Merck Manual of Health and Aging : The Comprehensive Guide to the Changes and Challenges of Aging -- For Older Adults and Those Who Care for and about Them

by
Edition: 1st
Format: Hardcover
Pub. Date: 2004-05-18
Publisher(s): Merck
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Summary

The Merck Manual of Health & Aging is written in everyday language and in a format that is easy to read and use. While the book explains what can be done to optimize how people age, prevent disease, and improve health, the primary focus is on the health care system for older adults and the disorders they are most likely to experience. The book also contains essays written by older adults who share their insights on the changes and challenges of aging. Book jacket.

Author Biography

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.

Table of Contents

Section 1 FUNDAMENTALS OF AGING
1 Age-Old Questions
1(6)
When Does a Person Become Old?
3(1)
Why Does the Body Change?
4(1)
Why Does Function Decline?
5(2)
2 How the Body Ages
7(11)
Eyes
7(3)
Ears
10(1)
Mouth and Nose
11(1)
Skin
11(1)
Bones and Joints
12(1)
Muscles and Body Fat
13(1)
Brain and Nervous System
14(1)
Heart and Blood Vessels
14(1)
Muscles of Breathing and the Lungs
15(1)
Digestive System
15(1)
Kidneys and Urinary Tract
16(1)
Reproductive Organs
16(1)
Endocrine System
17(1)
Immune System
18(1)
3 The Aging of America
18(9)
Finances
20(1)
Living Arrangements
21(1)
Disability and Disease
22(1)
Causes of Death
23(2)
Worldwide Aging
25(2)
Section 2 CARING FOR SELF AND OTHERS
4 Preventive Medical Care
27(8)
Goals of Prevention
28(1)
Tools of Prevention
29(23)
Healthy Lifestyle
Vaccines
Screening
5 Maintaining Good Nutrition
35(8)
How Aging Affects Nutritional Needs
How Disorders and Drugs Change Nutritional Needs
Screening for Adequate Nutrition
Reading Food Labels
6 Drugs and Aging
43(9)
Benefits and Risks
Reasons for Increased Risk
Maximizing Benefits, Reducing Risks
Remembering to Take Drugs
Nonprescription Drugs
7 Complementary or Alternative Medicine
52(26)
Dietary Supplements
55(18)
Chiropractic
73(1)
Acupuncture
74(1)
Magnet Therapy
75(1)
Homeopathy
75(3)
8 Communicating With Health Care Practitioners
78(7)
Selecting a Primary Care Doctor
78(1)
Communicating With a New Primary Care Doctor
79(2)
Communicating During Subsequent Visits
81(4)
9 Continuity of Care
85(13)
What Can Interfere With Continuity?
Who Provides Care?
Where Is Care Provided?
How to Improve Continuity
10 Understanding Medical Tests
98(25)
Types of Medical Tests
Uses of Medical Tests
Making Decisions About Tests
Challenges Faced by Older People
Questions to Ask the Doctor
Specific Tests
104(19)
11 Hospital Care
123(14)
Going to the Emergency Department
124(1)
Being Admitted to the Hospital
125(2)
Problems Due to Hospitalization
127(7)
Implementing Preventive Strategies
134(1)
Being Discharged From the Hospital
135(2)
12 Undergoing Surgery
137(7)
Before an Operation
138(1)
At the Time of an Operation
139(2)
After an Operation
141(3)
13 Rehabilitation
