Geriatric Medicine: An Evidence-based Approach

Front Cover
Frank Lally, Christine Roffe
Oxford University Press, 2014 - Medical - 221 pages
People are living longer and the population over the age of 60 is burgeoning, with repercussions for health services and healthcare expenditure in developed countries. Crucially, disease aetiology, diagnosis, and treatment in older people differ from the general adult population. Older people
often have complicated co-morbidities and respond to treatment in different ways compared to younger people. Evidence of efficacy of different treatments is often lacking because older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed
specifically in more general texts. Geriatric medicine: an evidence based approach is a clinical reference for health care professionals who manage older patients, and summarizes up-to-date research literature in a style that can be directly applied by busy healthcare professionals and provide a
useful resource for reference.
 

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Contents

drivers and barriers to the development of health care for older people
1
the social and the clinical
11
achievements challenges and future directions
23
4 Service models
35
5 Therapeutics in older people
51
6 Dementia and memory clinics
65
challenges and progress
75
challenges and solutions
89
a question of values
127
11 Sleep in older people
137
12 Assessment and management of pain in older adults
149
research in practice
161
what is in the black box?
173
what is patient and public involvement?
187
16 Underrepresentation of older people in clinical trials
201
Index
215

heterogeneity and comorbidities
113

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About the author (2014)

Frank Lally is affiliated with the Institute for Science and Technology in Medicine, Keele University, Guy Hilton Research Centre, Stoke, UK. Christine Roffe is affiliated with the Stroke Research Office, Royal Infirmary, Stoke, UK.

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