Cover image for The Merck manual of health & aging
Title:
The Merck manual of health & aging
Author:
Beers, Mark H.
Publication Information:
Whitehouse Station, NJ : Merck Research Laboratories, [2004]

©2004
Physical Description:
xxix, 961 pages : illustrations (some color) ; 25 cm
General Note:
"The comprehensive guide to the changes and challenges of aging--for older adults and those who care for and about them"--Cover.

Includes index.
Language:
English
Added Author:
ISBN:
9780911910360
Format :
Book

Available:*

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Summary

Summary

As more and more of the population live to old age, The Merck Manual to Health & Aging targets the growing need for a useful source of information about later life. With explanations of how the body ages, preventative medical care and good nutrition, common disorders in older adults and how to cope with disease, the book seeks to cover what other books on aging do not. Large type size and written in everyday language Two-colour design
66 chapters organised into four sections Easy-to-follow cross-referencing symbols within the text Helpful tables, graphs, and illustrations that further explain the text Table of commonly used trade name drugs and their generic equivalents


Author Notes

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.


Reviews 3

Booklist Review

As our population ages, information about the aging process and caring for the elderly is a necessity. The Merck Manual of Health and Aging0 , a lay version of The Merck Manual of Geriatrics0 (3d ed., Wiley, 2000), provides it in a very accessible format. The book has four sections. The first, "Fundamentals of Aging," covers such questions as when does a person become old, why does the body change, and how aging affects the organs and systems. Related issues, such as finances, living arrangements, and coping with chronic disease and disability, appear also. Section 2, "Caring for Self and Others,"\b \b0 deals with preventive medical care, nutrition, continuity of care, long-term care, and palliative and end-of-life care. Section 3 covers specific medical conditions that are more common in the elderly: falls, sleep problems, movement disorders, heart disorders, cancers, etc. A chapter on the importance of exercise with recommendations for those with specific diseases is very useful. The last section, "Social, Legal, and Ethical Issues," provides vital information on the decision to stop driving, intimacy, mistreatment of the elderly, and health care costs. A chapter explaining informed consent, confidentiality, capacity and competency, and advance directives will help people prepare for medical treatment. Two appendixes cover the generic and trade names of drugs commonly prescribed for seniors and a referral list of organizations. Charts and sidebars offer useful supplemental information. Twenty-five essays in which people share their feelings and insights about aging are scattered throughout the book. The Merck Manual of Health and Aging0 is unique because it focuses on how disorders are different in older adults rather than discussing all aspects of a disease. It also emphasizes adapting to the bodily changes of aging and finding effective ways to cope. It is reasonably priced and belongs in all public, medical, and consumer health libraries. --Barbara Bibel Copyright 2004 Booklist


Publisher's Weekly Review

This mammoth reference book begins with the premise that "[t]he need for good, unbiased health care information runs deep, whether people are seeking to become more active in caring for themselves or others." It then goes on to provide for that need, covering all aspects of health changes through the process of aging, and explaining how to prevent or manage those changes. The book is easy to navigate and cross-reference, and includes simple but useful drawings to explain such conditions as aneurysms, heart valve disorders and pressure sores (aka bedsores). The first two sections address "the fundamentals of aging" (why aging occurs, how it affects the body and how it's changing the U.S.) and "caring for self and others," including preventive care, nutrition, appropriate use of drugs and other topics. The authors then go through an in-depth discussion of medical conditions that can affect the elderly, explaining symptoms, treatment and aftercare. This chapter supplies sound information to enhance interaction with health care providers and enable continuity of care, for both patients and caregivers. The final section covers social, legal and ethical issues and includes a guide to paying for health care and a useful reference table for prescription drugs. Twenty-five inspiring essays by seniors are sprinkled throughout the text, giving this encyclopedic text a human aspect. This excellent handbook is an essential resource for mature people, their families and caregivers. (On sale May 18) Forecast: With a recognizable name and authoritative voice, this manual speaks to both older adults and those who care for them. The publisher plans a 100,000-copy first printing, consumer ads and an extensive media tour. (c) Copyright PWxyz, LLC. All rights reserved


