Advanced Age Geriatric Care: A Comprehensive Guide by Nages NagaratnamAdvanced Age Geriatric Care: A Comprehensive Guide by Nages Nagaratnam

Advanced Age Geriatric Care: A Comprehensive Guide

byNages NagaratnamEditorKujan Nagaratnam, Gary Cheuk

Hardcover | December 6, 2018

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As the Baby Boomers age, concerns over healthcare systems' abilities to accommodate geriatric patients grow increasingly challenging.  This is especially true with the population deemed to be "the oldest of the old," specifically those over the age of 85.  Unlike any other time in history, this demographic is the fastest growing segment of most developed countries. In the United States the oldest old is projected to double from 4.3 million to 9.6 million by 2030.

The   increased   life expectancy of the population since the early 1900s has been built  on the improvement of living conditions, diet, public health and advancement in medical care. With this we have seen a steady decline in the age-specific prevalence of vascular and heart diseases, stroke and even dementia. Older persons are healthier today than  their  counterparts decades ago. More importantly than in any other age group, the care of the oldest old must be individualized; management decisions should be made taking into consideration the older persons' expressed wishes, quality of life, function and mental capacity.

The inevitable consequence is that there will be an increase in the prevalence of older persons with chronic diseases, multiple co-existing pathologies and neuro-degenerative diseases.  The oldest  of the aging population  are often excluded from drug trials and their treatments are largely based on findings  extrapolated from that of the younger old. Furthermore, among the oldest old, physiologically they are more diverse than other segments of the population.  Their demographic characteristics are unparalleled and different compared to that of the younger old.  Several   studies   have  drawn  attention to the differing attitudes  among health professionals towards elderly people and many show  prejudice because they are old. As a result, the use of age  as a criteria in determining the appropriateness of treatment is of very limited validity, yet there are limited resources that guide physicians through these challenges.

 This book creates a greater awareness of these challenges and offers practical guidelines for working within the infrastructures vital to this demographic. This book is designed for geriatricians, primary care physicians, junior medical officers, specialty geriatrics nurses, and gerontologists. It is divided into 3 sections: General Considerations, Chronic diseases and Geriatric Syndromes. Each chapter provides a summary of important and essential information under the heading of Key Points. Case studies are included in some of the chapters to highlight the principles of management.

Nages Nagaratnam, OAM, MD, FRACP, FANZSGM FRCPA, FRCP, FACC, FCCP, Associate Clinical Professor, Sydney Medical School, The University of Sydney, AustraliaKujan Nagaratnam, MBBS (UNSW), FRACP, Clinical Senior Lecturer in Medicine, The University of Sydney, AustraliaGary Cheuk MBBS(UNSW),FRACP. Senior Staff Specialist in Geriatric Medic...
Title:Advanced Age Geriatric Care: A Comprehensive GuideFormat:HardcoverDimensions:324 pagesPublished:December 6, 2018Publisher:Springer NatureLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:3319969978

ISBN - 13:9783319969978


Table of Contents

Part 1.General considerations

1.Ageing and Longevity                                                

2. End of Life  Decisions in Geriatric Population

3.Elderly Abuse and Neglect.

  4. Decision Making Capacity and Consent in the Older Adult.

  5. Comprehensive Geriatric Assessment          

6. Long Term Care Facilities and Support Services 

7.Immunity, Immunosenesence and immunization in the very elderly.


  9. Geriatric Anaesthesia                                   

      10.Geriatric Diagnostic Imaging                      

      11.Geriatric Care in General Practice.                

      12.Geriatric Rehabilitation                  

13.Geriatric Palliative care

14. The Elderly in Intensive Care.       

Part II.Common diseases in older adults

15.Cardiovascular Diseases in the Very Elderly.

16. Kidney diseases in the Elderly         

17. Mental Illness in the Oldest Old                                                                  

18. Eye Problems in the Oldest Old    

19. Dental and oral conditions in the very elderly.     

20. Cancer in the Very Elderly and Management.

      21.Geriatric Skin and Dermatoses    

22. Joints and Musculo-skeletal Disorders

23. Respiratory diseases in the Oldest Old        

24. Managing Osteoporosis in the Oldest Old             

Part III.Geriatric syndromes ad Related Problems

      25. Malnutrition and Malabsorption in the elderly.

26. Constipation,  Faecal and Urinary Incontinence.

27. Gait  Disorders in the Elderly.

28. Cognitive Decline and Dementia in Some Chronic Disorders.

29.Syncope in the Very Elderly                     

30.Sarcopenia Sarcopenic Obesity and Frailty in Older Adults.

31. Headaches  in the Elderly             

32. Delirium in the Oldest Old                                                  

33. Prescribing  in  the  Oldest Old.                                        

34.Dementia in the Oldest Old