Merck Manual of Health and Aging: The Complete Home Guide to Healthcare and Healthy Aging For Older People and Those Who Care About Them

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Home reference manual for older people and those who care about them.

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Overview

Home reference manual for older people and those who care about them.

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Editorial Reviews

Publishers Weekly
This mammoth reference book begins with the premise that "[t]he need for good, unbiased health care information runs deep, whether people are seeking to become more active in caring for themselves or others." It then goes on to provide for that need, covering all aspects of health changes through the process of aging, and explaining how to prevent or manage those changes. The book is easy to navigate and cross-reference, and includes simple but useful drawings to explain such conditions as aneurysms, heart valve disorders and pressure sores (aka bedsores). The first two sections address "the fundamentals of aging" (why aging occurs, how it affects the body and how it's changing the U.S.) and "caring for self and others," including preventive care, nutrition, appropriate use of drugs and other topics. The authors then go through an in-depth discussion of medical conditions that can affect the elderly, explaining symptoms, treatment and aftercare. This chapter supplies sound information to enhance interaction with health care providers and enable continuity of care, for both patients and caregivers. The final section covers social, legal and ethical issues and includes a guide to paying for health care and a useful reference table for prescription drugs. Twenty-five inspiring essays by seniors are sprinkled throughout the text, giving this encyclopedic text a human aspect. This excellent handbook is an essential resource for mature people, their families and caregivers. (On sale May 18) Forecast: With a recognizable name and authoritative voice, this manual speaks to both older adults and those who care for them. The publisher plans a 100,000-copy first printing, consumer ads and an extensive media tour. Copyright 2004 Reed Business Information.
Library Journal
As the American population ages, the demand for current, authoritative, easy-to-read information about late-life health will intensify. In anticipation, Merck, best known for its Merck Manual and Merck Manual of Geriatrics, has prepared a guide to common age-related diseases and disorders written by experts in caring for older people. Although focusing primarily on health information and specific conditions, it covers a variety of other age-related issues: communicating with healthcare providers, long-term and end-of-life care, hospitalization, sexuality, elder abuse, driving, exercise, preventive care, and more. Charts, tables, line drawings of procedures, and marginal references to related chapters accompany the text. Additional chapters discuss the aging process and the demographics of aging. Essays by older adults along with their photos personalize the aging experience. Appendixes include a short list of organizational resources and tables of generic and trade drug names. Bottom Line More comprehensive than The Johns Hopkins Medical Guide to Health After Fifty but with fewer illustrations, this easy-to-navigate manual is an essential addition to consumer health and aging collections.-Karen Bensing, Benjamin Rose Lib., Cleveland Copyright 2004 Reed Business Information.
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Product Details

  • ISBN-13: 9780911910360
  • Publisher: Merck
  • Publication date: 5/18/2004
  • Pages: 1200
  • Product dimensions: 6.80 (w) x 9.70 (h) x 1.50 (d)

Meet the Author

Mark H. Beers MD has been editor-in-chief of The Merck Manual since 2000. He is an associate Clinical Professor of Medicine-MCP at Drexel University.

