Pathy's Principles and Practice of Geriatric Medicine, 2 Volumes

Cover......Page 1
Pathy’s Principles and Practice of Geriatric Medicine......Page 3
  ©......Page 4
Contents of Volume 1......Page 5
Contents of Volume 2......Page 8
About the Editors......Page 11
List of Contributors......Page 12
Preface to the Fourth Edition......Page 19
Preface to the Fifth Edition......Page 21
Foreword......Page 22
Volume 1......Page 27
Introduction: Historical perspectives......Page 28
PART 1 Ageing: Biological, Social and Community Perspectives......Page 38
1 A biological perspective of ageing......Page 39
2 The demography of ageing......Page 48
3 The physiology of ageing......Page 58
4 Psychological aspects of ageing......Page 68
5 Ageing of the brain......Page 74
6 Epidemiology of ageing and disability......Page 80
7 Social and community aspects of ageing......Page 91
8 The developmental origins of ageing......Page 104
9 Sexuality and ageing......Page 115
10 Physical fitness and exercise......Page 125
11 Health literacy and cultural sensitivity......Page 142
PART 2 Medicine and Prescribingin Old Age......Page 153
12 Preventive geriatrics......Page 154
13 Polypharmacy......Page 164
14 Patient safety......Page 172
SECTION 1 Eating Disorders and Nutritional Health......Page 190
15 Epidemiology of nutrition and ageing......Page 191
16 The anorexia of ageing......Page 202
17 Weight loss......Page 214
18 Dehydration......Page 225
19 Vitamins and minerals......Page 233
20 Obesity......Page 253
SECTION 2 Gastro Disorders......Page 263
21 Changes in gastrointestinal motor and sensory function associated with ageing......Page 264
22 Gastrointestinal bleeding......Page 279
23 Liver and gall bladder......Page 288
24 Sphincter function......Page 302
25 Constipation......Page 315
26 Management of diarrhoea......Page 325
27 Diseases of the pancreas......Page 332
SECTION 3 Haematological Disorders......Page 339
28 Anaemia......Page 340
29 Disorders of haemostasis......Page 351
30 Disseminated intravascular coagulation......Page 360
31 Anticoagulants......Page 364
32 Myelodysplasia......Page 370
33 Management of myelodysplastic syndromes and acute leukaemia......Page 382
SECTION 4 Cardiovascular Diseases and Health......Page 393
34 Epidemiology of heart disease......Page 394
35 Cardiac ageing and systemic disorders......Page 409
36 Arrhythmias......Page 417
37 Ischaemic heart disease......Page 441
38 Lipid management......Page 452
39 Hypotension......Page 464
40 Hypertension......Page 474
41 Heart failure......Page 486
42 Cardiac surgery......Page 502
43 Peripheral arterial disease......Page 519
44 Venous thromboembolism......Page 530
45 Cardiac rehabilitation......Page 536
SECTION 5 Respiratory Diseases......Page 550
46 Epidemiology of respiratory infection......Page 551
47 Pneumonia......Page 555
48 Aspiration pneumonia......Page 564
49 Interstitial lung disease and lung cancer......Page 572
50 Chronic obstructive pulmonary disease and asthma......Page 577
51 Pulmonary hypertension......Page 586
52 Pulmonary rehabilitation......Page 598
SECTION 6 CNS Disorders......Page 603
53 Neurological signs of ageing......Page 604
54 Sleep apnoea and sleep disorders......Page 612
55 Headache......Page 623
56 Normal pressure hydrocephalus......Page 637
57 Acute stroke care and management of carotid artery stenosis......Page 649
58 Stroke and stroke rehabilitation......Page 669
59 Communication disorders and dysphagia......Page 685
60 Acute and chronic subdural haematoma......Page 694
61 Epilepsy......Page 704
62 Syncope and non-epileptic attacks......Page 714
63 Parkinson’s disease......Page 724
64 Non-parkinsonian movement disorders......Page 731
65 Diabetic neuropathy......Page 742
66 Disorders of the neuromuscular junction......Page 759
67 Muscle disorders......Page 769
68 Motor neurone disease......Page 783
69 Control of chronic pain......Page 799
70 Multiple sclerosis......Page 813
Volume 2......Page 824
SECTION 7 Dementia and CognitiveDisorders......Page 825
71 Delirium......Page 826
72 Memory clinics......Page 840
73 Alzheimer’s disease......Page 853
74 Mild cognitive impairment......Page 869
75 Vascular dementia......Page 882