Library Journal Review

As the American population ages, the demand for current, authoritative, easy-to-read information about late-life health will intensify. In anticipation, Merck, best known for its Merck Manual and Merck Manual of Geriatrics, has prepared a guide to common age-related diseases and disorders written by experts in caring for older people. Although focusing primarily on health information and specific conditions, it covers a variety of other age-related issues: communicating with healthcare providers, long-term and end-of-life care, hospitalization, sexuality, elder abuse, driving, exercise, preventive care, and more. Charts, tables, line drawings of procedures, and marginal references to related chapters accompany the text. Additional chapters discuss the aging process and the demographics of aging. Essays by older adults along with their photos personalize the aging experience. Appendixes include a short list of organizational resources and tables of generic and trade drug names. Bottom Line More comprehensive than The Johns Hopkins Medical Guide to Health After Fifty but with fewer illustrations, this easy-to-navigate manual is an essential addition to consumer health and aging collections.-Karen Bensing, Benjamin Rose Lib., Cleveland (c) Copyright 2010. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.


Table of Contents

Section 1 Fundamentals of Aging
1 Age-Old Questionsp. 1
When Does a Person Become Old?p. 3
Why Does the Body Change?p. 4
Why Does Function Decline?p. 5
2 How the Body Agesp. 7
Eyesp. 7
Earsp. 10
Mouth and Nosep. 11
Skinp. 11
Bones and Jointsp. 12
Muscles and Body Fatp. 13
Brain and Nervous Systemp. 14
Heart and Blood Vesselsp. 14
Muscles of Breathing and the Lungsp. 15
Digestive Systemp. 15
Kidneys and Urinary Tractp. 16
Reproductive Organsp. 16
Endocrine Systemp. 17
Immune Systemp. 18
3 The Aging of Americap. 18
Financesp. 20
Living Arrangementsp. 21
Disability and Diseasep. 22
Causes of Deathp. 23
Worldwide Agingp. 25
Section 2 Caring for Self and Others
4 Preventive Medical Carep. 27
Goals of Preventionp. 28
Tools of Preventionp. 29
5 Maintaining Good Nutritionp. 35
6 Drugs and Agingp. 43
7 Complementary or Alternative Medicinep. 52
Dietary Supplementsp. 55
Chiropracticp. 73
Acupuncturep. 74
Magnet Therapyp. 75
Homeopathyp. 75
8 Communicating With Health Care Practitionersp. 78
Selecting a Primary Care Doctorp. 78
Communicating With a New Primary Care Doctorp. 79
Communicating During Subsequent Visitsp. 81
9 Continuity of Carep. 85
10 Understanding Medical Testsp. 98
Specific Testsp. 104
11 Hospital Carep. 123
Going to the Emergency Departmentp. 124
Being Admitted to the Hospitalp. 125
Problems Due to Hospitalizationp. 127
Implementing Preventive Strategiesp. 134
Being Discharged From the Hospitalp. 135
12 Undergoing Surgeryp. 137
Before an Operationp. 138
At the Time of an Operationp. 139
After an Operationp. 141
13 Rehabilitationp. 144
Treatment of Pain and Inflammationp. 147
