Geriatric anesthesia is a rapidly growing and evolving field. The last few years have seen significant advancements in and important new modalities for addressing the needs of an aging population. The editors of Geriatric Anesthesiology's second edition are uniquely situated to put together a text highlighting both essential knowledge and recent breakthroughs of importance to any who work with the elderly. For the second edition, the editors have introduced a streamlined chapter format and have assembled a selection of chapters intended to deepen the understanding of anesthesic management of the geriatric patient.

Medication use is the predominant form of health intervention in our society. And as we age, the likelihood of medication use increases dramatically, with more than 80 percent of those over age 65 using one or more medications. Along with that, the potential for medication errors also increases. Indeed adverse drug reactions (ADRs) and adverse drug events (ADEs) are a significant problem in older adults. Written in a practical format by contributors from Australia and the United States, Medication Management in Older Adults: A Concise Guide for Clinicians presents the available evidence on research interventions designed to reduce the incidence of medication errors in older adults, with a focus on acute, subacute, and residential (long-term) care settings. Because medication errors can occur at all stages in the medication process, from prescription by physicians to delivery of medication to the patient by nurses, and in any site in the health system, it is essential that interventions be targeted at all aspects of medication delivery. Chapters cover the principles of medical ethics in relation to medication management; common medication errors in the acute care sector; medication management in long-term care settings; nutrition and medications; the outcomes of a systematic review; dose form alterations; Electronic Health Records (EHR), Computerized Order Entry (COE), Beers criteria; and pharmacokinetics and pharmacodynamics. For those clinicians especially concerned with providing the best possible outcomes for their older adult patients, Medication Management in Older Adults: A Concise Guide for Clinicians is an invaluable resource and a significant contribution to the burgeoning literature on medication errors.

Because aging is accompanied by a steady decline in resistance to infectious diseases, the diagnosis and treatment of these diseases in the elderly is not only much more complex, but also often quite different from that for younger patients.

In the second edition of Infectious Disease in the Aging: A Clinical Handbook, a panel of well known and highly experienced geriatric physicians and infectious disease experts review the most important common infections affecting the elderly and delineate their well-proven diagnostic, therapeutic, and preventive techniques. Among the illnesses discussed are urinary tract infections, pneumonia, ocular infections, tuberculosis, and fungal and viral infections. In addition, there are detailed discussions of sepsis, infective endocarditis, intraabdominal infections, bacterial meningitis, osteomyelitis and septic arthritis, and prosthetic device infections.

This book arises from a conference held in November 1996 designed to examine how competence can be improved in the different stages ofthe lifespan. To this end, we brought together eminent researchers in different areas of human development-infancy, childhood, and adulthood, including the late adult years. The conference was based on the premise that discussion arising from the interfaces of research and practice would increase our knowledge of and stimulate the further application of effective interventions designed to improve competence. The editors wish to acknowledge the contributions of Concordia University and the Fonds pour la Formation de Chercheurs et l'Aide a la Recherche (FCAR) in providing funding and other assistance toward the conference "Improving Competence Across the Lifespan" and toward the publication of this book. Finally, we wish to express our gratitude to the numerous students associated with our Centre for their help and to Gail Pitts and Lesley Husband of the Centre for Research in Human Development for their assistance. We are especially grateful to Donna Craven, Centre for Research in Human Development, for her heroic work on both the conference and the present volume. We could not have met our goals without you.

This volume collects the foundation papers in the discipline of Geriatric medicine. The book begins with a chapter on those papers that established the field. It then goes on to provide a long overdue review of the important "classic" papers in geriatric medicine and includes information on the development of health systems which support the care of older patients. Each chapter begins with a commentary by a faculty member with special interest or expertise in that area.

This excellent new work confronts two important oral health policy concerns in the United States: the disparities in the oral disease burden and the inability of certain segments of the population to access oral health care. The book examines in depth this crucial yet frequently overlooked indicator of seniors' quality of life. It provides an invaluable set of recommendations to the clinical, research, and administrative communities that will serve the elderly population.

