The latest edition of the gold standard in geriatric medicine references
Pathy’s Principles and Practice of Geriatric Medicine, Sixth Edition delivers a comprehensive overview of the subject, offering up-to-date, evidence-based, information about the many, and varied, problems suffered by ageing patients.
In this latest edition, the authors take a refreshed approach to the material by rigorously applying the latest scientific research to clinical practice and increasing the use of visual examples, algorithms, and clinical practice points. Thoroughly updated throughout, the chapters give readers a truly global perspective on geriatric medicine that reflect the most recent changes in treatment options and medical conditions.
In addition to new chapters on a range of recent and emerging topics, clinical practice points, and visual evidence - including MRI scans - the book also offers a: - Thorough introduction to relevant biological, social, and community perspectives on caring for mature and ageing patients, as well as medicine prescribing for older patients - Comprehensive exploration of eating disorders that commonly occur in the aged and how to maximize the nutritional health of ageing patients - Practical discussions of haematological and cardiovascular disorders and diseases in ageing patients - In-depth examination of special issues in elder care, including elder abuse, alcoholism and substance abuse, transportation issues, and end-of-life care
Perfect for all clinicians working with mature patients, Pathy’s Principles and Practice of Geriatric Medicine will also continue to earn a place in the libraries of allied healthcare workers with ageing patients and clients.
Table of Contents
Contents of Volume 1
About the Editors xi
About the Associate Editors xiii
List of Contributors xv
Preface to the Fifth Edition xxiv
Preface to the Sixth Edition xxv
Foreword xxvi
Introduction: Historical perspectives 1
Michael J. Denham and John E. Morley
Part 1 | Ageing: Biological, Social, and Community Perspectives
1 A biological perspective of ageing 13
Florent Guerville and Maël Lemoine
2 Physiology of ageing 22
Sevnaz Şahin and Emin Taskiran
3 Psychological aspects of ageing 34
Evan T. Schulze, Phillip Ruppert, Gayle Heady, and Lauren Schwarz
4 Social and community aspects of ageing 43
Kahli E. Zietlow and Serena P. Wong
5 Sexuality and ageing 59
Serena P. Wong and Kahli E. Zietlow
6 Ageing of the brain 68
Marco Canevelli and Luca Marsili
7 Physical fitness and exercise 77
Maria A. Fiatarone Singh, Mikel Izquierdo, and John E. Morley
8 Health literacy and cultural sensitivity 108
Nina Tumosa
Part 2 | Medicine and Prescribing in Old Age
9 Preventive geriatrics 121
Gerald M. Mahon, Suzanne M. Mahon, and Joseph H. Flaherty
10 Polypharmacy and deprescribing in older adults 132
Fernanda Heitor and Milta Little
11 Patient safety 146
Katherine Evans, Nandkishor Athavale, Susannah Long, and Charles Vincent
Section 1 Eating Disorders and Nutritional Health
12 Nutrition and healthy ageing: Emphasis on brain, bone, and muscle 167
Gene L. Bowman
13 The anorexia of aging 177
Neema Sharda, Jantira Thomas, and Ian M. Chapman
14 Weight loss 190
Isabelle Bourdel‐Marchasson and David R. Thomas
15 Water and electrolyte balances in ageing 202
Stewart G. Albert and Alexis McKee
16 Vitamins and minerals 213
Mary Ann Johnson and Connie W. Bales
Section 2 Gastro Disorders
