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List of Tables and Figures | |
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Preface | |
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The Aging Patient and Geriatric Assessment | |
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Clinical Implications of the Aging Process | |
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Changes Associated with "Normal" Aging | |
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Theories of Aging | |
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Clinical Implications | |
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Geriatric Syndrome | |
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Atypical Presentation of Common Clinical Problems | |
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References | |
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Suggested Readings | |
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The Geriatric Patient: Demography, Epidemiology, and Health Services Utilization | |
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Growth in Numbers | |
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Disability | |
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Social Support | |
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Use of Services | |
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Nursing Home Use | |
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References | |
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Suggested Readings | |
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Evaluating the Geriatric Patient | |
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History | |
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Physical Examination | |
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Laboratory Assessment | |
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Functional Assessment | |
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Environmental Assessment | |
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Assessment for Pain | |
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Nutritional Assessment | |
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Geriatric Consultation | |
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Preoperative Evaluation | |
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References | |
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Suggested Readings | |
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Chronic Disease Management | |
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Specific Areas of Geriatric Disease Management | |
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Special Issues in Chronic Disease Management | |
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Role of Outcomes in Assuring Quality of Long-Term Care | |
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Technology for Quality Improvement | |
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Summary | |
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References | |
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Differential Diagnosis and Management | |
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Prevention | |
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General Principles | |
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Effectiveness of Prevention in Older People | |
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Osteoporosis | |
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Generic Approaches | |
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Preventing Disability | |
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Iatrogenesis | |
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Special Risks of Hospitals | |
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Labeling | |
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Summary | |
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References | |
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Suggested Readings | |
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Confusion: Delirium and Dementia | |
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Confusion | |
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Delirium | |
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Dementia | |
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Evaluation | |
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Management of Dementia | |
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References | |
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Suggested Readings | |
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Selected Web Sites (Accessed on March 16, 2008) | |
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Tools | |
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Diagnosis and Management of Depression | |
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Aging and Depression | |
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Symptoms and Signs of Depression | |
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Depression Associated with Medical Conditions | |
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Diagnosing Depression | |
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Management | |
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References | |
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Suggested Readings | |
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Web References | |
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Incontinence | |
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Normal Urination | |
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Causes and Types of Incontinence | |
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Evaluation | |
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Management | |
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Fecal Incontinence | |
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References | |
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Suggested Readings | |
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Selected Web Sites (Accessed on March 16, 2008) | |
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Falls | |
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Aging and Instability | |
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Causes of Falls in Older Persons | |
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Evidence on Falls Prevention | |
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Evaluating the Elderly Patient who Falls | |
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Management | |
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References | |
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Suggested Readings | |
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Selected Web Sites (Accessed on March 16, 2008) | |
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Immobility | |
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Causes | |
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Complications | |
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Assessing Immobile Patients | |
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Management of Immobility | |
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Pain Management | |
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Exercise | |
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Rehabilitation | |
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References | |
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Suggested Readings | |
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General Management Strategies | |
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Cardiovascular Disorders | |
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Physiological Changes | |
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Hypertension | |
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Stroke and Transient Ischemic Attacks | |
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Coronary Artery Disease | |
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Valvular Heart Disease | |
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Arrhythmias | |
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Congestive Heart Failure | |
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Peripheral Vascular Disease | |
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References | |
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Suggested Readings | |
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Decreased Vitality | |
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Endocrine Disease | |
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Anemia | |
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Nutrition | |
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Infections | |
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Disorders of Temperature Regulation | |
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References | |
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Suggested Readings | |
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Sensory Impairment | |
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Vision | |
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Hearing | |
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Taste | |
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Polyneuropathy | |
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Acknowledgment | |
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References | |
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Suggested Readings | |
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Weblinks | |
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Drug Therapy | |
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Nonpharmacological Factors Influencing Drug Therapy | |
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Adverse Drug Reactions and Interactions | |
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Aging and Pharmacology | |
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Geriatric Prescribing | |
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Geriatric Psychopharmacology | |
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References | |
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Suggested Readings | |
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Health Services | |
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Public Programs | |
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Long-Term Care | |
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The Nursing Home | |
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Assisted Living | |
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Home Care | |
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Other Services | |
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Case Management | |
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References | |
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Suggested Readings | |
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Nursing Home Care | |
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The Goals of Nursing Home Care | |
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Clinical Aspects of Care for Nursing Home Residents | |
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Process of Care in the Nursing Home | |
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Strategies to Improve Medical Care in Nursing Homes | |
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Subacute Care and the Nursing Home-Acute-Care Hospital Interface | |
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Ethical Issues in Nursing Home | |
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References | |
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Suggested Readings | |
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Selected Web Sites (Accessed 3/16/08) | |
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Ethical Issues in the Care of Older Persons | |
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Autonomy and Beneficence | |
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Competence and Informed Consent | |
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Advance Directives and End-of-Life Care | |
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Moving from DNR to Acceptance of Natural Death | |
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The Health-Care Provider's Role | |
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Special Problems with Nursing Home Residents | |
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Special Case of Dementia | |
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Policy Issues | |
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Ethical Issues Concerning Caregivers | |
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Summary | |
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References | |
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Web-Based References (Last Accessed July 2008.) | |
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Selected Internet Resources on Geriatrics | |
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Organizations | |
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Clinical Topics-for Professionals | |
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Clinical Topics-for Patients | |
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Index | |