За последние два десятилетия произошли заметные изменения в возрастной структуре населения - количество лиц старше 60 лет, увеличилось на 82%, а число долгожителей - на 715%. Эти изменения являются свидетельством успеха последних достижений медицины, но создают серьезные проблемы для многих областей здравоохранения, касающихся пожилых пациентов.

В данном, третьем, издании учебника по гериатрической медицине предлагается всесторонний и многонаспектный анализ по множеству вопросов, связанных с гериатрией. Полностью переработанный по сравнению с предыдущим изданием, чтобы отразить нынешнее состояние гериатрической медицины, учебник рассматривает медицинскую и научную основу клинических проблем, а также этические, юридические и социально-экономические проблемы для политики и систем здравоохранения.

В учебнике более 170 глав разбиты на 16 ключевых разделов, охватывающих темы, от политики и ключевых концепций до инфекций и инфекционных заболеваний, рака, паллиативной медицины и здорового старения и политики в этой области.

Table of Contents

Section 1. Ageing population and policy
Edited by Jean-Pierre Michel

1. Demography of Global Ageing
David E. Bloom, Elizabeth Mitgang, and Benjamin Osher

2. Population ageing in Europe
Emily M Grundy and Michael Murphy

3. Ageing in North America. Canada and the United States
Eileen M. Crimmins, Hiram Beltran-Sanchez, Lauren Brown and Yongjie Yon

4. Population ageing in south and central America
Carlos M. Paixao Junior, Roberto A. Lourenço and Morales-Martinez

5. Population ageing in sub-Saharan Africa
Bilkish Cassim and Isabella Aboderin

6. Population ageing in Asia
Du Peng and Cao Ting

7. Population Ageing in Arab countries
Abla Mehio Sibai and Anthony Rizk

8. Population Ageing in Oceania
Leon Flicker and Ngaire Kerse

9. Health expectancies
Jean-Marie Robine and Carol Jagger

10. Life course approach to understanding inequalities in health in later life
Ruth Bell and Michael Marmot

11. Implications of population ageing for societies and governments
John R Beard, Anne Margriet Pot, and Geeske Peeters

12. Economic implications of Population Ageing
Andrew Mason and Ronald Lee

13. Policy options for responding to population ageing
Alexandre Sidorenko and Alan Walker

Section 2. Key Concepts in care of older adults
Edited by Finbarr C. Martin

14. A lifecourse approach for understanding later life sustainability
H E Syddall and A A Sayer

15. Ageing, multimorbidity and daily functioning
Barbara Gryglewska, Karolina Piotrowicz and Tomasz Grodzicki

16. Comprehensive Geriatric Assessment. Evidence
Alberto Pilotto and Francesco Panza

17. Comprehensive Geriatric Assessment. The Specific Assessment Technology of InterRAI
George Heckman and Pálmi V. Jónsson

18. Engaging older patients in their treatment and care
Angela Coulter

19. Models of health care for older people
Kaisu Pitkala, John Gladman and Martin Connolly

20. History Taking And Physical Examination
José M Ribera-Casado

21. Communication, Rebecca Allwood
Rowan H Harwood

22. Interprofessional Team Building and Case Management
Ellen Flaherty and Terry Fulmer

23. Age-friendly environments and their role in supporting Healthy Ageing
Lisa Warth, Alana Margaret Officer, John Roland Beard and Norah Keating

24. Principles Of Medication Management
David G Le Couteur, Andrew J McLachlan and Sarah N Hilmer

25. Optimizing Pharmacotherapy for Older Patients
Denis O Mahony

26. Limitations in the evidence for safe and effective medications for older people, Antonio Cherubini and Graziano Onder

27. General principles of recovery and rehabilitation
Torgeir Bruun Wyller and Erik Bautz-Holter

28. The approach of dying and death, and the mourning process of the survivors
Jonathan Martin, Caroline Nicholson and Rob George

