Transcription
Geriatric MedicineAn Evidence-Based ApproachFourth EditionWith 186 Illustrations in 217 Parts, 8 in Full ColorEditorChristine K. Cassel, MDProfessor and Dean, Oregon Health & Science University, School of Medicine, Portland, OregonDeputy EditorRosanne M. Leipzig, MD, PhDVice-Chair for Education, Gerald and May Ellen Ritter Professor of Geriatrics, Brookdale Departmentof Geriatrics and Adult Development, Mount Sinai School of Medicine, New York, New YorkAssociate EditorsHarvey Jay Cohen, MDDirector, Center for the Study of Aging and Human Development, and Chief, Geriatrics Division, DukeUniversity Medical Center; Director, Geriatric Research, Education, and Clinical Center, VeteransAffairs Medical Center, Durham, North CarolinaEric B. Larson, MD, MPHDirector, Center for Health Studies, Group Health Cooperatives; Professor of Medicine, University ofWashington Medical Center, Seattle, WashingtonDiane E. Meier, MDDirector, Hertzberg Palliative Care Institute; Catherine Gaisman Professor of Medical Ethics; Professor,Brookdale Department of Geriatrics and Adult Development, Mount Sinai School of Medicine, New York,New YorkManaging EditorCarol F. Capello, PhDAssistant Professor of Geriatric Education, Division of Geriatrics and Gerontology, Weill MedicalCollege of Cornell University, New York, New YorkSpringer
ContentsPrefaceContributorsviixviiPart I Basics of Gerontology1 Evidence-Based Medicine and GeriatricsRosanne M. Leipzig32 Molecular and Biologic Factors in AgingCharles Mobbs153 Physiology of AgingGeorge E. Taffet274 The Demography of AgingS. Jay Olshansky375 Epidemiology and AgingTamara B. Harris456 Psychosocial Influences on Health in Later LifeElizabeth C. Clipp and Karen E. Steinhauser537 Principles of PharmacologyJerry Avorn, Jerry H. Gurwitz, and Paula Rochon658 Clinical Strategies of Prescribing for Older AdultsJudith L. Beizer83Part IIChanging Contexts of Care in Geriatric Medicine9 Contexts of CareLaurence Z. Rubenstein10 The Long and the Short of Long-Term CareRobert L. Kane9399xi
xiiContents11 The Geriatrician in the Nursing HomeWayne C. McCormick11312 Home CareSharon A. Levine and Patricia P. Barry12113 Acute Hospital CareRobert M. Palmer133Part III Clinical Approaches to the Geriatric Patient14 Clinical Approach to the Older Patient: An OverviewGlendo L. Tangarorang, Gerard J. Kerins, and Richard W. Besdine14915 Chronic Disease ManagementHarrison G. Bloom16316 PreventionHarrison G. Bloom16917 Instruments to Assess Functional StatusBrandon Koretz and David B. Reuben18518 Comprehensive Geriatric Assessment and Systems Approaches toGeriatric CareDavid B. Reuben19519 Neuropsychological TestingMarilyn S. Albert20520 Preoperative Assessment and Perioperative CarePeter Pompei21321 Anesthesia for the Geriatric PatientJeffrey H. Silverstein22922 Surgical Approaches to the Geriatric PatientRonnie Ann Rosenthal23923 RehabilitationKenneth Brummel-Smith259Part IV Palliative Care24 Old Age and Care Near the End of LifeDiane E. Meier28125 Doctor-Patient Communication IssuesJames A. Tulsky28726299Care Near the End of LifeSarah Goodlin27 Sources of Suffering in the ElderlyMaria Torroella Carney and Diane E. Meier311
Contentsxiii28 Acute and Chronic PainBruce A. Ferrell32329 Palliative Care in Early, Moderate, and Advanced DementiaAnna Monias and Diane E. Meier34330 The Value of Achieving a Peaceful DeathDaniel Callahan351Part V Medical CareSection A: Cancer in the ElderlyCancer in the Elderly: An OverviewHarvey Jay Cohen36131 The Science of Neoplasia and Its Relationship to AgingRobert E. Martell and Harvey Jay Cohen36332 Screening for CancerEugene Z. Oddone, Mitchell T. Heflin, and John R. Feussner37533 Breast CancerAnn Partridge and Eric Winer39334 Colon Cancer and Other Gastrointestinal MalignanciesPeter