This book presents a practically orientated survey of major problems of a clinical picture and therapeutic pitfalls in critically ill elderly patients from the point of view of a geriatrician. A growing number of patients of advanced age represent a highly heterogeneous group with very different health problems. For the ICU admitted elderly patients, there are valuable general pitfalls of modern medicine connected with:: atomisation of medicine; absence of holistic approach and contemporary multi-morbidity when they belong to miscellaneous medical branches according to principal somatic diagnosis or seemingly nowhere.
Introduction; Clinical gerontology & comprehensive geriatric assessment (CGA); Geriatric patient -- particularities; Biology of ageing; Demographic analysis of contemporary & futural world population; Characteristics of ageing; Some specifics of geriatric medicine; Iatrogenia versus polypharmacy; Problems & complications of polypharmacy; Multimorbidity in old age & its relations; Dehydration -- water, natrium & potassium disturbances in the elderly organ systems in old age & their specifics; Delirium; Thermoregulatory disorders; Conclusion; Index.
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