29. Legal and ethical issues in care of older adults
Reijo Tilvis

Section 3. Principles and organisation of care
Edited by B. Lynn Beattie

30. Integrating geriatrics principles into primary care
Alfonso J. Cruz-Jentoft

31. Clinical Interventions in home care
Gideon Caplan

32. Geriatric Patients in the Emergency Department
Don Melady and Barry J. Goldlist

33. Critical Illness and Intensive Care
Maria E. Carlo, Kwame Frimpong and E. Wesley Ely

34. Older People Presenting to Acute Care Hospitals
Roger Wong

35. Postacute Care and Intermediate Care
Liang-Kung Chen

36. Pre-operative assessment and peri-operative management
Jugdeep Dhesi and Judith Partridge

37. Residential and nursing home care; from the past to the future
Jos M. G. A. Schols and Adam Gordon

38. Dementia specialist care units
Rebecca Palm and Sabine Bartholomeyczik

39. Transitions between Care Settings Till Death
Elizabeth Gundersen, Benjamin A. Bensadon and Joseph G. Ouslander, M.D.

Section 4. Age-related biological changes, altered physiology and vulnerability to diseases and chronic conditions
Edited by Jeremy D. Walston

40. Why do organisms agea

41. Age-related Physiologic Declines
Fabbri Elisa, Zoli Marco and Ferrucci Luigi

42. The Emergence of Ageing Phenotypes and Multi-system decline
Fabbri Elisa, Zoli Marco and Ferrucci Luigi

43. Environment and ageing biology
Arun S Karlamangla and Teresa E Seeman

44. Inflammation and its role in ageing and disease
Jintang Wang and Sean X. Leng

45. Immune system changes and immunosenescence
Graham Pawelec, Ludmila Müller, Tamas Fülöp

46. Mitochondrial Decline and Chronic Conditions of Older Adults
Emanuele Marzetti, Francesco Landi, Francesca Martini, Christiaan Leeuwenburgh, Riccardo Calvani

47. Biological significance of gut microbiota changes associated with ageing
Kevin Horgan, Fergus Shanahan, Paul W. O Toole and Deborah Dunn-Walters

Section 5. Geriatric syndromes in clinical practice
Edited by Jeremy D. Walston

48. Conceptualizing Geriatric Syndromes
Marcel Olde Rikkert

49. Delerium
Alasdair MacLullich,Edward R. Marcantonio and David Meagher

50. Falls
Clemens Becker, Jean Woo and Chris Todd

51. Urinary Incontinence
Adrian Wagg

52. Benign Prostatic Hyperplasia and Prostate Cancer
Richard Savdie, Edmund CP and Mr Chidi Molokwu

53. Pressure ulcers in the ageing population
Cindy Kiely and Magdalena Pupiales

54. Sarcopenia Definitions and Epidemiology
José A. Morais

55. Pathophysiology of Sarcopenia
Townsend Benard and Roger A. Fielding

56. Sarcopenia. assessment, management and outcomes
Luis Miguel F. Gutiérrez Robledo and Mario Ulises Perez Zepeda

57. Frailty in older adults
Jeremy Walson

Section 6. Nutrition and metabolism
Edited by B. Lynn Beattie

58. Epidemiology of malnutrition in different care settings
Maria Isabel Toulson Davisson Correia and Simone de Vasconcelos Generoso

59. Anorexia of Ageing
Francesco Landi, Anna Maria Martone, Riccardo Calvani and Emanuele Marzetti

60. Protein and energy requirements in health and illness
Jürgen M. Bauer and Rebecca Diekmann

61. Vitamin D. Its role in health and disease in older people
Heike A. Bischoff-Ferrari

62. Micronutrients. their roles in health and diseases in older people
Cédric Annweiler and Olivier Beauchet

63. From nutritional screening to assessment and nutritional plan in community, acute and long term care
Gianfranco Gioia, Alessio Molfino, Filippo Rossi Fanelli, and Maurizio Muscaritoli

64. Obesity
Mauro Zamboni, Francesco Fantin and Gloria Mazzali

65. Metabolic syndrome
Stefania Maggi and Gaetano Crepaldi

66. Management of Diabetes in Older Adults
Leocadio Rodríguez Mañas, Marta Castro Rodríguez and Alan J. Sinclair

Section 7. Mobility disorders. prevention, impact and compensation
Edited by Finbarr C. Martin

67. Gait Disorders. Clinical Significance and Approach to Evaluation and Management
Stephanie Studenski and Jessie Van Swearingen

