Nephrology and Geriatrics Integrated: Proceedings of the Conference on Integrating Geriatrics into Nephrology held in Jasper, Alberta, Canada, July 31-August 5, 1998 / Edition 1

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Overview

Because of many advances in medicine and biotechnology, an increasing number of individuals are surviving into old age, and we are now challenged to apply sophisticated medical knowledge to the care of the elderly citizen.
In nephrology, individuals older than 65 are the fastest-growing group of patients requiring dialysis. Similarly, in increasing numbers, elderly persons present themselves with renal complaints to their family doctor, the geriatrician or the nephrologist.
In August 1998, with the financial support of the John A. Hartford Foundation, leaders in geriatrics, nephrology and urology met in Jasper, Alberta, for one week to discuss their areas of special knowledge and to learn from each other. Geriatricians learned from nephrologists, nephrologists learned from geriatricians, and both came to see that they had much in common.
All participants discovered a common interest, challenge and commitment, namely, to provide the best renal care to a progressively aging population and to teach their fellows the principles of the other collaborating specialties.
This book contains all the papers presented at this meeting and also the text of group discussions on Training and Education, Special Clinical Problems in Geriatric Patients, and Recommendations in Basic and Clinical Research.
Nephrology and Geriatrics Integrated will prove useful to both nephrologists and geriatricians in their efforts to manage the renal complaints of the elderly, who come to them in increasing numbers.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Francis Dumler, MD (Wayne State University)
Description: Healthcare and social planners are focusing on the explosive population growth of those over 75, 85, and even 100 years of age in the 21st Century. The John H. Hart Foundation has taken the challenge of improving geriatric care across all specialties and has sponsored a series of Geriatric Education Retreats. This book is the proceedings of such a retreat.
Purpose: The purpose is to provide a compendium of strategies to improve the delivery of nephrology care to elderly patients.
Audience: Practicing nephrologists, nephrology fellows, general internists working in the field, and nurse clinicians and/or physician assistants caring for elderly patients with renal disease are the intended audience. There are 30 contributors from four different countries.
Features: A broad list of topics is covered: general nephrology and renal physiology, fluid and electrolyte balance, glomerular and vascular disease, acute and chronic renal failure, diabetic nephropathy, renal osteodystrophy, peritoneal and hemodialysis, transplantation, urinary incontinence, obstructive uropathy, managed care challenges, and issues relating to training and education of health professionals. Contributors develop themes in a logical sequence. The writing is succinct and clear. Some illustrations are taken directly from color slides and thus make poor black-and-white figures. The chapters on renal osteodystrophy and urinary incontinence are noteworthy. The chapters on drug-related dysfunction, glomerular disease, vascular disease, and diabetic nephropathy are also good. The remaining chapters are simple, short reviews. The team approach outlined at the end is a good starting point for improving services.
Assessment: There are no recent (1990 or later editions) textbooks covering geriatric nephrology. This book is small and very concise. The noteworthy chapters make it a reasonable addition to the library of medical professionals caring for patients with renal disease.
From The Critics
Reviewer: Francis Dumler, MD(Wayne State University)
Description: Healthcare and social planners are focusing on the explosive population growth of those over 75, 85, and even 100 years of age in the 21st Century. The John H. Hart Foundation has taken the challenge of improving geriatric care across all specialties and has sponsored a series of Geriatric Education Retreats. This book is the proceedings of such a retreat.
Purpose: The purpose is to provide a compendium of strategies to improve the delivery of nephrology care to elderly patients.
Audience: Practicing nephrologists, nephrology fellows, general internists working in the field, and nurse clinicians and/or physician assistants caring for elderly patients with renal disease are the intended audience. There are 30 contributors from four different countries.
Features: A broad list of topics is covered: general nephrology and renal physiology, fluid and electrolyte balance, glomerular and vascular disease, acute and chronic renal failure, diabetic nephropathy, renal osteodystrophy, peritoneal and hemodialysis, transplantation, urinary incontinence, obstructive uropathy, managed care challenges, and issues relating to training and education of health professionals. Contributors develop themes in a logical sequence. The writing is succinct and clear. Some illustrations are taken directly from color slides and thus make poor black-and-white figures. The chapters on renal osteodystrophy and urinary incontinence are noteworthy. The chapters on drug-related dysfunction, glomerular disease, vascular disease, and diabetic nephropathy are also good. The remaining chapters are simple, short reviews. The team approach outlined at the end is a good starting point for improving services.
Assessment: There are no recent (1990 or later editions) textbooks covering geriatric nephrology. This book is small and very concise. The noteworthy chapters make it a reasonable addition to the library of medical professionals caring for patients with renal disease.
Francis Dumler
Healthcare and social planners are focusing on the explosive population growth of those over 75, 85, and even 100 years of age in the 21st Century. The John H. Hart Foundation has taken the challenge of improving geriatric care across all specialties and has sponsored a series of Geriatric Education Retreats. This book is the proceedings of such a retreat. The purpose is to provide a compendium of strategies to improve the delivery of nephrology care to elderly patients. Practicing nephrologists, nephrology fellows, general internists working in the field, and nurse clinicians and/or physician assistants caring for elderly patients with renal disease are the intended audience. There are 30 contributors from four different countries. A broad list of topics is covered: general nephrology and renal physiology, fluid and electrolyte balance, glomerular and vascular disease, acute and chronic renal failure, diabetic nephropathy, renal osteodystrophy, peritoneal and hemodialysis, transplantation, urinary incontinence, obstructive uropathy, managed care challenges, and issues relating to training and education of health professionals. Contributors develop themes in a logical sequence. The writing is succinct and clear. Some illustrations are taken directly from color slides and thus make poor black-and-white figures. The chapters on renal osteodystrophy and urinary incontinence are noteworthy. The chapters on drug-related dysfunction, glomerular disease, vascular disease, and diabetic nephropathy are also good. The remaining chapters are simple, short reviews. The team approach outlined at the end is a good starting point for improving services. There are no recent (1990 or latereditions) textbooks covering geriatric nephrology. This book is small and very concise. The noteworthy chapters make it a reasonable addition to the library of medical professionals caring for patients with renal disease.

