A Clinical Guide for ffce Care of Older Women.
Byyny RL, Speroff L, Baltimore, Williams & Wilkins, 1 990, 319 pages, hardcover. ___________________
The stated purpose of this book is to be a guide or an easy-to-use quick resource for daily clinical practice. The physician authors, an internist and an obstetrician-gynecologist, provide a specific method for the screening, diagnosis, and management of the common health problems of older women.
This book's 20 chapters are divided into two parts. The first part, General Health, includes seven chapters addressing the demographics of aging, mechanisms and changes associated with aging, basic recommendations for preventative care of healthy women, sexuality, obesity, menopause, and hormone replacement. In addition, recommendations for the evaluation and management of hypercholesterolemia (the Cholesterol-Lipoprotein Profile) are included.
The second part of the book is Medical Problems. Its 13 chapters focus on the common medical programs associated with the breast; hypertension; heart; and peripheral vascular, pulmonary, gastrointestinal, and skeletal systems. Common disorders associated with the urinary tract and pelvic floor, external genitalia, and thyroid and parathyroid glands are also presented. In addition, diabetes mellitus, common infectious problems, chronic pain, hypochondria, depression, and dementia are also addressed.
Each topic is presented in an integrated manner, blending documentation from the literature with the authors' clinical expertise. Each chapter emphasizes the clinical aspects inherent in the appropriate medical interventions.
Although the stated audience is "all health-care providers," it is obvious that the actual intended audience is the physician as the "primary care provider." The interests and concerns of other participants in the healthcare delivery system are either absent or relegated to a supportive role.
This book would be a useful reference for nursing students, clinical specialists, and educators.