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Preface
Contributors
1 Evidence-Based Medicine and Geriatrics 3
2 Molecular and Biologic Factors in Aging 15
3 Physiology of Aging 27
4 The Demography of Aging 37
5 Epidemiology and Aging 45
6 Psychosocial Influences on Health in Later Life 53
7 Principles of Pharmacology 65
8 Clinical Strategies of Prescribing for Older Adults 83
9 Contexts of Care 93
10 The Long and the Short of Long-Term Care 99
11 The Geriatrician in the Nursing Home 113
12 Home Care 121
13 Acute Hospital Care 133
14 Clinical Approach to the Older Patient: An Overview 149
15 Chronic Disease Management 163
16 Prevention 169
17 Instruments to Assess Functional Status 185
18 Comprehensive Geriatric Assessment and Systems Approaches to Geriatric Care 195
19 Neuropsychological Testing 205
20 Preoperative Assessment and Perioperative Care 213
21 Anesthesia for the Geriatric Patient 229
22 Surgical Approaches to the Geriatric Patient 239
23 Rehabilitation 259
24 Old Age and Care Near the End of Life 281
25 Doctor-Patient Communication Issues 287
26 Care Near the End of Life 299
27 Sources of Suffering in the Elderly 311
28 Acute and Chronic Pain 323
29 Palliative Care in Early, Moderate, and Advanced Dementia 343
30 The Value of Achieving a Peaceful Death 351
Cancer in the Elderly: An Overview 361
31 The Science of Neoplasia and Its Relationship to Aging 363
32 Screening for Cancer 375
33 Breast Cancer 393
34 Colon Cancer and Other Gastrointestinal Malignancies 417
35 Lung Cancer 441
36 Prostate Cancer 455
37 Gynecologic Cancers 469
38 Hematologic Malignancies 487
39 Cardiovascular Disease 509
40 Hypertension 545
41 Peripheral Arterial Disease 561
42 Rheumatologic Diseases 573
43 Skeletal Fragility in the Elderly 621
44 Orthopedic Problems with Aging 651
45 Medical Aspects of Hip Fracture Management 669
46 Treatment of Diabetes 681
47 Thyroid Disorders 695
48 Changes in Male Sexuality 719
49 Sexual Function and the Older Woman 727
50 Gynecologic and Urologic Problems of Older Women 737
51 Benign Prostatic Hyperplasia 755
52 Nephrology/Fluid and Electrolyte Disorders 769
53 Immunology of Aging 783
54 Infectious Diseases 801
55 Hematologic Problems 819
56 Gastroenterologic Disorders 835
57 Pulmonary Disease 853
58 Dermatologic Diseases and Problems 869
59 Changes and Diseases of the Aging Eye 883
60 Otologic Changes and Disorders 893
61 Aging and the Oral Cavity 901
62 Dietary Supplements for Geriatric Patients 921
63 Urinary Incontinence 931
64 Syncope in the Elderly 957
65 Management of Chronic Wounds 967
66 Falls 979
67 Chronic Dizziness and Vertigo 995
68 Nutrition 1009
69 Exercise 1023
70 Sleep and Sleep Disorders 1031
71 Herpes Zoster 1043
72 Elder Mistreatment 1057
73 Frailty 1067
74 Dementia 1079
75 Neurobiologic Basis of Age-Related Dementing Disorders 1095
76 Delirium 1113
77 Cerebrovascular Disease and Stroke 1123
78 Abnormalities of Posture and Movement 1139
79 Depression, Anxiety, and Other Mood Disorders 1163
80 Late-Life Psychosis 1185
81 Mechanisms of Paying for Health Care 1201
82 Justice and the Allocation of Health Care Resources 1213
83 Medical Treatment and the Physician's Legal Duties 1221
84 Determination of Decision-Making Capacity 1233
85 Ethical and Policy Issues in End-of-Life Care 1243
86 Ethical Challenges to Research in Geriatric Medicine 1253
Index 1263