Geriatric Medicine At a Glance

Geriatric Medicine at a Glance logically presents the core principles of geriatric medicine, including mechanisms of ageing, changes in physiology commonly seen in older adults, and the clinical management and treatment of the key medical presentations affecting older patients. It provides a thorough overview of the essential required core knowledge, mapped to the British Geriatrics Society undergraduate curriculum on ageing.

Geriatric Medicine at a Glance:
- Is fully aligned with the newly developed British Geriatric Society curriculum on ageing for undergraduate medical students
- Explains the relevant concepts associated with ageing in addition to the common medical presentations seen in older adults
-  Includes the perspective of nurses and other allied health professionals
-  Features 'best of five' MCQ self-assessment questions

Geriatric Medicine at a Glance will help address the uncertainty often experienced by medical students and junior doctors when dealing with older patients.

Dr Adrian Blundell is a Consultant in the Health Care of Older People, Nottingham University Hospitals NHS Trust, UK.

Dr Adam Gordon is a Consultant Geriatrician and Honorary Lecturer in the Medicine of Older People at Nottingham University Hospitals NHS Trust and the University of Nottingham, UK.

List of Contributors vi

Preface vii

Acknowledgements viii

How to use your revision guide ix

Part 1 Core Concepts 1

1. Why is geriatric medicine different? 2

2. Population ageing 4

3. Theories of ageing 6

4. Physiology of ageing 8

5. Frailty 10

6. Comprehensive geriatric assessment 12

7. The international classification of functioning, disability and health 14

8. Physiotherapy 16

9. Occupational therapy 18

10. Assessment scales – physical function 20

11. Assessment scales – mental health 22

12. Ethical issues 24

Part 2 Common problems in older adults 26

13. Polypharmacy 28

14. Osteoporosis 30

15. Falls 32

16. Gait 34

17. Dizziness 36

18. Syncope 38

19. Urinary incontinence 40

20. Constipation 42

21. Delirium 44

22. Dementia 1: causes and classification 46

23. Dementia 2: assessment and management 48

24. Stroke 50

25. Parkinsonism 52

26. Nutrition 54

27. Pressure ulcers 56

Part 3 CGA in practice 58

28. Elder abuse 60

29. Surgical care 62

30. Geriatrics at the interface 64

31. Care homes 66

32. End-of-life care 68

MCQ questions 70

MCQ answers 78

References 80

Index 81

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