Geriatric Nephrology

1. Front Matter

   Pages I-XVI

   PDF

2. Introduction

   • D. G. Oreopoulus

   Pages 1-3

3. Physiology of Aging

   • C. I. Gryfe

   Pages 5-10

4. Senility and Maturity: Psychosocial Aspects of Aging

   • H. M. Rosemary Meier, Richard Ian Ogilvie

   Pages 11-18

5. Pharmacokinetics and Pharmacodynamics in the Elderly

   • Richard Ian Ogilvie

   Pages 19-26

6. Fluid and Electrolyte Disorders in the Elderly

   • Robert M. A. Richardson

   Pages 27-36

7. Sodium Homeostasis with Special Reference to Fractional Excretion of Sodium and Plasma Prostaglandin E-1 in Elderly Hypertensives in Essential and Renovascular Hypertension

   • Kamlakar Tripathi, Jawed Ahmed, P. K. Srivastava, P. S. Mishra

   Pages 37-40

8. Aging and Body Water

   • Theodore R. Reiff

   Pages 41-48

9. End-Stage Renal Disease in the Elderly a Geriatrician’s Viewpoint

   • Bernard Isaacs

   Pages 49-55

10. Decline of Renal Function with Age: Mechanisms, Risk Factors and Therapeutic Implications

    • Sharon Anderson

    Pages 57-71

11. Preventable Causes of Renal Failure in the Elderly

    • George E. Schreiner

    Pages 73-93

12. Bacteriuria in the Elderly Subject; Its Relationship to Survival

    • Anastasios S. Dontas

    Pages 95-102

13. Acute Renal Failure in the Elderly

    • N. Lameire, K. De Keyzer, W. Pauwels, E. Matthys, R. Vanholder, S. Ringoir

    Pages 103-116

14. Chronic Renal Failure in the Elderly

    • Christopher R. Blagg

    Pages 117-126

15. Nutritional Needs for the Elderly Hemodialysis Patient

    • Joel D. Kopple, Mary B. Grosvenor, Charlotte E. Roberts

    Pages 127-134

16. Hemodialysis of the Elderly

    • C. Kjellstrand, K. Koppy, A. Umen, S. Nestrud, L. Westlie

    Pages 135-145

17. Peritoneal Dialysis in the Elderly

    • Allen R. Nissenson, Dominick E. Gentile, Robert E. Soderblom, Charlene Brax

    Pages 147-156

18. Renal Transplantation in the Middle-Aged and Elderly Uremic Patient

    • Bruce G. Sommer, David M. Mandelbaum, Mitchell L. Henry, Ronald M. Ferguson

    Pages 157-168

19. Renal Transplantation in the Elderly: The Canadian Experience

    • Carl J. Cardella

    Pages 169-173

20. Nursing Aspects of the Elderly Patient on Dialysis

    • Sharron Izatt

    Pages 175-182

The year was 1943. As a third-year medical student at Stanford, I was about to witness the beginning of a medical miracle. Dr. Arthur Bloomfield, Professor of Medicine, had selected my patient, a middle aged man, who was dying of acute pneumococcal pneumonia, as one of the first patients to receive miniscule doses (by today's standards) of his meagre supply of a new drug - penicillin. The patient's response amazed everyone especially this impressionable medical student. The rest of the story is history. With one stroke, the introduction of penicillin removed from the medical scene the 'friend of the aged' - lobar pneumonia. The consequences, which no one could have imagined at the time, are still becoming manifest as other 'miracles' such as respirators, artificial kidneys and many potent new antibiotics have come upon the scene. All of us are aware that these miracles have created a variety of new challenges around the states of dying and near dying. We have no easy answers for these problems. Nevertheless as dialysis techniques, especially CAPD, are applied more widely to the treatment of the elderly, the task of helping the patient meet death with dignity becomes increasingly important and vexing because once begun, dialysis is difficult to terminate.

• aging
• geriatrics
• nephrology
• nursing
• physiology
• transplantation

• Division of Nephrology, Toronto Western Hospital, Toronto, Canada

  Dimitrios G. Oreopoulos

Policies and ethics