Download Principles and Practice of Geriatric Medicine Pdf

Download Principles and Practice of Geriatric Medicine Pdf

George Day’s introduction to his textbook Disease of Advanced Life, published in 1848, regrettably remains appropriate for textbooks published over 150 years later. Modern physicians can still fail to recognize the differences in disease presentation and management between middle-aged and older adults. It is our hope that this Fourth Edition of “Principles and Practice of Geriatric Medicine” will help increase the awareness of geriatric principles and improve the treatment of older individuals. John Pathy’s original vision for the first edition was to provide, in a single volume, a comprehensive reference source for all those involved in the medicine of old age. We have endeavored to adhere to this vision, but inevitably the size of the textbook has grown. While in anytext of this size some overlap with general texts of medicine will occur, the emphasis is on those assessments and disorders that are particularly of relevance to older persons.
Over the seven years since the last edition of this text was published, there have been dramatic advances in our understanding of the pathophysiology of disease as it interacts with the physiological processes of aging. There has been a continuing validation of assessment tools for older persons and the development of some new ones. Large-scale studies of the efficacy of various geriatric systems such as Acute Care for the Elderly Units, Geriatric Evaluation and Management Units, and Home Care Systems have been carried out. All of these have demonstrated the value and cost-effectiveness of the geriatric specialist approach to managing older people. In comparison, most studies assessing Coronary Care Units andIntensive Care Units have failed to come close to demonstrating the effectiveness that has been shown for geriatric units. Despite this, all major hospitals have highly expensive critical care units, while fewer have developed geriatric units. The last decade has also seen an increased awareness of the need to enhance the quality of long-term care. This increase in geriatric knowledge has been recognized by the addition of nearly 40 new chapters in this edition. In addition, many of the previous chapters have been totally rewritten to allow the recognition of the changes that have occurred inour understanding of the care of older persons.Previous editions of this textbook were edited by a single person, John Pathy. With the rapid increase in geriatric knowledge and John’s desire for the Fourth Edition to reflect the input of other academic minds, he has added two new editors to share the burden with him, namely, Alan Sinclair and John Morley. This has allowed a more even distribution of the editing tasks, though John Pathy has continued to carry the lion’s share. In recognition of the globalizationof the world, in general, and geriatrics, in particular, one of the new editors, John Morley, is from the United States,while Alan Sinclair draws on his European experiences. Inaddition, a major effort has been made at the end of the text to recognize the differences (as well as the similarities) of geriatrics as it is practiced around the world. The enormousgood fortune the editors had in recruiting a stellar class of contributors from around the world has, we hope, allowed this text to be truly representative of a global view of geriatric medicine. From the beginning, John Pathy has made this a goal of his text, and the editors feel that this edition hastruly achieved an international view of old-age medicine as originally developed by Marjorie Warren and her colleaguesin the United Kingdom.
The general outline of the text still follows that of thefirst edition. The first sections provide a general perspective of old age, the processes of aging, and social and community perspectives. The chapter on preventive medicinenowfocuses on issues of particular importance to older persons.In Part III “Medicine in Old Age”, the section “Eating Disorders and Nutritional Health” has been increased to recognize the increased importance and understanding of nutrition in old age. Chapters on frailty, sarcopenia, palliative care, andwomen’s health have been added to recognize the increasing importance of these issues in older persons. The final parton “Health Care Systems” focuses first on the emergenceof continuous quality improvement, geriatric systems and evidence-based medicine as the foundation of high-qualitygeriatric medicine. The development of novel educationsystems is discussed. Finally, unique aspects of geriatric carearound the world are examined

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