Survival of the Unfittest

A Study of Geriatric Patients in Glasgow

Bernard Isaacs, Maureen Livingstone, Yvonne Neville

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English

Routledge
31 August 2023

Social & cultural history; Personal & public health; Medical sociology; Health & Self-Help

Series: Routledge Library Editions: Scotland

"Originally published in 1972, this book is an analytical account of the socio-medical tribulations suffered by Glasgow’s east-end elderly leading to referral to geriatric wards. It examines why so many old people suffer from physical, mental and social deprivation in the final years of their lives. It shows by statistical studies and illustrative case histories that the basic cause is the survival into old age of people who are unfit to care for themselves, in such numbers that help from families, neighbours, the social services and the NHS is insufficient. From this study the expression the ""geriatric giants"" or the four I’s was coined: impairment of intellect (cerebral dysfunction), incontinence, immobility and instability (falls). The term ‘giant’ is seen to refer both to statistical frequency and to the huge personal burden of sufferers, escalating the need for socio-medical intervention. Prophetic in its predictions that the huge and complex social care problem would grow in the future much of this book remains relevant today."

By: Bernard Isaacs, Maureen Livingstone, Yvonne Neville
Imprint: Routledge
Country of Publication: United Kingdom
Dimensions: Height: 234mm, Width: 156mm,
Weight: 335g
ISBN: 9781032077956
ISBN 10: 1032077956
Series: Routledge Library Editions: Scotland
Pages: 182
Publication Date: 31 August 2023
Audience: College/higher education , Professional and scholarly , Primary , Undergraduate
Format: Paperback
Publisher's Status: Active

Bernard Isaacs was Consultant Physician in the Department of Geriatric Medicine, Glasgow Royal Infirmary. Maureen Livingstone was the Social Worker at Lightburn Hospital, Glasgow. Yvonne Neville was Senior Research Assistant at the Department of Geriatric Medicine, Glasgow Royal Infirmary.

Reviews for Survival of the Unfittest: A Study of Geriatric Patients in Glasgow

‘Read this lively and well written book before you next consult with your geriatric colleagues.’ W. Lawton Tonge, British Journal of Psychiatry (1972) ‘…a magnificently readable book full of the drama, the sadness, the courage and the cruelty of old age.’ Malcolm Johnson, Journal of Social Policy (1973)