Managing older people in primary care

A practical guide

Margot Gosney and Tess Harris

The majority of chapters are co-authored by a specialist and a general practitioner
Deals with the real problems that present in primary care on a day-to-day basis and provides practical and specific advice and guidance
Where appropriate, chapters contain clinical case scenarios to engage readers and illustrate the points being made
For chapters such as ophthalmology and dermatology where visual images are required, colour photographs are used to illustrate clinical cases
Contains pragmatic advice to assist the reader in the management of patients
Authors include examiners of the Diploma in Geriatric Medicine and the book will be helpful to those preparating for the DGM

Managing older people in primary care

A practical guide

Margot Gosney and Tess Harris

Description

Older people have complex and unique primary care needs. The frequent occurrence of co-morbidities, polypharmacy, psychological, social and functional impairments can impact on the way problems present making the diagnosis and treatment more challenging for the primary care physician. The provision of healthcare is becoming more community-based and national service frameworks have highlighted the special healthcare needs of older people. This means that treating older patients will become an even larger proportion of the daily work of the general practitioner.

Packed full of practical and down to earth advice for clinicians specialising in the care of older people, this book examines real problems that present on a day-to-day basis in the primary care environment. It provides GPs with specific advice and guidance to help them in the management of the often complex conditions that present in older people. Written by practising clinicians who are experts in the field, this book covers a diverse range of subjects from stroke medicine to incontinence to the role that the voluntary sector plays in the care of older people. It includes clinical case scenarios throughout and colour photographs in chapters on areas such as ophthalmology and dermatology enable readers to effortlessly understand the points being made.

Easy to read and with most chapters co-authored by a specialist and a general practitioner, this book provides GPs, community and practice nurses, and those specialising in the care of older patients with an indispensable resource they can use to find practical advice from specialists in the field, including tips on differential diagnosis and summaries of the existing evidence-base and guidelines on treatment.

Managing older people in primary care

A practical guide

Margot Gosney and Tess Harris

1:Introduction, Tess Harris
2:Ageing, Christina Victor
3:Clinical assessment of the older patient, Shaun T. O'Keeffe
4:Pharmacokinetics and pharmacodynamics, Vincent Riley, Tony Avery & Stephen Jackson
5:Cardiovascular disease, Stephanie Houlder, Tom Fahey, Khalid Ali & Chakravarthi Rajkumar
6:Stroke and transient ischaemic attack, Janice O'Connell, Michael Norton & Christopher Gray
7:Neurological problems, John Hindle & Catherine Hindle
8:Respiratory problems, Stephen Allen & Patrick White
9:Gastroenterology, Willie Hamilton & Keith Bodger
10:Diabetes and endocrine problems, Simon Croxson
11:Haematological conditions, David Allsup & Michael Small
12:Locomotor problems in older people, Nada Hassan & David Scott
13:Falls and osteoporosis, Finbarr Martin & Denise Kendrick
14:Kidney problems, Simon de Lusignan & John Feehally
15:Ear, nose and throat, Shaun Jackson & Andrew Swift
16:Ophthalmic problems, Mark Batterbury & Nicholas Cowland
17:Dermatology, Maggie Kirkup & Diana Bloss
18:Pressure ulceration and leg ulcers, Joseph Grey, Julie Stevens & Keith Harding
19:Incontinence, Brenda Roe & Asangaedem Akpan
20:Urology, Peter Malone & Christopher Blick
21:Gynaecological problems, Rajesh Varma
22:Psychiatry, David Anderson & Jim George
23:Ethical and legal issues, David Oliver
24:Vulnerable adults, Margot Gosney
25:Palliative care, Louise Robinson & Alexa Clarke
26:Care home medicine, Clive Bowman & Emma Bowman
27:Rehabilitation and physical activity, Chris Turnbull & Steve Iliffe
28:Social services, community care and benefits, Paddy Goslyn & Garry Briggs
29:The voluntary sector, Heather Mercer

Managing older people in primary care

A practical guide

Margot Gosney and Tess Harris

Author Information

Margot Gosney, Professor of Elderly Care Medicine, University of Reading and Royal Berkshire NHS Foundation Trust, UK, and Tess Harris, General Practitioner, Sonning Common Health Centre, Reading; Senior Lecturer in Primary Care, St George's University of London, UK

Contributors:

