Geriatric Medicine: An Evidence-Based Approach / Edition 4

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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.

The book contains predominantly black-and-white illustrations, with some color illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is a multiauthored textbook of geriatric medicine. Now in its fourth edition, it emphasizes an evidence-based approach to geriatric medicine. The third edition was published in 1997.
Purpose: Its purpose is to provide a comprehensive review of geriatric medicine, incorporating rapidly expanding new information in the field.
Audience: This book is aimed at practicing physicians as well as medical trainees at all levels. The entire team of health professionals caring for older persons will find this book a useful reference.
Features: There are chapters with extensive explanations, and leading the parade is a chapter on the nature of evidence-based medicine. Some of the chapters (e,g., neurobiological basis of dementing disorders) are used as a basis for understanding the advances in the field. Others read like a bibliographic updating in the relevant area, in which the evidence-based domains are not clearly indicated, and which also leave the reader without a clear understanding of the context.
Assessment: The expertise of individual authors shines through in many places. The thoroughness, pagination, and ease of using the information here maintain this book's status as one of the leading comprehensive textbooks of geriatric medicine.
Isaac Kleinman
This third edition is reorganized, enlarged, and updated from the second edition of 1990. The purpose is to codify and assemble in one place the body of geriatric knowledge in a way that is useful for both practicing clinicians and physicians-in-training. The audience includes medical students and residents, geriatricians, and some primary care physicians. This edition has excellent chapters on rehabilitation, management of patients in long term care facilities, ethical questions, social policy, and medicolegal concerns. The chapters on demography of aging and theories of death are good. There is a small color atlas of frequently encountered skin, oral, and fundoscopic disorders. The references appended to each chapter are extensive and up-to-date. This book serves best for reading on large topics, and does not function well as a problem-solving clinical handbook for the practitioner, partly because of its organization and partly because of an inadequate index. There are also a few omissions. This edition has omitted a good chapter on hypothermia which was included in the second edition. Nevertheless, this ambitious text is comprehensive and encompasses well the body of knowledge needed to practice geriatrics.
Text/reference reviews central issues in geriatrics from biological, psychosocial, and philosophical perspectives. The 52 essays are grouped in sections addressing geriatric fundamentals, medical disorders, neurologic and psychiatric disorders, common problems in elderly persons, and health systems and health policy. Updated to reflect diagnostic, therapeutic, and policy advances. With 150 figures, some in color. Annotation c. Book News, Inc., Portland, OR (

3 Stars from Doody
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Product Details

  • ISBN-13: 9780387955148
  • Publisher: Springer New York
  • Publication date: 1/27/2003
  • Edition description: 4th ed. 2003
  • Edition number: 4
  • Pages: 1343
  • Sales rank: 933,240
  • Product dimensions: 8.94 (w) x 11.10 (h) x 2.65 (d)

Table of Contents

86 Chapters Total: PART I: BASICS OF GERONTOLOGY 1) Evidence-Based Medicine and Geriatrics 2) Molecular & Biologic Factors in Aging 3) Physiology of Aging 4) The Demography in Aging 5) Epidemiology & Aging 6) Psychosocial Influences on Health in Later Life 7) Principles of Pharmacology 8) Clinical Strategies of Prescribing for Older Adults PART II: CHANGING CONTEXTS OF CARE IN GERIATRIC MEDICINE 9) Contexts of Care 10) The Long and The Short of Long-Term Care 11) The Geriatrician in the Nursing Home 12) Home Care 13) Acute Hospital Care PART III: CLINICAL APPROACHES TO THE GERIATRIC PATIENT 14) Clinical Approach to the Older Patient: An Overview 15) Chronic Disease Management 16) Prevention 17) Instruments to Assess Funcational Status 18) Comprehensive Geriatric Assessment & Systems Approaches to Geriatric Care 19) Neurophysiological Testing 20) Preoperative Assessment & Perioperative Care 21) Anesthesia for the Geriatric Patient 22) Surgical Approaches to the Geriatric Patient 23) Rehabilitation PART IV: PALLIATIVE CARE 24) Old Age and Care Near the End of Life 27) Sources of Suffering in the Elderly 28) Acute & Chronic Pain 29) Palliative Care in Early, Moderate, and Advanced Dementia 30) The Value of Achieving a Peaceful Death PART V: MEDICAL CARE, SUBSECTION A: CANCER IN THE ELDERLY, Cancer in the Elderly: An Overview 31) The Science of Neoplasia and Its Relationship to Aging 32) Screening for Cancer 33) Breast Cancer 34) Colon Cancer & Other Gastrointestinal Malignancies 35) Lung Cancer 36) Prostate Cancer 37) Gynecologic Cancers 38) Hematologic Malignancies SUBSECTION B: ORGAN SYSTEM DISEASES & DISORDERS 39) Cardiovascular Disease 40) Hypertension 41) Peripheral Arterial Disease 42) Rheumatologic Diseases 43) Skeletal Fragility in the Elderly 44) Orthopedic Problems with Aging 45) Medical Aspects of Hip Fracture Management 46) Treatment of Diabetes 47) Thyroid Disorders 48) Changes in Male Sexuality 49) Sexual Function in the Older Woman 50) Gynecologic & Urologic Problems of Older Women 51) Benign Prostatic Hyperplasia 52) Nephrology/Fluid & Electrolyte Disorders 53) Immunology of Aging 54) Infectious Diseases 55) Hematologic Problems 56) Gastroenterologic Disorders 57) Pulmonary Disease 58) Dermatologic Diseases & Problems 59) Changes & Diseases of the Aging Eye 60) Otologic Changes & Disorders 61) Aging & the Oral Cavity SUBSECTION C: COMMON PROBLEMS IN OLDER ADULTS 62) Nutritional Supplements 63) Urinary Incontinence 64) Syncope 65) Pressure Ulcers, Wound Healing, etc 66) Falls 67) Chronic Dizziness & Vertigo 68) Nutrition 69) Exercise 70) Sleep & Sleep Disorders 71) Herpes Zoster 72) Elder Mistreatment 73) Frailty... PLUS 15 MORE CHAPTERS
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