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|a Advances in Geriatric Dermatology
|c edited by Anne Lynn S. Chang
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|a Cham
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|b Springer International Publishing
|c 2015
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|a Online-Ressource (XIII, 109 p. 8 illus. in color, online resource)
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|a Preface; Acknowledgements; Contents; Contributors; Dermato-pharmacology in Older Patients; Physiologic Principles of Geropharmacology; Pharmacokinetics of Aging; Medication Absorption; Volume of Distribution; Hepatic Metabolism; Renal Clearance; Pharmacodynamics of Aging; Geriatric Syndromes; Special Pharmacodynamic Considerations with Systemic Immunosuppressive Agents; Systemic Corticosteroid Side Effects and Prophylaxis; Infectious Disease Prophylaxis; Skin Cancer Monitoring with Tumor Necrosis Factor (TNF) Antagonists; Ethical Considerations of Prescribing to Older Adults
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|a Medication Errors in Older Adult PatientsInappropriate Use; Overuse; Underprescription; Medication Non-adherence; Complementary and Alternative Medicine (CAM) Among Older Adult Patients; Prescribing Heuristics: The Geriatric Dermatology Prescription Cycle; Periodically Reassess for Changes in Patient's Medications, Health Status, or Care Goals; Determine If Existing Drugs Can Be Discontinued or Tapered; Balance the Risk Versus Benefit of Adding or Adjusting Medications; Recognize Common Medication Interactions; Physical Ability to Take Medications and to Afford the Cost
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|a Patient and Caregiver Understanding of Treatment Plan Dose Adjustment and Titration; Coordinate Care and Schedule Strategic Follow Up; Summary Points; Appendix: Additional Resources; Complementary and Alternative Medicine (CAM); Corticosteroid-Induced Osteoporosis Prophylaxis; General Geriatrics Resources; Inappropriate Prescribing/Polypharmacy; Prescription Assistance; References; Pruritus in Older Patients; Scope of Itch in the Elderly; Classic Clinical Studies Related to Itch in the Elderly; Drugs and Pruritus; Eruption of Senescence
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|a General Measures for Treatments of Itch in Elderly Patients Research Gaps, Ongoing Clinical Trials; Conclusion; References; Aged-Related Changes in the Nails; Introduction; Nail Changes in Older Adults; Common Nail Disorders in Older Adults; Brittle Nail Disease; Onychomycosis and Its Treatment in Older Adults; Nail-Associated Neoplasms in the Elderly; Conclusions; References; Hormonal Regulation and Systemic Signals of Skin Aging; Significance of Systemic Signals in Skin Aging; Basic Studies of Hormones in Skin Aging; Clinical Studies of Hormonal Regulation of Aging in Skin
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|a Future DirectionsReferences; Psoriasis Therapy in the Geriatric Population; Introduction; Psoriasis Comorbidities in Older Patients; Topical Steroids; Phototherapy; Traditional Systemics; Methotrexate; Acitretin; Cyclosporine; Biologics; Recent Studies Comparing Effectiveness and Safety of Psoriasis Treatments in Older Psoriatic Patients; References; Supportive Skin Care in Older Patients; Physiologic and Morphologic Cutaneous Changes in Older Skin; Clinical Considerations in Aging Skin; Significant Impact on Quality of Life; Management of Aging Skin and Supportive Skin Care
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|a Clinical Pearls in Supportive Skin Care in Older Patients
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| 520 |
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|a This concise, easy-to-read book summarizes the current clinical evidence and basic science relating to aging and the skin, assisting the clinician in addressing skin problems in older dermatologic patients. Each chapter focuses on a particular area in which new knowledge has rapidly emerged over the past 5 years, ensuring that the book is completely up-to-date. Recent insights into aging skin from basic and translational science are first discussed, covering the underlying genetics and the potential role of topical agents and procedures in reversing the aging process. Evidence-based prescribing in older patients is then explained, and the evidence relating to treatments for psoriasis, reviewed. Further chapters in Geriatric Dermatology address non-surgical treatment options for basal cell carcinoma, the increase in and management of sexually transmitted diseases in older dermatology patients, and cutaneous signs of elder mistreatment. Case vignettes and informative illustrations assist the reader in quickly grasping the connection between an age-related process and its clinical impact. Geriatric Dermatology is written for dermatologists, research scientists with translational interest, geriatricians, and gerontologists
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