People age 65 and older are the fastest growing segment of the
U.S. population. In the 2010 census 16% of the population, 50
million people, were age 65 and older. That number is projected to
increase to 66 million by the year 2050. Life expectancy has also
increased, with recent CDC reports indicating life expectancy at
77.9 years. Age-adjusted death rates have decreased significantly
with the largest changes occurring in older patients. Despite these
trends, the 10 leading causes of death include several pulmonary
etiologies including lung cancer, chronic respiratory diseases,
influenza and pneumonia.
Aging and Lung Disease: A Clinical Guide is devoted to
understanding the impact of respiratory diseases in older patients.
It includes reviews of physiology of the aging lung, allergy and
immunology of the aging, as well as sleep changes over the life
cycle. There are also comprehensive reviews on specific disease
topics including chronic obstructive lung disease, lung cancer,
atypical mycobacteria, interstitial lung disease, pulmonary
hypertension, pulmonary embolism, obstructive sleep apnea, sleep
disorders in older patients. Two chapters focus on unique issues in
older patients; HIV and lung transplant. Included also are
important chapters on assessing functional and cognitive status and
end-of-life issues in older patients with lung disease. In addition
to outlining the current state of knowledge, each chapter focuses
on special considerations when caring for older patients. Of
particular interest to pulmonologists, internists, and
gerontologists, other readers, such as pulmonary and geriatric
nurse practitioners, as well as clinical researchers interested in
both pulmonary and aging issues, will find Aging and Lung Disease:
A Clinical Guideto be a vital resource for improving their care of
older patients with lung disorders.
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