17 Changes in gastrointestinal motor and sensory function associated with ageing 231
Christopher K. Rayner and Michael Horowitz
18 The liver and gallbladder in the geriatric population 247
Gary Trey
19 Faecal incontinence 254
William Gibson
20 Constipation 263
Katherine A. Evans and Charlene M. Prather
21 Diseases of the pancreas 274
Tyler M. Berzin and Awais Ahmed
Section 3 Haematological Disorders
22 Anaemia in older people 283
Angela M. Sanford
23 Disseminated intravascular coagulation 294
Kingsley K. Hampton
24 Disorders of haemostasis 298
Kingsley K. Hampton
25 When to anticoagulate, and which anticoagulant? 307
Irene Criado Martin, Alba Mª Costa Grille, and Roberto Petidier Torregrossa
26 Myelodysplasia 316
Domenico Fusco, Andrea Bellieni, Beatrice Di Capua, and Giuseppe Colloca
27 Management of myelodysplastic syndromes and acute myeloid leukaemias in the elderly 331
Delphine Bréchemier, Marie Garric, and Thomas De Nadaï
Section 4 Cardiovascular Diseases and Health
28 Epidemiology of heart disease 345
Marco Proietti
29 Arrhythmias 360
C. Fielder Camm and A. John Camm
30 Ischaemic heart disease 388
Ahmed H. Abdelhafiz
31 Lipid management 400
Tiziano Lucchi
32 Hypotension 419
Elspeth A. Clark and Gwendolen T. Buhr
33 Hypertension in older people 427
Ahmed H. Abdelhafiz and Alan J. Sinclair
34 Heart failure 439
Nandkishor V. Athavale
35 Cardiac surgery and percutaneous interventions in the elderly 455
Ulrich von Oppell, Adam Szafranek, and Richard Anderson
36 Peripheral arterial disease 482
Leocadio Rodríguez Mañas, Marta Castro Rodríguez, and Cristina Alonso Bouzón
37 Venous thromboembolism in the elderly 493
Alessandra Bura‐Riviere, Lucas Verset, and François‐Xavier Lapebie
Section 5 Respiratory Diseases
38 Epidemiologic and pathophysiologic overview of respiratory infections 501
Sean D. Levy and Ronald C. Silvestri
39 Pneumonia 512
Joël Belmin
40 Aspiration pneumonia 522
Ben Blomberg and Neema Sharda
41 The COVID‐19 pandemic in older people 530
Nandkishor V. Athavale, Joanne Conway, Demelza Emmerton, and Ahmed H. Abdelhafiz
42 Chronic obstructive pulmonary disease and asthma 542
Simone Scarlata and Raffaele Antonelli Incalzi
43 Pulmonary rehabilitation 555
Mangalore Amith Shenoy and Peter Spiegler
Section 6 CNS Disorders
44 Neurological signs of ageing 563
Jonathan M. Schott and Andrew J. Larner
45 Sleep apnoea and sleep disorders 570
Araceli Abad, Cristina Matesanz, Carmen Acosta, and Cristina López
46 Normal pressure hydrocephalus 581
Vito Curiale and Sandrine Louchart De La Chappelle
47 Acute stroke care and management of carotid artery stenosis 598
David Doig and Martin M. Brown
48 Stroke and stroke rehabilitation 619
Guillaume Albaret and Helene Domergue
49 Communication disorders and dysphagia 635
Pamela M. Enderby
50 Acute and chronic subdural hematoma 644
Lauren Peruski and Magdy Selim
51 Epilepsy 653
Almudena Areosa Sastre and Irene Lozano Rosique
52 Syncope and non‐epileptic attacks 664
Matteo Cesari and Beatrice Arosio
53 Parkinson’s disease 674
Bruno Oquendo and Joël Belmin
54 Non‐Parkinsonian movement disorders in the elderly 681
Christian Johannes Amlang and Katie Kompoliti
55 Diabetic neuropathy 698
Ahmed H. Abdelhafiz and Alan J. Sinclair
56 Disorders of the neuromuscular junction 709
Sivakumar Sathasivam and Andrew J. Larner
57 Muscle disorders 718
Devyani Misra
58 Motor neuron disease 733
