Integrative Geriatric Medicine

Integrative geriatrics is a new field of medicine that advocates for a whole-person, patient-centered, primarily non-pharmacological approach to medical care of the elderly. Most current geriatric practices overprescribe medications and procedures and underutilize non-pharmacological, low-cost, high-touch methods. Patients, however, often show reluctance towards these standard practices, as the interventions they rely upon are often invasive. The practice of integrative geriatrics is rooted in lifestyle interventions, such as nutrition, movement therapies, and mind-body and spirituality approaches, that allow patients to have different path to their healthcare-one that utilizes pharmaceuticals and invasive procedures only when safer integrative approaches are not available or not effective.

This first definitive textbook of this new field presents detailed, evidence-based information for all healthcare providers and advocates who work with the geriatric population. It is intended not only for providers in outpatient settings, but also for those who work in nursing homes, assisted and independent living facilities, and senior community centers. In addition, Integrative Geriatric Medicine will provide valuable information for leaders and politicians who are involved with implementing policies and procedures for care of elderly patients looking for safer, less costly, and more patient-centered approaches.

Table of Contents

1: Introduction, Mikhail Kogan and Kyle Meehan
2: Geriatric Nutrition, Julie Wendt, Anna Rotkiewicz, and Alice Berg
3: Exercise, Frailty and Functional Reserve: Concepts and Optimization, Joseph P. Cleaver, Alice Schmidt Kehaya, and Mikhael Kogan
4: Preventative Geriatrics, Ronak Mehta, Mariatu Koroma-Nelson, Elizabeth Mackenzie , and Birgit Rakel
5: Acupuncture and Traditional Chinese Medicine (TCM), Angela Gabriel and Tiffany C. Hoyt
6: Manual and Movement Therapies, Maryclaire ONeill, Eric J. Roseen, Mary Starich, Anne McDonald, Yael Flusberg, and Aaron A. Davis
7: Energy Modalities and Aromatherapy, Luann Jacobs, Mary Kendell, and Yael Flushberg
8: Naturopathic Medicine, Deirdre Orceyre and Meredith Bull
9: Spirituality and Mind-Body Medicine in Geriatrics, Christina M. Puchalski and Patricia A. Bloom
10: Men's Health, George Muñoz and Mikhail Kogan
11: Women's Health, Mary Kendell and Margie Wentzel
12: Pain, Marc Brodsky and Ann E. Hasen
13: Cardiovascular Disease, Mara Caroline, Ryan Bradley, and Mimi Guarneri
14: Endocrine disorders: Integrative treatments of hypothyroidism, diabetes, and adrenal dysfunction, James Yang
15: Integrative Osteoporosis, Angela J. Shepherd and Juliet M. McKee
16: The Healthy Gut in Older Adults, Victor Sierpina, Karen Welch, Dimple Desai, and Anna Rotkiewicz
17: Common Geriatric Infections, Christina Prather, Mariatu Koroma-Nelson, and Mikhail Kogan
18: Integrated Approaches to Treating Lung Diseases in the Geriatric Population, Seema Rao
19: Integrative Geriatric Psychiatry, Ronald Glick, Marie Anne Gebara, and Eric Lenze
20: Neurodegenerative Diseases: Parkinson's and Alzheimer's Diseases, Aviva Ellenstein, Christina Prather, and Mikhail Kogan
21: Integrative Oncology, Amy Littlefield, Deirdre Orceyre, and Stephanie Cheng
22: Common Rheumatic Diseases in the Elderly, Nisha Manek and George Muñoz
23: Falls, Anca Dinescu and Mikhail Kogan
24: Skin, Vision, and Hearing, Ilana Seidel and Justin Sevier
25: Functional Laboratory Studies, Deirdre Orceyre, Ronak Mehta, and Mikhail Kogan
26: Primary Care for Homebound Patients, Robert L. Jayes and Robert M. Kaiser
27: Person-Directed Health Care across the Life Span: The Veterans Affairs Health Care System, Elizabeth L. Cobbs, Amanda Hull, and Alyssa Adams
28: Long-Term Residential Care, Tahira I. Lodhi and Tania Alchalabi
29: Inter-Disciplinary Team-based Care, Beverly Lundsford and Terry A. Mikovich
30: Bioethical Issues in Integrative Geriatrics, Katalin Roth
31: Integrative Palliative Care, Angela Lee, Stephanie Cheng, and Dale Lupu
32: Positive Aging, Michelle Sierpina and Beverly Lunsford

Edited by Mikhail Kogan, Director, Integrative Medical Center; Director, Integrative Geriatrics Fellowship, George Washington University, and Series edited by Andrew Weil, Director of the Arizona Center for Integrative Medicine; Lovell-Jones Professor of Integrative Rheumatology; Clinical Professor of Medicine; Professor of Public Health, University of Arizona. Dr. Kogan obtained medical degree from Drexel University College of Medicine. Subsequently he competed internal medicine residency at Montefiore Program for Social Medicine and fellowship in Geriatrics at George Washington University, where he remained on faculty. At present Dr. Kogan serves as Medical Director at GW Center for Integrative Medicine and Associate Director of Geriatric Fellowship at GW University. In addition to being boarded in Internal Medicine, Geriatrics, and Palliative Medicine Dr. Kogan is a founding board member of American Board of Integrative Medicine.