The volume of elderly patients requiring anesthesia and surgery is growing rapidly. Thirty-five percent of surgeries are performed on patients older than 65 years, and in general, these patients have higher morbidity and mortality rates after anesthesia compared with their younger counterparts. One of the major challenges of treating elderly patients is the heterogeneity of the geriatric population-and the need to individualize care for each patient to provide the best outcome.

This issue of Clinics in Geriatric Medicine is devoted to Nutrition in Older Adults. Guest Editor John E. Morley, MD has assembled a group of expert authors to review the following topics: Anorexia of Aging; Protein and Older Persons; Screening for Malnutrition in Older People; Obesity and Aging; Vitamins; Sarcopenia; Diabetes: Nutrition and Exercise; Frailty, Exercise and Nutrition; Dehydration; Cholesterol and Older Persons; Cognition and Nutrition; and Gastric Emptying in the Elderly.

This issue of Clinics in Geriatric Medicine, devoted to Geriatric Oncology, is guest edited by Drs. Harvey J. Cohen and Arati V. Rao of Duke University Medical Center. Articles in this issue include: Cancer and Aging: General Principles, Biology and Geriatric Assessment; Cancer Screening in the Elderly; Cancer Survivorship: Management of Long-term Toxicities; Socioeconomic Considerations and Shared Care Models of Older Cancer Care; Palliative Care and Symptom Management; Management of Prostate Cancer in the Elderly; Management of Breast Cancer in the Elderly; Management of Lung Cancer in the Elderly; Colorectal Cancer in the Elderly; Myelodysplastic Syndrome and Acute Myeloid Leukemia in the Elderly; Chronic Lymphocytic Leukemia and Other Lymphoproliferative Disorders; and Monoclonal Gammopathies and Multiple Myeloma in the Elderly.

This issue of Clinics in Geriatric Medicine, devoted to Medical Implications of Elder Abuse and Neglect, is edited by Drs. Lisa Gibbs and Laura Mosqueda. Articles in this issue include: Aging: Physiology, Disease, and Abuse; Understanding the Medical Markers of Elder Abuse and Neglect: Physical Examination Findings; Medical and Laboratory Indicators of Elder Abuse and Neglect; Common Presentations of Elder Abuse in Health Care Settings; Prevention and Early Identification of Elder Abuse; Elder Physical Abuse; Elder Neglect; Case Series of Sexual Assault in Older Persons; Medical Implications of Elder Abuse: Self-Neglect; Evaluating Abuse in the Patient with Dementia; Mental Health/Psychiatric Issues in Elder Abuse and Neglect; The Role of Capacity Assessments in Elder Abuse Investigations and Guardianships; Care of the Victim; and Health Professionals' Roles and Relationships with Other Agencies.

Psychological assessment is practiced in wide-ranging settings to address the varied clinical and administrative needs of veteran populations. Such assessment blends record review, clinical interviews of the veteran and collateral sources of information, behavioral observations, and psychological testing.
This book promotes the care and well-being of veterans by bringing together knowledgeable and experienced psychologists to discuss a range of psychological assessment methods and procedures. It aims to help patients and their families, healthcare providers, and concerned citizens gain an improved understanding of veterans' cognitive functioning, emotional states, personality traits, behavioral patterns, and daily functioning.
The book begins with a history of the psychological assessment of veterans and investigates its efficacy in different settings, including outpatient mental health, long-term care, primary care, home-based primary care, and telemental health. Later chapters address assessment of a variety of disorders or presenting problems, including substance use disorders, psychotic disorders, mood disorders and suicidal thoughts and behavior, PTSD and other anxiety disorders, attention-deficit/hyperactivity disorder, dementia, pain and pain-related disorders, and polytrauma. The book concludes with important special considerations, including assessment of symptom and performance validity, assessment of homeless veterans and health-related quality of life, and ethical, legal, and professional issues.
Psychological Assessment of Veterans provides an essential reference and guide for clinical psychologists, including those working in the subspecialties, and psychology trainees who work with veterans.

