Oxford Textbook of Geriatric Medicine (3rd edition)

ISBN : 9780198701590

Jean-Pierre Michel ; B. Lynn Beattie ; Finbarr C. Martin ; Jeremy D. Walston, MD
1432 Pages
219 x 276 mm
Pub date
Dec 2017
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Over the past two decades there has been a marked change in global age demographics, with the number of over-60s increasing by 82% and the number of centenarians by 715%. This new-found longevity is testament to the success of recent advances in medicine, but poses significant challenges to multiple areas of health care concerning older patients.

Building upon its predecessor's reputation as the definitive resource on the subject, this new edition of the Oxford Textbook of Geriatric Medicine offers a comprehensive and multinational examination of the field. Fully revised to reflect the current state of geriatric medicine, it examines the medical and scientific basis of clinical issues, as well as the ethical, legal, and socio-economic concerns for healthcare policy and systems.

Over 170 chapters are broken up into 16 key sections, covering topics ranging from policy and key concepts through to infection, cancer, palliative medicine, and healthy ageing. New material includes focus on the evolving concepts of malnutrition, sarcopenia, frailty, and related geriatric syndromes and integration of geriatric principles from public health, primary and specialized care, and transitional stages from home to emergency, medicine and surgery, rehabilitation, and long term care.

The Oxford Textbook of Geriatric Medicine brings together specialists from across the globe to 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.


Section 1: Ageing population and policyEdited by Jean-Pierre Michel:
1 David E. Bloom, Elizabeth Mitgang, and Benjamin Osher: Demography of Global Ageing
2 Emily M Grundy and Michael Murphy: Population ageing in Europe
3 Eileen M. Crimmins, Hiram Beltran-Sanchez, Lauren Brown and Yongjie Yon: Ageing in North America: Canada and the United States
4 Carlos M. Paixao Junior, Roberto A. Lourenco and Morales-Martinez: Population ageing in south and central America
5 Bilkish Cassim and Isabella Aboderin: Population ageing in sub-Saharan Africa
6 Du Peng and Cao Ting: Population ageing in Asia
7 Abla Mehio Sibai and Anthony Rizk: Population Ageing in Arab countries
8 Leon Flicker and Ngaire Kerse: Population Ageing in Oceania
9 Jean-Marie Robine and Carol Jagger: Health expectancies
10 Ruth Bell and Michael Marmot: Life course approach to understanding inequalities in health in later life
11 John R Beard, Anne Margriet Pot, and Geeske Peeters: Implications of population ageing for societies and governments
12 Andrew Mason and Ronald Lee: Economic implications of Population Ageing
13 Alexandre Sidorenko and Alan Walker: Policy options for responding to population ageing

Section 2: Key Concepts in care of older adultsEdited by Finbarr C. Martin:
14 H E Syddall and A A Sayer: A lifecourse approach for understanding later life sustainability
15 Barbara Gryglewska, Karolina Piotrowicz and Tomasz Grodzicki: Ageing, multimorbidity and daily functioning
16 Alberto Pilotto and Francesco Panza: Comprehensive Geriatric Assessment: Evidence
17 George Heckman and Palmi V. Jonsson: Comprehensive Geriatric Assessment: The Specific Assessment Technology of InterRAI
18 Angela Coulter: Engaging older patients in their treatment and care
19 Kaisu Pitkala, John Gladman and Martin Connolly: Models of health care for older people
20 Jose M Ribera-Casado: History Taking And Physical Examination
21 Rebecca Allwood, Rowan H Harwood: Communication
22 Ellen Flaherty and Terry Fulmer: Interprofessional Team Building and Case Management
23 Lisa Warth, Alana Margaret Officer, John Roland Beard and Norah Keating: Age-friendly environments and their role in supporting Healthy Ageing
24 David G Le Couteur, Andrew J McLachlan and Sarah N Hilmer: Principles Of Medication Management
25 Denis O Mahony: Optimizing Pharmacotherapy for Older Patients
26 Antonio Cherubini and Graziano Onder: Limitations in the evidence for safe and effective medications for older people
27 Torgeir Bruun Wyller and Erik Bautz-Holter: General principles of recovery and rehabilitation
28 Jonathan Martin, Caroline Nicholson and Rob George: The approach of dying and death, and the mourning process of the survivors
29 Reijo Tilvis: Legal and ethical issues in care of older adults