68. Osteoporosis in the oldest old. epidemiology, assessment and management
René Rizzoli

69. Common fractures in older adults. Epidemiology and outcomes
Hiroshi Hagino and Akiko Kondo

70. Management of Common Fractures in Older Adults
V. Ana Sanguineti, Jason R. Wild, Bellal Joseph and Mindy J. Fain

71. Secondary prevention of fragility fractures. case finding, fracture liaison, falls reduction, injury prevention
Tahir Masud and Paul J. Mitchell

72. Osteoarthritis
Francisco J Blanco

73. Low back pain in older adults. From red flags to functional rehabilitation
Kieran O Sullivan, Kjartan Vibe Fersum, Wim Dankaerts and Peter O Sullivan

74. Vasculitides In The Elderly
Alexis Régent and Loïc Guillevin

75. Management of common types of arthritis in older adults
James B Galloway and David L Scott

76. Foot Problems
Hylton B. Menz

77. Injuries in sports activities in elderly people
Tomasz Kostka and Joanna Kostka

78. Orthogeriatrics
Jacqueline Close

Section 8. Infections in Older Adults. Epidemiology, pathophysiology, diagnosis and management
Edited by Jean-Pierre Michel

79. Immunosenescence and Infectious Diseases
Michel Moutschen, Henri Martens and Vincent Geenen

80. Epidemiology of infection in elderly populations in various settings
Gaëtan Gavazzi, Thibaut Fraisse, Benoit de Wazières

81. Pneumonia and respiratory tract infections
Adamantia Liapikou and Antoni Torres

82. Tuberculosis in old age
Aparajit Ballav Dey and Ramesh Kandel

83. Bone and Periprosthetic Joint Infections in Older Adults
Werner Zimmerli and Parham Sendi

84. Infective endocarditis
Ursula Müller-Werdan and Karl Werdan

85. Ageing with HIV
Amy Justice

86. Health care associated infections and emergence of antibiotic resistance
Benedikt Huttner and Stephan Harbarth

87. Healthcare-associated infections and infection control
Pascal Astagneau, Elise Seringe and Francois Bricaire

88. Vaccines against viral infections
Janet E. McElhaney

89. Vaccination in older adults needs to be included a life-course programme
Jean-Pierre Michel, Pierre-Olivier Lang and Richard Aspinall

Section 9. Cancer. Epidemiology, pathophysiology, diagnosis and management
Edited by B. Lynn Beattie

90. Cell biology and carcinogenesis in the elderly
Tamas Fulop, Vladimir N. Anisimov, Francis Rodier and Martine Extermann

91. Epidemiology of cancers in older adults
Shane O'Hanlon and Margot Gosney

92. Screening for Cancer
Anne M Horgan and Shabbir MH Alibhai

93. Multidisciplinary management, including chemotherapy of solid tumors (lung, breast & colon)
Nicolò Matteo Luca Battisti and Martine Extermann

94. Haemopoietic diseases
Leukemias & Myelomas, Roberto Mina, Alessandra Larocca and Antonio Palumbo

Section 10. Vascular diseases. Epidemiology, pathophysiology, diagnosis and management
Edited by Jeremy D. Walston

95. Cardiac and Vascular Ageing
Hidetaka Ota and Masahiro Akishita

96. Dyslipidemias and other cardio-metabolic risk factors In Older Adults
Hidenori Arai

97. Physical factors in arterial ageing
Junichiro Hashimoto, Michael F. O'Rourke

98. Peripheral Vascular Disease in Older Adults. Diagnostic and Treatment Considerations
Chung S Lim, Sarah Onida and Alun H Davies

99. Aneurysmal Diseases
Gino Gemayel and Afksendiyos Kalangos

100. Pulmonary thromboembolism
Simone Wärntges, Katrin Schäfer and Stavros V. Konstantinides

101. Hypertension in older adults
Hiromi Rakugi, and Tatsuo Kawai

102. Syncope and neurocardiovascular instability
R. A. Kenny and Conal Cunningham

103. Management of Atrial Fibrillation and Anticoagulant Therapies
John Whitaker, Jonathan Birns, Matthew Wright and Mark D. O'Neill