3 Stars from Doody
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Product Details

  • ISBN-13: 9780792361817
  • Publisher: Springer Netherlands
  • Publication date: 4/1/2002
  • Edition description: 2000
  • Edition number: 1
  • Pages: 243
  • Product dimensions: 0.69 (w) x 9.21 (h) x 6.14 (d)

Table of Contents

List of Participants. Introduction; D.G. Oreopoulos, et al. The Clinical Physiology of Aging; W.R. Hazzard. Aging Kidneys in an Aging Population: How Does This Impact Nephrology and Nephrologists? W.R. Hazzard. The Aging Kidney; S.V. Jassal, D.G. Oreopoulos. Aging: Its Influence on Drug Disposition and Effect; D.R. Abernethy. Drug-Related Renal Dysfunction in the Elderly; W.M. Bennett. Fluid and Electrolyte Balance in the Elderly; L.H. Beck. Glomerular Disease in the Elderly Population; R.J. Glassock. Renal Artery Disease in the Elderly; W.L. Henrich. Ischemic Nephropathy: An Important Cause of Renal Disease in the Elderly; V.M. Buckalew, Jr. Diabetic Neprhopathy in Patients with Type II Diabetes; J. Breyer Lewis. Acute Renal Failure in the Elderly; N. Lameire, et al. Hemodialysis in Elderly Patients; W.W. Brown. Peritoneal Dialysis in Older Individuals; J.F. Winchester. New Insights Into Aging and Renal Osteodystrophy; K.A. Hruska. Older Transplant Recipients; Older Transplant Donors - What are the Issues? M.J. Bia. Hydronephrosis and Renal Deterioration in the Elderly due to Abnormalities of the Lower Urinary Tract and Ureterovesical Junction; P.M. Sutaria, D.R. Staskin. Geriatric Patient With Obstructive Uropaty; S. Klahr. Urinary Incontinence in the Elderly; L.T. Sirls, T. Rashid. Access of the Elderly to Dialysis; D.G. Oreopoulos. Dialysis Withdrawal; D.G. Oreopoulos. Managed Care, Geriatrics and Nephrology; M.G. White. The Challenges of Geriatric Nephrology: Managed Care/Disease Management; T.I. Steinman. Discussion/Recommendations. a. Training and Education; L.H. Beck. b. Special Clinical Problems in Geriatric Patients; J. Winchester, K. Kjellstrand. c. Research: Basic & Clinical; D. Humes, et al. Epilogue; R. Luke, W. Hazzard.
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