Fundamentals of Geriatric Medicine: A Case-Based ApproachRainier P. Soriano Prior to the evolution of modern medicine, with its superabundance of diagnostic and therapeutic medical technology and the rise of the litigious society, the value of clinical skills was evident in both history taking and the physical examination. Even today, physicians can make a correct di- nosis solely by utilizing their clinical skills in about 90% of patient enco- ters. Furthermore, in the past physicians understood their role as a “psychologist” and were more apt to be familiar with the social context of their patients. House calls were common. The doctor was also a “placebo” who, at his best, inspired hope and probably sped recovery. Geriatricians use both clinical skills and take advantage of modern technology sparingly, for they know they are dealing with the most ch- lenging and frail of patients—older patients who so often present with multiple, complex, interacting behavioral, social, and physical problems. In contrast to medicine for young people, working with the older patient is much more demanding. Furthermore, the complex issue of societal at- tudes toward old people can come into play, speci? cally the physician’s need to deal with natural fears of aging, dependency, depression, dementia, and death. Ageism is the enemy of effective medical treatment. At its best, geriatrics exempli? es ways that medical care for all ages can become more humane, problem-oriented, and holistic. |
Contents
The Comprehensive Geriatric Assessment | 20 |
Geriatric Pharmacology and Drug Prescribing | 39 |
Sites of Care for Older Adults | 56 |
Medicare and Medicaid | 73 |
Medicolegal Aspects of the Care of Older Adults | 94 |
Prevention and Chemoprophylaxis in the Elderly | 109 |
Vision and Hearing Impairments | 143 |
Sandra E SanchezReilly | 164 |
Osteoporosis | 340 |
Instability and Falls | 356 |
Hip Fractures | 373 |
Hypertension | 386 |
Cardiovascular and Peripheral Arterial Diseases | 403 |
Diabetes Mellitus | 437 |
Thyroid Disorders | 450 |
Anemia in the Elderly | 470 |
Sandra E SanchezReilly | 177 |
Lipman | 192 |
Rainier P Soriano | 216 |
Reena Karani | 250 |
Parkinsons Disease and Related Disorders | 289 |
Dizziness and Syncope | 304 |
Osteoarthritis | 322 |
Other editions - View all
Fundamentals of Geriatric Medicine: A Case-Based Approach Rainier P. Soriano No preview available - 2007 |
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activity acute age-related agents Alzheimer’s disease anemia Ann Intern artery assessment associated benign prostatic hyperplasia bladder blood pressure bone cancer cardiac cardiovascular caregivers Cassel CK cause chronic Clin clinical cognitive Cohen HJ common congestive heart failure coronary decreased delirium dementia depression diabetes mellitus diagnosis disorders dose drug dysfunction elderly patients Engl evaluation exercise falls function gait Geriatr Soc Geriatric Medicine glucose heart failure hip fracture hospital hypertension hypotension hypothyroidism impairment incontinence increased infarction inhibitors intake interventions JAMA Leipzig RM levels Medicare medications mortality muscle myocardial myocardial infarction normal NSAIDs nursing home nutritional older adults older patients older persons opioid osteoarthritis osteoporosis pain Parkinson’s disease physical physician pressure ulcers prevalence prevention problems rehabilitation renal risk factors screening serum side effects sleep Springer stroke surgery surgical symptoms syncope syndrome Table therapy thyroid tion treatment trial urinary urinary incontinence vascular vitamin women York