Medical Problems in Women over 70: When

Care of the older patient is characterized by increasing incidence of chronic and acute diseases, with many patients suffering from several conditions simultaneously. The susceptibility to disease increases not only because of physiological factors relating to the aging process, but also due to changes in lifestyle, such as decreased mobility. Issues relating to polypharmacy are exacerbated by concerns about compliance, for example in patients experiencing cognitive decline. Decisions about appropriate medical care are complicated by the fact that many of the normal values that can be relied upon as a guide in younger individuals, do not apply in the older patient.This book is designed to educate gynecologists about these issues. It draws upon the experience of specialists in a variety of clinical and non-clinical specialties, reviews current knowledge of the problems encountered in caring for the elderly female patient, and suggests guidelines for best practice.

Epidemiology and scope of problem
Worldwide population changes
New social structures (divorce, widowhood, rural and urban)
Mortality and climate change
Conditions affecting the elderly(Pathology, impact on daily living, investigations, contribution to ill health management strategies)
Balance, falls and mortality
Vision
Audition
Dementia
Depression and mood changes (care at home, in residential care, hospital, drug/ECT/cognitive therapy)
Dentition
Continence
Sex (couple and single-sex relationships, heterosexual and same-sex, at home, living alone, residential care)
Sleep disorders
Managing the problem
Setting up a one-step gerontology service
Investigations BP, BMI, Hb, biochemistry, immunology (what are the normative values, what does the physician need to ask?)
Diet and micronutrients: living alone and residential care
Polypharmacy getting prescriptions, compliance, drug interactions, drug metabolism changes with age
Alternative and complementary therapies
Designing living places independent and residential
Palliative care: location, chemotherapy, analgesia
Caring for carers: professional and non-professional
Index & Bibliographies
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Medical Problems in Women over 70: When Normative Treatment Plans do not Apply

Summary

Table of Contents

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