Transitional care: hospital to home.

abstract：:Falling is often a multifactorial syndrome that can be viewed from several perspectives, including pathophysiologic, biomedical, functional, and ecologic models. The history, physical examination, and performance testing are the cornerstones of evaluation. Diagnostic testing in selected cases and environmental evaluat...

journal_title：Clinics in geriatric medicine

authors： Studenski S,Rigler SK

更新日期：1996-11-01 00:00:00

abstract：:Geriatric hip fracture is a common event associated with high costs of care and often with suboptimal outcomes for the patients. Ideally, a new care model to manage geriatric hip fractures would address both quality and safety of patient care as well as the need for reduced costs of care. The geriatric fracture center...

journal_title：Clinics in geriatric medicine

authors： Kates SL

更新日期：2014-05-01 00:00:00

abstract：:The utility of cardiac rehabilitation for elderly cardiac patients is controversial, and cost, logistic barriers, and encumbering comorbidities often seem disproportionate. Many clinicians view the emphasis of cardiac rehabilitation on behavior modification and risk-factor reduction as irrelevant for very old adults a...

journal_title：Clinics in geriatric medicine

authors： Forman DE,Farquhar W

更新日期：2000-08-01 00:00:00

abstract：:The aging of a population replete with risk factors for heart failure(HF) (coronary heart disease, diabetes, and hypertension) coupled with a declining age-adjusted mortality rate for coronary artery and hypertensive heart diseases has created, and will continue to create, a literal explosion in the prevalence of HF i...

journal_title：Clinics in geriatric medicine

authors： Naidu SS,Wong SC,Steingart RM

更新日期：2007-02-01 00:00:00

abstract：:As knowledge of molecular and cellular mechanisms of development and aging is elucidated, the need to understand the relationships among tissues, organ systems, health habits, nutrition, physical activity, and environmental factors on successful aging becomes more explicit. Progress in our understanding of how the imm...

journal_title：Clinics in geriatric medicine

authors： Heuser MD,Adler WH

更新日期：1997-11-01 00:00:00

abstract：:Elderly patients with cardiovascular disease require slightly different management strategies compared with younger patients. Diagnosis is more difficult. Procedures, both diagnostic and therapeutic, are more dangerous. Despite higher risks, elderly patients have much to gain from aggressive therapies such as angiopla...

journal_title：Clinics in geriatric medicine

authors： Fein SA,Breisblatt W,Doyle JT,Singh A

更新日期：1994-02-01 00:00:00

abstract：:Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

journal_title：Clinics in geriatric medicine

authors： Roussel B,Ouellet GM,Mohile SG,Dale W

更新日期：2015-11-01 00:00:00

abstract：:This paper presents process and outcome data for a geriatric assessment unit in a rehabilitation hospital whose focus is on short-term rehabilitation. While the results presented here are positive, they are descriptive and do not prove a cause and effect relationship between the geriatric assessment and rehabilitation...

journal_title：Clinics in geriatric medicine

authors： Applegate WB,Akins DE,Elam JT

更新日期：1987-02-01 00:00:00

abstract：:In end-of-life care, attending to spiritual needs ensures that a dying patient has the opportunity to find meaning in the midst of suffering and to have the opportunity for love, compassion, and partnership in their final journey. This article summarizes some of the beliefs and traditions from Judaism, Islam, and Chri...

journal_title：Clinics in geriatric medicine

authors： Puchalski CM,Dorff RE,Hendi IY

更新日期：2004-11-01 00:00:00

abstract：:In conclusion, the majority, or at least a large proportion, of accidental injuries in the elderly are preventable with careful medical and environmental evaluation and intervention. A vigorous diagnostic, therapeutic, and preventive approach is appropriate in all older patients who fall in addition to those at a high...

journal_title：Clinics in geriatric medicine

authors： Josephson KR,Fabacher DA,Rubenstein LZ

更新日期：1991-11-01 00:00:00

abstract：:By most clinical and economic measures, our health care system is not providing effective or affordable care to Medicare beneficiaries with severe chronic illness. Two million elders, constituting most of the 5% who account for nearly half of Medicare costs, have multiple chronic conditions, functional disability, and...

journal_title：Clinics in geriatric medicine

authors： DeJonge KE,Taler G,Boling PA

更新日期：2009-02-01 00:00:00

abstract：:Quality of life is becoming increasingly important in assessing the impact of therapy for hypertension in elderly persons. Although the concept of quality of life is new and is in need of further definition, good measures already exist to examine the effects of therapy in the major domains of quality of life such as s...

journal_title：Clinics in geriatric medicine

authors： Weiler PG

更新日期：1989-11-01 00:00:00

abstract：:Musculoskeletal changes that are related to osteoporosis can be prevented, challenged, or reduced with implementation of proper rehabilitation programs. The nonpharmacologic interventions recommended here are evidence-based and have resulted from controlled trials and studies. ...

journal_title：Clinics in geriatric medicine

authors： Sinaki M

更新日期：2003-05-01 00:00:00

abstract：:Cardiovascular disease (CVD) is the leading cause of death and disease burden globally. Improving reach, access, and effectiveness of postdischarge care through cardiac rehabilitation and secondary prevention strategies is an international priority. The current proliferation of mobile technology has resulted in widesp...

journal_title：Clinics in geriatric medicine

authors： Redfern J

更新日期：2019-11-01 00:00:00

abstract：:Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag condition...

journal_title：Clinics in geriatric medicine

authors： Morgan E

更新日期：2018-02-01 00:00:00

abstract：:The number of patients with atrial fibrillation (AF) who are of advanced age or have multiple comorbidities is expected to increase substantially. Older patients with AF generally gain a net benefit from anticoagulation. Guidelines typically recommend anticoagulation. There are multiple challenges in the safe use of a...