Physical Therapyp. 148
Occupational Therapyp. 153
Speech Therapyp. 155
Rehabilitation for Specific Problemsp. 156
14 Long-Term Carep. 165
15 Caregivingp. 175
16 Palliative and End-of-Life Carep. 183
Reducing Sufferingp. 185
Retaining Control Over Decisionsp. 192
Palliative Care and Hospice Carep. 194
Peace and Resolutionp. 196
Section 3 Medical Conditions
17 Nutritional Disordersp. 199
Undernutritionp. 199
Vitamin and Mineral Deficienciesp. 207
Obesityp. 210
18 Water and Electrolyte Balancep. 213
Dehydrationp. 214
Overhydrationp. 216
Problems With Electrolyte Balancep. 218
19 Hypothermia and Hyperthermiap. 222
Hypothermiap. 223
Hyperthermiap. 226
20 Dizziness and Faintingp. 230
Dizzinessp. 230
Faintingp. 239
21 Fallsp. 247
22 Osteoporosisp. 254
23 Fracturesp. 268
Hip Fracturesp. 276
Compression Fractures of the Spinep. 280
Shoulder Fracturesp. 282
Wrist Fracturesp. 283
24 Painp. 284
25 Confusionp. 296
26 Deliriump. 300
27 Dementiap. 306
Alzheimer's Diseasep. 319
Vascular Dementiap. 322
Lewy Body Dementiap. 324
28 Strokep. 325
29 Nerve Disordersp. 341
Trigeminal Neuralgiap. 341
Postherpetic Neuralgiap. 344
Neuropathiesp. 345
Postpolio Syndromep. 349
30 Movement Disordersp. 351
Myoclonusp. 351
Dystoniap. 354
Tardive Dyskinesia and Akathisiap. 356
Essential Tremorp. 357
Parkinson's Diseasep. 360
Progressive Supranuclear Palsyp. 367
Shy-Drager Syndromep. 369
31 Sleepp. 371
Insomniap. 374
Excessive Daytime Sleepinessp. 379
Limb Movement Disordersp. 379
Sleep Apneap. 382
REM Sleep Behavior Disorderp. 384
Circadian Rhythm Disordersp. 384
Other Sleep Disordersp. 385
32 Mental Health Disordersp. 386
Depressionp. 386
Anxietyp. 396
Psychosisp. 400
33 Thyroid Disordersp. 405
Hypothyroidismp. 407
Hyperthyroidismp. 410
Thyroid Nodulesp. 412
34 Diabetes Mellitusp. 414
35 Skin Disordersp. 430
Dry Skinp. 432
Itchingp. 433
Rosaceap. 434
Seborrheic Dermatitisp. 437
Shinglesp. 438
Pressure Soresp. 442
Venous Ulcersp. 448
36 Eye Disordersp. 450
Cataractp. 451
Glaucomap. 455
Age-Related Macular Degenerationp. 458
Diabetic Retinopathyp. 460
Disruptions of Blood Supplyp. 462
Retinal Tears and Detachmentp. 465
Disorders of Tear Productionp. 466
Eyelid Disordersp. 467
37 Hearing and the Earp. 470
Hearing Lossp. 471
Tinnitusp. 480
Earwaxp. 482
38 Nose and Throat Disordersp. 483
Rhinitisp. 486
Sinusitisp. 489
Voice Disordersp. 491
39 Mouth and Dental Disordersp. 495
Tooth Decayp. 495
Periodontal Diseasep. 499
Dry Mouthp. 501
Tooth Lossp. 504
Burning Mouth Syndromep. 506
Mouth Soresp. 506
40 Foot Disordersp. 509
Corns and Callusesp. 509
Bunionp. 511
Hammer Toep. 513
Heal or Arch Painp. 514
Onychauxis and Onychogryphosisp. 516
Onychomycosisp. 517
41 Arthritisp. 518
Osteoarthritisp. 519
Rheumatoid Arthritisp. 524
Goutp. 530
Pseudogoutp. 534
Infectious Arthritisp. 536
42 Temporal Arteritis and Polymyalgia Rheumaticap. 537
43 High Blood Pressurep. 542
44 Blood Vessel Disordersp. 551
Atherosclerosisp. 553
Peripheral Arterial Diseasep. 560
