Aging and Lung Disease

This new edition offers a clinical guide for caring for aging patients with lung disease. Persons over the age of 65 remain the fastest growing segment of the population. According to the 2020 Census, 55.8 million people in the United States were aged 65 or older. This number is expected to increase to 66 million by the year 2050. This accounts for 16.8% of the total population and was an increase of 38.6% from 2010. There are many pulmonary conditions among the current leading causes of death in older persons, including lung cancer, chronic respiratory diseases and infections such as influenza, COVID-19, and bacterial pneumonia. With limited numbers of geriatricians caring for older persons, this will be the purview of all physicians.

Since the first edition, there have been advancements in many aspects of caring for older patients with lung disease. This book presents a complete update of the field. Chapters now cover topics such as immune senescence and the lung microbiome. There have additionally been major advances in diagnosis and available treatments for patients with lung cancer, interstitial lung disease, bronchiectasis, COPD, and pulmonary hypertension. The importance of palliative care and cognitive health for aging patients are also carefully considered in this new edition.

This is an ideal guide for all pulmonary medicine professionals.

Offers a fully updated clinical guide for caring for aging patients with lung disease Provides state-of-the-art reviews of epidemiology, disease presentation, and diagnosis and management of older patients Includes coverage of immune senescence and the lung microbiome

Autorentext

Margaret Pisani, MD, MPH is a Professor of Medicine at Yale University School of Medicine in the Division of Pulmonary, Critical Care and Sleep Medicine (PCCSM). She is the Vice Chief for Faculty Mentoring and Career Development. She earned her Bachelor of Science degree in physics from Iona College, a Master of Science in biomedical engineering from New Jersey Institute of Technology, her MD from Temple University and an MPH from Yale University. Dr. Pisani completed her internship and residency in Internal Medicine at Yale-New Haven Hospital where she was also Chief Resident. She remained at Yale University for Pulmonary & Critical Care Fellowship and then joined the faculty. She was the Yale PCCSM fellowship director for 10 years and has an extensive track record of mentoring medical students, residents, fellows and junior faculty. She is a clinician-investigator with expertise in delirium, sleep and circadian biology in critical illness, functional and cognitive outcomes in patients with respiratory disease and after critical illness and the impact of sex and gender on lung disease. She has a special interest in geriatric pulmonary and critical care medicine outcomes.

Inhalt

Part I: Physiologic Changes with aging.- Physiologic changes in the aging lung.- Allergy and Immunology of the Aging Lung.- Physiologic changes in sleep across the lifespan.- Assessment of symptoms in older adults with lung disease.- Polypharmacy and Drug Interactions in Older Patients.-Part II: Lung Diseases in Older Patients: Epidemiology, Presentation, Diagnosis, Treatment.- Asthma in older adults.- Chronic Obstructive Pulmonary Disease in Older Adults.- Pulmonary hypertension in Older Patients.- Pneumonia in Older Adults.- Pulmonary Embolism in Older Patients.- Lung Cancer in Older Adults: The Impact of Age on Cancer Care and Treatment Priorities.- Obstructive Sleep Apnea in the Elderly.- Sleep disorders in older patients.- Bronchiectasis and mycobacterial infections in older adults.- Interstitial Lung Disease.- Lung transplantation in older patients.- Assessment of Functional and Cognitive Status in Older Patients with Lung Disease.- Addressing End-of-Life Issues in Older Patients with Lung Disease.