Section 3: Principles and organisation of careEdited by B. Lynn Beattie:
30 Alfonso J. Cruz-Jentoft: Integrating geriatrics principles into primary care
31 Gideon Caplan: Clinical Interventions in home care
32 Don Melady and Barry J. Goldlist: Geriatric Patients in the Emergency Department
33 Maria E. Carlo, Kwame Frimpong and E. Wesley Ely: Critical Illness and Intensive Care
34 Roger Wong: Older People Presenting to Acute Care Hospitals
35 Liang-Kung Chen: Postacute Care and Intermediate Care
36 Jugdeep Dhesi and Judith Partridge: Pre-operative assessment and peri-operative management
37 Jos M. G. A. Schols and Adam Gordon: Residential and nursing home care
from the past to the future
38 Rebecca Palm and Sabine Bartholomeyczik: Dementia specialist care units
39 Elizabeth Gundersen, Benjamin A. Bensadon and Joseph G. Ouslander, M.D.: Transitions between Care Settings Till Death

Section 4: Age-related biological changes, altered physiology and vulnerability to diseases and chronic conditionsEdited by Jeremy D. Walston:
40 Why do organisms agea
41 Fabbri Elisa, Zoli Marco and Ferrucci Luigi: Age-related Physiologic Declines
42 Fabbri Elisa, Zoli Marco and Ferrucci Luigi: The Emergence of Ageing Phenotypes and Multi-system decline
43 Arun S Karlamangla and Teresa E Seeman: Environment and ageing biology
44 Jintang Wang and Sean X. Leng: Inflammation and its role in ageing and disease
45 Graham Pawelec, Ludmila Muller, Tamas Fulop: Immune system changes and immunosenescence
46 Emanuele Marzetti, Francesco Landi, Francesca Martini, Christiaan Leeuwenburgh, Riccardo Calvani: Mitochondrial Decline and Chronic Conditions of Older Adults
47 Kevin Horgan, Fergus Shanahan, Paul W. O Toole and Deborah Dunn-Walters: Biological significance of gut microbiota changes associated with ageing

Section 5: Geriatric syndromes in clinical practiceEdited by Jeremy D. Walston:
48 Marcel Olde Rikkert: Conceptualizing Geriatric Syndromes
49 Alasdair MacLullich,Edward R. Marcantonio and David Meagher: Delerium
50 Clemens Becker, Jean Woo and Chris Todd: Falls
51 Adrian Wagg: Urinary Incontinence
52 Richard Savdie, Edmund CP and Mr Chidi Molokwu: Benign Prostatic Hyperplasia and Prostate Cancer
53 Cindy Kiely and Magdalena Pupiales: Pressure ulcers in the ageing population
54 Jose A. Morais: Sarcopenia Definitions and Epidemiology
55 Townsend Benard and Roger A. Fielding: Pathophysiology of Sarcopenia
56 Luis Miguel F. Gutierrez Robledo and Mario Ulises Perez Zepeda: Sarcopenia: assessment, management and outcomes
57 Jeremy Walson: Frailty in older adults

Section 6: Nutrition and metabolismEdited by B. Lynn Beattie:
58 Maria Isabel Toulson Davisson Correia and Simone de Vasconcelos Generoso: Epidemiology of malnutrition in different care settings
59 Francesco Landi, Anna Maria Martone, Riccardo Calvani and Emanuele Marzetti: Anorexia of Ageing
60 Jurgen M. Bauer and Rebecca Diekmann: Protein and energy requirements in health and illness
61 Heike A. Bischoff-Ferrari: Vitamin D: Its role in health and disease in older people
62 Cedric Annweiler and Olivier Beauchet: Micronutrients: their roles in health and diseases in older people
63 Gianfranco Gioia, Alessio Molfino, Filippo Rossi Fanelli, and Maurizio Muscaritoli: From nutritional screening to assessment and nutritional plan in community, acute and long term care
64 Mauro Zamboni, Francesco Fantin and Gloria Mazzali: Obesity
65 Stefania Maggi and Gaetano Crepaldi: Metabolic syndrome
66 Leocadio Rodriguez Manas, Marta Castro Rodriguez and Alan J. Sinclair: Management of Diabetes in Older Adults.

