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Merck Manual of Health and Aging: The Complete Home Guide to Healthcare and Healthy Aging For Older People and Those Who Care About Them »

Book cover image of Merck Manual of Health and Aging: The Complete Home Guide to Healthcare and Healthy Aging For Older People and Those Who Care About Them by Mark H. Beers

Authors: Mark H. Beers (Editor), Thomas V. Jones
ISBN-13: 9780911910360, ISBN-10: 0911910360
Format: Hardcover
Publisher: Wiley, John & Sons, Incorporated
Date Published: May 2004
Edition: (Non-applicable)

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Author Biography: Mark H. Beers

Mark H. Beers MD has been editor-in-chief of The Merck Manual since 2000. He is an associate Clinical Professor of Medicine-MCP at Drexel University.

Book Synopsis

Home reference manual for older people and those who care about them.

Publishers Weekly

This mammoth reference book begins with the premise that "[t]he need for good, unbiased health care information runs deep, whether people are seeking to become more active in caring for themselves or others." It then goes on to provide for that need, covering all aspects of health changes through the process of aging, and explaining how to prevent or manage those changes. The book is easy to navigate and cross-reference, and includes simple but useful drawings to explain such conditions as aneurysms, heart valve disorders and pressure sores (aka bedsores). The first two sections address "the fundamentals of aging" (why aging occurs, how it affects the body and how it's changing the U.S.) and "caring for self and others," including preventive care, nutrition, appropriate use of drugs and other topics. The authors then go through an in-depth discussion of medical conditions that can affect the elderly, explaining symptoms, treatment and aftercare. This chapter supplies sound information to enhance interaction with health care providers and enable continuity of care, for both patients and caregivers. The final section covers social, legal and ethical issues and includes a guide to paying for health care and a useful reference table for prescription drugs. Twenty-five inspiring essays by seniors are sprinkled throughout the text, giving this encyclopedic text a human aspect. This excellent handbook is an essential resource for mature people, their families and caregivers. (On sale May 18) Forecast: With a recognizable name and authoritative voice, this manual speaks to both older adults and those who care for them. The publisher plans a 100,000-copy first printing, consumer ads and an extensive media tour. Copyright 2004 Reed Business Information.