One of the most pressing questions facing society today is how to care for its burgeoning elderly population. By the year 2050, experts predict that one-third of the world's population will be over 60 years old. Health promotion for the elderly is therefore becoming an increasingly important topic in public policy and planning. This book examines the challenges presented by an ageing global population, our varying expectations of healthy ageing, and the importance of exercise and physical activity for the elderly. Drawing on empirical research from around the world, it considers the factors that influence health and well-being in later life and compares practices and policies designed to promote healthy ageing. It presents case studies from 15 countries spanning Europe, North and South America, Africa and Asia, and sheds light on how attitudes to physical activity differ across nations, regions and cultures. Ageing, Physical Activity and Health: International Perspectives is important reading for all students, researchers and practitioners with an interest in physical activity, public health, exercise science or gerontology.

Covers the whole range of potential complications of PCI

Only book exclusively dedicated to the risks of PCI

Complements available texts that detail interventional cardiology

Supports physicians in improving care by anticipating or recognizing problems

Appeals to cardiologists or interventional radiologists

Addresses cardiac arrest, legal matters and adverse event reporting

Essential information is easily accessible in useful tables

Text is logically organized and richly illustrated with 184 illustrations on 210 pages

Building upon the strengths of the popular reference, Cancer in the Elderly, this guide outlines novel approaches in the identification and management of cancer in geriatric populations by world-renowned experts on the topic. Presenting new trends and strategies in surgery, radiation therapy, and chemotherapy, this source presents a multidisciplinary and best-practices approach to the optimization of cancer care for the elderly and collects the most recent findings gleaned from prevention, adjuvant, neo-adjuvant, and treatment research.

This book constitutes the refereed proceedings of the 7th International Conference On Smart Homes and and Health Telematics, ICOST 2009, held in Tours, France, in July 2009. The 27 revised full papers and 20 short papers presented were carefully reviewed and selected from numerous submissions. The papers are organized in topical sections on cognitive assistance and chronic diseases management; ambient living systems; service continuity and context awareness; user modeling and human-machine interaction; ambient intelligence modeling and privacy issues, human behavior and activities monitoring.

Written by leading American practitioners, the Oxford American Handbooks of Medicine each offer a pocket-sized overview of an entire specialty, featuring instant access to guidance on the conditions that are most likely to be encountered. Precise and prescriptive, the handbooks offer up-to-date advice on examination, investigations, common procedures, and in-patient care. These books will be invaluable resources for residents and students, as well as a useful reference for practitioners.
The Oxford American Handbook of Geriatric Medicine is the essential ready-reference to effective geriatric practice. Written in a concise, accessible style, the Handbook covers the entire range of diseases and disorders commonly encountered in the care of older adults and offers easily accessible 'how to' information to facilitate basic geriatric care decisions. Guidance is offered concerning both ethical and clinical decision-making along with evidence-based information on key topics as well as insight into balancing competing priorities in the older patient. Tables and algorithms provide step-wise instruction for evaluation and management. This is a must have resource for all clinical settings.
Why choose the Oxford American Handbook of Geriatric Medicine?
The design....
The Handbook uses a unique flexicover design that's durable and practical. Compact, light, and fits in your pocket Also has quick reference tabs, four-color presentation, and bookmark ribbons to help provide fast answers.
The interior layout....
The Handbook is a quick reference in a small, innovative package. With one to two topics per page, it provides easy access and the emergency sections are in red to stand out. Icons throughout aid quick reference.
The information....
The Handbook succinctly covers all the essential topics in a one or two-page spread format with colored headings that break up the text and provide a logical structure for readers of all levels. Common clinical questions are answered clearly and extensively.
The history....
Oxford University Press is known around the world for excellence, tradition, and innovation. These handbooks are among the best selling in the world.
The price....
You get an extremely useful tool at a great value

The book summarizes recent advances in the elucidation of the mechanisms involved in senile osteoporosis as well as its potential treatment, bringing an integrated approach from the bench to the clinical practice. A unique aspect of this book is its emphasis on the application of translational research in the field of osteoporosis and falls. The book provides a complete review on the prevention as well as current and future treatments of osteoporosis.

