Table of Contents

Introduction : aging, frailty, and geriatric medicine.
The epidemiology of aging.
The future of old age.
Successful aging : the centenarians.
Evolution theory and the mechanisms of aging.
Methodologic challenges of research in older people.
Genetic mechanisms of aging.
Cellular mechanisms of aging.
The premature aging syndrome : Hutchinson-Gilford progeria syndrome--insights into normal aging.
The neurobiology of aging: free radical stress and metabolic pathways.
Allostasis and allostatic overload in the context of aging.
Neuroendocrinology of aging.
Frailty : the broad view.
Aging and deficit accumulation : clinical implications.
Effects of aging on the cardiovascular system.
Age-related changes in the respiratory system.
Neurologic signs in older adults.
Connective tissues and aging.
Bone and joint aging.
Aging and the gastrointestinal system.
Aging of the urinary tract.
Endocrinology of aging.
Aging and the blood.
Aging and the skin.
The pharmacology of aging.
Antiaging medicine.
Normal cognitive aging.
Social gerontology.
Social vulnerability in old age.
The aging personality and self : diversity and health issues.
Productive aging.
Presentation of disease in old age.
Multidimensional geriatric assessment.
Laboratory diagnosis and geriatrics : more than just reference intervals for older adults.
Social assessment of older patients.
Surgery and anesthesia in the frail older patient.
Measuring outcomes of multidimensional geriatric assessment programs.
Chronic cardiac failure.
Diagnosis and management of coronary artery disease.
Practical issues in the care of frail older cardiac patients.
Valvular heart disease.
Cardiac arrhythmias.
Vascular surgery.
Venous thromboembolism in older adults.
Asthma and chronic obstructive pulmonary disease.
Nonobstructive lung disease and thoracic tumors.
Classification of the dementias.
Neuropsychology in the diagnosis and treatment of dementia.
Alzheimer disease.
Vascular cognitive disorders.
Frontotemporal lobar degeneration.
Mental illness in older adults.
Intellectual disability in older adults.
Headache and facial pain.
Stroke : epidemiology and pathology.
Stroke : clinical presentation, management, and organization of services.
Long-term stroke care.
Disorders of the autonomic nervous system.
Parkinsonism and other movement disorders.
Neuromuscular disorders.
Intracranial tumors.
Disorders of the spinal cord and nerve roots.
Central nervous system infections.
Arthritis in older adults.
Metabolic bone disease.
Orthopedic geriatrics.
The pancreas.
The liver.
Biliary tract diseases.
The upper gastrointestinal tract.
The small bowel.
The large bowel.
Nutrition and aging.
Diseases of the aging kidney.
Disorders of water and electrolyte metabolism. The prostate.
Aging males and testosterone.
Gynecologic disorders in older women.
Breast cancer.
Adrenal and pituitary disorders.
Disorders of the thyroid.
Disorders of the parathyroid glands.
Diabetes mellitus.
Blood disorders in older adults.
Geriatric oncology.
Clinical immunology : immune senescence and the acquired immunodeficiency of aging.
Skin disease and old age.
Aging and disorders of the eye.
Disorders of hearing.
Health promotion for community-living older adults.
Sexuality in old age.
Physical activity for successful aging.
Rehabilitation : evidence-based physical and occupational therapy techniques for stroke and Parkinson disease.
Geriatric pharmacotherapy and polypharmacy.
Impaired mobility.
Constipation and fecal incontinence in old age.
Urinary incontinence.
Pressure ulcers.
Sleep in relation to aging, frailty, and cognition.
Malnutrition in older adults.
Geriatric dentistry : maintaining oral health in the geriatric population.
Pain in the older adult.
The mistreatment and neglect of frail older people.
HIV and aging : current status and evolving perspectives.
Palliative medicine for the older patient.
Ethical issues in geriatric medicine.
Managing frailty : roles for primary care.
Geriatric emergency and prehospital care.
Acute hospital care for frail older adults.
Intensive care medicine in older adults : a critical age?.
Geriatric medicine in Europe.
Geriatric medicine in North America.
Geriatrics in Asia.
Geriatrics in Latin America.
Medical care for older long-term care residents in the United Kingdom.
Institutional long-term care in the United States.
Education in geriatric medicine.
Improving quality of care for older people in England.
Quality initiatives aimed at improving Medicare.
Managed care for older Americans.
Telemedicine applications in geriatrics.
Optimizing the built environment for frail older adults.
Transcultural geriatrics. The leading reference in the field of geriatric care, Brocklehurst's Textbook of Geriatric Medicine and Gerontology, 8th Edition, by Drs. Howard M. Fillit, Kenneth Rockwood, and John B. Young, provides a contemporary, global perspective on topics of importance to today's gerontologists, internal medicine physicians, and family doctors. An increased focus on frailty, along with coverage of key issues in gerontology, disease-specific geriatrics, and complex syndromes specific to the elderly, makes this 8th Edition the reference you'll turn to in order to meet the unique challenges posed by this growing patient population. Features: Consistent discussions of clinical manifestations, diagnosis, prevention, treatment, and more make reference quick and easy, More than 250 figures, including algorithms, photographs, and tables, complement the text and help you find what you need on a given condition, and Clinical relevance of the latest scientific findings helps you easily apply the material to everyday practice.