Pathy's Principles and Practice of Geriatric Medicine, 2 Volumes


As the population of older people continues to grow rapidly, both in the developed and the developing world, geriatric medicine is an increasingly important topic for clinicians. In most countries, and especially in Europe, North America and Japan, the impact of an expanding population, the result of a reduction of disease in early life, has had a dramatic effect on the diseases of later life. This new edition of the comprehensive and renowned textbook 'Principles and Practice of Geriatric Medicine' has been ...

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Pathy's Principles and Practice of Geriatric Medicine

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As the population of older people continues to grow rapidly, both in the developed and the developing world, geriatric medicine is an increasingly important topic for clinicians. In most countries, and especially in Europe, North America and Japan, the impact of an expanding population, the result of a reduction of disease in early life, has had a dramatic effect on the diseases of later life. This new edition of the comprehensive and renowned textbook 'Principles and Practice of Geriatric Medicine' has been renamed after the late Professor John Pathy, editor of the 1st and subsequent editions. It has been extensively revised, includes several new chapters, and provides up-to-date, evidence-based, and practical information about all the major medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters describe both European and US approaches to geriatric medicine, as well as reflecting the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book addresses a global audience, and its section on world issues is of special interest. Several generic issues, such as minorities/ethnicity, sepsis and the importance of the caregiver are included in all chapters as core issues. The topic of acute stroke has been expanded, as have the sections on dementia, cardiovascular disease and health, respiratory diseases and training. This book is an essential reference work for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers and general practitioners, as well as post graduates, nurses, care home staff, trainees in health specialties and social workers. Praise for the 4th edition: " excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." (Journal of the American Medical Association

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Editorial Reviews

From the Publisher
“Now in its fifth edition, this comprehensive textbook of geriatric medical practice provides up-to-date, evidence-based, and practical information about all the major medical problems of aging citizens.”  (Kingbook73's Medical Ebook and Video Collection, 8 FEB 2014)
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Product Details

  • ISBN-13: 9780470683934
  • Publisher: Wiley
  • Publication date: 4/30/2012
  • Edition description: New Edition
  • Edition number: 5
  • Pages: 1944
  • Sales rank: 768,443
  • Product dimensions: 10.83 (w) x 12.40 (h) x 5.51 (d)

Meet the Author

Alan Sinclair is Dean and Professor of Medicine at the Bedfordshire & Hertfordshire Postgraduate Medical School at the University of Bedfordshire, UK. He was a founding member and Academic Director of the European Union Geriatric Medicine Society EUGMS) and previously Charles Hayward Professor of Geriatric Medicine at the University of  Birmingham, UK. His principle research interests are in the areas of diabetes, older people, nutrition and frailty. He is the recipient of both national and international research awards. Professor Sinclair recently established the Institute of Diabetes for Older People (IDOP), which is the first institute of its kind to be solely dedicated to the enhancement of quality diabetes care in older people.

John Morley is Dammert Professor of Gerontology,  Director of the Division of Geriatric Medicine and the Division of Endocrinology at Saint Louis University School of Medicine. Dr. Morley has directed the clinical training programs in both endocrinology and geriatrics and supervised research activities ranging from basic biomedical investigation to epidemiology and health services research. He is the editor of the Journal of Gerontology: Medical Sciences, and recipient of the Ipsen Foundation of Longevity Award in 2001, the American Geriatrics Society's Lascher/Manning Award for Lifetime Achievement in Geriatrics in 2002, and the Gerontological Society of America's Freeman Award in 2004. He has developed a number of educational games and has a special interest in continuous quality improvement (CQI).

Bruno Vellas is Professor of Internal Medicine and Geriatrics, Chair of the Gerontopcle in Toulouse, France, including the Alzheimer's Disease Research and Clinical Centre. Professor Vellas is President of the IAGG (International Association of Gerontology and Geriatrics) and Editor-in-Chief of the Journal of Nutrition, Health and Aging.

