all, it requires a firm commitment to first learning who the person is so that all of the necessary data can be analyzed and integrated into a true person centered plan of care. This book aims to serve as an unparalleled resource for meeting these challenges. Updated and revised from the previous edition, this text features over 40 new peer-reviewed chapters, new references, and a wide array of useful new tools that are updated on a regular basis by interdisciplinary and interprofessional experts in geriatric medicine.
Table of contents (78 entries)
Front Matter
Pages i-lvi
What’s Different About Geriatric Medicine
Front Matter
Pages 1-1
The Geriatrics Approach to Care
Anna H. Chodos
Pages 3-12
Collaborative Decision-Making
Aanand D. Naik
Pages 13-33
Caring for Patients in an Evidence-Limited World
Ravishankar Ramaswamy, Rosanne M. Leipzig
Pages 35-51
Geriatric Prescribing Principles and Interprofessional Healthcare Team Leadership
Janice Hoffman-Simen, Tina Meyer
Pages 53-76
Social Determinants of Health
Allison Moser Mays, Sonja Rosen
Pages 77-86
Legal Aspects of Geriatric Medicine
Alan C. Horowitz
Pages 87-108
Ethical Issues in the Care of Older Adults
Nancy S. Jecker
Pages 109-120
Policy Issues in the Care of Older Adults
Michael R. Wasserman, Daniel Haimowitz, Karl Steinberg
Pages 121-132
Age-Friendly Health Systems in an Ecosystem Perspective
Terry Fulmer, Leslie Pelton, Jinghan Zhang, Wendy Huang
Pages 133-146
WHO Approach to Healthy Aging
Tiziano Nestola, Matteo Cesari
Pages 147-167
Ethnogeriatrics
Jeffrey de Castro Mariano, Jarrod Athen Carrol
Pages 169-184
Caregiving (in the Twenty-First Century)
Maria Torroella Carney, Marzena Gieniusz, Edith Burns
Pages 185-199
Comprehensive Geriatric Assessment
Sonja Rosen
Pages 201-210
Determination of Decision-Making Capacity
Jay S. Luxenberg, Elliott M. Stein
Pages 211-227
Physical Exercise
Mikel Izquierdo
Pages 229-247
Nutrition in Older Adults
Carol J. Rollins, Amber Verdell
Pages 249-296
Health Maintenance and Prevention
Maria Kristina Gestuvo
Pages 297-321
Frailty
Matteo Cesari, Domenico Azzolino
Pages 323-340
Medical Care
Front Matter
Pages 341-341
Management of Cardiovascular Disease in the Elderly
Ifeoma Onuorah, Akanksha Agrawal, Nanette Wenger
Pages 343-383
Hypertension
John C. Landefeld, Sharad Jain, Craig R. Keenan
Pages 385-400
Orthostatic (Postural) and Postprandial Hypotension in Older Adults
Gabriela Sauder
Pages 401-409
Syncope
Andrea Ungar, Martina Rafanelli, Giulia Rivasi, Irene Marozzi
Pages 411-428
Peripheral Arterial Disease
James Iannuzzi, Michael Conte
Pages 429-450
Diabetes
Naushira Pandya, Meenakshi Patel
Pages 451-473
Thyroid Disorders in Older Adults
Naushira Pandya, Elizabeth Hames
Pages 475-494
Infectious Diseases in Older Persons
Dean Norman, Thomas Yoshikawa
Pages 495-510
Hematologic Disorders
Shakira J. Grant, Debbie C. Jiang
Pages 511-541
Gastrointestinal Disorders in Older Patients
Jesse Stondell, Christine Shieh, Bao Sean Nguyen, Alex Zhornitskiy, Joane A. P. Wilson
Pages 543-569
Pulmonary Disease
Stacey-Ann Whittaker Brown, Sidney S. Braman
Pages 571-596
Kidney Disorders
Jose Morfin, Tiana Jespersen Nizamic
Pages 597-619
End-Stage Kidney Disease in the Elderly Population
Nasim Wiegley, Jose Morfin
Pages 621-635
Dermatologic and Mucocutaneous Disorders
Angela Zaladonis, Rodrigo Valdes-Rodriguez
Pages 637-662
Changes and Diseases of the Aging Eye
Mirjeta Abazaga, Robert Fechtner
Pages 663-689
Otologic Changes and Disorders
Kiranya E. Tipirneni, Brian D. Nicholas
Pages 691-708
Aging and the Oral Cavity
Roberto Carlos Castrejon-Perez
Pages 709-719
Bone and Joint Disorders
Michaël R. Laurent
Pages 721-760
COVID-19 in Older Adults
Mia Clar, Allison Walker, Philip Solomon
Pages 761-779
Cancer in Older Adults: An Overview
Front Matter
Pages 781-781
Cancer and Older Adults: The Introduction
Armin Shahrokni, Helen Pozdniakova, Brandon Nightingale
Pages 783-799
Cancer Screening in the Older Adult
Koshy Alexander, Beatriz Korc-Grodzicki
