Essentials of Clinical Geriatrics / Edition 3

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THE practical and affordable quick-reference guide to evaluation, diagnosis, and treatment of older patients -- now extensively revised and updated! The superb writing, a clear focus on the clinical issues, presentation of complex issues clearly and succinctly...just a few of the reasons why ESSENTIALS OF CLINICAL GERIATRICS is a favorite resource among health professionals caring for older patients. The practical, problem-oriented approach systematically guides users through the clinical implications of aging, and reviews evaluation, diagnosis, and management of clinical problems encountered daily. And much has been added to this edition to keep you at the cutting edge of clinical geriatrics.


  • FOCUS - clinical, practical content that can be put to use immediately for effective care of older patients
  • SCOPE - "just right" coverage -- provides all the necessary information without being overwhelming
  • CONVENIENCE - a wealth of superb tables, charts, and graphs quickly summarize important information
  • PRACTICALITY - a handy appendix filled with useful medical forms enhances assessments and history


  • NEW chapter on preventive care in clinical geriatrics
  • EXPANDED coverage of preoperative evaluation, cancer management, and end-of-life issues
  • UPDATED content on genetic aspects of geriatric care, pharmacology, hormone replacement therapy, and more
  • LATEST on caring for nursing home patients
  • EVERY chapter revised and updated

Markets: Residents & Practitioners in Internal Medicine, Family & General Practice; Geriatric, Family " Adult Nurse Practitioners; Physician Assistants; Geriatric Fellows & Geriatricians; Medical, NP & PA Students; Nurses; Nursing Homes, Home Care Companies; Medical, Departmental, Hospital Libraries

The book contains black-and-white illustrations.

" well written the amount of information it contains is deceptive. Unlike many texts, the book is easy to read and provides an excellent overview of geriatrics." - Journal of Family Practice review of prior edition What other books describe in two pages of text, this book describes succinctly and clearly in one table. Its readability combines with the authority brought by the superb author team to result in a unique resource for anyone caring for elders. The problem-oriented approach focuses on early diagnosis of all conditions and reviews salient therapies. New to this edition is the latest on differential diagnosis of Alzheimer's Disease, the case for and against aggressive management of diabetes, the use of beta blockers in managing acute myocardial infarction, anti-Parkinsonian drugs, the impact of managed care on the elderly, changes in nursing home and home health under Medicare, ethical issues and much more.

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Editorial Reviews

David O. Staats
This is a compact, comprehensive textbook of geriatric medicine. The purpose is to present the fundamentals of geriatric medicine in an easy to understand format. All practicing physicians who care for older persons, medical students, residents, fellows, and the entire interdisciplinary team caring for older persons will derive benefit from this book. There is a plethora of very useful diagrams, tables, and appendixes of the most commonly used and needed forms as well as assessment tools in geriatric medicine, which greatly enhance the utility of this book. Sections on clinical glidepaths, iatrogenesis, home care, and ethics have been expanded or revised in this new edition. This book is like a good lite beer -- all the important points are highlighted, and the authors are essentially correct in most of what they say; this text could be swallowed whole in a geriatrics rotation. Every medical library should own this excellent book.
Journal of Family Practice
Strongly recommended... so well written that the amount of information it contains is deceptive.. easy to read and provides an excellent overview of geriatrics.
American Family Physician
This handy-to-carry-and-use paperback is invaluable as a ready source of comprehensive up-to-date geriatric clinical information...richly supplemented by an enormous number of helpful tables, figures, and references.
All practicing physicians who care for older persons, medical students, residents, fellows, and the entire interdisciplinary team caring for older persons will derive benefit from this book. (Four Stars)
New edition of a guide to problem-based diagnosis, treatment, and follow-up care of all common geriatric disorders. Includes review of important nonclinical issues: environmental factors, documentation issues, ethics, and demographics. Annotation c. Book News, Inc., Portland, OR (
Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is the fifth edition of a popular multiauthored introductory textbook of geriatric medicine. The book incorporates advances made in the five years since the last edition of this book.
Purpose: It is intended as a guide for future and present practitioners. It does so splendidly.
Audience: Every person caring for older persons can make good use of this book. Advanced practice nurses, physician assistants, trainees ranging from students to residents to fellows, primary and specialty care physicians can all make good use of this work. This book is written by authorities in the field of the first rank, who have honed and refined each subsequent edition of this book.
Features: There is not a wasted word in this book. Its style is enticing and elegant. Matching in elegance are the exquisite line drawings (so much better than photos) that illustrate its pages. The references are carefully selected and annotated, as are the suggested readings. The citation of Web-based materials — both for patient education and for professionals — is the best I have ever seen. The appendixes that give the assessment instruments themselves also add to the presentation.
Assessment: Each edition of this book adds something new. The pagination, size, and paper — even the cover — are improved. The printing of tables and boxes with a slightly darker background makes them easy to spot without being jarring. Kudos for the very careful editing of this book, which raises the level of medical writing here to that of the best British writers in days of yore. This is one of the best textbooks of geriatric medicine in terms of its clarity, completeness, and compactness. It give a complete, coherent, overarching view of geriatric medicine that still can be swallowed whole in an elective geriatric medicine rotation. Every medical library should possess this small marvel.
Journal of Family Practice

So well written the amount of information it contains is deceptive. Unlike many texts, the book is easy to read and provides an excellent overview of geriatrics.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780070334731
  • Publisher: McGraw-Hill Medical Publishing Division
  • Publication date: 10/1/1993
  • Edition description: Older Edition
  • Edition number: 3
  • Pages: 542
  • Product dimensions: 5.30 (w) x 8.00 (h) x 1.72 (d)

Meet the Author

Robert L. Kane, MD

Professor and Minnesota Endowed Chair in Long-Term Care and Aging

School of Public Health

University of Minnesota

Minneapolis, MN

Joseph G. Ouslander, MD

Director, Institute for Qualty Aging

Boca Raton Community Hospital

Professor of Medicine (Voluntary)

Assistant Dean for Geriatric Education

University of Miami Miller School of Medicine (UMMSM) at Florida Atlantic University

Associate Director, Division of Gerontology and Geriatric Medicine

Department of Medicine, UMMSM

Miami, FL

Professor (Courtesy)

Christine E. Lynn College of Nursing

Florida Atlantic University

Itmar B. Abrass, MD

William E. Colson Chair in Gerontology

Professor of Medicine and Division Head, Gerontology and Geriatric Medicine

University of Washington Harborview Medical Center

Seattle, WA

Barbara Resnick, PhD, CRNP, FAAN, FAANP


University of Maryland School of Nursing

Sonya Gershowitz Chair in Gerontology

Baltimore, MD

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Table of Contents

List of Tables and Figures

Pt. I The Aging Patient and Geriatric Assessment 1

1 Clinical Implications of the Aging Process 3

2 The Geriatric Patient: Demography, Epidemiology, and Health Services Utilization 23

3 Evaluating the Geriatric Patient 41

4 Chronic Disease Management 79

Pt. II Differential Diagnosis and Management 109

5 Prevention 111

6 Confusion: Delirium and Dementia 145

7 Diagnosis and Management of Depression 175

8 Incontinence 213

9 Falls 265

10 Immobility 297

Pt. III General Management Strategies 333

11 Cardiovascular Disorders 335

12 Decreased Vitality 363

13 Sensory Impairment 401

14 Drug Therapy 425

15 Health Services 449

16 Nursing Home Care 489

17 Ethical Issues in the Care of Older Persons 523

App Selected Internet Resources on Geriatrics 549

Index 555

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