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Table of Contents

Contents of Volume 1

About the Editors, xiii

List of Contributors, xv

Preface to the Fourth Edition, xxiii

Preface to the Fifth Edition, xxv

Foreword, xxvii

Introduction: Historical perspectives, 1
Michael J. Denham and John E. Morley

Part 1 Ageing: Biological, Social and Community Perspectives

1 A biological perspective of ageing, 13
H. James Armbrecht

2 The demography of ageing, 23
Kenneth G. Manton and John E. Morley

3 The physiology of ageing, 33
Rafi T. Kevorkian and John E. Morley

4 Psychological aspects of ageing, 43
Peggy A. Szwabo

5 Ageing of the brain, 49
Jean-Francçois Demonet and Pierre Celsis

6 Epidemiology of ageing and disability, 55
Lenise A. Cummings-Vaughn

7 Social and community aspects of ageing, 67
John E. Morley and Nina Tumosa

8 The developmental origins of ageing, 81
Avan Aihie Sayer and Cyrus Cooper

9 Sexuality and ageing, 93
John E. Morley and Debbie T. Tolson

10 Physical fitness and exercise, 103
Maria A. Fiatarone Singh and John E. Morley

11 Health literacy and cultural sensitivity, 121
Nina Tumosa

Part 2 Medicine and Prescribing in Old Age

12 Preventive geriatrics, 135
Gerald M. Mahon, Joseph H. Flaherty and Suzanne M. Mahon

13 Polypharmacy, 145
Oscar A. Cepeda and John E. Morley

14 Patient safety, 153
Susannah Long and Charles Vincent

Section 1 Eating Disorders and Nutritional Health

15 Epidemiology of nutrition and ageing, 173
Wija A. van Staveren and Lisette C.P.G.M. de Groot

16 The anorexia of ageing, 185
Ian M. Chapman

17 Weight loss, 197
David R. Thomas

18 Dehydration, 209
David R. Thomas

19 Vitamins and minerals, 217
Seema Joshi and John E. Morley

20 Obesity, 237
Joan Khoo, Richard Y.T. Chen and Gary A. Wittert

Section 2 Gastro Disorders

21 Changes in gastrointestinal motor and sensory function associated with ageing, 249
Christopher K. Rayner and Michael Horowitz

22 Gastrointestinal bleeding, 265
Syed H. Tariq

23 Liver and gall bladder, 275
Margaret-Mary G. Wilson

24 Sphincter function, 289
Syed H. Tariq

25 Constipation, 303
Charlene M. Prather

26 Management of diarrhoea, 313
Lenise A. Cummings-Vaughn

27 Diseases of the pancreas, 321
John S. Morris and John E. Morley

Section 3 Haematological Disorders

28 Anaemia, 331
Anjali S. Kamat and David R. Thomas

29 Disorders of haemostasis, 343
Kingsley K. Hampton

30 Disseminated intravascular coagulation, 353
Kingsley K. Hampton

31 Anticoagulants, 357
Hamsaraj G.M. Shetty and Philip A. Routledge

32 Myelodysplasia, 363
Martha Wadleigh, David S. Rosenthal and Richard M. Stone

33 Management of myelodysplastic syndromes and acute leukaemia, 375
Heidi D. Klepin and Bayard L. Powell

Section 4 Cardiovascular Diseases and Health

34 Epidemiology of heart disease, 389
Ahmed H. Abdelhafiz

35 Cardiac ageing and systemic disorders, 405
David J. Stott and Terence J. Quinn

36 Arrhythmias, 413
Abhay Bajpai and A. John Camm

37 Ischaemic heart disease, 437
Wilbert S. Aronow

38 Lipid management, 449
Adie Viljoen and Anthony S. Wierzbicki

39 Hypotension, 461
Suraj Alakkassery

40 Hypertension, 471
Anthony S. Wierzbicki and Adie Viljoen

41 Heart failure, 483
Michael W. Rich

42 Cardiac surgery, 499
Ulrich O. von Oppell and Adam Szafranek

43 Peripheral arterial disease, 517
Leocadio Rodríguez Manas, Marta Castro Rodríguez and Cristina Alonso Bouzon

44 Venous thromboembolism, 529
Gordon D.O. Lowe

45 Cardiac rehabilitation, 535
Niccolo Marchionni, Francesco Fattirolli, Francesco Orso, Marco Baccini, Lucio A. Rinaldi and Giulio Masotti