104. Management of Bradyarrhythmias
James L Harrison and Mark D O Neill

105. Management of Bachyarrhythmias
James L Harrison and Mark D O Neill

106. Ischemic Heart Disease
Martina Rafanelli, Francesco Orso and Niccolò Marchionni

107. Valvular Heart Disease State of the Art and Treatment Perspectives
Alain Cribier and Helene Eltchaninoff

108. Heart Failure - Definitions, Investigation & Management
John Cleland and John Baxter

109. Cardiac Rehabilitation
Andrew Maiorana, Lis Neubeck, Sian Williams and Keith Hill

110. Cardiopulmonary Resuscitation. Outcomes and Decision Making Processes for Older Adults
Esther M.M. van de Glind, Barbara C. van Munster and Marije E. Hamaker

Section 11. Neurologic Disorders. Epidemiology, pathophysiology, diagnosis and management
Edited by Finbarr C. Martin

111. Examining the nervous system of an older patient
Henry J. Woodford and James George

112. Peripheral neuropathies and motor neuron disorders
Stéphane Mathis, Pierre Bouche, Jean-Michel Vallat

113. Headaches and Facial Pain
Mark Weatherall

114. Traumatic brain injury and subdural hematoma
Abdullah Bin Zahid and Uzma Samadani

115. Seizure disorders and management
Steven C. Schachter

116. Parkinsonism, Parkinson s disease and related conditions
John V. Hindle, Sion Jones and Glesni Davies

117. Stroke. Epidemiology, different types of strokes
Uy Hoang, Abdel Douiri, Salma Ayis, Yanzhong Wang, Anthony Rudd and Charles Wolfe

118. Primary and secondary prevention of stroke
L. Manning, M. Y. Lam, and T. G. Robinson

119. Management of acute stroke within the stroke pathway and stroke clinics
Jonathan Birns and Ajay Bhalla

120. Neurological Rehabilitation
J.S. K. Kwan, M. M. Y Tse and L. S. W. Li

Section 12. Cognitive decline and dementia in older adults. Epidemiology, pathophysiology, diagnosis and management
Edited by B. Lynn Beattie

121. Normal cognition and ageing. Structure and function, Cognitive reserve
John Starr

122. Epidemiology of Alzheimer s Disease. a relevant challenge for long term follow-up of population-based cohort
Jean François Dartigues, Leslie Grasset, Maturin Tabue-Tiguo, Alexandra Foubert, Karine Pérès, Catherine Helmer and Hélène Amieva

123. Cognitive impairment Risk Factors and Prevention
Francesca Mangialasche , Tiia Nganduand Miia Kivipelto

124. Neuropsychological evaluation of cognition
H. Tuokko and C. Smart

125. Mild Cognitive Impairment
Pieter Jelle Visser, Nienke Legdeur, Mara ten Kate and Daniela Bertens

126. The Diagnosis of Alzheimer s Disease. Assessment and Criteria
Bruno Dubois, Massimo Filippi and Gunhild Waldemar

127. Assessment and diagnosis of the non-Alzheimer dementias
Chiadi U. Onyike

128. Pharmacological interventions in mild cognitive impairment (mci) and dementia
Jacques Hugon and Claire Paquet

129. Non-pharmacologic Behavioral Activity Interventions to Prevent Dementia
Michelle C. Carlson and Vijay R. Varma

130. Management of co-morbidities in demented patients
Gabriel Gold and Dina Zekry,

131. Evidence-based management of behavioural and psychological symptoms of dementia
Anne Corbett, Clive Ballard and Byron Creese

132. Caregivers in dementia. Role and Empowerment
Emma Reynish, Nicola Thomson and Jane Roberson

133. A new model of care for patients with dementia. The Japanese Initiative for Dementia Care
Yohko Maki, Takashi Sakurai and Kenji Toba

Section 13. Mental health of older adults
Edited by Jean-Pierre Michel

134. Mental health. Epidemiology, pathophysiology, diagnosis and management
Renzo Rozzini and Marco Trabucchi

135. Sleep disorders
Yohannes Endeshaw and Donald L. Bliwise

136. Mood and Anxiety Disorders
Christine M. Ulbricht, Jacob Hunnicutt, Anne Hume, Camilla B. Pimentel, Jennifer Tjia and Kate L. Lapane