76 Mental stimulation and dementia......Page 889
77 Exercise and dementia......Page 896
78 Drug development and Alzheimer’s disease......Page 907
79 Other dementias......Page 926
80 Treatment of behavioural disorders......Page 943
81 Geriatric psychiatry......Page 958
82 Organization of services in geriatric psychiatry......Page 971
83 Depression in later life: aetiology, epidemiology, assessment, diagnosis and treatment......Page 981
84 The older patient with Down syndrome......Page 996
SECTION 8 Special Senses......Page 1002
85 Disorders of the eye......Page 1003
86 The ageing auditory system – pathology and epidemiology of age-related hearing loss......Page 1011
87 Disorders of the vestibular system......Page 1024
88 Smell and taste......Page 1038
SECTION 9 Bone and Joint Health......Page 1050
89 Paget’s disease of bone......Page 1051
90 Management of osteoporosis; its consequences: a major threat to quality of life......Page 1059
91 Gait, balance and falls......Page 1067
92 Foot problems......Page 1087
93 Hip fracture and orthogeriatrics......Page 1106
94 Diseases of the joints......Page 1119
SECTION 10 Endocrine and Metabolic Disorders......Page 1127
95 Endocrinology of ageing......Page 1128
96 Water and electrolyte balances in ageing......Page 1135
97 The pituitary gland......Page 1145
98 Thyroid disorders......Page 1154
99 Ovarian function and menopause......Page 1169
100 Testicular function......Page 1181
101 Diabetes mellitus......Page 1194
102 New therapies for diabetes mellitus......Page 1210
SECTION 11 Urogenital Disorders......Page 1227
103 Gynaecology and the older patient......Page 1228
104 The ageing bladder......Page 1238
105 Prostate diseases......Page 1248
106 Urinary incontinence......Page 1265
107 Geriatric nephrology......Page 1274
SECTION 12 Cancer......Page 1281
108 Cancer and ageing......Page 1282
109 Oncological emergencies......Page 1295
110 Breast cancer......Page 1307
111 Maintaining functional status......Page 1317
SECTION 13 Functional Disorders andRehabilitation......Page 1336
112 Multidimensional geriatric assessment......Page 1337
113 Frailty......Page 1347
114 Rehabilitation......Page 1354
SECTION 14 Iatrogenic Infections......Page 1371
115 Tuberculosis......Page 1372
116 Valvular heart disease and infective endocarditis......Page 1381
117 Infections of the central nervous system......Page 1402
SECTION 15 Special Issues......Page 1419
118 Elder abuse: a UK perspective......Page 1420
119 Good quality care: abuse......Page 1425
120 Alcohol consumption and cognition......Page 1430
121 Drug misuse and the older person: a contradiction in terms?......Page 1434
122 The use and abuse of prescribed medicines......Page 1445
123 Transportation, driving and older adults......Page 1452
124 Smart homes......Page 1462
125 Skin disorders......Page 1473
126 The prevention and management of pressure ulcers......Page 1479
127 Perioperative and postoperative medical assessment......Page 1492
128 Anaesthesia......Page 1503
129 Health issues in the ageing female......Page 1515
130 Antiageing strategies......Page 1521
131 Ethics in geriatric medicine......Page 1534
132 Participation of older people in clinical trials......Page 1539
133 Restraints and immobility......Page 1550
134 Centenarians......Page 1563
135 End-of-life and palliative care......Page 1572
136 End-of-life care: special issues......Page 1581
PART 3 Global Healthcare Systems......Page 1591
137 Improving quality of care......Page 1592
138 Clinical audit of healthcare......Page 1612
139 Carers and the role of the family......Page 1625
140 Nursing home care......Page 1634
141 Geriatric occupational therapy: achieving quality in daily living......Page 1646
142 Geriatric medicine education in Europe and the United States......Page 1656
143 Systems of healthcare: the United States......Page 1662
144 Systems of healthcare: Australia......Page 1671
145 Systems of healthcare: the United Kingdom......Page 1677
146 Geriatric medicine in China......Page 1683
147 Ageing in developing countries......Page 1697
148 Geriatric medicine in the European Union: towards unification of diversity......Page 1701
APPENDIX Function assessment scales......Page 1710
Index......Page 1720