By Alan J. Sinclair, John E. Morley, Bruno Vellas

Now in its 5th variation, this complete textbook of geriatric scientific perform presents updated, evidence-based, and sensible information regarding all of the significant clinical difficulties of getting older voters. Containing forty-one new chapters protecting new infections, remedies, ways to care, and finish of lifestyles care, Pathy’s rules and perform of Geriatric Medicine contains accelerated sections on acute stroke, dementia, heart problems and health and wellbeing, breathing ailments, and coaching. To trap a world standpoint this new textual content has contributions from an international editorial crew.

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Extra resources for Pathy's Principles and Practice of Geriatric Medicine, 2 Volumes

Example text

The question of why we grow old is really tied into a fundamental characteristic of life itself – reproduction. Simply put, if the purpose of a particular species is to maintain itself through reproduction, there is no reason to invest biological resources in maintaining a member of that species after the birth and nurturing of the next generation. Hence, after reproduction, species generally decline physiologically and eventually die. This broad perspective is usually referred to as ‘the evolutionary theory of ageing’, and it makes important predictions about the biology of ageing.

17. Thane P. Inventing geriatric medicine. 436–57. 18. Warren MW. Care of the chronic aged sick. Lancet 1946;i:841–3. 19. Cosin L. Geriatrics as a Speciality, The British Library, National Sound Archive, London, 1991. 20. Cosin L. A new approach to the problems of geriatric care. Kaiser Found Med Bull 1956;4:321–8. 21. Amulree L. Adding Life to Years, National Council of Social Service, London, 1951. 22. Gale J and Livesley B. Attitudes towards geriatrics: a report of the King’s survey. Age Ageing 1974;3:49–53.

The early pioneers in geriatric medicine In 1935, Dr Marjorie Winsome Warren, CBE, MB (1897–1960), was placed in charge of 874 patients from the adjacent Public Assistance Institution. These included 16 maternity patients and about 144 ‘mental observation’ patients, who were subsequently transferred to their appropriate departments. She assessed and examined the remainder. She described the situation as follows: ‘Having lost all hope of recovery, with the knowledge that independence has 4 | Historical perspectives gone, and with a feeling of helplessness and frustration, the patient rapidly loses morale and self-respect and develops an apathetic .

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