Aortic Dissectionp. 566
Aneurysmsp. 568
Varicose Veinsp. 573
Superficial Thrombophlebitisp. 575
Deep Vein Thrombosisp. 577
45 Coronary Artery Diseasep. 582
46 Heart Failurep. 604
47 Abnormal Heart Rhythmsp. 617
Premature Beatsp. 627
Atrial Flutter and Atrial Fibrillationp. 628
Ventricular Tachycardiap. 631
Ventricular Fibrillationp. 632
Sinus Bradycardia and Sick Sinus Syndromep. 633
Heart Blockp. 635
48 Heart Valve Disordersp. 636
Aortic Stenosisp. 642
Aortic Regurgitationp. 644
Mitral Stenosisp. 646
Mitral Regurgitationp. 647
49 Blood Disordersp. 648
Anemiap. 649
Low Platelet Countp. 655
Clotting Disordersp. 657
Thrombocythemiap. 663
Polycythemia Verap. 665
Myelofibrosisp. 668
50 Finding and Living With Cancerp. 670
Screeningp. 672
Recognizing the Warning Signsp. 673
Confirming the Diagnosis and Stagingp. 675
Guidelines for Treatmentp. 676
Living With Cancerp. 678
51 Cancersp. 682
Breast Cancerp. 682
Chronic Lymphocytic Leukemiap. 689
Colorectal Cancerp. 692
Lung Cancerp. 696
Mouth, Head, and Neck Cancersp. 701
Multiple Myelomap. 703
Prostate Cancerp. 706
Skin Cancerp. 712
Vulvar Cancerp. 714
52 Pneumonia and Influenzap. 717
Pneumoniap. 717
Influenzap. 721
53 Chronic Obstructive Pulmonary Diseasep. 725
54 Swallowing and Reflux Disordersp. 734
Dysphagiap. 736
Gastroesophageal Refluxp. 743
55 Bowel Movement Disordersp. 749
Constipationp. 749
Diarrheap. 755
Fecal Incontinencep. 759
56 Urinary Tract Infectionsp. 762
57 Urinary Incontinencep. 768
58 Female Genital and Sexual Disordersp. 778
Inflammation of the Vulva and Vaginap. 781
Vulvar Painp. 782
Skin Disorders of the Vulvap. 782
Vaginal Bleedingp. 784
Pelvic Support Disordersp. 785
Decreased Sexual Drivep. 788
59 Male Genital and Sexual Disordersp. 791
Benign Prostatic Hyperplasiap. 792
Prostatitisp. 795
Inguinal Herniap. 797
Erectile Dysfunctionp. 799
Decreased Sex Drivep. 804
Retrograde Ejaculationp. 804
60 Exercisep. 805
Why Exercise?p. 806
Starting to Exercisep. 807
Types of Exercisep. 809
Exercise for People With a Disorderp. 811
Section 4 Social, Legal, and Ethical Issues
61 Coping With Changep. 819
Life-Changing Eventsp. 820
Staying Connectedp. 824
62 Drivingp. 826
Crash Rates and Traffic Violationsp. 826
The Reasons for Problemsp. 827
Ways of Compensatingp. 828
A Driving Decisionp. 830
63 Intimacyp. 832
Intimacy and Long-Term Relationshipsp. 832
Intimacy and Datingp. 834
Intimacy and Sexp. 836
Intimacy and Dementiap. 837
Intimacy and Familiesp. 838
Intimacy and Privacyp. 840
Intimacy in Gay Relationshipsp. 840
Intimacy in Other Relationshipsp. 841
64 Mistreatmentp. 843
65 Understanding Legal and Ethical Issuesp. 847
Informed Consentp. 848
Confidentialityp. 849
Capacityp. 849
Competencyp. 850
Advance Directivesp. 851
Surrogatesp. 854
66 Paying for Health Carep. 854
Medicarep. 855
Medicaidp. 862
Private Insurancep. 862
Understanding Managed Carep. 864
Appendixes
Drug Names: Generic and Tradep. 869
Resources for Help and Informationp. 881
Index