Section 5 Respiratory Diseases

46 Epidemiology of respiratory infection, 551
Joseph M. Mylotte

47 Pneumonia, 555
Joel Belmin

48 Aspiration pneumonia, 565
Takashi Ohrui and Hiroyuki Arai

49 Interstitial lung disease and lung cancer, 573
Christopher Dyer

50 Chronic obstructive pulmonary disease and asthma, 579
Christopher Dyer

51 Pulmonary hypertension, 589
Dennis J. Shale

52 Pulmonary rehabilitation, 601
Peter Spiegler and Jonathan Ilowite

Section 6 CNS Disorders

53 Neurological signs of ageing, 609
Andrew J. Larner

54 Sleep apnoea and sleep disorders, 617
Paul Montgomery and Lindsay Dianne Shepard

55 Headache, 629
Stephen D. Silberstein and William B. Young

56 Normal pressure hydrocephalus, 643
Dennis S. Oh and Peter McL. Black

57 Acute stroke care and management of carotid artery stenosis, 655
David Doig and Martin M. Brown

58 Stroke and stroke rehabilitation, 675
Lalit Kalra

59 Communication disorders and dysphagia, 691
Pamela M. Enderby

60 Acute and chronic subdural haematoma, 701
Eric Schmidt and Emmanuel Moyse

61 Epilepsy, 711
Pamela M. Crawford

62 Syncope and non-epileptic attacks, 721
Richard C. Roberts

63 Parkinson's disease, 731
Joel Belmin

64 Non-parkinsonian movement disorders, 739
Katie Kompoliti and Cynthia L. Comella

65 Diabetic neuropathy, 751
Aaron I. Vinik and Elsa S. Strotmeyer

66 Disorders of the neuromuscular junction, 769
Sivakumar Sathasivam and Andrew J. Larner

67 Muscle disorders, 779
David Hilton-Jones

68 Motor neurone disease, 793
Hardev S. Pall

69 Control of chronic pain, 809
Robert D. Helme and Benny Katz

70 Multiple sclerosis, 823
Florian P. Thomas

Appendix Function assessment scales, i
John E. Morley

Index, xi

A colour plate section is to be found in Volume 2, between pages 1414 and 1415

Contents of Volume 2

About the Editors, xiii

List of Contributors, xv

Preface to the Fourth Edition, xxiii

Preface to the Fifth Edition, xxv

Foreword, xxvii

Section 7 Dementia and Cognitive Disorders

71 Delirium, 837
Joseph H. Flaherty

72 Memory clinics, 851
Antony Bayer

73 Alzheimer's disease, 865
James E. Galvin

74 Mild cognitive impairment, 881
Eric G. Tangalos and Ronald C. Petersen

75 Vascular dementia, 895
Marie-Laure Seux

76 Mental stimulation and dementia, 903
Joe Verghese

77 Exercise and dementia, 911
Yves Rolland

78 Drug development and Alzheimer’s disease, 923
Julien Delrieu, Antoine Piau and Bruno Vellas

79 Other dementias, 943
Wee Shiong Lim

80 Treatment of behavioural disorders, 961
Ladislav Volicer

81 Geriatric psychiatry, 977
Abhilash K. Desai and George T. Grossberg

82 Organization of services in geriatric psychiatry, 991
Susan Mary Benbow and David Jolley

83 Depression in later life: aetiology, epidemiology, assessment, diagnosis and treatment, 1001
Natalie Sachs-Ericsson and Dan G. Blazer

84 The older patient with Down syndrome, 1017
John E. Morley

Section 8 Special Senses

85 Disorders of the eye, 1025
Nina Tumosa

86 The ageing auditory system – pathology and epidemiology of age-related hearing loss, 1033
Mathieu Marx and Olivier Deguine

