Surgical Decision Making in Geriatrics: A Comprehensive Multidisciplinary Approach

Description:

This book is designed to present a comprehensive and state-of the-art approach to all aspects of geriatric surgery within the broad confines of surgery in geriatrics including general surgery, neurosurgery, thoracic surgery, vascular surgery, cardiac surgery, surgical oncology, hepatobiliary and transplant surgery, plastic, colorectal, orthopedic, gynecologic, and urologic surgery. The text is split into four parts. The first part is organized under general considerations on the geriatric surgical patient and includes current trends in geriatric surgery, and a number of important general issues such as practical approaches to reversal of bleeding/anticoagulation, role of anesthetic concerns in advanced age, frailty index and measurements of physiological reserves, nutritional support in the elderly, quality of life in the elderly, drug use, and family involvement. Part two of the book focuses on surgery specific system-based problems in geriatric surgical patients. The third part addresses many other important aspects of geriatric surgery including palliative and end of life care for the elderly, religious issues and the elderly care surgery, elderly with mental health issues, and nursing care of elderly patients. The fourth and final part describes the need for geriatric surgical care education and the components that are essential for the curriculum of current and future generations of students.  Written by experts in the field, Surgical Decision Making in Geriatrics addresses patient selection, pre-operative considerations, technical conduct of the most common operations, and avoiding complications. 

Table of Contents:

Part I. General Considerations for the Geriatric Surgical Patient

1. Decision-Making in Geriatric Surgery: More Surgery or Less Surgery?

2. Is There Room for Common Sense in Surgical Decision-Making?

3. Emergency Medicine Management of the Elderly

4. Cardiovascular Comorbidities in the Elderly Undergoing Surgery

5. Reversal of Oral Anticoagulants in the Elderly

6. Frailty Assessment as Measurement of Physiologic Reserves in the Elderly

Part II. System Based Specialized Surgical Problems in Geriatric Surgical Patients

7. Anesthetic Concerns in the Elderly

8. Nutrition Support in Elderly Patients Undergoing Surgery

9. Neurosurgery in the Elderly

10. Caring for the Geriatrics Trauma Patient: The Challenges and the Opportunities

11. ENT Surgery in the Elderly

12. Thoracic Surgery in the Elderly

13. Cardiac Surgery in the Elderly

14. Surgical Decisions on Breast Cancer in the Elderly

15. Emergency General Surgery in the Elderly

16. Inguinal Hernia Repair in the Elderly

17. Abdominal Wall Reconstruction in the Elderly: Techniques, Outcomes, and Pitfalls

18. Bariatric Surgery in the Elderly

19. Vascular Surgery in the Elderly

20. Operative Surgical Oncology in the Elderly: Epidemiology, Opportunity, Outcome, and Ethical Issues

21. Colorectal Surgery in the Elderly

22. Liver Transplant Surgery in the Elderly

23. Renal Transplantation in the Elderly

24. Hepatopancreaticobiliary Surgery in the Elderly

25. Plastic Surgery in the Elderly

26. Drug Use in Elderly During Surgery: They Were Youngsters Once

27. Urologic Surgery in the Elderly

28. Gynecologic Surgery in the Elderly

29. Postoperative Quality of Life in the Elderly

Part III. Palliative Care, Spirituality, and Mental Health

30. Surgical Decision-Making in the Elderly with Serious Surgical Illness: The Role of Palliative Care

31. Family Involvement: What Does a Loved One Want at the End of Life?

32. Spiritual and Religious Considerations in the Care of the Elderly

33. Surgery in the Elderly with Mental Health Issues

Part IV. Teaching Geriatric Surgery

34. How Do We Teach Medical Students to Care for the Elderly

Back Matter