Pages 801-825
Breast Cancer
Gretell Henríquez, Nicolò Matteo Luca Battisti, Yanin Chavarri-Guerra, Enrique Soto-Perez-de-Celis
Pages 827-854
Colorectal Cancer in Older Adults
Armin Shahrokni, Helen Pozdniakova, Brandon Nightingale
Pages 855-868
Lung Cancer in Elderly: Patient-Centered Approach for Optimal Delivery of Care
Ghanshyam H. Ghelani, Alina Basnet, Ajeet Gajra
Pages 869-884
Prostate Cancer
Jaime O. Herrera-Caceres, Neil Fleshner, Shabbir M. H. Alibhai
Pages 885-911
Gynecologic Oncology
Sindhuja Kadambi, William P. Tew
Pages 913-917
Hematologic Malignancies
Richard J. Lin
Pages 919-932
Sexuality and the Genitourinary System
Front Matter
Pages 933-933
Download chapter PDF
Gynecologic and Urologic Problems in Older Women
Isuzu Meyer
Pages 935-958
Sexuality and Aging
Paul N. Bryman, Leonard A. Powell, Terrie B. Ginsberg
Pages 959-977
BPH and Male Lower Urinary Tract Symptoms
Theodore M. Johnson II, Anna Mirk
Pages 979-997
Voiding Problems and Urinary Incontinence in the Geriatric Patient
Lavern A. Wright, Paige Hamilton, George A. Kuchel, Phillip P. Smith
Pages 999-1024
Disorders of the Brain
Front Matter
Pages 1025-1025
Alzheimer’s Disease and Other Dementias
Ian Curtis Neel
Pages 1027-1046
Cerebrovascular Disease and Stroke
Alison I. Thaler, Michael G. Fara
Pages 1047-1072
Parkinson’s Disease and Other Movement Disorders
Pavan A. Vaswani, Jayne R. Wilkinson
Pages 1073-1096
Schizophrenia and Other Late-Life Psychoses
Francesco Saverio Bersani, Elisabeth Prevete, Roberto Vicinanza
Pages 1097-1108
Diagnosis and Management of Geriatric Syndromes
Front Matter
Pages 1109-1109
Diagnosis and Management of Geriatric Syndromes
Depression, Anxiety, and Other Mood Disorders
Jason Jalil, Dax Volle, Tongtong Zhu, Michael Sassounian
Pages 1111-1153
Delirium
Giuseppe Bellelli, Alessandro Morandi
Pages 1155-1169
Pain Management in the Older Adult
Dale Sapell, Charity Hale, Ashley Takeshita, David Copenhaver
Pages 1171-1184
Pressure Injury and Chronic Wounds
Jeffrey M. Levine
Pages 1185-1212
Sarcopenia
Matteo Tosato, Emanuele Marzetti, Anna Picca, Riccardo Calvani
Pages 1213-1233
Falls in Older Adults
Allison Moser Mays
Pages 1235-1249
Sleep and Sleep Disorders
David Dai, Kevin J. Eng, Cathy A. Alessi
Pages 1251-1265
Elder Mistreatment and Abuse
Laura Mosqueda, Seyed Parham Khalili
Pages 1267-1277
Care Delivery and Systems Approaches to Geriatric Care
Front Matter
Pages 1279-1279
Download chapter PDF
Primary Care
Michael R. Wasserman
Pages 1281-1294
Emergency Medicine and the Person-Centered Approach to the Older Adult
Katren Tyler, Jennifer Kristjansson, Jennifer Roh, Vaishal Tolia
Pages 1295-1316
Approach to Acute Hospital Care
Lauren W. Mazzurco, Juanita Smith, Robert M. Palmer
Pages 1317-1335
Surgical Care
Liron Sinvani, Daniel Ari Mendelson
Pages 1337-1372
Care in the Community
George Taler, Steven Jae Won Han
Pages 1373-1386
Nursing Home Care in the USA
Innokentiy Bakaev, Suzanne M. Gillespie, Casey Rust, Paul Katz
Pages 1387-1399
Palliative Care
Katherine Wang, Diane Meier
Pages 1401-1410
Geriatric Rehabilitation
Wilco Achterberg, Van Haastregt Jolanda, Ewout Smit, Monica van Eijk
Pages 1411-1424
Antibiotic Stewardship
Philip D. Sloane, Christine E. Kistler
Pages 1425-1435
Population Health for Older Adults
Richard G. Stefanacci, Alex Casiano
Pages 1437-1449
Mechanisms of Paying for Health Care
Richard G. Stefanacci
Pages 1451-1467
Care Delivery and Systems Approaches to Geriatric Care
Interdisciplinary Care and Care Coordination
Deb Bakerjian, Michael R. Wasserman
Pages 1469-1485
Improving Quality and Safety in the Care of Older Adults
Deb Bakerjian
Pages 1487-1510
The Science of Aging
Front Matter
Pages 1511-1511
The Demography and Biodemography of Aging
S. Jay Olshansky
Pages 1513-1524
Molecular and Biological Factors in Aging
Rachel Litke, Charles Mobbs
Pages 1525-1554
Physiology of Aging
George E. Taffet
Pages 1555-1565
Immunology of Ageing
Graham Pawelec, Ludmila Müller
Pages 1567-1584
Back Matter
Pages 1585-1624
