Geriatric Medicine [electronic resource] : an evidence-based approach.

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Cover; Preface; Acknowledgements; Contents; Contributors; 1 From gut feeling to evidence base: drivers and barriers to the development of health care for older people; Paul V. Knight; 2 Re-thinking care in later life: the social and the clinical; Chris Phillipson; 3 Health and social care services for older people: achievements, challenges, and future directions; Roger Beech; 4 Service models; Finbarr C Martin; 5 Therapeutics in older people; Stephen Jackson; 6 Dementia and memory clinics; Alistair Burns, Richard Atkinson, Sean Page, and David Jolley; 7 Frailty: challenges and progress

Peter Crome and Frank Lally8 Incontinence, the sleeping geriatric giant: challenges and solutions; Adrian Wagg; 9 Depressions in later life: heterogeneity and co-morbidities; David Anderson; 10 Substance misuse and older people: a question of values; Ilana Crome; 11 Sleep in older people; Joe Harbison; 12 Assessment and management of pain in older adults; Pat Schofield; 13 Stroke units: research in practice; Lalit Kalra; 14 Stroke care: what is in the black box?; Christine Roffe; 15 Involving older people in the design and conduct of clinical trials: what is patient and public involvement?

Kate Wilde and Zena Jones16 Under-representation of older people in clinical trials; Gary H. Mills; Index

People are living longer and the population over the age of 60 is burgeoning, with repercussions for health services and healthcare expenditure in developed countries. Crucially, disease aetiology, diagnosis, and treatment in older people differ from the general adult population. Older people often have complicated co-morbidities and respond to treatment in different ways compared to younger people. Evidence of efficacy of different treatments is often lackingbecause older people are under-represented in clinical trials, and the specific needs of older people are rarely discussed specifically.

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