Principles and Practice of Geriatric Surgery presents the fundamentals of surgical care for the fastest growing segment of the US population, providing a vital integration of operative strategies with the physiological changes of aging. Among the topics covered are the endocrine system, otolaryngology, respiratory system, cardiovascular system, GI system, hepatobiliary system, urogenital system, soft tissue and musculoskeletal system, neurosurgery, and transplantation.
More than two decades ago, in response to the special healthcare needs of the aging Ameriean population, interest in the field of geriatrie medieine began to grow and blossom in the United States. In 1984 and 1985, under the editorialleadership of Christine K. Cassel and William R. Hazzard, respectively, two major textbooks devoted to the medieal care of aged patients were published. These scholarly, comprehensive texts provided insight into the principles of aging and guidance in the care of the geriatrie patient. Three editions later, the need to understand the special issues involved in the medieal care of the elderly is widely accepted by intemists, primary care providers, and medieal specialists. For the editors of this book, the special issues involved in the surgieal care of the elderly have been apparent for nearly as long. Although there have been a few scholarly texts on the subject, including one in 1990 by Mark R. Katlic, general acceptance of the concept of geriatrie surgery by our surgieal and medieal colleagues has, however, lagged. This is not the result of a proportionately smaller number of older patients with surgieal disease, because cancer, cardiovascular disease, and orthopedie problems are diseases, of the aged. It is rather the result of uncertainty about the value of surgery in the elderly and concems about the risks of operations. In the past, such concems prevented primary care givers from referring patients for surgieal care and prevented surgeons from agreeing to operate.
This new edition of the comprehensive and renowned textbook Principles and Practice of Geriatric Medicine offers a fully revised and updated review of geriatric medicine. It covers the full spectrum of the subject, features 41 new chapters, and provides up-to-date, evidence-based, and practical information about the varied medical problems of ageing citizens. The three editors, from UK, USA and France, have ensured that updated chapters provide a global perspective of geriatric medicine, as well as reflect the changes in treatment options and medical conditions which have emerged since publication of the 4th edition in 2006. The book includes expanded sections on acute stroke, dementia, cardiovascular disease, and respiratory diseases, and features a new section on end-of-life care. In the tradition of previous editions, this all-encompassing text continues to be a must-have text for all clinicians who deal with older people, particularly geriatric medical specialists, gerontologists, researchers, and general practitioners. This title is also available as a mobile App from MedHand Mobile Libraries. Buy it now from Google Play or the MedHand Store. Praise for the 4th edition: "...an excellent reference for learners at all clinical and preclinical levels and a useful contribution to the geriatric medical literature." —Journal of the American Medical Association, November 2006 5th edition selected for 2012 Edition of Doody's Core TitlesTM
This volume offers a comprehensive and up-to-date overview of the major surgical procedures performed on elderly patients. With advancing age the conditions that require surgery normally increase in incidence, and today all surgeons around the globe can be considered “geriatric surgeons”. The latest anesthesiological procedures, the technical improvements and an increased medical knowledge of the comorbities impact have brought extraordinary advances in this field, but this should not allow us to forget that a careful assessment of elderly patients is necessary before undertaking surgery, since also the simplest surgical procedures could alter the delicate psychophysical equilibrium of these “frail” patients. Introduced by a demographic panorama and analysis, the book describes the anesthesiological management, the preoperative assessment and preparation, the perioperative care, and hemostasis control connected with the main surgical pathologies: gastrointestinal, endocrine, neoplastic, vascular and hepato-biliary, as well with traumatic and non-traumatic emergencies. It will be an invaluable, easy-to-use resource for clinicians, researchers and trainees alike.
Die sechste Ausgabe von Pathy's Principles and Practice of Geriatric Medicine bietet einen umfassenden Überblick über das Thema sowie aktuelle, evidenzbasierte Informationen über die zahlreichen und unterschiedlichen Probleme, unter denen ältere Patienten leiden. In dieser neuesten Ausgabe haben die Autoren die Inhalte aktualisiert und dabei die neuesten wissenschaftlichen Erkenntnisse konsequent auf die klinische Praxis übertragen, wobei sie vermehrt auf Beispielbilder, Algorithmen und Grundsätze der guten klinischen Praxis zurückgreifen. Die durchgängig aktualisierten Kapitel vermitteln eine wirklich umfassende Perspektive auf die Geriatrie und berücksichtigen auch die neuesten Veränderungen in Bezug auf Behandlungsmöglichkeiten und Gesundheitszustände. Neben den neuen Kapiteln über verschiedene aktuelle Themen, den Grundsätzen der guten klinischen Praxis und den Beispielbildern (u. a. MRT-Scans) enthält das Buch außerdem: * Eine umfassende Einführung in die relevanten biologischen, sozialen und gemeinwohlbezogenen Perspektiven bei der Pflege älterer und alternder Patienten sowie in die Verschreibung von Medikamenten für ältere Patienten * Eine umfassende Untersuchung von Essstörungen, die häufig bei älteren Menschen auftreten, sowie Methoden zur Förderung einer gesunden Ernährung bei älteren Patienten * Eine praktische Erörterung hämatologischer und kardiovaskulärer Störungen und Krankheiten bei älteren Patienten * Eine eingehende Betrachtung besonderer Themen in der Altenpflege, darunter Missbrauch älterer Menschen, Alkoholabhängigkeit und Drogenmissbrauch, Schwierigkeiten beim Transport und Sterbebegleitung Pathy's Principles and Practice of Geriatric Medicine eignet sich perfekt für alle Personen in Pflegeberufen, die mit älteren Patienten arbeiten, und darf auch in den Bibliotheken von Mitarbeitern der Gesundheitsdienste bei der Betreuung von älteren Patienten und Pflegebedürftigen nicht fehlen
Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.
This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students. Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications.
The third edition of the definitive international reference book on all aspects of the medical care of older persons will provide every physician involved in the care of older patients with a comprehensive resource on all the clinical problems they are likely to encounter, as well as on related psychological, philosophical, and social issues.
The fourth edition of the highly acclaimed Principles and Practice of Geriatric Medicine provides an account of the fundamental changes associated with ageing, which are essential to our understanding and management of the elderly sick population. The title has been extensively revised and updates to reflect the enormous changes in treatment options and medical conditions emerged since publication of the third edition. Written by worldwide experts of international repute, this is the most up-to-date and comprehensive single reference source currently available. Principles & Practice of Geriatric Medicine, Fourth Edition incorporates: More than 30 new chapters, including: Preventive geriatrics, Anorexia of Aging, Managements of Weight Loss, Dehydration, Vitamins and Minerals in the Elderly, Cancer and Aging, Mild Cognitive Impairment, Treatment of Behavioral Disorders, The Older Patient with Down's Syndrome, Drug Abuse in Older People, Breast Cancer, Women's health A truly global perspective, including new chapter on: Care of the elderly in Israel: old age in a young land, Geriatric Medicine in China, Geriatric medicine education in Europe, Geriatrics from the European Union Perspective, India, Day Hospitals, Perspectives from Latin America The title will be indispensable for all those involved in the treatment of older patients: Gerontologists to keep up-to-date with the latest developments in the field General practitioners and specialists in health policy and community care, who increasingly have to deal with a significant number of older people. Academic researchers in geriatric medicine, who are in need for an all encompassing reference work Medical registrars (UK) / residents (US) in order to pass their exams Teachers of Geriatric Medicine Hospital libraries with increasing budgets to spend on much needed resource in this growing field. Professionals within the pharmaceutical industry in order to monitor treatment options and new prescription developments.
