- Contents
-
- Front matter
- Chapter 1 Ageing
- Chapter 2 Organizing geriatric services
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- Chapter 2 Organizing geriatric services
- Using geriatric services
- Acute services for older people
- The great integration debate
- Admission avoidance schemes
- Day hospitals
- Speciality clinics
- Intermediate care
- The national service framework for older people
- Single assessment process
- Community hospitals
- Domiciliary (home) visits
- Care homes
- Funding of care homes
- Delayed discharge
- Home care
- Informal carers
- Other services
- Chronic disease management
- Primary care
- Careers in UK geriatric medicine
- The diploma in geriatric medicine
- Chapter 3 Clinical assessment of older people
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- Chapter 3 Clinical assessment of older people
- Consultation skills
- Multiple pathology and aetiology
- Taking a history
- Other sources of information
- Problem lists
- Physical examination: general
- Physical examination: systems
- Investigations
- Common blood test abnormalities
- Comprehensive geriatric assessment
- Chapter 4 Rehabilitation
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- Chapter 4 Rehabilitation
- Rehabilitation
- The process of rehabilitation
- Aims and objectives of rehabilitation
- Measurement tools in rehabilitation
- Measurement instruments
- Selecting patients for inpatient rehabilitation
- Patients unlikely to benefit from rehabilitation
- Physiotherapy
- Walking aids
- Occupational therapy
- Occupational therapy assessments and interventions
- Doctors in the rehabilitation team
- Nurses in the rehabilitation team
- Social work and care management
- Speech and language therapy and dieticians
- Pharmacy
- Community nurses and health visitors
- Chapter 5 Falls and funny turns
- Chapter 6 Drugs
- Chapter 7 Neurology
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- Chapter 7 Neurology
- The ageing brain and nervous system
- Tremor
- Neuralgia
- Parkinson's disease (PD)
- Diseases masquerading as Parkinson's disease
- Epilepsy
- Epilepsy: drug treatment
- Neuroleptic malignant syndrome (NMS)
- Motor neuron disease
- Peripheral neuropathies
- Subdural haematoma
- Sleep and insomnia
- Other sleep disorders
- Chapter 8 Stroke
- Chapter 9 Psychiatry
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- Chapter 9 Psychiatry
- Cognitive ageing
- Impairments in cognitive function without dementia
- Dementia: overview
- Dementia: common diseases
- Dementia and Parkinsonism
- Dementia: less common diseases
- Normal pressure hydrocephalus
- Dementia: non-drug management
- Dementia: risk management and abuse
- Dementia: cholinesterase inhibitors
- Dementia: other drug treatments
- Dementia: managing behavioural problems
- Dementia: prevention
- Compulsory detention and treatment
- Psychosis
- Delirium: diagnosis
- Delirium: causes
- Delirium: clinical assessment
- Delirium: treatment issues
- Delirium: non-drug management
- Delirium: drug treatments
- Squalor syndrome
- Depression: presentation
- Depression: clinical features
- Depression: non-drug management
- Depression: drug treatments
- Suicide and attempted suicide
- Chapter 10 Cardiovascular medicine
-
- Chapter 10 Cardiovascular medicine
- The ageing cardiovascular system
- Chest pain
- Angina
- Coronary syndromes
- Myocardial infarction
- Hypertension
- Hypertension: treatment
- Arrhythmias: presentation
- Arrhythmias: management
- Atrial fibrillation
- Atrial fibrillation: treatment
- Atrial fibrillation: anticoagulation
- Bradycardia and conduction disorders
- Common arrhythmias and conduction abnormalities
- Cardiac failure: assessment
- Acute cardiac failure
- Chronic cardiac failure
- Dilemmas in cardiac failure
- Diastolic heart failure
- Valvular heart disease
- Peripheral oedema
- Peripheral vascular disease
- Gangrene in peripheral vascular disease
- Vascular secondary prevention
- Chapter 11 Chest medicine
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- Chapter 11 Chest medicine
- The ageing lung
- Respiratory infections
- Influenza
- Lower respiratory tract infection
- Pneumonia: treatment
- Vaccinating against pneumonia and influenza
- Pulmonary fibrosis
- Rib fractures
- Pleural effusions
- Pulmonary embolism
- Pulmonary aspiration
- Chronic cough
- Asbestos-related disease
- Lung cancers
- Tuberculosis: presentation
- Tuberculosis: investigation
- Tuberculosis: treatment
- Asthma and COPD: assessment
- Asthma and COPD: drug treatment
- Asthma and COPD: non-drug treatment
- Oxygen therapy
- Chapter 12 Gastroenterology
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- Chapter 12 Gastroenterology