Table of Contents

Section 1Fundamentals of Aging
1Age-Old Questions1
When Does a Person Become Old?3
Why Does the Body Change?4
Why Does Function Decline?5
2How the Body Ages7
Eyes7
Ears10
Mouth and Nose11
Skin11
Bones and Joints12
Muscles and Body Fat13
Brain and Nervous System14
Heart and Blood Vessels14
Muscles of Breathing and the Lungs15
Digestive System15
Kidneys and Urinary Tract16
Reproductive Organs16
Endocrine System17
Immune System18
3The Aging of America18
Finances20
Living Arrangements21
Disability and Disease22
Causes of Death23
Worldwide Aging25
Section 2Caring for Self and Others
4Preventive Medical Care27
Goals of Prevention28
Tools of Prevention29
5Maintaining Good Nutrition35
6Drugs and Aging43
7Complementary or Alternative Medicine52
Dietary Supplements55
Chiropractic73
Acupuncture74
Magnet Therapy75
Homeopathy75
8Communicating With Health Care Practitioners78
Selecting a Primary Care Doctor78
Communicating With a New Primary Care Doctor79
Communicating During Subsequent Visits81
9Continuity of Care85
10Understanding Medical Tests98
Specific Tests104
11Hospital Care123
Going to the Emergency Department124
Being Admitted to the Hospital125
Problems Due to Hospitalization127
Implementing Preventive Strategies134
Being Discharged From the Hospital135
12Undergoing Surgery137
Before an Operation138
At the Time of an Operation139
After an Operation141
13Rehabilitation144
Treatment of Pain and Inflammation147
Physical Therapy148
Occupational Therapy153
Speech Therapy155
Rehabilitation for Specific Problems156
14Long-Term Care165
15Caregiving175
16Palliative and End-of-Life Care183
Reducing Suffering185
Retaining Control Over Decisions192
Palliative Care and Hospice Care194
Peace and Resolution196
Section 3Medical Conditions
17Nutritional Disorders199
Undernutrition199
Vitamin and Mineral Deficiencies207
Obesity210
18Water and Electrolyte Balance213
Dehydration214
Overhydration216
Problems With Electrolyte Balance218
19Hypothermia and Hyperthermia222
Hypothermia223
Hyperthermia226
20Dizziness and Fainting230
Dizziness230
Fainting239
21Falls247
22Osteoporosis254
23Fractures268
Hip Fractures276
Compression Fractures of the Spine280
Shoulder Fractures282
Wrist Fractures283
24Pain284
25Confusion296
26Delirium300
27Dementia306
Alzheimer's Disease319
Vascular Dementia322
Lewy Body Dementia324
28Stroke325
29Nerve Disorders341
Trigeminal Neuralgia341
Postherpetic Neuralgia344
Neuropathies345
Postpolio Syndrome349
30Movement Disorders351
Myoclonus351
Dystonia354
Tardive Dyskinesia and Akathisia356
Essential Tremor357
Parkinson's Disease360
Progressive Supranuclear Palsy367
Shy-Drager Syndrome369
31Sleep371
Insomnia374
Excessive Daytime Sleepiness379
Limb Movement Disorders379
Sleep Apnea382
REM Sleep Behavior Disorder384
Circadian Rhythm Disorders384
Other Sleep Disorders385
32Mental Health Disorders386
Depression386
Anxiety396
Psychosis400
33Thyroid Disorders405
Hypothyroidism407
Hyperthyroidism410
Thyroid Nodules412
34Diabetes Mellitus414
35Skin Disorders430
Dry Skin432
Itching433
Rosacea434
Seborrheic Dermatitis437
Shingles438
Pressure Sores442
Venous Ulcers448
36Eye Disorders450
Cataract451
Glaucoma455
Age-Related Macular Degeneration458
Diabetic Retinopathy460
Disruptions of Blood Supply462
Retinal Tears and Detachment465
Disorders of Tear Production466
Eyelid Disorders467
37Hearing and the Ear470
Hearing Loss471
Tinnitus480
Earwax482
38Nose and Throat Disorders483
Rhinitis486
Sinusitis489
Voice Disorders491
39Mouth and Dental Disorders495
Tooth Decay495
Periodontal Disease499
Dry Mouth501
Tooth Loss504
Burning Mouth Syndrome506
Mouth Sores506
40Foot Disorders509
Corns and Calluses509
Bunion511
Hammer Toe513
Heal or Arch Pain514
Onychauxis and Onychogryphosis516
Onychomycosis517
41Arthritis518
Osteoarthritis519
Rheumatoid Arthritis524
Gout530
Pseudogout534
Infectious Arthritis536
42Temporal Arteritis and Polymyalgia Rheumatica537
43High Blood Pressure542
44Blood Vessel Disorders551
Atherosclerosis553
Peripheral Arterial Disease560
Aortic Dissection566
Aneurysms568
Varicose Veins573
Superficial Thrombophlebitis575
Deep Vein Thrombosis577
45Coronary Artery Disease582
46Heart Failure604
47Abnormal Heart Rhythms617
Premature Beats627
Atrial Flutter and Atrial Fibrillation628
Ventricular Tachycardia631
Ventricular Fibrillation632
Sinus Bradycardia and Sick Sinus Syndrome633
Heart Block635
48Heart Valve Disorders636
Aortic Stenosis642
Aortic Regurgitation644
Mitral Stenosis646
Mitral Regurgitation647
49Blood Disorders648
Anemia649
Low Platelet Count655
Clotting Disorders657
Thrombocythemia663
Polycythemia Vera665
Myelofibrosis668
50Finding and Living With Cancer670
Screening672
Recognizing the Warning Signs673
Confirming the Diagnosis and Staging675
Guidelines for Treatment676
Living With Cancer678
51Cancers682
Breast Cancer682
Chronic Lymphocytic Leukemia689
Colorectal Cancer692
Lung Cancer696
Mouth, Head, and Neck Cancers701
Multiple Myeloma703
Prostate Cancer706
Skin Cancer712
Vulvar Cancer714
52Pneumonia and Influenza717
Pneumonia717
Influenza721
53Chronic Obstructive Pulmonary Disease725
54Swallowing and Reflux Disorders734
Dysphagia736
Gastroesophageal Reflux743
55Bowel Movement Disorders749
Constipation749
Diarrhea755
Fecal Incontinence759
56Urinary Tract Infections762
57Urinary Incontinence768
58Female Genital and Sexual Disorders778
Inflammation of the Vulva and Vagina781
Vulvar Pain782
Skin Disorders of the Vulva782
Vaginal Bleeding784
Pelvic Support Disorders785
Decreased Sexual Drive788
59Male Genital and Sexual Disorders791
Benign Prostatic Hyperplasia792
Prostatitis795
Inguinal Hernia797
Erectile Dysfunction799
Decreased Sex Drive804
Retrograde Ejaculation804
60Exercise805
Why Exercise?806
Starting to Exercise807
Types of Exercise809
Exercise for People With a Disorder811
Section 4Social, Legal, and Ethical Issues
61Coping With Change819
Life-Changing Events820
Staying Connected824
62Driving826
Crash Rates and Traffic Violations826
The Reasons for Problems827
Ways of Compensating828
A Driving Decision830
63Intimacy832
Intimacy and Long-Term Relationships832
Intimacy and Dating834
Intimacy and Sex836
Intimacy and Dementia837
Intimacy and Families838
Intimacy and Privacy840
Intimacy in Gay Relationships840
Intimacy in Other Relationships841
64Mistreatment843
65Understanding Legal and Ethical Issues847
Informed Consent848
Confidentiality849
Capacity849
Competency850
Advance Directives851
Surrogates854
66Paying for Health Care854
Medicare855
Medicaid862
Private Insurance862
Understanding Managed Care864
Appendixes
Drug Names: Generic and Trade869
Resources for Help and Information881
Index

Subjects