Geriatric Medicine: An Evidence-Based Approach Book

	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