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Oxford Handbook of Geriatric Medicine / Edition 2

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The population is ageing, and most diseases are far more common in older people. Older people are particularly difficult to assess and to treat effectively, but are more vulnerable to therapeutic delays or errors. The Oxford Handbook of Geriatric Medicine provides user-friendly advice in a field that has limited evidence, yet makes up a substantial proportion of hte work of most clinicians. It includes information required for effective, geriatric practice, in a contemporary, accessible format, indicating where practice differs from that of y ounger adults, is ill informed by evidence, and where dangers lurk for the inexperienced clinician. Guidance is given on the many ethical and clinical dilemmas common in geriatric practice, where several solutions may appear equally valid. Information ranges from when not to treat, through to providing evidence for where an aggressive approach is needed. Diseases that tend to arise mainly in older patients are covered in detail, as are problems that arise frequently, yet where advice is scarce. The text is problem based to assist the clinician in tackling scenarios wehre the diagnosis may not be clear. This is the 'must have' guide to geriatric medicine and will be invaluable to all those involved in the care of the older patient.
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Editorial Reviews

Doody's Review Service
Reviewer: Vincent F Carr, DO, MSA, FACC, FACP (Uniformed Services University of the Health Sciences)
Description: Part of the Oxford Handbook series from the U.K., this book focuses on the issues inherent in caring for the elderly. The previous edition was published in 2006.
Purpose: The authors discuss the many reasons caring for the elderly requires special considerations and some of the problems encountered, such as the lack of focused research involving the elderly and changes in physiology due to age.
Audience: The audience is primarily U.K. clinicians. Clinicians in the U.S. must be mindful of the differences in the approaches to treating the elderly between the two countries.
Features: The book generally uses a bullet format to highlight the most salient differences between treating the elderly and younger patients. The chapters are based upon traditional organ systems and in each chapter there are pages on specific topics, such as cough, the aging lung, and delirium. Most helpful are the "How to" tables emphasizing the unique evaluations for the elderly. The book addresses philosophical questions such as who should be offered dialysis, not by giving hard and fast rules, but rather by looking at the additional considerations for elderly patients.
Assessment: This is a thoughtful and challenging book that is very serious reading for clinicians who frequently encounter elderly patients in their practice.
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Product Details

  • ISBN-13: 9780199586097
  • Publisher: Oxford University Press, USA
  • Publication date: 10/1/2012
  • Edition number: 2
  • Pages: 728
  • Sales rank: 1,447,752
  • Product dimensions: 7.10 (w) x 4.20 (h) x 1.20 (d)

Meet the Author

Dr Lesley Bowker qualified in 1990 from Southampton. Further training was in Wessex (SHO and registrar jobs) and Oxford (senior registrar) followed by a year in Perth (Australia) as a senior lecturer. She was a 'career geriatrician' from early days and developed a research interest in practical clinical ethics especially relating to the elderly. Her DM thesis (awarded from Southampton in 2003) was in the practical and ethical issues surrounding life-sustaining treatment in the elderly person. Her consultant appointment at Norwich in 2002 allows her to combine clinical work with education as the clinical skills coordinator for the new school of medicine at UEA. Dr Smith trained at St Mary's Hospital Medical School in London, qualifying in 1994. She went on to do house jobs and an SHO rotation at her training hospital, which is where she developed an interest in geriatric medicine. After an ITU post in Brighton, she joined the SpR training scheme for geriatrics and GIM in the Oxford region, completing in 2003. After maternity leave, Dr Smith was appointed as a part-time consultant in Community Geriatrics and GIM for the Oxford Radcliffe Hospitals. Her area of special interest is stroke.

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Table of Contents

1 Ageing 1
2 Organizing geriatric services 15
3 Clinical assessment of older people 59
4 Rehabilitation 79
5 Falls and funny turns 115
6 Drugs 135
7 Neurology 163
8 Stroke 191
9 Psychiatry 219
10 Cardiovascular medicine 277
11 Chest medicine 327
12 Gastroenterology 373
13 Renal medicine 409
14 Homeostasis 431
15 Endocrinology 451
16 Haematology 487
17 Musculoskeletal system 509
18 Pressure injuries 545
19 Genitourinary medicine 551
20 Incontinence 573
21 Ears 589
22 Eyes 609
23 Skin 629
24 Infection and immunity 659
25 Malignancy 687
26 Death and dying 699
27 Ethics 715
28 Finances 737
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