This book offers an up-to-date review on the principles and practice of multidimensional assessment and management of the older individual, which represents the cornerstone of modern clinical practice in the elderly. The early chapters cover the main elements and scope of the comprehensive geriatric approach and explain the pathways of care from screening and case finding through to in-depth assessment and treatment planning. Subsequent chapters review the evidence of how best to apply the multidimensional assessment and management approach in defined healthcare settings and within specific clinical areas, such as cancer and surgery. Finally, the education and training challenges are reviewed and the prospects for future clinical service and research in this important field are examined. The book is very timely given the recent advances in application of this approach, which reflect the growing international realization that older people are "core business" in many clinical areas where the role of specialist geriatric medicine has hitherto been limited. Accordingly, the book will be relevant to a wide range of clinicians. The authorship comprises many of the best known and widely published experts in their respective fields.

Autorentext

Alberto Pilotto is Director of the Department of Geriatric Care, Orthogeriatrics, and Rehabilitation at E.O. Galliera Hospital in Genoa, Italy. Dr. Pilotto has been a Professor at the Postgraduate Schools in Geriatrics and Gastroenterology at the Universities of Padua and Parma (Italy) and Magdeburg (Germany). He has been the coordinator of various research projects funded by the EU and the Italian Ministry of Health, and is project leader of the EU-funded MPI_AGE project. He is also a consultant to the Geriatric Expert Group of the European Medicines Agency and a member of the Directive Council of the Italian Society of Gerontology and Geriatrics and the Academic Board of the European Union Geriatric Medicine Society (EUGMS). Dr. Pilotto has published over 300 articles in international peer-reviewed journals and over 100 book chapters and has co-edited three books on aging and the gastrointestinal tract. He is current Editor-in-Chief of Geriatric Care (official journal of SIGOT).

Finbarr Martin was a Consultant Geriatrician at Guys and St Thomas' NHS Foundation Trust, London, UK from 1984 to 2016 and Professor of Medical Gerontology, King's College London from 2011. He worked in a broad range of acute and community services and his department developed and evaluated several novel service models for older people, generally based upon comprehensive geriatric assessment technology.  He was national clinical advisor on older people to the England Department of Health from 2007 to 2010, president of the British Geriatrics Society from 2010 to 2012, and a non-executive director of the National Institute of Health and Care Excellence (NICE) from 2013-16. He will become president of EUGMS in January 2018. He is also co-editor of the Oxford Textbook of Geriatric Medicine 3rd edition (due for publication in 2018).

Inhalt

Multidisciplinary geriatric assessment (MGA): an updated definition.- The different domains of MGA.- The multidisciplinary team and the different levels of MGA-based assessment.- MGA in the hospital.- MGA in long-term care and the nursing home.- MGA in the community and in outpatient consultation.- MGA and personalized medicine.- MGA and clinical decision-making.- MGA in the emergency department.- MGA in cancer patients.- MGA in patients with orthopaedic conditions.- MGA in patients with organ failure.- MGA in patients undergoing preoperative assessment.- MGA in patients with cognitive impairment.- MGA in patients requiring pain management.- Education and training.- Key issues in MGA.