Section 7: Mobility disorders: prevention, impact and compensationEdited by Finbarr C. Martin:
67 Stephanie Studenski and Jessie Van Swearingen: Gait Disorders: Clinical Significance and Approach to Evaluation and Management
68 Rene Rizzoli: Osteoporosis in the oldest old: epidemiology, assessment and management
69 Hiroshi Hagino and Akiko Kondo: Common fractures in older adults: Epidemiology and outcomes
70 V. Ana Sanguineti, Jason R. Wild, Bellal Joseph and Mindy J. Fain: Management of Common Fractures in Older Adults
71 Tahir Masud and Paul J. Mitchell: Secondary prevention of fragility fractures: case finding, fracture liaison, falls reduction, injury prevention.
72 Francisco J Blanco: Osteoarthritis
73 Kieran O Sullivan, Kjartan Vibe Fersum, Wim Dankaerts and Peter O Sullivan: Low back pain in older adults: From red flags to functional rehabilitation
74 Alexis Regent and Loic Guillevin: Vasculitides In The Elderly
75 James B Galloway and David L Scott: Management of common types of arthritis in older adults
76 Hylton B. Menz: Foot Problems
77 Tomasz Kostka and Joanna Kostka: Injuries in sports activities in elderly people
78 Jacqueline Close: Orthogeriatrics

Section 8: Infections in Older Adults: Epidemiology, pathophysiology, diagnosis and managementEdited by Jean-Pierre Michel:
79 Michel Moutschen, Henri Martens and Vincent Geenen: Immunosenescence and Infectious Diseases
80 Gaetan Gavazzi, Thibaut Fraisse, Benoit de Wazieres: Epidemiology of infection in elderly populations in various settings
81 Adamantia Liapikou and Antoni Torres: Pneumonia and respiratory tract infections
82 Aparajit Ballav Dey and Ramesh Kandel: Tuberculosis in old age
83 Werner Zimmerli and Parham Sendi: Bone and Periprosthetic Joint Infections in Older Adults
84 Ursula Muller-Werdan and Karl Werdan: Infective endocarditis
85 Amy Justice: Ageing with HIV
86 Benedikt Huttner and Stephan Harbarth: Health care associated infections and emergence of antibiotic resistance
87 Pascal Astagneau, Elise Seringe and Francois Bricaire,: Healthcare-associated infections and infection control
88 Janet E. McElhaney: Vaccines against viral infections
89 Jean-Pierre Michel, Pierre-Olivier Lang and Richard Aspinall: Vaccination in older adults needs to be included a life-course programme

Section 9: Cancer: Epidemiology, pathophysiology, diagnosis and managementEdited by B. Lynn Beattie:
90 Tamas Fulop, Vladimir N. Anisimov, Francis Rodier and Martine Extermann: Cell biology and carcinogenesis in the elderly
91 Shane O'Hanlon and Margot Gosney: Epidemiology of cancers in older adults
92 Anne M Horgan and Shabbir MH Alibhai: Screening for Cancer
93 Nicolo Matteo Luca Battisti and Martine Extermann: Multidisciplinary management, including chemotherapy of solid tumors (lung, breast & colon)
94 Roberto Mina, Alessandra Larocca and Antonio Palumbo: Haemopoietic diseases: Leukemias & Myelomas