journal_title：Clinics in geriatric medicine

authors： Parks AL,Fang MC

更新日期：2016-05-01 00:00:00

abstract：:"Birth and death are the most singular events we experience and therefore the contemplation of death as of birth should be a thing of beauty." The hospice movement emerged out of an awareness that the needs of the dying patient were not being adequately met by the modern medical establishment. It has brought about a p...

journal_title：Clinics in geriatric medicine

authors： Mathew LM,Scully JH

更新日期：1986-08-01 00:00:00

abstract：:The efficacy of endarterectomy for patients with symptomatic high-grade stenosis of the extracranial carotid artery has been firmly established. Those with asymptomatic carotid disease may also be candidates for the operation. A thorough understanding of the benefits and risks of the operation for the individual patie...

journal_title：Clinics in geriatric medicine

authors： Goldstein LB

更新日期：1999-11-01 00:00:00

abstract：:Most diseases involving the skin affect all age groups; however, some are more common in old age. The skin of the genital area may be involved as an isolated process or as part of more generalized disease. Clinical features and management of some of the more common dermatologic conditions affecting the genital area in...

journal_title：Clinics in geriatric medicine

authors： Kaye VN,Mandel SL

更新日期：1990-02-01 00:00:00

abstract：:American health-care practitioners are faced with a rapidly growing, geriatric, Hispanic-American population. This group shares certain cultural links but is largely heterogeneous and comprised of many subgroups, the largest of which are Mexican Americans, Puerto Ricans, and Cuban Americans. Health-care practitioners ...

journal_title：Clinics in geriatric medicine

authors： Pousada L

更新日期：1995-02-01 00:00:00

abstract：:Psychomotor assessment is a collaborative effort between the neurologic and the neuropsychologic evaluation. Changes associated with normal aging must be differentiated from signs and symptoms that indicate abnormal functioning. Recent developments in computer-based technology should add to the precision and accuracy ...

journal_title：Clinics in geriatric medicine

authors： Mahurin RK,Inbody SB

更新日期：1989-08-01 00:00:00

abstract：:Dry eye and dry mouth symptoms are each reported by up to 30% of persons more than 65 years of age, particularly in women. Medication side effects are the most common contributing factors. The evaluation of these symptoms requires measures of ocular and oral dryness. Sjögren syndrome is the prototypic disease associat...

journal_title：Clinics in geriatric medicine

authors： Baer AN,Walitt B

更新日期：2017-02-01 00:00:00

abstract：:New data have shown that sebum secretion is highest in young adults and then declines steadily throughout life in both men and women. This parallels the decline in androgen levels, but this cannot be the sole factor because there is so much overlap in sebaceous gland activity between men and women. The increased occur...

journal_title：Clinics in geriatric medicine

authors： Downing DT,Stewart ME,Strauss JS

更新日期：1989-02-01 00:00:00

abstract：:Both primary and secondary cancer prevention may improve cancer control among older persons. Although chemoprevention of cancer is feasible, the agents currently used for chemoprevention have several complications. As a result, the use of these substances should be individualized based on risk-benefit ratio. It is rea...

journal_title：Clinics in geriatric medicine

authors： Balducci L,Beghé C

更新日期：2002-08-01 00:00:00

abstract：:Delusional depression frequently is encountered in the treatment of older psychiatric patients. Although the pathogenesis of this disorder and its relationship to organic brain lesions remains unclear, somatic treatment, especially with ECT, leads to initial recovery in the majority of cases. High rates of relapse and...

journal_title：Clinics in geriatric medicine

authors： Meyers BS

更新日期：1992-05-01 00:00:00

abstract：:Current arrangements for health care in the United States do not adequately address the needs of a growing population that has serious, eventually fatal chronic illness. New programs and policies are necessary to encourage coordination of care; better match services to the needs of patients; better provide education a...

journal_title：Clinics in geriatric medicine

authors： Shugarman LR,Lorenz K,Lynn J

更新日期：2005-02-01 00:00:00

abstract：:Hypoglycemia is a serious problem in older patients with diabetes mellitus. This chapter discusses risk factors associated with hypoglycemia and approaches to mitigation of the risk for hypoglycemia. Specific considerations include selection of glucose lowering agents, comorbid conditions and the implications of decli...

journal_title：Clinics in geriatric medicine

authors： Hoogwerf BJ

更新日期：2020-08-01 00:00:00

abstract：:This article provides a brief overview of the challenges and opportunities of new technologies in the area of geriatric pain management. It also reviews emerging evidence to demonstrate the role technology may play in improving and advancing assessment and management of pain in older adults. ...

journal_title：Clinics in geriatric medicine

authors： Docking RE

更新日期：2016-11-01 00:00:00

abstract：:There is no single definition of polypharmacy. Use of 5 or more medications commonly is used. An alternative, quantitative definition, such as use of more medications than clinically indicated or use of unnecessary or harmful prescribing, has been proposed. Protocols or algorithms to improve polypharmacy and prescribi...

journal_title：Clinics in geriatric medicine

authors： Levy HB

更新日期：2017-05-01 00:00:00

abstract：:The rapid growth of the geriatric sector of the population has, in part, led to the explosion of the home care industry and the rebirth of the house call. Understanding the population being served is always the first step in providing excellent care. Older people who are frail and homebound have physical, social, and ...

journal_title：Clinics in geriatric medicine

authors： LoFaso V

更新日期：2000-02-01 00:00:00