Disaster Public Health and Older People introduces professionals, students and fieldworkers to the science and art of promoting health and well-being among older people in the context of humanitarian emergencies, with a particular focus on low- and middle-income country settings. Older people face specific vulnerabilities in physical, mental and social well-being during disasters. They are likely to experience socio-economic marginalisation, isolation, inaccessible information and a lack of relevant post-emergency support services. Meanwhile, although older people can also significantly contribute to disaster preparedness, response and recovery, their capacities are often under-utilised. Drawing on a range of global case studies, this book provides readers with a theoretical underpinning, while suggesting actions at the individual, community and national levels to reduce the health risks to older people posed by the increasing frequency and intensity of disaster, in particular those resulting from natural hazards. Topics covered range from the health impact of disasters on older people and response to their post-disaster health needs, to disaster preparedness, disease prevention, healthy ageing, global policy developments and the contributions of older people in disaster contexts. This book draws on lessons learnt from previous disasters and targets students and professionals working in disaster medicine, disaster public health, humanitarian studies, gerontology and geriatrics.

Already established in its first edition as a key text in elderly care, this comprehensively revised second edition of Essential Facts in Geriatric Medicine is a vital reference for health professionals involved in providing comprehensive care to the older population. The book thoroughly explores clinical aspects, as well as demographic, statistical, legal and ethical areas relating to health and social services used by older people. There are entirely new chapters on elder abuse, alcohol and drug abuse and HIV, infection control and other essential topics. With two thirds of its content either completely new or thoroughly updated, this book remains an invaluable ready reference for doctors, nurses and all health professionals involved in geriatrics and general medicine in hospital and community settings. It is also a vital revision text for general practitioners and clinical assistants, as it reflects the syllabus framework of the Diploma in Geriatric Medicine. 'Geriatric medicine is complex, like our patients. The authors, three highly respected London clinicians, have a wealth of experience in teaching and examining, and it shows. Their book successfully strikes the balance between fascinating detail and core information.' - from the Foreword by Finbarr Martin From reviews of the first edition 'This book will be of particular use to doctors but also to all those involved in the care of older people.' BOOKNEWS 'Teeming with an impressive amount of knowledge, principles and practice relating to this challenging and complex specialty.' HOSPITAL DOCTOR

A book for nurses, doctors and all who provide end of life care, this essential volume guides readers through the ethical complexities of such care, including current policy initiatives, and encourages debate and discussion on their controversial aspects. Divided into two parts, it introduces and explains clinical decision-making processes about which there is broad consensus, in line with guidance documents issued by WHO, BMA, GMC, and similar bodies. The changing political and social context where 'patient choice' has become a central idea, and the broadened scope of patients' best interests, have added to the complexity of decision-making in end of life care. The authors discuss issues widely encountered by GPs, nurses, and hospital clinicians. These include patient choice, consent, life prolonging treatment, and symptom relief including sedation. Part two explores the more controversial current end of life care initiatives, such as advance care planning, preferred place of care and death, euthanasia and assisted suicide, extended ideas of 'best interests', and the view that there are therapeutic duties to the relatives of patients. Throughout their discussion the authors draw attention to loose ends and contradictions in some of the proposals. Examining the current policy of consumerist choice, they reject its place in the health service, proposing a realistic, fair, humane, and widely adoptable system of end of life care.
As knowledge of ethical theories is required in training courses, and the vocabulary of ethical theory is widespread in current discussions, a substantial appendix on ethical theories and terms is available online.
Written by the same authors as The Philosophy of Palliative Care: Critique and Reconstruction, which won the Medical Journalists' Association Specialist Book Award 2007, this new book for non-specialists is essential reading for all health care professionals involved in providing end of life care.

As the baby boom generation ages, the number of people requiring long-term care will grow dramatically in developed nations. A majority of them will become increasingly frail and suffer from dementia and associated neuropsychiatric symptoms.
Against this backdrop, Psychiatry in Long-Term Care, Second Edition (first published under the title Psychiatric Care in the Nursing Home) comprehensively reviews the present state of knowledge on how to identify the major psychiatric disorders affecting residents of long-term care facilities and how to intervene. Edited and written by some of the world's foremost authorities, the book provides in-depth coverage of topics such as these:
- General approaches to assessment and treatment of behavioral disturbances
- Depression
- Anxiety
- Dementia
- Sleep impairment
- Psychosis
- Substance use disorders
- Contemporary strategies for successful psychopharmacological and psychotherapeutic interventions
Complementing these chapters with clinical guidelines on specific disorders are chapters on medicolegal considerations, ethics, and education of care staff.
The new edition is an important resource for care providers from all disciplines devoted to improving the well being of people in long-term care facilities and for students and scholars of mental health and aging.

