This fully updated seventh edition remains the pioneering text for practicing physicians and allied health staff confronted with the
unique problems of an increasing elderly population. Dr Reichel's formative text is designed as a practical and useful guide for all
health specialists. Emphasizing the clinical management of the elderly patient with simple to complex problems, this is a must-read
for all practitioners who need practical and relevant information in a comprehensive format. Chapters have been updated and reorganized
to reflect the clinical approach to aging, beginning with a general approach to the management of older adults, followed
by a review of common geriatric syndromes, and proceeding to an organ-based review of care. The final section addresses principles
of care, including care in special situations, psychosocial aspects of our aging society, and organization of care. Particular emphasis is
placed on cost-effective, patient-centered care, including a discussion of the Choosing Wisely campaign.
Key Features
Emphasizes compassionate care, continuity of care, respect for the inherent dignity and worth of the aged individual, and the
integration of the biopsychosocial-spiritual model
Continues the tradition of speaking to the practitioner and the student or resident, with an emphasis on providing information
that is relevant and meaningful at the point of care
Succeeds in updating the reader on the many advances and the continuing expansion of knowledge

Contents
Part I. General Approach to Care of the Elderly:
1. Essential principles in care of the elderly;
2. The biology of aging;
3. Comprehensive geriatric assessment;
4. Prevention and screening;
5. Appropriate use of medications in the elderly;
6. Healthy aging: exercise and nutrition as medicine
for older adults;
Part II. Geriatric Syndromes:
7. Frailty;
8. Gait impairment and falls;
9. Evaluation and management of dizziness;
10. Evaluation and management of dementia;
11. Recognition, management and prevention of
delirium;
Part III. Care of the Elderly by Organ System:
12. Diagnosis and management of heart disease in
the elderly;
13. Hypertension in the elderly;
14. Peripheral artery disease in the elderly;
15. Neurologic problems in the elderly;
16. Prevention, diagnosis and management of stroke
and transient ischemic attack (TIA) in the elderly;
17. Movement disorders in the elderly;
18. Sleep disorders in the elderly;
19. Clinical geropsychiatry;
20. Unhealthy substance use in older adults;
21. Pulmonary issues in the elderly;
22. Gastrointestinal disease in the elderly;
23. Serious infections in the elderly;
24. Human immunodefi ciency virus (HIV) in the
elderly;
25. Renal disorders in the elderly;
26. Urological issues in older adults;
27. Urinary incontinence and fecal incontinence;
28. Gynecologic issues in the elderly;
29. Endocrine disorders in the elderly;
30. Diabetes mellitus in the older adult;
31. Lipid management in older patients;
32. Osteoporosis and other metabolic bone
disorders;
33. Common rheumatologic diseases in the
elderly;
34. Musculoskeletal injuries in the elderly;
35. Dermatologic conditions in the elderly;
36. Pressure ulcers: practical considerations in
prevention and treatment;
37. Anemia and other hematological problems in
the elderly;
38. Cancer in the elderly;
39. Eye problems of the aged;
40. Geriatric otolaryngology;
41. Dental care for the elderly patient;
42. Foot health in the elderly;
Part IV. Principles of Care for the Elderly:
43. Surgical care of the elderly;
44. Rehabilitation in the elderly;
45. Geriatric sexuality;
46. Aging in adults with intellectual disabilities and
severe and persistent mental illness;
47. Community-based long-term care;
48. Post-acute care and institutional long-term care;
49. Palliative and end of life care;
50. The mistreatment of older adults;
51. Driving and the older adult;
52. Integrative medicine in the care of the elderly;
53. Implications of an aging society;
54. Retirement: a contemporary perspective;
55. Cultural competence and health literacy;
56. Caregiving;
57. Performance improvement in a changing health
care system;
58. Health care organization and fi nancing;
59. Advance care planning: using values and orders
in end-of-life care;
60. Ethical decision-making in the care of the elderly