Geriatric Medicine in Practice

Geriatric Medicine in Practice is a practical guide to the questions that matter most when caring for older adults:

What has changed? What is affecting function? Could treatment be causing harm? What outcome matters most to this person?

A fall, new confusion, weight loss, fatigue, missed medication, or loss of independence may have several causes at once. Effective geriatric care requires more than identifying a diagnosis. It requires attention to mobility, cognition, medications, caregiver support, safety, and the patient's own goals.

• Clear approaches to frailty, falls, gait change, functional decline, delirium, dementia, depression, pain, sleep problems, continence concerns, and nutrition

• Practical strategies for medication review, polypharmacy, adverse effects, deprescribing, and safer prescribing decisions

• Guidance for managing chronic illness when treatment burden, life expectancy, cognition, mobility, and personal priorities may change the usual plan

• Assessment tools for cognition, function, mobility, home safety, caregiver strain, and the risks that can lead to avoidable hospitalization

• Clinical frameworks for acute illness, atypical presentation, hospital transitions, long-term care planning, serious illness conversations, and advance care planning

• Person-centered care strategies that connect medical decisions with independence, comfort, family support, and quality of life

Written for geriatricians, internists, primary care clinicians, hospitalists, residents, nurse practitioners, physician assistants, and serious learners, this book offers a structured way to manage complexity without losing sight of the person.

Geriatric Medicine in Practice helps readers recognize what is changing, reduce preventable harm, and make clinical decisions that support safety, function, and meaningful daily life.