144(21)
Treatment of Pain and Inflammation
147(1)
Physical Therapy
148(5)
Occupational Therapy
153(2)
Speech Therapy
155(1)
Rehabilitation for Specific Problems
156(27)
Heart Disorders
Stroke
Hip Surgery
Replacement of a Knee
Amputation of a Leg
Speech Disorders
Blindness
Hearing Loss
14 Long-Term Care
165(10)
Retirement Communities
Assisted Living Communities
Board-and-Care Facilities
Life-Care Communities
Nursing Homes
15 Caregiving
175(8)
Who Are Caregivers?
Rewards of Caregiving
Challenges in Caregiving
Getting Help
16 Palliative and End-of-Life Care
183(16)
Reducing Suffering
185(7)
Retaining Control Over Decisions
192(2)
Palliative Care and Hospice Care
194(2)
Peace and Resolution
196(3)
Section 3 MEDICAL CONDITIONS
17 Nutritional Disorders
199(14)
Undernutrition
199(8)
Vitamin and Mineral Deficiencies
207(3)
Obesity
210(3)
18 Water and Electrolyte Balance
213(9)
Dehydration
214(2)
Overhydration
216(2)
Problems With Electrolyte Balance
218(4)
19 Hypothermia and Hyperthermia
222(8)
Hypothermia
223(3)
Hyperthermia
226(4)
20 Dizziness and Fainting
230(17)
Dizziness
230(9)
Fainting
239(8)
21 Falls
247(7)
22 Osteoporosis
254(14)
23 Fractures
268(16)
Hip Fractures
276(4)
Compression Fractures of the Spine
280(2)
Shoulder Fractures
282(1)
Wrist Fractures
283(1)
24 Pain
284(12)
25 Confusion
296(4)
26 Delirium
300(6)
27 Dementia
306(19)
Alzheimer's Disease
319(3)
Vascular Dementia
322(2)
Lewy Body Dementia
324(1)
28 Stroke
325(16)
29 Nerve Disorders
341(10)
Trigeminal Neuralgia
341(3)
Postherpetic Neuralgia
344(1)
Neuropathies
345(4)
Postpolio Syndrome
349(2)
30 Movement Disorders
351(20)
Myoclonus
351(3)
Dystonia
354(2)
Tardive Dyskinesia and Akathisia
356(1)
Essential Tremor
357(3)
Parkinson's Disease
360(7)
Progressive Supranuclear Palsy
367(2)
Shy-Drager Syndrome
369(2)
31 Sleep
371(15)
Changes in Sleep Patterns With Aging
Physical and Mental Health Disorders Affecting Sleep
Insomnia
374(5)
Excessive Daytime Sleepiness
379(1)
Limb Movement Disorders
379(3)
Sleep Apnea
382(2)
REM Sleep Behavior Disorder
384(1)
Circadian Rhythm Disorders
384(1)
Other Sleep Disorders
385(1)
32 Mental Health Disorders
386(19)
Depression
386(10)
Anxiety
396(4)
Psychosis
400(5)
33 Thyroid Disorders
405(9)
Hypothyroidism
407(3)
Hyperthyroidism
410(2)
Thyroid Nodules
412(2)
34 Diabetes Mellitus
414(16)
35 Skin Disorders
430(20)
Dry Skin
432(1)
Itching
433(1)
Rosacea
434(3)
Seborrheic Dermatitis
437(1)
Shingles
438(4)
Pressure Sores
442(6)
Venous Ulcers
448(2)
36 Eye Disorders
450(20)
Cataract
451(4)
Glaucoma
455(3)
Age-Related Macular Degeneration
458(2)
Diabetic Retinopathy
460(2)
Disruptions of Blood Supply
462(3)
Retinal Tears and Detachment
465(1)
Disorders of Tear Production
466(1)
Eyelid Disorders
467(3)
37 Hearing and the Ear
470(13)
Hearing Loss
471(9)
Tinnitus
480(2)
Earwax
482(1)
38 Nose and Throat Disorders
483(12)
Rhinitis
486(3)
Sinusitis
489(2)
Voice Disorders
491(4)
39 Mouth and Dental Disorders
495(14)
Tooth Decay
495(4)
Periodontal Disease
499(2)
Dry Mouth
501(3)
Tooth Loss
