This orderly succession gives an enormous sense of pride and confidence that the progressive maturation of this textbook over the first 5 editions will continue unabated for the foreseeable future. From the outset this has been buttressed by the unflagging commitment to field demonstrated by McGraw-Hill since this project was but a gleam in the eye of Derek Jeffers, senior publisher’s editor for Harrison’s Principles of Internal Medicine. In the late 1970s he conceived it as an important and timely initiative on behalf of new field to bring students and practitioners up to modern standards in caring for the already burgeoning numbers of elderly patients. He first enlisted the collaboration of Edwin L. Bierman, who had recently added Gerontology to his title as head of the Division of Metabolism in the Department of Medicine at the University of Washington, to develop a new textbook for field to serve as a companion to Harrison’s and the first such American contribution in this discipline. Ed, mentor from metabolism fellowship days at the University ofWashington, turned in rapid order first to his long-time friend and colleague, Reubin Andres, clinical director of the Gerontology Research Center (GRC) of the National Institute on Aging in Baltimore, to serve as senior editor and soon thereafter to me, as a junior member of his division, to join in a tripartite effort to launch the first edition of the Principles of Geriatric Medicine and Gerontology. And with the steady support of Jeffers and the editorial assistance of Ellen Hazzard, in 1985 the first edition was published, receiving favorable reviews and an enthusiastic reception from members of our still fledgling field.
A token of appreciation given to all contributors to the 5th edition visually summarized this history of the Principles of Geriatric Medicine and Gerontology : a photograph on a mouse pad of the first five volumes standing between the book-ends that exemplify the enduring philosophy of editions of this textbook: our enduring commitment to aging, both “successful” and “usual”(Figure 1), portraying a striving runner on one end symbolizing the price and rewards of a robust old age while on the other end the discouraged, frail old person to whom much of our professional effort is devoted with heart, mind, and soul.
Now with the publication of the 6th edition in 2009 the editorial succession is complete as the last members of the early boards leave with the retirement of John Blass and my “promotion” to emeritus status, Jeffrey Halter assumes the reins of leadership, and three vigorous new members join to expand and broaden the effort: Sanjay Asthana, a geriatrician with primary professional expertise in the neural sciences (notably Alzheimer’s Disease and related disorders); Kevin High, an infectious disease subspecialist with broad interests and ties in subspecialty internal medicine and geriatrics; and Stephanie Studenski, a geriatrician and rheumatologist/rehabilitation specialist.
The solid principles upon which this textbook were founded will assuredly remain undiminished with the strong support of James Shanahan at McGraw-Hill and the leadership of the board of editors of the 6th edition:
- To publish a timely, comprehensive, state-of-the-art textbook as an icon and practical, day-to-day tool of our discipline that is anchored in science, evidence-based medicine, and the balanced, patient-centered practice of our specialty.
- To focus information and chapters upon the learning needs of those who will lead field as it continues to evolve and its scientific underpinnings become evermore secure and comprehensive: most clearly the fellows in training who will become the future practitioners, researchers, and educators in this rapidly advancing field and whose contributions will be leveraged maximally among the broad array of students and practitioners whom they instruct and with whom they collaborate.
- To hold our aging and elderly patients squarely in the center of our vision for the future of our field, for they are and always will be the raison d’etre of our discipline.