Elderly Care Medicine Lecture Notes provides all the necessary information, within one short volume, for a sound introduction to the particular characteristics and needs of elderly patients. Presented in a user-friendly format, combining readability with high-quality illustrations, this eighth edition has been thoroughly revised to reflect advances in knowledge on how disease presents in elderly people, and changes in management practice, particularly regarding stroke, dementia, delirium, and cancer. New for this edition, Elderly Care Medicine Lecture Notes also features: * More treatment tables and boxes throughout for rapid access and revision * Expansion of material on polypharmacy and prescribing * Discussion of emotional support, counselling and spirituality * Advice for doctors on breaking bad news and end-of-life care * Consideration of ethical and legal issues A companion website at www.lecturenoteseries.com/elderlycaremed features appendices which can be used as guidelines in a clinical setting, key revision points for each chapter, further reading suggestions, and extended content for specialty training in geriatrics. Not only is this book a great starting point to support initial teaching on the topic, but it is also easy to dip in and out of for reference or revision at the end of a module, rotation or final exams. Whether you need to develop or refresh your knowledge of geriatrics, Elderly Care Medicine Lecture Notes presents 'need to know' information for all those involved in treating elderly people.

The manifestations of dermatologic disease in the geriatric population are often subtly different to those in the younger age groups and there is a need to produce a practical and clinical reference for dermatology fellows and residents, geriatricians and related clinicians to identify dermatoses and their differential diagnosis specific to the aging population. Diagnosis of Aging Skin Diseases will provide the clinician with a visual encyclopedia of geriatric dermatoses that can be used on rounds or in a reference environment. It also provides a structured review of the differential diagnosis of the lesions illustrated within the book, which will make this a priceless reference resource for all physicians dealing with older skin.

This open access book takes a multidisciplinary approach to provide a holistic understanding of late old age, and situates the aged person within the context of family, caregivers, clinical and other institutions. All through the book, the author discusses preparedness for an aging individual as well as the society in the Indian context. The book highlights inevitable but mostly neglected health issues like depression, dementia, fall, and frailty and provides detailed analyses of solutions that are practicable in low resource settings. It also brings up intergenerational differences and harmony in the context of holistic care of older Indians. Alongside clinical perspectives, the book uses narratives of elderly patients to dwell on the myriad of problems and issues that constitute old age healthcare. Demonstrating cases that range from the most influential to the most underprivileged elderly in India, the book enlightens multiple caregivers-doctors, nurses, and professional caregivers as well as family members-about the dynamic approach required in dealing with complex issues related to late old age. The narratives make the book relatable and interesting to non-academic readers, with important lessons for gerontological and geriatric caregiving. It is also of use to older adults in preparing for active aging.

This book distills the wealth of knowledge contained in the classic text, Geriatric Medicine: An Evidence-Based Approach, 4/e into a practical guide for primary care, family medicine, and internal medicine residents. Written by top experts in the field, the book offers a detailed, compact overview of geriatric care. It addresses geriatric pharmacology, Medicare and Medicaid, and numerous other subjects unique to older adults. The case-based instructional approach helps readers navigate the complexity of prevention, presentation, and treatment for conditions such as depression, dementia, and hypertension. Graphs and tables aid the reader in determining the proper courses of treatment.

The emphasis of this book is on a positive examination of the care of older people with a dementing illness, and of the key aspects of this care. Each subject is discussed from a practical knowledge-based perspective, and the fundamental belief underlying the book is that many of the so-called problems associated with dementia can be minimised or resolved through creative management.

This book brings together a selection of classic psychoanalytical papers related to aging, dying, and death that have appeared in the renowned International Journal of Psychoanalysis. People are living longer than ever before, leading full and active lives long past retirement, and yet many analysts are averse to working with patients over the age of fifty. Sigmund Freud never wavered from his conviction that the elderly would not benefit from analysis and, despite the huge expansion in analytic technique and practice since the 1940s, the treatment of elderly patients is still not widely practiced. This is reflected in a paucity of papers on the subject--a mere twenty papers on the analysis of elderly patients have appeared in the journal's long history.The chosen papers come from eminent analysts, most of whom have embarked on clinical work with elderly patients. Two papers--one by Hanna Segal, who has also written the Foreword, and the other by Nina E. C. Coltart--address the analysis of an elderly patient directly and bring the work and the challenges it brings vividly to life. Also explored are such issues as death and the midlife crisis, loneliness and the aging process, aging and psychopathology, fear of death, transference and countertransference issues, and the final stage of the dying process. The book ends with Erik Erikson's paper on the generational cycle. This paper is a fitting conclusion from the pioneer whose work contributed to a clearer understanding of the impact of the experiences of the life cycle, from childhood to old age.It is to be hoped that this fascinating collection will stimulate further research and encourage more analysts to work with this neglected and growing section of the population.The Contributors: Norman A Cohen, Nina E. C. Coltart, Erik Homburger Erikson, Tor-Bjorn Hagglund, Elliott Jaques, Gabriele Junkers, Pearl H.M. King, Wolfgang Loch, George H. Pollock, Hanna Segal, Harold W. Wylie, and Mavis L. Wylie"

