Reichel's care of the elderly : clinical aspects of aging

This eighth edition of Dr Reichel's formative text remains the go-to guide for practicing physicians and allied health staff confronted with the unique problems of an increasing elderly population. Fully updated and revised, it provides a practical guide for all health specialists, emphasizing the clinical management of the elderly patient with simple to complex problems. Featuring four new chapters and the incorporation of geriatric emergency medicine into chapters. The book begins with a general approach to the management of older adults, followed by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign. A must-read for all practitioners seeking practical and relevant information in a comprehensive format. 0.0 9781108837767 01.0_pp_i_ii_Reichels_Care_of_the_Elderly 02.0_pp_iii_iii_Reichels_Care_of_the_Elderly 03.0_pp_iv_iv_Copyright_page 04.0_pp_v_vi_In_Memoriam 05.0_pp_vii_ix_Contents 06.0_pp_x_xx_Contributors 07.0_pp_1_80_General_Approach_to_the_Care_of_the_Elderly 07.1_pp_1_11_Essential_Principles_in_the_Care_of_the_Elderly Section I General Approach to the Care of the Elderly Chapter 1 Essential Principles in the Care of the Elderly 07.2_pp_12_20_Biology_of_Aging Outline placeholder Chapter 2 Biology of Aging 07.3_pp_21_32_Comprehensive_Geriatric_Assessment Outline placeholder Chapter 3 Comprehensive Geriatric Assessment 07.4_pp_33_43_Screening_and_Prevention Outline placeholder Chapter 4 Screening and Prevention 07.5_pp_44_53_Appropriate_Use_of_Medications Outline placeholder Chapter 5 Appropriate Use of Medications 07.6_pp_54_63_Nutrition_and_Aging Outline placeholder Chapter 6 Nutrition and Aging 07.7_pp_64_80_Physical_Activity_and_Exercise_for_Older_Adults Outline placeholder Chapter 7 Physical Activity and Exercise for Older Adults 08.0_pp_81_138_Geriatric_Syndromes 08.1_pp_81_90_Frailty Section II Geriatric Syndromes Chapter 8 Frailty 08.2_pp_91_101_Fall_Prevention_in_Community-Dwelling_Older_Adults Outline placeholder Chapter 9 Fall Prevention in Community-Dwelling Older Adults Outline placeholder Hospital-based fall prevention programs. Long-term and subacute facility-based fall prevention programs. Fall prevention with home health care. 08.3_pp_102_111_Evaluation_and_Management_of_Dizziness Outline placeholder Chapter 10 Evaluation and Management of Dizziness 08.4_pp_112_128_Evaluation_and_Management_of_Dementia Outline placeholder Chapter 11 Evaluation and Management of Dementia 08.5_pp_129_138_Recognition_Management_and_Prevention_of_Delirium Outline placeholder Chapter 12 Recognition, Management, and Prevention of Delirium 09.0_pp_139_568_Care_of_the_Elderly_by_Organ_System 09.1_pp_139_172_Diagnosis_and_Management_of_Heart_Disease Section III Care of the Elderly by Organ System Chapter 13 Diagnosis and Management of Heart Disease Outline placeholder Outline placeholder Antiplatelet therapy. Antithrombotic therapy. Balancing risk of thrombosis versus bleeding. Beta-blockers. Angiotensin and aldosterone inhibition. Statins. Other agents. Diuretics. ACEIs. ARBs. Angiotensin plus neprilysin inhibition. Hydralazine-nitrates. Beta-blockers. Ivabradine. Mineralocorticoid antagonists (MRAs). SGLT2 inhibition. Digoxin. Anticoagulant and anti-inflammatory drugs. Inotropic agents and intravenous vasodilators. Amyloid cardiomyopathy. Implantable devices. 09.2_pp_173_179_Hypertension Outline placeholder Chapter 14 Hypertension 09.3_pp_180_188_Peripheral_Artery_Disease Outline placeholder Chapter 15 Peripheral Artery Disease 09.4_pp_189_207_Neurologic_Problems Outline placeholder Chapter 16 Neurologic Problems 09.5_pp_208_217_Prevention_Diagnosis_and_Management_of_Stroke Outline placeholder Chapter 17 Prevention, Diagnosis, and Management of Stroke 09.6_pp_218_234_Movement_Disorders Outline placeholder Chapter 18 Movement Disorders 09.7_pp_235_244_Sleep_Disorders Outline placeholder Chapter 19 Sleep Disorders 09.8_pp_245_255_Clinical_Geropsychiatry Outline placeholder Chapter 20 Clinical Geropsychiatry 09.9_pp_256_269_Substance_Use_Disorder Outline placeholder Chapter 21 Substance Use Disorder 09.10_pp_270_285_Pulmonary_Issues Outline placeholder Chapter 22 Pulmonary Issues 09.11_pp_286_296_Gastrointestinal_Disorders Outline placeholder Chapter 23 Gastrointestinal Disorders Outline placeholder Constipation. Diverticulosis. Inflammatory bowel disease (IBD). Irritable bowel syndrome (IBS). 