Bøger i Practical Issues in Geriatrics serien

This book summarizes the broad and rapidly evolving field of geriatric pharmacotherapy, which is becoming increasingly relevant for practicing physicians who care and prescribe medications for older patients. Around the globe, ageing populations are associated with an increased prevalence of chronic diseases. Older adults are often affected by multimorbidity, i.e., suffer from more than one chronic disease. The main consequence of multimorbidity is polypharmacy, which is commonly defined as the regular use of five or more medicines. Polypharmacy has now reached epidemic proportions in our societies, and is associated with an increased risk of drug-drug interactions, drug-disease interactions and adverse drug reactions. The management of polypharmacy in older patients with complex multimorbidity poses several challenges and needs to be based on specific knowledge and prescribing expertise.The aim of this book is to provide a comprehensive update on thefield, and to share the expertise needed to optimize the management of pharmacotherapy in older patients.

This book addresses in a structured and multidisciplinary way the medical issues related to aging, paying particular attention to the role of diagnostic imaging in the field of cardiovascular, musculoskeletal, respiratory, neurological, urogenital and gastrointestinal diseases.The progressive increase of the average age of the population, of life expectancy and the improvement of the quality of life are common phenomena in many countries of the World.Over the years, the management of older persons seems to have had an increasing impact both on the socio-economic and on the medical-health level. Medicine, in all its branches, has in fact focused more and more on the health conditions of the elderly patient and its protection and, in this context, due to the increasing progress in the field of technology and imaging methods, the radiologist occupies a front-line position.Unlike the young or middle-aged patients, the elderly need special care and attention, especially because of the involutive-degenerative senile processes they have to face, which must be taken into account to avoid incurring into misdiagnosis.Radiology, in fact, aims more and more at developing imaging techniques that are on the one hand satisfactory and comprehensive, but at the same time that do not represent any risk and/or obstacle for the elderly patient.The aim of this book is to provide the radiologist, and not only, with an adequate and complete geriatric preparation, thus to improve the diagnostic-therapeutic management of those patients who, to date, constitute the most conspicuous part of the medical-health users.

Open access publication has been possible through an unconditional educational grant from UCB.This new open access edition supported by the Fragility Fracture Network aims at giving the widest possible dissemination on fragility fracture (especially hip fracture) management and notably in countries where this expertise is sorely needed. It has been extensively revised and updated by the experts of this network to provide a unique and reliable content in one single volume. Throughout the book, attention is given to the difficult question of how to provide best practice in countries where the discipline of geriatric medicine is not well established and resources for secondary prevention are scarce. The revised and updated chapters on the epidemiology of hip fractures, osteoporosis, sarcopenia, surgery, anaesthesia, medical management of frailty, peri-operative complications, rehabilitation and nursing are supplemented by six new chapters. These include an overview of the multidisciplinary approach to fragility fractures and new contributions on pre-hospital care, treatment in the emergency room, falls prevention, nutrition and systems for audit. The reader will have an exhaustive overview and will gain essential, practical knowledge on how best to manage fractures in elderly patients and how to develop clinical systems that do so reliably.

This book illustrates the role of Mediterranean diet in connection with well-being and particularly its impact on health and elderly care, as well as on the mechanisms of aging.

This book clearly explains when and how different rehabilitation techniques should be applied in the aging patient, thereby enabling readers to identify and apply those rehabilitation strategies that will maximize quality of life and functional independence in individual cases.

This book describes the fundamental process of senescence, and reviews a new concept developed by a number of research groups that is based on cellular senescence and its secretome.

This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly.

After introductory chapters devoted to the safe production and distribution of vaccines, the book addresses the question of adult vaccination in the framework of a life-course approach to vaccination.

This book explains how to promote and prolong "healthy ageing," which constitutes maintaining daily functioning and well-being until the end of life.In this context, the editor of the book and the international team of authors, all of whom are experts on the various aspects of ageing, demonstrate the value of this new approach in clinical practice. The systematic integration of a functional assessment, if not a complete and comprehensive geriatric assessment, is fundamental in daily clinical practice. Identifying risk factors at midlife will help to promote health at any age. Moreover, randomized control trials are making it increasingly clear that interventions could help ageing and elderly adults enjoy their remaining years without disability. Indeed, wellbeing will also increase, allowing elderly adults to stay independent until a very advanced age. The book also shows how considerable societal benefits can be easily forecast when more lifetime is spent without disability, followed by a dignified end of life. This book will be of interest to all medical doctors, general practitioners and organ specialists as well as geriatricians who want to have a complete overview of what healthy ageing means.

This book illustrates the role of Mediterranean diet in connection with well-being and particularly its impact on health and elderly care, as well as on the mechanisms of aging.

This textbook presents hands-on training material based on the recently released ΓÇ£European undergraduate curriculum in geriatric medicineΓÇ¥. The style reflects the need for practice-based teaching in daily clinical routine with a modern edge; accordingly, it also employs online material and pocket cards.Each chapter begins with specific learning objectives cross-referenced with the European curriculum for undergraduate medical education released by the European Union of Medical Specialists (UEMS) together with the European Union Geriatric Medicine Society (EUGMS), and the minimum geriatric competences for medical students established by the American Geriatrics Society (AGS).World-renowned European experts in practicing and teaching the interdisciplinary field of Geriatrics cooperated and pooled together the fundaments of this medical discipline with the aim of offering to the new generation of health professionals a global perspective about one of the major public health challenges of our time: the management of the steadily increasing number of older, multimorbid, and vulnerable persons.The major strength of this book ΓÇô published under the auspices of the EUGMS ΓÇô is its pragmatic, goal-oriented approach, which makes it suitable for bedside learning and patient-centered medicine; further, all of the chapters are firmly based on the pillars of the ageing process in all of its biological aspects, helping readers understand the pathophysiology of and rationale behind interventions for the main geriatric syndromes and disorders.

This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly.

This book clearly explains when and how different rehabilitation techniques should be applied in the aging patient, thereby enabling readers to identify and apply those rehabilitation strategies that will maximize quality of life and functional independence in individual cases.