Alzheimer's disease is a degenerative brain disease which has major social consequences for the individuals affected and for those people who are emotionally and/or physically close to them. The role which language plays in such relationships stands at the centre of this book. In contrast to traditional analyses carried out by psycholinguists, neurologists and speech pathologists, with speech samples elicited in clinical settings, Heidi Hamilton examines language in the life of one elderly female Alzheimer's patient from an interactional sociolinguistic perspective. The language of open-ended, naturally occurring conversations between the patient and the author, over four-and-a-half years, is investigated in an attempt to understand how the patient's communicative abilities and disabilities are related and how they change over time, and, importantly, how they are influenced by pre-emptive and reactive communicative behaviours on the part of the patient's healthy interlocutor.

Auf die Bedurfnisse der taglichen Praxis abgestimmt
Strukturierte, klar definierte Vorgehensweisen fur Diagnostik, Therapiekonzepte und personalisierte Therapieziele.

Umfassende Information, inklusive
- Pravention, Fruherkennung
- Begleiterkrankungen: Fettstoffwechselstorungen, Hypertonie ...
- Folgeerkrankungen: Gefasserkrankungen, Nephropathie, Neuropathien ...
- Patientenschulung: Ernahrung, Lebensfuhrung ...
Besonderheiten bei
- Kindern/Jugendlichen, Schwangeren, alten Patienten
- perioperativer Betreuung, enteraler und parenteraler Ernahrung
- psychiatrischen Erkrankungen einschliesslich Demenz
- Sport, Reisen
Komplexe Fragen kompetente Antworten
- Stufentherapie individuell abgestimmt auf Begleiterkrankungen, Bedurfnisse und Moglichkeiten des Patienten
- Praxistipps fur typische und atypische Therapieprobleme
- neue und zukunftige Therapieformen

NEU u.a.
- Bariatrische Chirurgie
- Compliance und Empowerment
- Qualitatssicherung und Versorgungsforschung
- DMPs, DRGs

Nach den Leitlinien/Richtlinien
- Deutsche Diabetes Gesellschaft (DDG)
- Osterreichische Diabetesgesellschaft (ODG)
- Schweizerische Gesellschaft fur Endokrinologie und Diabetologie (SGED)

Interdisziplinar, topaktuell. Von den fuhrenden Experten aus Deutschland, Osterreich, Schweiz.

Wissen fur das optimale Diabetes-Management gerade heute besonders wichtig."

Zu erwartende demografische VerAnderungen sprechen eine eindeutige Sprache: Wer heute nicht an sich selber arbeitet und deshalb morgen Hilfe und Pflege von anderen erwartet, wird grAAte Probleme bekommen. Die Psychologie des hAheren Lebensalters wird immer mehr zum Thema unserer Gesellschaft. Die zweite Auflage liefert umfassend und aktualisiert grundlegende Einblicke in psychologische Altersthemen wie Denken und GedAchtnis, Langlebigkeit, PrAvention. Erweitert wurde sie durch Aspekte wie AngehArigenberatung und Themen rund um Pflege, Tod und Sterben. Die Meinung, alt ist gleich krank, wird grA1/4ndlich widerlegt. Kognitive VerAnderungen im GedAchtnisbereich sowie Alter und Gesundheit sind von der individuellen Biografie, von sozioAkonomischen Bedingungen, von biologischen VerAnderungen und vom eigenen Verhalten abhAngig. In diesem Sinne lautet die gerontopsychologische Botschaft fA1/4r ein erfolgreiches und gesundes Altern a žuse it or lose it": a žGebrauche tAglich deinen Kopf und deinen KArper oder verliere!"