09.12_pp_297_309_Serious_Infections Outline placeholder Chapter 24 Serious Infections 09.13_pp_310_323_Human_Immunodeficiency_Virus Outline placeholder Chapter 25 Human Immunodeficiency Virus 09.14_pp_324_334_Kidney_Disease Outline placeholder Chapter 26 Kidney Disease Outline placeholder Outline placeholder Limited evidence base. High burden of multimorbidity and geriatric conditions. Heterogeneity in life expectancy and health goals. Family-centered care. The vital role of family care partners in CKD. Lack of recognition and preparation. Care partner health and well-being. The importance of supporting family care partners. 09.15_pp_335_349_Urological_Conditions Outline placeholder Chapter 27 Urological Conditions 09.16_pp_350_363_Urinary_Incontinence Outline placeholder Chapter 28 Urinary Incontinence 09.17_pp_364_372_Fecal_Incontinence Outline placeholder Chapter 29 Fecal Incontinence 09.18_pp_373_382_Gynecologic_Issues Outline placeholder Chapter 30 Gynecologic Issues Outline placeholder Candidiasis. Lichen sclerosus. Pruritus. Vaginal discharge. Vulvodynia. Bleeding. STIs. 09.19_pp_383_394_Endocrine_Disorders Outline placeholder Chapter 31 Endocrine Disorders 09.20_pp_395_406_Diabetes_Mellitus Outline placeholder Chapter 32 Diabetes Mellitus Outline placeholder Outline placeholder Biguanides. Sulfonylureas. Melitinides. Thiazolidinediones (TZDs). Dipeptidyl peptidase-4 (DPP-4) inhibitors. GLP-1 receptor agonists (GLP-1RAs). SGLT-2 inhibitors. Insulins. 09.21_pp_407_417_Lipid_Management Outline placeholder Chapter 33 Lipid Management 09.22_pp_418_424_Osteoporosis_and_Other_Metabolic_Bone_Disorders Outline placeholder Chapter 34 Osteoporosis and Other Metabolic Bone Disorders 09.23_pp_425_433_Common_Rheumatologic_Disease Outline placeholder Chapter 35 Common Rheumatologic Disease 09.24_pp_434_439_Geriatric_Emergency_Medicine Outline placeholder Chapter 36 Geriatric Emergency Medicine 09.25_pp_440_456_Musculoskeletal_Injuries Outline placeholder Chapter 37 Musculoskeletal Injuries 09.26_pp_457_476_Dermatologic_Conditions Outline placeholder Chapter 38 Dermatologic Conditions 09.27_pp_477_492_Pressure_Injuries Outline placeholder Chapter 39 Pressure Injuries: Practical Considerations in Prevention and Treatment Outline placeholder Immobility, inactivity, and sensory loss. Skin status. Perfusion, circulation, and oxygen. Nutrition. Temperature. Blood markers. Moisture. Age. General and Mental Health Status. Risk assessment. Critical care risk assessment. Skin assessment. Physical therapy and pressure injury prevention. Scheduled repositioning. Pressure redistribution support surfaces. Prophylactic dressings. Mobility and activity interventions. Nutrition assessment. Incontinence and moisture management. Tissue management. Infection and inflammation control. Moisture balance. Epithelial edge advancement. Repair and regeneration. 09.28_pp_493_505_Anemia_and_Other_Hematological_Problems Outline placeholder Chapter 40 Anemia and Other Hematological Problems 09.29_pp_506_523_Cancer Outline placeholder Chapter 41 Cancer 09.30_pp_524_535_Ocular_Disorders Outline placeholder Chapter 4†††††††2 Ocular Disorders Outline placeholder Outline placeholder Retinal artery occlusions (RAO). Retinal vein occlusions (RVO). Giant cell arteritis (GCA). Non-arteritic ischemic optic neuropathy (NAION). 09.31_pp_536_547_Geriatric_Otolaryngology Outline placeholder Chapter 4††††††3 Geriatric Otolaryngology 09.32_pp_548_557_Oral_Health Outline placeholder Chapter 44 Oral Health Outline placeholder Outline placeholder Bacteria. Saliva. Diet and nutrition. Bacteria. Diabetes. Smoking. Tobacco and alcohol use. HPV. 09.33_pp_558_568_Foot_Health Outline placeholder Chapter 45 Foot Health 10.0_pp_569_779_Principles_of_Care_for_the_Elderly 10.1_pp_569_577_Surgical_Principles Section IV Principles of Care for the Elderly Chapter 46 Surgical Principles Preoperative care of the older adult. History and physical exam. Cognitive and psychological evaluation. Goals of care. Functional evaluation. Laboratory and radiology investigations. Cardiopulmonary