137. Functional psychoses
Luis Agüera-Ortiz

138. Older people with substance problems
Ilana Crome and Rahul (Tony) Rao

139. Elder Abuse
Peter Crome and Amit Arora

Section 14. Management of Common medical conditions. epidemiology, pathophysiology, diagnosis and management
Edited by Finbarr C. Martin

140. Common geriatric emergencies
Simon Conroy and Rosa McNamara

141. Management of acute kidney injury and chronic kidney disease
Natalie Ebert and Elke Schaeffner

142. Oral Health and Mouth Diseases
Michael I Macentee

143. Gastrointestinal disease in the older population
Silvia Carrión and Pere Clavé

144. Malabsorption
Philippe Ducrotte and Philippe Chassagne

145. Constipation and faecal incontinence
Philippe Chassagne and Frédéric Roca

146. Age-associated breathlessness
Chang Won Won and Sunyoung Kim

147. Anaemia
Ammon M. Fager and Harvey Jay Cohen

148. Endocrinology of Ageing
Alexis McKee and John E. Morley

149. Sexuality in Older Persons
Marcello Maggio, Fulvio Lauretani and Gian Paolo Ceda

150. Skin diseases more common in older adults
Christophe Trivalle and Daniel Wallach

151. Common age-related eye diseases and visual impairment
Jacqueline Chua, Ching-Yu Cheng and Tien Yin Wong

152. Hearing impairments and their treatments
Sara K. Mamo, Theresa H. Chisolm and Frank R. Lin

153. Dizziness and Vertigo
Declan Lyons, Avril Bierne and Joanna Lawson

Section 15. Palliative medicine and end of life care
Edited by Jean-Pierre Michel

154. Why, when, and where do older people diea

155. Prognostication and Recognition of dying
Viviana Forte and Giovanni Gambassi

156. Pain assessment and management in cognitively intact and impaired patients
Nele Van Den Noortgate and Elizabeth Sampson

157. Symptom assessment and management at the end of life
Nele Van Den Noortgate and Elizabeth Sampson

158. Eating and Drinking in Later Life
Finbarr C Martin, Abdul Abyad, Hidenori Arai, Marcel Arcand, Hashim Hasan Balubaid, B Lynn Beattie, Yitshal N. Berner, Rajiv Mohan Kaushik, Pedro Paulo Marín, Yasuyoshi Ouchi, Marwan Ramadan and Paulina Taboada

159. Rehabilitation. additional palliative care approaches

160. Advance Care Planning for Older People
Aline De Vleminck and Luc Deliens

Section 16. Healthy ageing
Edited by Jeremy D. Walston

161. Healthy Ageing Phenotypes and Trajectories
Sebastiano Collino, Blandine Comte, Estelle Pujos Guillot, Claudio Franceschi, Antonio Nuñez Galindo, Loïc Dayon and Martin Kussmann

162. Empowerment of the ageing population. a contribution to active ageing
Ina Voelcker and Alexandre Kalache

163. Midlife risk factors of diseases and geriatric syndromes
Timo E. Strandberg

164. Optimizing Physical Activity Across the Lifespan
Stephen D. Anton, Duane Corbett and Todd Manini

165. Nutrition, ageing and longevity
Tommy Cederholm and Mai-Lis Hellénius

166. Optimizing cognition in older adults. lifestyle factors, neuroplasticity, cognitive reserve
Nicoletta Berardi, Alessandro Sale and Lamberto Maffei

167. Preserving Mental Health and Well-Being
Osvaldo P. Almeida

168. Clinical Translation of Interventions that Target Ageing. Toward a Longevity Dividend
Allyson K. Palmer and James L. Kirkland

169. Driving, transportation and mobility in the older adult
Benjamin Shapiro and L. Jaime Fitten,

170. Nanosciences and the Medicine of Ageing
James Podrebarac, Joel Edin, Erik J. Suuronen, Emilio I. Alarcon and May Griffith

171. Gerontechnology
Tilak Dutta, Babak Taati, Pam Holliday, Yue Li, Steve Pong, Alex Mihailidis and Geoffrey Fernie

172. Personalized Medicine for Older Adults
Gunnar Akner

173. What next for Geriatric Medicine?
Jean-Pierre Michel, B. Lynn Beattie, Finbarr C. Martin and Jeremy Walston

Index