Pascal Cintas
59 Chronic pain 743
Benny Katz
60 Multiple sclerosis 756
Krupa S. Pandey and Florian P. Thomas
Appendix Function assessment scales i
Index xvii
Contents of Volume 2
About the Editors xi
About the Associate Editors xiii
List of Contributors xv
Preface to the Fifth Edition xxiv
Preface to the Sixth Edition xxv
Foreword xxvi
Section 7 Dementia and Cognitive Disorders
61 Delirium in older patients 771
Sarah A. Wingfield and Joseph H. Flaherty
62 Memory clinics 782
Ipsit V. Vahia
63 Alzheimer’s disease 794
Julien Delrieu
64 Mild cognitive impairment: an update 808
Pierre- Jean Ousset
65 Vascular dementia 811
Marco Inzitari and Domenico Inzitari
66 Mental stimulation and dementia 822
Joe Verghese
67 Exercise and dementia 829
Yves Rolland and Philipe de Souto Barreto
68 Drug development and Alzheimer’s disease 843
Julien Delrieu and Bruno Vellas
69 Other dementias 860
Wee Shiong Lim
70 Management of neuropsychiatric symptoms in dementia 878
Maria Soto Martin and Adelaïde de Mauleon
71 Late- life depression 892
Didi Rhebergen and Max Stek
72 Geriatric psychiatry 904
Abhilash K. Desai and George T. Grossberg
73 Organisation of services in geriatric psychiatry 919
Susan Mary Benbow and Sharmi Bhattacharyya
74 The older patient with Down syndrome 934
John E. Morley
Section 8 Special Senses, Bone, and Joint Health
75 Disorders of the vestibular system 943
Charlotte Ågrup and Linda M. Luxon
76 Smell and taste 957
Eva Topinkova
77 Osteoporosis: burden, diagnosis, and management 972
Jean- Yves Reginster and Olivier Bruyere
78 Gait, balance, and falls 979
Sarah D. Berry and Deborah S. Lee
79 Hip fracture and orthogeriatrics 992
Christine Lafont and Thomas Krams
80 Foot problems 1007
Hylton B. Menz
Section 9 Endocrine and Metabolic Disorders
81 Endocrinology of ageing 1021
Ray Bourey, John Morley, and Alexis McKee
82 The pituitary gland, 1032
Alexis M. McKee and John E. Morley
83 Thyroid disorders 1041
Ligia J. Dominguez and Mario Barbagallo
84 Ovarian function and menopause 1059
Andrea Martínez- Massa, Antonio Marín- Montes, Jorge Abril- Pérez, and Antonio Cano
85 Testicular function 1073
Sandeep Dhindsa
86 Diabetes mellitus 1086
Alan J. Sinclair and Graydon S. Meneilly
87 New therapies for diabetes mellitus 1108
Michelangela Barbieri, Vittoria Cataldo, George T. Griffing, and Giuseppe Paolisso
Section 10 Urogenital Disorders
88 Gynaecology and the older patient 1125
Vishnu Priya Padmanabhan, Susan Joseph, Radha Indusekhar, and Fidelma O’Mahony
89 Prostate diseases 1136
Stephane Gerard, Loic Mourey, Marguerite Briand, Boris Delaunay, and Laurent Balardy
90 The ageing bladder 1153
Matteo Cesari and Beatrice Arosio
91 Geriatric nephrology 1162
David Schlientz, Liza Genao, Carlos G. Musso, and Dimitrios G. Oreopoulos
Section 11 Cancer
92 Cancer and ageing 1171
Ahmed Abdelhafiz
93 Oncological emergencies 1184
Thomas De Nadaï, Chantal Bernard- Marty, Clément Gaudin, and Laurent Balardy
94 Breast cancer 1196
Hannah Chapman
95 Maintaining functional status among older adult cancer patients and survivors 1208
Miriam B. Rodin
Section 12 Functional Disorders and Rehabilitation
96 Multidimensional geriatric assessment 1231
Leocadio Rodríguez Mañas, Marta Castro Rodríguez, Laurence Z. Rubenstein, and Andreas E. Stuck
97 Frailty 1242
Angela M. Sanford and John E. Morley
98 Rehabilitation 1249
Matthew T. Corey
99 Cachexia 1265