Against the background of Socrates' insight that the unexamined life is not worth living, Reading Our Lives: The Poetics of Growing Old investigates the often overlooked inside dimensions of aging. Despite popular portrayals of mid- and later life as entailing inevitable decline, this book looks at aging as, potentially, a process of poiesis: a creative endeavor of fashioning meaning from the ever-accumulating texts - memories and reflections-that constitute our inner worlds. At its center is the conviction that although we are constantly reading our lives to some degree anyway, doing so in a mindful matter is critical to our development in the second half of life.
Drawing on research in numerous disciplines affected by the so-called narrative turn - including cognitive psychology, neuroscience, and the psychology of aging - authors Randall and McKim articulate a vision of aging that promises to accommodate such time-honored concepts as wisdom and spirituality: one that understands aging as a matter not merely of getting old but of consciously growing old.

As old age is increasing globally, some challenges arise such as multimorbidity, a unique medical condition that has multiple potential complications and thus needs high-quality care directed by qualified healthcare providers. Multimorbidity is an important daily challenge to internists worldwide due to its many difficulties. Junior physicians dealing with multimorbidity must have the knowledge to practice high-quality care for their elderly patients. Cases on Multimorbidity and Its Impact on Elderly Patients considers approaches to manage multimorbidity and its unique complications and challenges to aid in appropriate daily decision making. Covering key topics such as weight loss, aging, and frailty, this reference work is ideal for medical professionals, nurses, policymakers, researchers, scholars, academicians, practitioners, instructors, and students.

An encouraging and compassionate guide for dementia caregivers. Caring for someone with dementia means devotedly and patiently doing a hundred little things each day. But few care providers are trained to meet the challenges of dementia-despite the fact that millions of people will struggle with it as they grow older. In A Loving Approach to Dementia Care, Laura Wayman, who is known professionally as the Dementia Whisperer, offers practical, compassionate advice on overcoming caregiving obstacles and maintaining meaningful relationships with loved ones who have dementia and memory loss. In this thoroughly revised third edition, Wayman includes * answers to common caregiver questions, such as "What is dementia?" * a detailed explanation of how to cope with and care for a spouse with dementia symptoms, including advice about communication * a new chapter on caring for someone who has dementia along with other health problems * recommendations about how to handle challenging situations and behaviors * dementia-aware activities that work for both family caregivers and professional care staff * fresh caregiving insights that emphasize the importance of taking time to care for oneself Each chapter contains two sections-"Lessons Learned" and "Perceptions and Approaches"-which provide details about how readers can apply lessons from the stories Wayman tells to their own caregiving practice. Providing support for the numerous difficulties and disruptions that all caregivers face along the way, A Loving Approach to Dementia Care is an empathetic guide filled with respect, calm, and creativity. It will leave readers feeling empowered and inspired.

Vertigo, dizziness, and imbalance rank amongst the most common presenting symptoms in neurology, ENT, geriatric medicine, and general practice. These symptoms can originate from many different organs and systems, such as the inner ear, general medical conditions, neurological and psychological disorders. The Oxford Textbook of Vertigo and Imbalance provides an up-to-date summary of the scientific basis, clinical diagnosis, and management of disorders leading to dizziness and poor balance. This textbook is conceptually divided into three sections, detailing the scientific basis, general clinical issues, and specific diseases diagnosed in clinical practice that are responsible for complaints of dizziness and imbalance. Individual chapters address benign paroxysmal positional vertigo, vestibular migraine, vestibular neuritis, stroke, and Meniere's disease. Additional chapters follow a syndrome-based approach and cover multiple conditions, including cerebellar disorders, bilateral vestibular failure and gait, and psychological disorders. The print edition is complemented by an online version, which allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint. It serves a useful clinical reference for neurologists, otorhinolaryngologists, audio-vestibular physicians, and senior trainees in those specialties.

Nutritional Modulators of Pain in the Aging Population provides an overview on the role of foods, dietary supplements, obesity, and nutrients in the prevention and amelioration of pain in various diseases in the aging population. Headaches, fibromyalgia, joint pain, arthritis pain, back pain, and stomach pain are discussed. In addition, the potential health risks of using foods to reduce symptoms is evaluated. Each chapter reviews pain causing conditions before reviewing the role of food or exercise. Both researchers and physicians will learn about dietary approaches that may benefit or harm people with various types of pain. Chapters include current research on the actions of nutrients in pain treatment, the effects of lifestyle and exercise on pain management, and discussions of dietary supplements that provide pain relief from chronic conditions like arthritis.