Asangaedem Akpan, Directorate of Medicine and Elderly Care, Warrington Hospital, Warrington, UK
Khalid Ali, Senior lecturer in Geriatrics, Brighton and Sussex Medical School, Academic Department of Geriatrics, Brighton, UK
Stephen Allen, Royal Bournemouth Hospital, Bournemouth, UK
David Allsup, Consultant Haematologist and Honorary Senior Lecturer, Department of Haematology, Hull and East Yorkshire Hospitals NHS Trust, Hull, UK
Dave Anderson, Associate Medical Director/Consultant Psychiatrist, Mersey Care NHS Trust, Older People's Mental Health Services, Sir Douglas Crawford Unit, Mossley Hill Hospital, Liverpool, UK
Anthony Avery, Professor, Division of Primary Care, Nottingham University Medical School, UK
Mark Batterbury, Consultant Ophthalmologist, Royal Liverpool University Hospital, Liverpool, UK
Chris Blick, The Harold Hopkins Department of Urology, Royal Berkshire Hospital, Reading, UK
Diana Bloss, Brockway Medical Centre, Nailsea, UK
Keith Bodger, Division of Gastroenterology, University of Liverpool, UK
Clive Bowman, Medical Director Bupa Care Services, Leeds, UK
Emma Bowman, Trainee in General Practice, Cardiff, UK
Garry Briggs, Service Manager Assessment & Care Management, Reading Borough Council, Reading, UK
Alexa Clark, Consultant in Palliative Medicine, Newcastle Primary Care Trust, Specialist Palliative Care Team, Arthur's Hill Clinic, Newcastle upon Tyne, UK
Simon Croxson, Consultant in General Medicine and Medicine for the Elderly, Bristol General Hospital, Bristol, UK
Simon de Lusignan, Division of Community Health Sciences, St George's University of London, UK
Tom Fahey, Royal College of Surgeons, Ireland, Dublin, Irish Republic
John Feehally, Honorary Professor of Renal Medicine, Leicester General Hospital, Leicester, UK
Jim George, North Cumbria Acute Hospitals Trust, Carlisle, UK
Paddy Goslyn, former social services project manager, Reading, UK
Margot Gosney, Professor of Elderly Care Medicine, University of Reading and Royal Berkshire NHS Foundation Trust, UK
Joseph Grey, University Hospital of Wales, Cardiff, UK
Willie Hamilton, Academic Unit of Primary Care, Cotham House, Bristol, UK
Keith Harding, Professor, Director of Wound Healing Research Unit, Cardiff University School of Medicine, Cardiff, UK
Tess Harris, General Practitioner, Sonning Common Health Centre, Reading; Senior Lecturer in Primary Care, St George's University of London, UK
Nada Hassan, Rheumatology SpR, Norfolk and Norwich Hospital, Norwich, UK
Catherine Hindle, Llys Meddyg Surgery, Conwy, UK
John Hindle, Consultant Physician, Care of the Elderly, Llandudno General Hospital, Conwy, UK
Stephanie Houlder, Academic Department of Geriatric Medicine Brighton and Sussex University Hospitals NHS Trust, UK
Stephen Iliffe, Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK
Shaun Jackson, ENT Surgeon, Fazakerly Hospital, Liverpool, UK
Stephen HD Jackson, Professor, Dept of Clinical Gerontology, King's College Hospital, London, UK
Denise Kendrick, University of Nottingham, UK
Maggie Kirkup, Consultant Dermatologist at Weston General Hospital, Weston Area Health Trust, Weston-super-Mare, UK
Finbarr Martin, Guys and St Thomas' NHS Foundation Trust, London, UK
Peter Malone, The Harold Hopkins Department of Urology, Royal Berkshire Hospital, Reading, UK
Heather Mercer, Age Concern England, London, UK
Michael Norton, Grindon Lane Primary Care Centre, Sunderland, UK
Janice O'Connell, The Medical School, Newcastle Biomedicine, Newcastle University, UK
Shaun O'Keeffe, Department of Geriatric Medicine, Merlin Park Hospital, Galway, Ireland
David Oliver, Institute of Health Sciences, University of Reading, UK
C Rajkumar, Professor, Brighton and Sussex Medical School, Department of Medicine Royal Sussex County Hospital, Brighton, UK
Vincent Riley, Department of Clinical Gerontology, King's College Hospital, London, UK
Louise Robinson, Institute of Health and Society, University of Newcastle, Newcastle upon Tyne, UK
Brenda Roe, Professor of Health Research, Faculty of Health, Edge Hill University, Lancashire, UK
David Scott, Professor, Norfolk and Norwich University Hospital, Norwich, UK
Michael Small, General Practitioner, Ivy Grove Surgery, Church Farm Primary Care Centre, Ripley, UK
Julie Stevens, West Middlesex NHS Trust, Isleworth, UK
Andrew C. Swift, Consultant ENT Surgeon and Rhinologist, University Hospital Aintree, Liverpool, UK
Chris Turnbull, Consultant Geriatrician, Arrowe Park Hospital, Wirral, UK
Rajesh Varma, Consultant Obstetrician and Gynaecologist, Guy's and St Thomas' NHS Foundation Trust, Directorate of Women's Services, St Thomas' Hospital, London, UK
Christina Victor, Professor, School of Health and Social Care, University of Reading, UK
Patrick White, Division of Health and Social Care Research, Kings College London, UK