Section 10: Vascular diseases: Epidemiology, pathophysiology, diagnosis and managementEdited by Jeremy D. Walston:
95 Hidetaka Ota and Masahiro Akishita: Cardiac and Vascular Ageing
96 Hidenori Arai: Dyslipidemias and other cardio-metabolic risk factors In Older Adults
97 Junichiro Hashimoto, Michael F. O'Rourke: Physical factors in arterial ageing
98 Chung S Lim, Sarah Onida and Alun H Davies: Peripheral Vascular Disease in Older Adults: Diagnostic and Treatment Considerations
99 Gino Gemayel and Afksendiyos Kalangos: Aneurysmal Diseases
100 Simone Warntges, Katrin Schafer and Stavros V. Konstantinides: Pulmonary thromboembolism
101 Hiromi Rakugi, and Tatsuo Kawai,: Hypertension in older adults
102 R. A. Kenny and Conal Cunningham: Syncope and neurocardiovascular instability
103 John Whitaker, Jonathan Birns, Matthew Wright and Mark D. O'Neill: Management of Atrial Fibrillation and Anticoagulant Therapies
104 James L Harrison and Mark D O Neill: Management of Bradyarrhythmias
105 James L Harrison and Mark D O Neill: Management of Bachyarrhythmias
106 Martina Rafanelli, Francesco Orso and Niccolo Marchionni: Ischemic Heart Disease
107 Alain Cribier and Helene Eltchaninoff: Valvular Heart Disease State of the Art and Treatment Perspectives
108 John Cleland and John Baxter: Heart Failure - Definitions, Investigation & Management
109 Andrew Maiorana, Lis Neubeck, Sian Williams and Keith Hill: Cardiac Rehabilitation
110 Esther M.M. van de Glind, Barbara C. van Munster and Marije E. Hamaker: Cardiopulmonary Resuscitation: Outcomes and Decision Making Processes for Older Adults

Section 11: Neurologic Disorders: Epidemiology, pathophysiology, diagnosis and managementEdited by Finbarr C. Martin:
111 Henry J. Woodford and James George: Examining the nervous system of an older patient
112 Stephane Mathis, Pierre Bouche, Jean-Michel Vallat: Peripheral neuropathies and motor neuron disorders
113 Mark Weatherall: Headaches and Facial Pain
114 Abdullah Bin Zahid and Uzma Samadani: Traumatic brain injury and subdural hematoma
115 Steven C. Schachter: Seizure disorders and management
116 John V. Hindle, Sion Jones and Glesni Davies: Parkinsonism, Parkinson s disease and related conditions
117 Uy Hoang, Abdel Douiri, Salma Ayis, Yanzhong Wang, Anthony Rudd and Charles Wolfe: Stroke: Epidemiology, different types of strokes
118 L. Manning, M. Y. Lam, and T. G. Robinson: Primary and secondary prevention of stroke
119 Jonathan Birns and Ajay Bhalla: Management of acute stroke within the stroke pathway and stroke clinics
120 J.S. K. Kwan, M. M. Y Tse and L. S. W. Li: Neurological Rehabilitation

Section 12: Cognitive decline and dementia in older adults: Epidemiology, pathophysiology, diagnosis and managementEdited by B. Lynn Beattie:
121 John Starr: Normal cognition and ageing: Structure and function, Cognitive reserve
122 Jean Francois Dartigues, Leslie Grasset, Maturin Tabue-Tiguo, Alexandra Foubert, Karine Peres, Catherine Helmer and Helene Amieva: Epidemiology of Alzheimer s Disease: a relevant challenge for long term follow-up of population-based cohort.
123 Francesca Mangialasche , Tiia Nganduand Miia Kivipelto: Cognitive impairment Risk Factors and Prevention
124 H. Tuokko and C. Smart: Neuropsychological evaluation of cognition
125 Pieter Jelle Visser, Nienke Legdeur, Mara ten Kate and Daniela Bertens: Mild Cognitive Impairment
126 Bruno Dubois, Massimo Filippi and Gunhild Waldemar: The Diagnosis of Alzheimer s Disease: Assessment and Criteria
127 Chiadi U. Onyike: Assessment and diagnosis of the non-Alzheimer dementias
128 Jacques Hugon and Claire Paquet: Pharmacological interventions in mild cognitive impairment (mci) and dementia
129 Michelle C. Carlson and Vijay R. Varma: Non-pharmacologic Behavioral Activity Interventions to Prevent Dementia
130 Gabriel Gold and Dina Zekry,: Management of co-morbidities in demented patients
131 Anne Corbett, Clive Ballard and Byron Creese: Evidence-based management of behavioural and psychological symptoms of dementia
132 Emma Reynish, Nicola Thomson and Jane Roberson: Caregivers in dementia: Role and Empowerment
133 Yohko Maki, Takashi Sakurai and Kenji Toba: A new model of care for patients with dementia: The Japanese Initiative for Dementia Care

