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Problems in Geriatric Medicine (Paperback, Softcover reprint of the original 1st ed. 1981)
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Problems in Geriatric Medicine (Paperback, Softcover reprint of the original 1st ed. 1981)
Series: Problems in Practice, 1
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The fact that there are special problems in the care of the elderly
in the community is ample justification for writing a separate
volume on the subject. The knowledge that there are increasing
numbers of older people in virtually every country in the world
makes it all the more important that the family physician should
have sympathy with and understanding of the problems of them, since
they are lilcely to make up a significant part of his worlcload
and, increasingly, will take up more of his time and energy. There
is a progressive amount of disability with advancing years, and
this is particularly true of those aged 75 years and over.
Increasing age is associated with serious impairment of hearing and
vision, senses which younger people take for granted. Old age sees
the arrival of major diseases of middle age with much greater
frequency, such as ischaemic heart and cerebrovascular disease,
diabetes mellitus and osteoarthritis. There are other disorders
that are virtually confined to the elderly, such as fractures of
the femoral neck, Paget's disease and myeloma. We now know that the
disintegration of the con ducting tissue of the heart is largely an
age-related phenomenon. Ageing processes affect every major organ
system in the body and the impairment of physiological perfor mance
resulting from these affects the elderly individual's response to
infections, disease and environmental changes in complex ways that
are not seen in younger people."
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