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Books > Medicine > Clinical & internal medicine > Geriatric medicine
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.
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.
In this issue of Clinics in Geriatric Medicine, guest editors
Edward Schneider and Brandon K. Koretz bring their considerable
expertise to the topic of polypharmacy. Provides in-depth reviews
on the latest updates in polypharmacy, providing actionable
insights for clinical practice. Presents the latest information on
this timely, focused topic under the leadership of experienced
editors in the field; Authors synthesize and distill the latest
research and practice guidelines to create these timely topic-based
reviews.
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