Section 13: Mental health of older adultsEdited by Jean-Pierre Michel:
134 Renzo Rozzini and Marco Trabucchi: Mental health: Epidemiology, pathophysiology, diagnosis and management
135 Yohannes Endeshaw and Donald L. Bliwise: Sleep disorders
136 Christine M. Ulbricht, Jacob Hunnicutt, Anne Hume, Camilla B. Pimentel, Jennifer Tjia and Kate L. Lapane: Mood and Anxiety Disorders
137 Luis Aguera-Ortiz: Functional psychoses
138 Ilana Crome and Rahul (Tony) Rao: Older people with substance problems
139 Peter Crome and Amit Arora: Elder Abuse

Section 14: Management of Common medical conditions: epidemiology, pathophysiology, diagnosis and managementEdited by Finbarr C. Martin:
140 Simon Conroy and Rosa McNamara: Common geriatric emergencies
141 Natalie Ebert and Elke Schaeffner: Management of acute kidney injury and chronic kidney disease
142 Michael I Macentee: Oral Health and Mouth Diseases.
143 Silvia Carrion and Pere Clave: Gastrointestinal disease in the older population
144 Philippe Ducrotte and Philippe Chassagne: Malabsorption
145 Philippe Chassagne and Frederic Roca: Constipation and faecal incontinence
146 Chang Won Won and Sunyoung Kim: Age-associated breathlessness
147 Ammon M. Fager and Harvey Jay Cohen: Anaemia
148 Alexis McKee and John E. Morley: Endocrinology of Ageing
149 Marcello Maggio, Fulvio Lauretani and Gian Paolo Ceda: Sexuality in Older Persons
150 Christophe Trivalle and Daniel Wallach: Skin diseases more common in older adults
151 Jacqueline Chua, Ching-Yu Cheng and Tien Yin Wong: Common age-related eye diseases and visual impairment
152 Sara K. Mamo, Theresa H. Chisolm and Frank R. Lin: Hearing impairments and their treatments
153 Declan Lyons, Avril Bierne and Joanna Lawson: Dizziness and Vertigo

Section 15: Palliative medicine and end of life careEdited by Jean-Pierre Michel:
154 Why, when, and where do older people diea
155 Viviana Forte and Giovanni Gambassi: Prognostication and Recognition of dying
156 Nele Van Den Noortgate and Elizabeth Sampson: Pain assessment and management in cognitively intact and impaired patients
157 Nele Van Den Noortgate and Elizabeth Sampson: Symptom assessment and management at the end of life
158 Finbarr C Martin, Abdul Abyad, Hidenori Arai, Marcel Arcand, Hashim Hasan Balubaid, B Lynn Beattie, Yitshal N. Berner, Rajiv Mohan Kaushik, Pedro Paulo Marin, Yasuyoshi Ouchi, Marwan Ramadan and Paulina Taboada: Eating and Drinking in Later Life
159 Rehabilitation: additional palliative care approaches
160 Aline De Vleminck and Luc Deliens: Advance Care Planning for Older People

