Overview

The Science of Geriatric Principles and Patient Care is a comprehensive, evidence-based guide that bridges cutting-edge geroscience with the practical realities of caring for older adults across settings. Designed for clinicians, trainees, allied health professionals, and health system leaders, this book reframes aging not as inevitable decline, but as a dynamic, biologically informed process that can be assessed, optimized, and managed with precision. Beginning with the emerging paradigm of geroscience, the text explores the biological foundations of aging-such as inflammaging and homeostenosis-and translates them into real-world clinical decision-making. From there, it systematically walks the reader through Comprehensive Geriatric Assessment (CGA), functional and social risk evaluation, and patient-centered care planning that accounts for frailty, cognition, mobility, and social determinants of health. Core clinical challenges in geriatrics are addressed in depth, including polypharmacy and deprescribing, dementia and neuropsychiatric symptoms, falls and sarcopenia, cardiovascular disease in the oldest old, and common metabolic and endocrine disorders. Each chapter emphasizes practical tools, validated scales, and step-by-step strategies that clinicians can immediately apply at the bedside or in the community. The book also looks forward, highlighting innovations reshaping elder care: technology-enabled aging in place, AI-supported diagnostics, hospital-at-home models, and remote monitoring. Acute care topics such as hip fracture co-management, inpatient continence issues, and safe transitions of care are integrated with palliative care principles, ethical frameworks, and legal considerations to ensure goal-concordant, humane care throughout the aging trajectory. Concluding with a forward-looking examination of health policy, workforce development, and value-based care, The Science of Geriatric Principles and Patient Care equips readers not only to manage today's complex older patients, but also to lead the future of geriatric medicine. Clear, authoritative, and clinically grounded, this text serves as both a foundational reference and a practical manual for delivering high-quality, compassionate, and scientifically informed care to the aging population.

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