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Table of Contents

Section 1 Fundamentals of Aging
1 Age-Old Questions 1
When Does a Person Become Old? 3
Why Does the Body Change? 4
Why Does Function Decline? 5
2 How the Body Ages 7
Eyes 7
Ears 10
Mouth and Nose 11
Skin 11
Bones and Joints 12
Muscles and Body Fat 13
Brain and Nervous System 14
Heart and Blood Vessels 14
Muscles of Breathing and the Lungs 15
Digestive System 15
Kidneys and Urinary Tract 16
Reproductive Organs 16
Endocrine System 17
Immune System 18
3 The Aging of America 18
Finances 20
Living Arrangements 21
Disability and Disease 22
Causes of Death 23
Worldwide Aging 25
Section 2 Caring for Self and Others
4 Preventive Medical Care 27
Goals of Prevention 28
Tools of Prevention 29
5 Maintaining Good Nutrition 35
6 Drugs and Aging 43
7 Complementary or Alternative Medicine 52
Dietary Supplements 55
Chiropractic 73
Acupuncture 74
Magnet Therapy 75
Homeopathy 75
8 Communicating With Health Care Practitioners 78
Selecting a Primary Care Doctor 78
Communicating With a New Primary Care Doctor 79
Communicating During Subsequent Visits 81
9 Continuity of Care 85
10 Understanding Medical Tests 98
Specific Tests 104
11 Hospital Care 123
Going to the Emergency Department 124
Being Admitted to the Hospital 125
Problems Due to Hospitalization 127
Implementing Preventive Strategies 134
Being Discharged From the Hospital 135
12 Undergoing Surgery 137
Before an Operation 138
At the Time of an Operation 139
After an Operation 141
13 Rehabilitation 144
Treatment of Pain and Inflammation 147
Physical Therapy 148
Occupational Therapy 153
Speech Therapy 155
Rehabilitation for Specific Problems 156
14 Long-Term Care 165
15 Caregiving 175
16 Palliative and End-of-Life Care 183
Reducing Suffering 185
Retaining Control Over Decisions 192
Palliative Care and Hospice Care 194
Peace and Resolution 196
Section 3 Medical Conditions
17 Nutritional Disorders 199
Undernutrition 199
Vitamin and Mineral Deficiencies 207
Obesity 210
18 Water and Electrolyte Balance 213
Dehydration 214
Overhydration 216
Problems With Electrolyte Balance 218
19 Hypothermia and Hyperthermia 222
Hypothermia 223
Hyperthermia 226
20 Dizziness and Fainting 230
Dizziness 230
Fainting 239
21 Falls 247
22 Osteoporosis 254
23 Fractures 268
Hip Fractures 276
Compression Fractures of the Spine 280
Shoulder Fractures 282
Wrist Fractures 283
24 Pain 284
25 Confusion 296
26 Delirium 300
27 Dementia 306
Alzheimer's Disease 319
Vascular Dementia 322
Lewy Body Dementia 324
28 Stroke 325
29 Nerve Disorders 341
Trigeminal Neuralgia 341
Postherpetic Neuralgia 344
Neuropathies 345
Postpolio Syndrome 349
30 Movement Disorders 351
Myoclonus 351
Dystonia 354
Tardive Dyskinesia and Akathisia 356
Essential Tremor 357
Parkinson's Disease 360
Progressive Supranuclear Palsy 367
Shy-Drager Syndrome 369
31 Sleep 371
Insomnia 374
Excessive Daytime Sleepiness 379
Limb Movement Disorders 379
Sleep Apnea 382
REM Sleep Behavior Disorder 384
Circadian Rhythm Disorders 384
Other Sleep Disorders 385
32 Mental Health Disorders 386
Depression 386
Anxiety 396
Psychosis 400
33 Thyroid Disorders 405
Hypothyroidism 407
Hyperthyroidism 410
Thyroid Nodules 412
34 Diabetes Mellitus 414
35 Skin Disorders 430
Dry Skin 432
Itching 433
Rosacea 434
Seborrheic Dermatitis 437
Shingles 438
Pressure Sores 442
Venous Ulcers 448
36 Eye Disorders 450
Cataract 451
Glaucoma 455
Age-Related Macular Degeneration 458
Diabetic Retinopathy 460
Disruptions of Blood Supply 462
Retinal Tears and Detachment 465
Disorders of Tear Production 466
