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Doody's Review ServiceReviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: This book focuses on the specific considerations in treating aging patients. The previous edition was published in 2009.
Purpose: The authors state, "There is a growing appreciation that our medical system is not structured to effectively address complex chronic disease and multimorbidity, which are both common in the geriatric population." The purpose of this book is to provide some structure for the treatment of older patients to address these deficiencies. The authors provide an excellent book on the approach to care of older patients.
Audience: Without exception, this book is appropriate for every clinician who treats geriatric patients and for administrators who develop the infrastructure and insurance processes surrounding their care. The authors are well versed in understanding and caring for the geriatric population.
Features: The first edition of this book was published over 30 years ago and has been refined through the subsequent editions. The first part of this seventh edition gives a historical and pathophysiological basis for the study of geriatrics. It is very easy to read and understand and succinctly outlines the problems. The second part considers the differential diagnoses of some conditions common to these patients, such as delirium, dementia, depression, incontinence, and falls, and provides a preventive medicine perspective. The third part addresses the general management of cardiovascular conditions, sensory impairment, drug therapy, and nursing home and palliative care. The tables are intuitive and the references very helpful.
Assessment: This is a valuable reference for those treating geriatric patients, providing well-reasoned expectations. It offers a common-sense approach in a medical system that is oriented to procedure numbers rather than focused on what a rational outcome is. Medicine owes a debt of gratitude to the authors for this work.