87 Disorders of the vestibular system, 1047
Charlotte Agrup and Linda M. Luxon

88 Smell and taste, 1061
Richard L. Doty

Section 9 Bone and Joint Health

89 Paget's disease of bone, 1075
Horace M. Perry III

90 Management of osteoporosis; its consequences: a major threat to quality of life, 1083
Roger M. Francis

91 Gait, balance and falls, 1091
Dulce M. Cruz-Oliver

92 Foot problems, 1111
Arthur E. Helfand and Donald F. Jessett

93 Hip fracture and orthogeriatrics, 1131
Christine Lafont

94 Diseases of the joints, 1145
Terry L. Moore

Section 10 Endocrine and Metabolic Disorders

95 Endocrinology of ageing, 1155
John E. Morley and Kim J. Moon

96 Water and electrolyte balances in ageing, 1163
Stewart G. Albert

97 The pituitary gland, 1173
James F. Lamb and John E. Morley

98 Thyroid disorders, 1183
Ligia J. Dominguez, Mario Belvedere and Mario Barbagallo

99 Ovarian function and menopause, 1199
Nicola Pluchino, Tommaso Simoncini and Andrea R. Genazzani

100 Testicular function, 1211
Nazem Bassil

101 Diabetes mellitus, 1225
Alan J. Sinclair and Graydon S. Meneilly

102 New therapies for diabetes mellitus, 1241
George T. Griffing

Section 11 Urogenital Disorders

103 Gynaecology and the older patient, 1261
Radha Indusekhar, Fidelma O'Mahony and P.M Shaughn O'Brien

104 The ageing bladder, 1271
James M. Cummings and Kimberly C. Berni

105 Prostate diseases, 1281
Clement Gaudin, Nicolas Doumerc, Loic Mourey, Stephane Gerard and Laurent Balardy

106 Urinary incontinence, 1299
Ramzi R. Hajjar

107 Geriatric nephrology, 1309
Carlos G. Musso and Dimitrios G. Oreopoulos

Section 12 Cancer

108 Cancer and ageing, 1319
Tanya M. Wildes

109 Oncological emergencies, 1333
Chantal Bernard-Marty, Clement Gaudin, Stephane Gerard and Laurent Balardy

110 Breast cancer, 1345
Robert E. Mansel and Bedanta P. Baruah

111 Maintaining functional status, 1355
Miriam B. Rodin

Section 13 Functional Disorders and Rehabilitation

112 Multidimensional geriatric assessment, 1377
Laurence Z. Rubenstein and Andreas E. Stuck

113 Frailty, 1387
John E. Morley

114 Rehabilitation, 1395
Michael Watts and Paul Finucane

Section 14 Iatrogenic Infections

115 Tuberculosis, 1415
Shobita Rajagopalan and Thomas T. Yoshikawa

116 Valvular heart disease and infective endocarditis, 1425
Aneil Malhotra, Sam Dawkins and Bernard D. Prendergast

117 Infections of the central nervous system, 1447
Michael Blank and Allan R. Tunkel

Section 15 Special Issues

I Abuse and older people

118 Elder abuse: a UK perspective, 1467
Claudia Cooper and Gill Livingston

119 Good quality care: abuse, 1473
Jean-Pierre Aquino and Genevieve Ruault

120 Alcohol consumption and cognition, 1479
Luc Letenneur and Jean-Francois Dartigues

121 Drug misuse and the older person: a contradiction in terms?, 1483
Antoine Piau and Fatima Nourhashemi

122 The use and abuse of prescribed medicines, 1495
Abdi Sanati and Mohammed T. Abou-Saleh

II Emerging themes

123 Transportation, driving and older adults, 1503
Desmond O'Neill and David Carr

124 Smart homes, 1513
Roger Orpwood

III Dermatology

125 Skin disorders, 1525
Robert A. Norman and Jaffer Babaa

126 The prevention and management of pressure ulcers, 1531
David R. Thomas

IV Surgical themes

127 Perioperative and postoperative medical assessment, 1545
Milta Oyola Little

128 Anaesthesia, 1557
Suzanne Crowe

V Ageing themes and ethical issues

129 Health issues in the ageing female, 1569
Carolyn D. Philpot

130 Antiageing strategies, 1575
Ligia J. Dominguez and Mario Barbagallo

131 Ethics in geriatric medicine, 1589
Francois Blanchard

132 Participation of older people in clinical trials, 1595
Nicola Coley and Sandrine Andrieu

133 Restraints and immobility, 1607
Elizabeth A. Capezuti, Laura M. Wagner and Kathleen C. Reid

134 Centenarians, 1621
Thomas T. Perls

VI End-of-life care

135 End-of-life and palliative care, 1631
Rachelle E. Bernacki, Ryan Westhoff and Miguel A. Paniagua

136 End-of-life care: special issues, 1641
Victoria J. Wheatley and Ilora G. Finlay

Part 3 Global Healthcare Systems

137 Improving quality of care, 1653
Julie K. Gammack and Carolyn D. Philpot

138 Clinical audit of healthcare, 1673
Rhona Buckingham, Jonathan Potter and Adrian Wagg

139 Carers and the role of the family, 1687
Jo Moriarty

140 Nursing home care, 1697
David R. Thomas, Yves Rolland and John E. Morley

141 Geriatric occupational therapy: achieving quality in daily living, 1709
Karen F. Barney

142 Geriatric medicine education in Europe and the United States, 1719
Antonio Cherubini, Philippe Huber, Jean-Pierre Michel and Miguel A. Paniagua

143 Systems of healthcare: the United States, 1725
Julie K. Gammack

144 Systems of healthcare: Australia, 1735
Gideon A. Caplan

145 Systems of healthcare: the United Kingdom, 1741
Simon Conroy

146 Geriatric medicine in China, 1747
Leung-Wing Chu

147 Ageing in developing countries, 1761
Renato Maia Guimaraes

148 Geriatric medicine in the European Union: towards unification of diversity, 1765
Alfonso J. Cruz-Jentoft

Appendix Function assessment scales, i
John E. Morley

Index, xi

A colour plate section is to be found in Volume 2, between pages 1414 and 1415

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