- The ageing gastrointestinal system
- The elderly mouth
- Nutrition
- Enteral feeding
- Parenteral feeding
- The ethics of artificial feeding
- Oesophageal disease
- Dysphagia
- Peptic ulcer disease
- The liver and gallbladder
- Constipation
- Diverticular disease
- Inflammatory bowel disease
- Diarrhoea in the elderly patient
- Other colonic conditions
- The ‘acute surgical abdomen’
- Obstructed bowel in older patients
- Chapter 13 Renal medicine
- Chapter 14 Homeostasis
- Chapter 15 Endocrinology
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- Chapter 15 Endocrinology
- The ageing endocrine system
- Diabetes mellitus
- Diabetes: treatment
- Diabetes: oral drug treatment
- Diabetes: insulin treatment
- Diabetes: complications
- Diabetic emergencies
- Hypothyroidism: diagnosis
- Hypothyroidism: treatment
- Hyperthyroidism: diagnosis
- Hyperthyroidism: investigation
- Hyperthyroidism: drug treatment
- Hyperthyroidism: non-drug treatment
- Primary adrenal insufficiency
- Adrenal ‘incidentalomas’
- Hormone replacement therapy (HRT) and the menopause
- Chapter 16 Haematology
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- Chapter 16 Haematology
- The ageing haematopoietic system
- Investigating anaemia in older people
- Iron deficiency anaemia: diagnosis
- Iron deficiency anaemia: treatment
- Macrocytic anaemia
- Anaemia of chronic disease
- Myelodysplasia and myelodysplastic syndrome
- Chronic lymphocytic leukaemia
- Paraproteinaemias
- Multiple myeloma
- Chapter 17 Musculoskeletal system
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- Chapter 17 Musculoskeletal system
- Osteoarthritis
- Osteoarthritis: management
- Osteoporosis
- Osteoporosis: management
- Polymyalgia rheumatica
- Temporal arteritis
- Paget's disease
- Gout
- Pseudogout
- Cervical spondylosis and myelopathy
- Contractures
- Osteomyelitis
- The elderly foot
- The elderly foot: management
- The painful hip
- The painful back
- The painful shoulder
- Chapter 18 Pressure injuries
- Chapter 19 Genitourinary medicine
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- Chapter 19 Genitourinary medicine
- The ageing genitourinary system
- Benign prostatic hyperplasia: presentation
- Benign prostatic hyperplasia: treatment
- Prostatic cancer: presentation
- Prostate specific antigen
- Prostatic cancer: treatment
- Postmenopausal vaginal bleeding
- Vaginal prolapse
- Vulval disorders
- Sexual function
- Chapter 20 Incontinence
- Chapter 21 Ears
- Chapter 22 Eyes
- Chapter 23 Skin
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- Chapter 23 Skin
- The ageing skin
- Photoageing
- Cellulitis
- Other bacterial skin infections
- Fungal skin infections
- Intertrigo
- Leg ulcers
- Chronic venous insufficiency
- Management of venous leg ulcers
- Pruritus
- Pruritus: treatment
- Pruritic conditions
- Blistering diseases
- Skin cancers and pre-cancers
- Other skin lesions
- Chapter 24 Infection and immunity
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- Chapter 24 Infection and immunity
- The ageing immune system
- Overview of infection in older people
- Antibiotic use in older patients
- Methicillin-resistant Staphylococcus aureus
- MRSA disease
- Clostridium difficile-associated diarrhoea
- Near patient urine tests
- Asymptomatic bacteriuria
- Urinary tract infection
- Urinary tract infection: treatment
- Recurrent urinary tract infection
- Varicella zoster infection
- Chapter 25 Malignancy
- Chapter 26 Death and dying
- Chapter 27 Ethics
- Chapter 28 Finances
- Appendix
The Oxford Handbook of Geriatric Medicine provides user-friendly advice in a field that has limited evidence, yet makes up a substantial proportion of the work of most clinicians. It includes information required for effective, geriatric practice, in a contemporary, accessible format, indicating where practice differs from that of younger adults, is ill informed by evidence, and where dangers lurk for the inexperienced clinician.
- About the Editors
-
Lesley K. Bowker, Consultant in Medicine for the Elderly, Norfolk and Norwich University Hospital NHS Trust, Honorary Senior Lecturer, University of East Anglia, UK
James D. Price, Consultant in Geriatric Medicine and General Internal Medicine, Oxford Radcliffe Hospitals NHS Trust, and South East and South West Oxfordshire Primary Care Trusts, UK
Sarah C. Smith, Consultant in Geriatric Medicine and General Internal Medicine, Oxford Radcliffe Hospitals NHS Trust, South East and South West Oxfordshire and Oxford City Primary Care Trusts, UK
- Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work.
© Oxford University Press 2006