Eyelid Disorders 467
37 Hearing and the Ear 470
Hearing Loss 471
Tinnitus 480
Earwax 482
38 Nose and Throat Disorders 483
Rhinitis 486
Sinusitis 489
Voice Disorders 491
39 Mouth and Dental Disorders 495
Tooth Decay 495
Periodontal Disease 499
Dry Mouth 501
Tooth Loss 504
Burning Mouth Syndrome 506
Mouth Sores 506
40 Foot Disorders 509
Corns and Calluses 509
Bunion 511
Hammer Toe 513
Heal or Arch Pain 514
Onychauxis and Onychogryphosis 516
Onychomycosis 517
41 Arthritis 518
Osteoarthritis 519
Rheumatoid Arthritis 524
Gout 530
Pseudogout 534
Infectious Arthritis 536
42 Temporal Arteritis and Polymyalgia Rheumatica 537
43 High Blood Pressure 542
44 Blood Vessel Disorders 551
Atherosclerosis 553
Peripheral Arterial Disease 560
Aortic Dissection 566
Aneurysms 568
Varicose Veins 573
Superficial Thrombophlebitis 575
Deep Vein Thrombosis 577
45 Coronary Artery Disease 582
46 Heart Failure 604
47 Abnormal Heart Rhythms 617
Premature Beats 627
Atrial Flutter and Atrial Fibrillation 628
Ventricular Tachycardia 631
Ventricular Fibrillation 632
Sinus Bradycardia and Sick Sinus Syndrome 633
Heart Block 635
48 Heart Valve Disorders 636
Aortic Stenosis 642
Aortic Regurgitation 644
Mitral Stenosis 646
Mitral Regurgitation 647
49 Blood Disorders 648
Anemia 649
Low Platelet Count 655
Clotting Disorders 657
Thrombocythemia 663
Polycythemia Vera 665
Myelofibrosis 668
50 Finding and Living With Cancer 670
Screening 672
Recognizing the Warning Signs 673
Confirming the Diagnosis and Staging 675
Guidelines for Treatment 676
Living With Cancer 678
51 Cancers 682
Breast Cancer 682
Chronic Lymphocytic Leukemia 689
Colorectal Cancer 692
Lung Cancer 696
Mouth, Head, and Neck Cancers 701
Multiple Myeloma 703
Prostate Cancer 706
Skin Cancer 712
Vulvar Cancer 714
52 Pneumonia and Influenza 717
Pneumonia 717
Influenza 721
53 Chronic Obstructive Pulmonary Disease 725
54 Swallowing and Reflux Disorders 734
Dysphagia 736
Gastroesophageal Reflux 743
55 Bowel Movement Disorders 749
Constipation 749
Diarrhea 755
Fecal Incontinence 759
56 Urinary Tract Infections 762
57 Urinary Incontinence 768
58 Female Genital and Sexual Disorders 778
Inflammation of the Vulva and Vagina 781
Vulvar Pain 782
Skin Disorders of the Vulva 782
Vaginal Bleeding 784
Pelvic Support Disorders 785
Decreased Sexual Drive 788
59 Male Genital and Sexual Disorders 791
Benign Prostatic Hyperplasia 792
Prostatitis 795
Inguinal Hernia 797
Erectile Dysfunction 799
Decreased Sex Drive 804
Retrograde Ejaculation 804
60 Exercise 805
Why Exercise? 806
Starting to Exercise 807
Types of Exercise 809
Exercise for People With a Disorder 811
Section 4 Social, Legal, and Ethical Issues
61 Coping With Change 819
Life-Changing Events 820
Staying Connected 824
62 Driving 826
Crash Rates and Traffic Violations 826
The Reasons for Problems 827
Ways of Compensating 828
A Driving Decision 830
63 Intimacy 832
Intimacy and Long-Term Relationships 832
Intimacy and Dating 834
Intimacy and Sex 836
Intimacy and Dementia 837
Intimacy and Families 838
Intimacy and Privacy 840
Intimacy in Gay Relationships 840
Intimacy in Other Relationships 841
64 Mistreatment 843
65 Understanding Legal and Ethical Issues 847
Informed Consent 848
Confidentiality 849
Capacity 849
Competency 850
Advance Directives 851
Surrogates 854
66 Paying for Health Care 854
Medicare 855
Medicaid 862
Private Insurance 862
Understanding Managed Care 864
Appendixes
Drug Names: Generic and Trade 869
Resources for Help and Information 881
Index
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