C. Enzinger and Robert J. Mayer41735 Lung CancerEric B. Haura, Susan A. Blackwell, and Jeffrey Crawford44136 Prostate CancerKhalid Matin and Donald L. Trump45537 Gynecologic CancersAngeles A. Alvarez and Daniel L. Clarke-Pearson46938 Hematologic MalignanciesMarc Gautier, Elizabeth M. Bengtson, Edward M. Liebers, andHarvey Jay Cohen487Section B: Organ System Diseases and Disorders39 Cardiovascular DiseaseNanette Kass Wenger50940 HypertensionMark A. Supiano54541 Peripheral Arterial DiseaseWilliam R. Hiatt and Mark R. Nehler56142 Rheumatologic DiseasesDaniel J. Brauner, LeifB. Sorensen, and Michael H. Ellman573J
xivContents43 Skeletal Fragility in the ElderlyAngela Inzerillo, Jameel Iqbal, Bruce Troen, and Diane E. Meier62144 Orthopedic Problems with AgingLawrence A. Pottenger65145 Medical Aspects of Hip Fracture ManagementR. Sean Morrison and Albert L. Siu66946 Treatment of DiabetesKenneth L. Minaker68147 Thyroid DisordersDavid S. Cooper69548719Changes in Male SexualityThomas Mulligan and Waleed Siddiqi49 Sexual Function and the Older WomanFran E. Kaiser72750 Gynecologic and Urologic Problems of Older WomenM. Chrystie Timmons73751 Benign Prostatic HyperplasiaCatherine E. DuBeau75552 Nephrology/Fluid and Electrolyte DisordersSharon Anderson76953 Immunology of AgingEdith A. Burns and James S. Goodwin78354 Infectious DiseasesThomas T. Yoshikawa80155 Hematologic ProblemsGerald Rothstein81956 Gastroenterologic DisordersJoanne A. P. Wilson83557 Pulmonary DiseaseJames R. Webster, Jr.85358 Dermatologic Diseases and ProblemsAmy Krupnick Freeman and Marsha Gordon86959 Changes and Diseases of the Aging EyeBruce P. Rosenthal88360 Otologic Changes and DisordersGeorge A. Gates and Thomas S. Rees89361 Aging and the Oral CavityGretchen Gibson and Linda C. Niessen901J
ContentsxvSection C: Common Problems in Older Adults62 Dietary Supplements for Geriatric PatientsCynthia X. Pan and Charles Mobbs92163 Urinary IncontinenceNeil M. Resnick93164 Syncope in the ElderlyWishwa N. Kapoor95765 Management of Chronic WoundsDavid R. Thomas96766 FallsDavid C. Thomas, Helen K. Edelberg, and Mary E. Tinetti97967995Chronic Dizziness and VertigoAman Nanda and Mary E. Tinetti68 NutritionDavid A. Lipschitz100969 ExerciseEric B. Larson and Robert A. Bruce102370 Sleep and Sleep DisordersTamar Shochat and Sonia Ancoli-Israel103171 Herpes ZosterKenneth Schmader104372 Elder MistreatmentTerry Fulmer and Maria Hernandez105773 FrailtyLinda P. Fried, Jonathan Darer, and Jeremy Walston1067Part VI Neurologic and Psychiatric Disorders74 DementiaGary J. Kennedy107975 Neurobiologic Basis of Age-Related Dementing DisordersPatrick R. Hof, Thierry Bussiere, Joseph D. Buxbaum,and John H. Morrison109576 DeliriumSharon K. Inouye111311 Cerebrovascular Disease and StrokeStanley Tuhrim112378 Abnormalities of Posture and MovementJose C. Masdeu and Maria Cruz Rodriguez-Oroz1139
xviContents79 Depression, Anxiety, and Other Mood DisordersHarold G. Koenig and Dan G. Blazer, II116380 Late-Life PsychosisSteven C. Samuels and Deborah B. Marin1185Part VII Ethics and Health Policy Issues for Older Adults81 Mechanisms of Paying for Health CareBruce C. Vladeck120182 Justice and the Allocation of Health Care ResourcesNancy S. Jecker121383 Medical Treatment and the Physician's Legal DutiesMarshall B. Kapp122184 Determination of Decision-Making CapacityJason H. T. Karlawish and Robert A. Pearlman123385 Ethical and Policy Issues in End-of-Life CareMelissa A. Bottrell, Christine K. Cassel, and Emily R. Felzenberg124386 Ethical Challenges to Research in Geriatric MedicineGreg A. Sachs and Harvey Jay Cohen1253Index1263
Geriatric Medicine An Evidence-Based Approach Fourth Edition With 186 Illustrations in 217 Parts, 8 in Full Color Editor Christine K. Cassel, MD Professor and Dean, Oregon Health &