Part I PRINCIPLES OF GERONTOLOGY
1. Biology of Aging and Longevity
2. Genetics of Age-Dependent Human Disease
3. Immunology and Aging
4. Inflammation and Aging
5. Demography and Epidemiology
6. International Gerontology
7. Psychosocial Aspects of Aging
8. General Principles of Pharmacology
9. Preventive Gerontology: Strategies for Optimizing Health Across the Life Span
Part II PRINCIPLES OF GERIATRICS
10. Evaluation, Management, and Decision Making with the Older Patient
SECTION A Assessment
11. Principles of Geriatric Assessment
12. Mental Status and Neurological Examination in Older Adults
13. Assessment of Decisional Capacity and Competencies
14. Principles of Screening in Older Adults
SECTION B Organization of Care
15. Health Care System
16. Transitions
17. Acute Hospital Care
18. Emergency Department Care
19. Critical Care
20. Subacute Care
21. Nursing Facility Care
22. Community-Based Long-Term Care and Home Care
23. Rural Aging
SECTION C Special Management Issues
24. Appropriate Approach to Prescribing
25. Complementary and Alternative Medicine
26. Team Care
27. Social Work
28. Self-Management of Health Behavior in Geriatric Medicine
29. Rehabilitation
30. Pain Management
31. Palliative Care
32. Legal Issues
33. Spirituality
34. Ethical Issues
SECTION D Surgical Management
35. Perioperative Evaluation and Management
36. Anesthesia
37. Surgical Outcomes
SECTION E Nutrition
38. Nutrition and Aging
39. Weight and Age: Paradoxes and Conundrums
40. Malnutrition and Enteral/Parenteral Alimentation
41. Disorders of Swallowing
42. Oral Cavity
SECTION F Sensory Function
43. Assessment and Rehabilitation of Older Adults with Low Vision
44. Age-Related Changes in the Auditory System
SECTION G Gender and Sexuality
45. Sex and Gender Across the Human Life Span
46. Menopause and Midlife Health Changes
47. Sexuality, Sexual Function, and the Aging Woman
48. Gynecologic Disorders
49. Sexuality, Sexual Function, Androgen Therapy, and the Aging Male
50. Benign Prostate Disorders
Part III GERIATRIC SYNDROMES
51. Aging and Homeostatic Regulation
52. Frailty
53. Delirium
54. Falls
55. Sleep Disorders
56. Dizziness
57. Syncope
58. Pressure Ulcers
59. Incontinence
60. Elder Mistreatment
Part IV ORGAN SYSTEMS AND DISEASES
SECTION A Human Brain
61. Cellular and Neurochemical Aspects of the Aging Human Brain
62. Cognitive Changes Associated with Normal and Pathological Aging
63. Psychoactive Drug Therapy
64. Cerebrovascular Disease
65. Dementia Including Alzheimer’s Disease
66. Parkinson’s Disease and Related Disorders
67. Other Neurodegenerative Disorders
68. Traumatic Brain Injury
69. Epilepsy
70. Late-Life Mood Disorders
71. Schizophrenia
72. General Topics in Geriatric Psychiatry
73. Management of Agitation in Dementia
SECTION B Cardiology
74. Effects of Aging on Cardiovascular Structure and Function
75. Aging and Atherosclerosis
76. Coronary Heart Disease
77. Valvular Heart Disease
78. Heart Failure
79. Cardiac Arrhythmias
80. Peripheral Vascular Disease
81. Hypertension
SECTION C Respiratory System
82. Aging of the Respiratory System
83. Chronic Obstructive Pulmonary Disease
84. Diffuse Parenchymal Lung Disease
SECTION D Nephrology
85. Changes in Kidney Function
86. Renal Disease
87. End-Stage Renal Disease
88. Disorders of Fluid Balance .
SECTION E Gastroenterology
89. Effect of Aging on Gastrointestinal Function
90. Hepatic, Biliary, and Pancreatic Disease
91. Upper Gastrointestinal Disorders
92. Common Large Intestinal Disorders
93. Constipation
SECTION F Oncology
94. Oncology and Aging: General Principles
95. Breast Disease
96. Prostate Cancer
97. Lung Cancer
98. Gastrointestinal Malignancies
99. Intracranial Neoplasms
100. Skin Cancer
SECTION G Hematology
101. Aging of the Hematopoietic System
102. Anemia
103. White Cell Disorders
104. Non-Hodgkin’s and Hodgkin’s Lymphomas and Myeloma
105. Thrombosis
106. Hemorrhagic Disorders
SECTION H Endocrinology and Metabolism
107. Aging of the Endocrine System and Selected Endocrine Disorders
108. Thyroid Diseases
109. Diabetes Mellitus
110. Dyslipoproteinemia
111. Hyperparathyroidism and Paget’s Disease of Bone
SECTION I Mobility and Musculoskeletal System
112. Aging of the Muscles and Joints
113. Biomechanics of Mobility
114. Exercise: Physiologic and Functional Effects
115. Mobility
116. Osteoarthritis
117. Osteoporosis
118. Hip Fractures
119. Myopathy, Polymyalgia Rheumatica, and Temporal Arteritis
120. Rheumatoid Arthritis and Other Autoimmune Diseases
121. Back Pain and Spinal Stenosis
122. Primary Considerations in Managing the Older Patient with Foot Problems
123. Fibromyalgia and Myofascial Pain Syndromes
SECTION J Infectious Diseases and Immunology
124. Infection in the Elderly
125. General Principles of Antimicrobial Selection
126. Pneumonia
127. Urinary Tract Infections
128. Human Immunodeficiency Virus Infection
129. Herpes Zoster
130. Influenza and Respiratory Syncytial Virus
Index
Product Details
- Hardcover: 1760 pages
- Publisher: McGraw-Hill Professional; 6 edition (March 9, 2009)
- Language: English
- ISBN-10: 0071488723
- ISBN-13: 978-0071488723
- Product Dimensions: 11 x 8.7 x 2.4 inches