504(2)
Burning Mouth Syndrome
506(1)
Mouth Sores
506(3)
40 Foot Disorders
509(9)
Corns and Calluses
509(2)
Bunion
511(2)
Hammer Toe
513(1)
Heal or Arch Pain
514(2)
Onychauxis and Onychogryphosis
516(1)
Onychomycosis
517(1)
41 Arthritis
518(19)
Osteoarthritis
519(5)
Rheumatoid Arthritis
524(6)
Gout
530(4)
Pseudogout
534(2)
Infectious Arthritis
536(1)
42 Temporal Arteritis and Polymyalgia Rheumatica
537(5)
43 High Blood Pressure
542(9)
44 Blood Vessel Disorders
551(31)
Atherosclerosis
553(7)
Peripheral Arterial Disease
560(6)
Aortic Dissection
566(2)
Aneurysms
568(5)
Varicose Veins
573(2)
Superficial Thrombophlebitis
575(2)
Deep Vein Thrombosis
577(5)
45 Coronary Artery Disease
582(22)
46 Heart Failure
604(13)
47 Abnormal Heart Rhythms
617(19)
Premature Beats
627(1)
Atrial Flutter and Atrial Fibrillation
628(3)
Ventricular Tachycardia
631(1)
Ventricular Fibrillation
632(1)
Sinus Bradycardia and Sick Sinus Syndrome
633(2)
Heart Block
635(1)
48 Heart Valve Disorders
636(12)
Aortic Stenosis
642(2)
Aortic Regurgitation
644(2)
Mitral Stenosis
646(1)
Mitral Regurgitation
647(1)
49 Blood Disorders
648(22)
Anemia
649(6)
Low Platelet Count
655(2)
Clotting Disorders
657(6)
Thrombocythemia
663(2)
Polycythemia Vera
665(3)
Myelofibrosis
668(2)
50 Finding and Living With Cancer
670(12)
Screening
672(1)
Recognizing the Warning Signs
673(2)
Confirming the Diagnosis and Staging
675(1)
Guidelines for Treatment
676(2)
Living With Cancer
678(4)
51 Cancers
682(35)
Breast Cancer
682(7)
Chronic Lymphocytic Leukemia
689(3)
Colorectal Cancer
692(4)
Lung Cancer
696(5)
Mouth, Head, and Neck Cancers
701(2)
Multiple Myeloma
703(3)
Prostate Cancer
706(6)
Skin Cancer
712(2)
Vulvar Cancer
714(3)
52 Pneumonia and Influenza
717(8)
Pneumonia
717(4)
Influenza
721(4)
53 Chronic Obstructive Pulmonary Disease
725(9)
54 Swallowing and Reflux Disorders
734(15)
Dysphagia
736(7)
Gastroesophageal Reflux
743(6)
55 Bowel Movement Disorders
749(13)
Constipation
749(6)
Diarrhea
755(4)
Fecal Incontinence
759(3)
56 Urinary Tract Infections
762(6)
57 Urinary Incontinence
768(10)
58 Female Genital and Sexual Disorders
778(13)
Inflammation of the Vulva and Vagina
781(1)
Vulvar Pain
782(1)
Skin Disorders of the Vulva
782(2)
Vaginal Bleeding
784(1)
Pelvic Support Disorders
785(3)
Decreased Sexual Drive
788(3)
59 Male Genital and Sexual Disorders
791(14)
Benign Prostatic Hyperplasia
792(3)
Prostatitis
795(2)
Inguinal Hernia
797(2)
Erectile Dysfunction
799(5)
Decreased Sex Drive
804(1)
Retrograde Ejaculation
804(1)
60 Exercise
805(14)
Why Exercise?
806(1)
Starting to Exercise
807(2)
Types of Exercise
809(2)
Exercise for People With a Disorder
811(8)
Arthritis
Coronary Artery Disease
Dementia
Diabetes
Disabilities
Heart Failure
Lung Disorders
Parkinson's Disease
Peripheral Arterial Disease
Stroke
Section 4 SOCIAL, LEGAL, AND ETHICAL ISSUES
61 Coping With Change
819
Life-Changing Events
820(4)
Retirement
Losing a Loved One
Changes in Living Arrangements
Staying Connected
824

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