Section 16: Healthy ageingEdited by Jeremy D. Walston:
161 Sebastiano Collino, Blandine Comte, Estelle Pujos Guillot, Claudio Franceschi, Antonio Nunez Galindo, Loic Dayon and Martin Kussmann: Healthy Ageing Phenotypes and Trajectories
162 Ina Voelcker and Alexandre Kalache: Empowerment of the ageing population: a contribution to active ageing
163 Timo E. Strandberg: Midlife risk factors of diseases and geriatric syndromes
164 Stephen D. Anton, Duane Corbett and Todd Manini: Optimizing Physical Activity Across the Lifespan
165 Tommy Cederholm and Mai-Lis Hellenius: Nutrition, ageing and longevity
166 Nicoletta Berardi, Alessandro Sale and Lamberto Maffei: Optimizing cognition in older adults: lifestyle factors, neuroplasticity, cognitive reserve.
167 Osvaldo P. Almeida: Preserving Mental Health and Well-Being
168 Allyson K. Palmer and James L. Kirkland: Clinical Translation of Interventions that Target Ageing: Toward a Longevity Dividend
169 Benjamin Shapiro and L. Jaime Fitten,: Driving, transportation and mobility in the older adult
170 James Podrebarac, Joel Edin, Erik J. Suuronen, Emilio I. Alarcon and May Griffith: Nanosciences and the Medicine of Ageing
171 Tilak Dutta, Babak Taati, Pam Holliday, Yue Li, Steve Pong, Alex Mihailidis and Geoffrey Fernie: Gerontechnology
172 Gunnar Akner: Personalized Medicine for Older Adults
173 Jean-Pierre Michel, B. Lynn Beattie, Finbarr C. Martin and Jeremy Walston: What next for Geriatric Medicine?


About the author: 

Dr Michel is Emeritus Professor of Medicine, former head of the academic Geriatric Department, Geneva University, and honorary professor in France, China and Quebec. He co-founded the European, Middle-East, Latin-America and Asian Academy for Medicine of Ageing and the European Interdisciplinary Council on Ageing. He is past President of the European Union Geriatric Medicine Society and editor-in-chief of European Geriatric Medicine. Dr Michel is also a full board member of the French Academy of Medicine and has received an IAGG World Award for his life-time and global achievements in Geriatrics. He is an ongoing World Health Organization expert for the 'Aging and Life course' program, and contributed to the 1st WHO report on Healthy Ageing in 2015. He has also authored 430 peer reviewed papers and numerous book chapters.; B Lynn Beattie is Professor Emeritus, Division of Geriatric Medicine, Department of Medicine, UBC. Her current clinical interest is practise at the UBC Hospital Clinic for Alzheimer Disease and Related Disorders (UBCH CARD) where she is the Medical Director. She is on the Board of the Alzheimer Society of Canada as Chair of the Research Policy Committee and has completed two terms as Secretary Treasurer of C5R, the Consortium of Canadian Centres for Clinical Cognitive Research. Professor Beattie also started and was the first Head of the Division of Geriatric Medicine at UBC, initially based at Shaughnessy Hospital and in later years at Vancouver Coastal UBC/VGH. She was Director of the Clinic for Alzheimer's Disease and Related Disorders from its inception until 2005, and again from 2009 to date, and is Past President of the American Geriatrics Society and the Canadian Geriatrics Society.; Professor Finbarr C. Martin trained in geriatric medicine at Hammersmith Hospital, London, and was appointed consultant physician in general and geriatric medicine at St Thomas' Hospital in 1984. He has worked in a broad range of services for older people in acute hospitals and in community settings. He has led national audit programmes on falls and fragility fractures, and is co-chair of the DH funded but clinically led National Hip Fracture Database. He was the elected president of the British Geriatrics Society between 2010 and 2012.; Dr Jeremy Walston is a professor of medicine at the Johns Hopkins University School of Medicine. His area of clinical expertise is geriatric medicine. At the Johns Hopkins School of Medicine, Dr Walston is co-director of the Biology of Healthy Aging Program in the Division of Geriatric Medicine and Gerontology as well as deputy director of the division, and the Raymond and Anna Lublin Professor of Geriatric Medicine. Dr Walston plays a leading role in setting the national ageing research agenda through his leadership and participation in committees of the American Geriatrics Society and on study sections and review panels for the National Institute on Aging. He has won numerous awards for his research, including the American Geriatrics Society New Investigator Award, a Brookdale National Leadership Fellowship and Paul Beeson Physician Faculty Scholars recognition.

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