Oxford textbook of geriatric medicine
著者
書誌事項
Oxford textbook of geriatric medicine
（Oxford medical publications）
Oxford University Press, 1992
- タイトル別名
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Textbook of geriatric medicine
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注記
Includes bibliographical references and index
内容説明・目次
内容説明
Few if any diseases are specific to old age. However, factors such as multiple pathology and impaired feedback control mechanisms lead to non-specific or "atypical" presentation of disease, to difficulties of diagnosis, to rapid deterioration of untreated disease and to a high incidence of complications. The geriatrician must include rehabilitation in clinical care plans, and also be aware of the cultural gap that may exist between the old and the younger members of a changing society. Ethical issues may arise in the distribution of scarce societal resources between different age groups, and in considering the needs and rights of caring relatives as well as those of the disabled older patient. Based on these considerations, this textbook is designed to supplement rather than substitute textbooks of general medicine. As a frame of reference it is specifically designed as a companion volume to the "Oxford Textbook of Medicine". It draws on an international authorship with an emphasis on combining the fruits of experience in clinical geriatrics with a scientific base in research.
The various chapters therefore offer both scholarly reviews of fields of knowledge in medical gerontology and firmly practical advice on clinical problems. Field reviews include the biological origins and mechanisms of ageing, age-associated changes in immunology and other host defences, injury responses, temperature homeostasis, memory, and the aging eye. Practical issues include the management of foot problems, back pain and infections in older patients. Further chapters deal with ethical issues, the difficulties of carers, and the design of services. The book includes traditional concerns of geriatric medicine such as hypothermia and postural hypotension but also takes a wider perspective on aging with chapters on topics including the post-menopausal state and aging in the Third World. References have been kept to a moderate number aimed at providing a rational and selective entree to the literature rather than a comprehensive bibliography. The book is aimed particularly at postgraduate students and practitioners in geriatric medicine, especially trainees in the specialty.
It aims to serve as a resource for teachers and a reference volume for non-specialists whose work includes clinical responsibilities for older patients.
目次
- The ageing of populations and communities
- biological aspects of ageing
- infections
- injuries in later life
- clinical pharmacology of ageing
- nutrition and ageing
- endocrine and metabolic disorders
- gastroenterology
- cardiovascular disorders
- cancer in older people - an overview
- stroke
- disorders of the blood
- skin disease in older persons
- neurology and psychology - age-associated changes
- the ageing respiratory systeml joints and connective tissue
- disorders of the skeleton
- nephrology and the genitourinary system
- voluntary muscle
- psychiatric aspects of the medicine of later life
- anaesthesiology and medical aspets of surgery
- symptoms management and palliative care
- services to older persons
- preventing disease and promoting health in old age
- ethical issues in the medicine of later life
- reference values for biological data in older persons.
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