risk. Medication optimization and polypharmacy. Risk assessment and referrals. Prehabilitation. Intraoperative care of the elderly. Postoperative care. 10.2_pp_578_592_Rehabilitation Outline placeholder Chapter 47 Rehabilitation 10.3_pp_593_603_Geriatric_Sexuality Outline placeholder Chapter 48 Geriatric Sexuality 10.4_pp_604_619_Aging_in_Adults_with_Intellectual_Disabilities_and_Severe_and_Persistent_Mental_Illness Outline placeholder Chapter 49 Aging in Adults with Intellectual Disabilities and Severe and Persistent Mental Illness* 10.5_pp_620_630_Home-_and_Community-Based_Long-Term_Care Outline placeholder Chapter 50 Home- and Community-Based Long-Term Care 10.6_pp_631_640_Institutional_Post-Acute_and_Long-Term_Care_Medicine Outline placeholder Chapter 51 Institutional Post-Acute and Long-Term Care Medicine 10.7_pp_641_649_Hospital-Based_Care Outline placeholder Chapter 5††2 Hospital-Based Care 10.8_pp_650_663_Introduction_to_Palliative_Care Outline placeholder Chapter 53 Introduction to Palliative Care 10.9_pp_664_674_The_Mistreatment_of_Older_Adults Outline placeholder Chapter 54 The Mistreatment of Older Adults 10.10_pp_675_683_Driving_and_the_Older_Adult Outline placeholder Chapter 55 Driving and the Older Adult 10.11_pp_684_698_Integrative_Medicine Outline placeholder Chapter 56 Integrative Medicine 10.12_pp_699_704_Retirement Outline placeholder Chapter 57 Retirement: A Contemporary Perspective 10.13_pp_705_715_Cultural_Competence Outline placeholder Chapter 58 Cultural Competence Outline placeholder Quality of care. Prevalence of disease. Diabetes. Heart disease. Dementia. Attitudes: cultural humility and unconscious bias. Knowledge: cultural health beliefs, cohort experiences, and epidemiology. Cultural health beliefs and values. Cohort experiences. Epidemiology of disease risks. Eliciting explanatory models. Showing culturally appropriate respect. Assessment. Working with interpreters. 10.14_pp_716_726_Health_Literacy Outline placeholder Chapter 59 Health Literacy 10.15_pp_727_735_Caregiving Outline placeholder Chapter 60 Caregiving Outline placeholder Support groups. Respite services. Financial support. 10.16_pp_736_749_Practice_Transformation_for_Better_Care_of_Older_Adults Outline placeholder Chapter 61 Practice Transformation for Better Care of Older Adults Outline placeholder Outline placeholder Prevention. Acute illness. Chronic disease management. Medication management. Care near the end of life. Social determinants of health (SDOH). Mental health needs. 10.17_pp_750_760_Health-Care_Organization_and_Financing Outline placeholder Chapter 62 Health-Care Organization and Financing 10.18_pp_761_770_Ethical_Decision-Making Outline placeholder Chapter 63 Ethical Decision-Making 10.19_pp_771_779_Epidemic_and_Pandemic_Impacts_on_the_Elderly_Population Outline placeholder Chapter 6†††††††††4 Epidemic and Pandemic Impacts on the Elderly Population 11.0_pp_780_800_Index Index 12.0_pp_801_808_Plate_Section_PDF_Only This book remains the pioneering text for the practicing physician confronted with the unique problems of an increasingly elderly population. Dr. William Reichel's formative text is designed as a practical and useful guide for all levels of geriatric care. This book emphasizes clinical management and addressed problems from the simple to the highly complex. The renowned editors have revised every chapter and have included the most recent advances in elderly care. New chapters include hormonal therapy in post-menopausal women, drug therapy for Alzheimer's sufferers, alternative medicine, the chronic understaffing of nursing homes, management of delirium, and ethical issues. Comprehensive and written for any clinicians caring for older patients (including family physicians, general internists, nurse practitioners, geriatricians, and other specialists), this esteemed text provides practical and trusted advice. Dr Reichel's fully revised and updated clinical guide on management of the elderly patient with simple to complex problems. Featuring four new chapters and incorporating geriatric emergency medicine. Provides practical and relevant information in a comprehensive format for all health specialists, from medical and nursing students to clinicians.