With the number of older adults rising worldwide and healthcare expenditures reaching unprecedented levels, the need for effective, humane geriatric care has never been more urgent. Yet, despite our best efforts, a troubling question persists: Is 'person-centered, evidence-based medicine' failing our older adults? This groundbreaking book confronts that question head-on. Geriatric Medicine: Limits of the Person Centered Evidence Based Approach provides a rigorous and unflinching analysis of the critical challenges shaping the future of elder care. Moving beyond standard clinical topics, this text offers a powerful critique of the very foundations of geriatric practice and provides a visionary roadmap for reform. This book deconstructs the key paradoxes that leave clinicians, patients, and families struggling. It explores the "Implementation Gap" that leaves best practices on the shelf, the "Evidence-Limited World" where our most robust research excludes our most complex patients, the "Systemic Blind Spot" to the socioeconomic forces that truly determine health, and the "Person-Centered Paradox," where our systems risk silencing the lived experiences we claim to value. Inside, you will discover: A Deep Dive into the Implementation Gap: Analyze why ideal models fail in the face of the 20-minute paradox, workforce shortages, and misaligned guidelines. - How to Navigate the Evidence-Limited World: A critical look at the limits of randomized controlled trials, the promise and peril of geroscience, and the crucial practice of de-prescribing. - An Uncovering of Systemic Blind Spots: A rare examination of how financial toxicity, geography, and the business of for-profit healthcare shape patient outcomes. - A Confrontation with the Person-Centered Paradox: An essential exploration of the patient’s voice, the vital role of the caregiving dyad, and strategies for navigating difficult conversations when values conflict. - Actionable Models for a New Practice: Concrete blueprints for reform, including reimagined workflows for the Geriatric 5Ms, a case study in the Geriatric Emergency Department (GED), and new paradigms for training and consultation. - A Vision for the Future: A forward-looking analysis of policy, the critical role of technology, lessons from global models of care, and the power of advocacy. - A Guide to the Ethical Frontier: A profound conclusion that tackles the core moral questions of autonomy in cognitive decline, the ethics of longevity, and the reality of resource allocation. - BONUS: Access to "The Geriatric Lens," a companion web app to apply these concepts and generate clinical PDF reports. This is an essential resource for geriatricians, nurse practitioners, primary care physicians, researchers, and educators, as well as healthcare administrators and policymakers. It is for anyone committed to moving beyond critique to build a more just, effective, and humane future for elder care. More than a textbook, Geriatric Medicine is a manifesto. It is a call to action for a practice that is realistic, evidence-informed, socially conscious, and profoundly human. It provides the intellectual tools and practical frameworks needed to finally bridge the gap between evidence, experience, and reality.