The Care of the Elderly in General Practice. Thompson. Edinburgh, Scotland, ChurchillLivingstone, 1984, 340 pages, $27.00.
The Care of the Elderly in General Practice is a medical guidebook for general practitioners. Although a medical model is utilized, the text could serve as a reference for geriatric nurse practitioners.
In Chapter One, "The Size of the Problem," demographics and trends on aging are covered. The number of elderly individuals is indeed increasing, but this does not necessitate labelling the chapter "the problem." Instead, a better reflection of the actual content presented would be "the demographics" or "trends of aging."
Normal aging changes, both physical and psychological, are presented. Assessment parameters specific to the aged are discussed. I found the content to be quite general, and useful only as an overview. For example, when mental status assessment was discussed, several instruments were explained, but not in the depth required to help the practitioner in selecting one instrument over another.
Specific disease entities and management strategies are briefly explored. Some medications listed will be unfamiliar to the reader, as the author is from England.
This text could serve as a reference to those individuals who are interested in a concise presentation of health concerns, assessment parameters, and treatment guidelines for the older adult.