Emanuele Marzetti, Anna Picca, Anita Maria Tummolo, and Riccardo Calvani
100 WHO Integrated Care for Older People (ICOPE) 1272
Catherine Takeda, Sophie Guyonnet, Bruno Vellas, and Yuka Sumi
Section 13 Iatrogenic Infections
101 Valvular heart disease and infective endocarditis 1283
Ariane M. Fraiche, Jason D. Matos, and Eli V. Gelfand
102 Infections of the central nervous system 1305
Rodrigo Hasbun
Section 14 Special Issues I Abuse and Older People
I Abuse and Older People
103 Good quality care: abuse 1331
Jean- Pierre Aquino and Laëtitia Ngatcha Ribert
104 Alcohol consumption and cognition 1336
Julien Delrieu, Luc Letenneur, and Jean- François Dartigues
105 The use and abuse of prescribed medicines 1342
Matteo Cesari and Beatrice Arosio
106 Drug misuse and the older person: a contradiction in terms? 1349
Antoine Piau and Fati Nourhashemi
II Emerging Themes
107 Transportation, driving, and older adults 1361
Desmond O’Neill and David Carr
108 Smart Homes 1370
Rodrigo Pérez- Rodríguez
109 Modern use of biomarkers in geriatric medicine 1380
Stefan Walter
III Dermatology
110 Geriatric dermatology 1395
Elizabeth L. Bisbee, Claudia I. Vidal, and Tricia A. Missall
111 Pressure injuries: prevention and management 1403
Madhuri Reddy
IV Surgical Themes
112 Perioperative medical assessment of older adults 1409
Milta Oyola Little, Shelley McDonald, David Schlientz, and Yoon Hie Kim
113 Anaesthesia 1421
Coilin Collins- Smyth and Suzanne Crowe
V Ageing Themes and Ethical Issues
114 Health issues in the ageing woman 1435
Reshma A. Merchant
115 Antiageing strategies 1442
Ligia J. Dominguez and Mario Barbagallo
116 The ethics of geriatric care 1459
Alessandro Blasimme
117 Participation of older people in clinical trials 1466
Nicola Coley and Sandrine Andrieu
118 Restraints and immobility 1478
Katerina Melino, Laura M. Wagner, and Elizabeth A. Capezuti
119 Centenarians 1492
Evelyn Ferri, Marco Proietti, Matteo Cesari, and Beatrice Arosio
120 End- of- life and palliative care 1503
Kate Lally and Rachelle E. Bernacki
121 End- of- life care: special issues 1514
Trisha Dunning
Part 3 | Global Healthcare Systems
122 Improving quality of care 1529
Julie K. Gammack, Babatunde Olumide, and Carolyn D. Philpot
123 Clinical audit of healthcare 1543
Matthew Roycroft
124 Caring for the caregiver 1552
Danielle L. Boisvert, Max Zubatsky, and Marla Berg- Weger
125 Nursing home care 1560
Cari Levy, Briony Jain, Edward Cheong, Lyndal Bugeja, Joseph Ibrahim, Kate Magid, and Emily Galenbeck
126 Geriatric occupational therapy: achieving quality in daily living 1574
Jeremy Whyman
127 Geriatric medicine education in Europe and the United States 1585
Antonio Cherubini, Jesús Mateos- Nozal, Daphne T. Lo, and Miguel A. Paniagua
128 Systems of healthcare: the United States 1594
Julie K. Gammack and Stephanie L. Simpson
129 Systems of healthcare: Australia 1603
Gideon A. Caplan and Taylor A. Scott
130 Systems of healthcare: the UK 1609
Richard Wilson and Simon Conroy
131 Geriatric medicine in China 1616
Woo Jean
132 Ageing in developing countries 1620
Luis Miguel Gutierrez Robledo and Renato Maia Guimarães
133 Geriatric medicine in the European Union: towards unification of diversity 1629
Jesús Mateos- Nozal and Alfonso J. Cruz- Jentoft
134 Research horizons for the twenty- first century 1635
Leocadio Rodríguez Mañas, Miriam El Assar, and Javier Angulo
Appendix Function assessment scales i
Index xvii
