Approach to ischemic heart disease, coronary care, and severe heart failure (including cardiogenic shock).

abstract：:Lesbian, gay, bisexual, and transgender older adults require a comprehensive medical, behavioral, mental health, and social support evaluation as do all elders. Open communication and minimizing barriers in both the patient-provider relationship and throughout the continuum of care settings offer a safe environment fo...

journal_title：Clinics in geriatric medicine

authors： McMahon E

更新日期：2003-08-01 00:00:00

abstract：:Malignant neoplasms of the geriatric skeleton are either primary or metastatic in nature. The vast majority are metastatic to the skeleton from carcinomas. Rarely, a primary skeletal malignancy, usually a chondrosarcoma or a malignant fibrous histiocytoma, develops in the geriatric patient. This article discusses the ...

journal_title：Clinics in geriatric medicine

authors： McGuire DJ,McGuire MH

更新日期：1994-11-01 00:00:00

abstract：:The intent of this review is to highlight several difficult questions from a personal perspective while caring for debilitated elderly patients in a nursing home. These problems appear to be encountered less frequently in the acute-care setting. Where possible, supporting literature is cited and legal precedent is ind...

journal_title：Clinics in geriatric medicine

authors： Wood JS

更新日期：1986-08-01 00:00:00

abstract：:Schizophrenia in late life includes both chronic early-onset schizophrenia and late-onset schizophrenia. Treatment with neuroleptics in relatively low doses is often useful in controlling psychotic symptoms in these patients. The value of neuroleptics is limited, however, by the risks of side effects such as tardive d...

journal_title：Clinics in geriatric medicine

authors： Tran-Johnson TK,Krull AJ,Jeste DV

更新日期：1992-05-01 00:00:00

abstract：:Most Americans will be afflicted by some form of spine-related pain in their lifetime. In older patients, the most frequent source of back pain is lumbar spinal stenosis or vertebral compression fracture. Although most back pain is self-limited, some patients will require interventional techniques. This article review...

journal_title：Clinics in geriatric medicine

authors： Lavelle WF,Lavelle ED,Smith HS

更新日期：2008-05-01 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：:Physical activity protects against the development of chronic disease and disability. There appears to be little risk of damage to joints from regular, moderate-level exercise. Patients with arthritis can safely participate in exercise programs and often have relief of pain and disability. The most difficult problem f...

journal_title：Clinics in geriatric medicine

authors： Ettinger WH Jr

更新日期：1998-08-01 00:00:00

abstract：:Many health care professionals lack knowledge about artificial nutrition and hydration at the end of life or may hold different attitudes about artificial nutrition and hydration compared with other treatments. Consequently, they may convey inaccurate or misleading information to patients or their surrogate decision m...

journal_title：Clinics in geriatric medicine

authors： Huang ZB,Ahronheim JC

更新日期：2000-05-01 00:00:00

abstract：:Suicide in the elderly is a growing problem. The elderly population is increasing, and elderly patients have multiple issues that place them at higher risk of suicidality. These issues include physical illnesses, mental illness, loss of functional status, isolation, and family, financial, and social factors. Access to...

journal_title：Clinics in geriatric medicine

authors： Brooks SE,Burruss SK,Mukherjee K

更新日期：2019-02-01 00:00:00

abstract：:Older adults undergoing elective surgical procedures suffer higher rates of morbidity and mortality than younger patients. A geriatric-focused preoperative evaluation can identify risk factors for complications and opportunities for health optimization and care coordination. Key components of a geriatric preoperative ...

journal_title：Clinics in geriatric medicine

authors： Marwell JG,Heflin MT,McDonald SR

更新日期：2018-02-01 00:00:00

abstract：:Collaboration of professionals from diverse disciplines is required to address the multiple, complex issues and needs of community-dwelling elders who are abused or neglected. Reporting suspected elder abuse or neglect cases to Adult Protective Service (APS) agencies provides access to services that address the social...

journal_title：Clinics in geriatric medicine

authors： Dyer CB,Heisler CJ,Hill CA,Kim LC

更新日期：2005-05-01 00:00:00

abstract：:To a considerable extent, the advent of the term sarcopenia has contributed to the focus on this important condition and its effects on the quality of life and care of older persons. It is hoped that the advances in our understanding of the etiology and treatment of sarcopenia will further contribute to placing this d...

journal_title：Clinics in geriatric medicine

authors： Rosenberg IH

更新日期：2011-08-01 00:00:00

abstract：:Aspirin in a dose of 160 to 325 mg should be administered on day 1 of an acute MI and continued indefinitely on a daily basis. Thrombolytic therapy should be administered within 6 to 12 hours after the onset of an acute MI with ST segment elevation or with left bundle branch block. Primary coronary angioplasty when av...

journal_title：Clinics in geriatric medicine

authors： Aronow WS

更新日期：2001-02-01 00:00:00

abstract：:Venous thrombosis is a common disease. As the mean age of the population increases, so does the incidence of venous thromboembolism. Anticoagulant therapy is equally effective in young and older patients, and can reduce substantially the associated morbidity and mortality. When considering long-term oral anticoagulant...

journal_title：Clinics in geriatric medicine

authors： Tran H,McRae S,Ginsberg J

更新日期：2006-02-01 00:00:00

abstract：:More than half of all lymphomas occur in patients aged 60 years or older. This article reviews the management of low-grade and aggressive histology lymphomas in patients older than age 65. Cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) chemotherapy is well tolerated in patients who have a good perfo...

journal_title：Clinics in geriatric medicine

authors： O'Reilly SE,Connors JM,Macpherson N,Klasa R,Hoskins P

更新日期：1997-05-01 00:00:00

abstract：:A large percentage of subjects receiving a normal calcium intake of 800 mg per day was in negative calcium balance and increasing the calcium intake to various levels up to 2200 mg per day showed a plateau of the calcium balance at the 1200 mg per day intake, indicating a threshold of calcium absorption at this intake...

journal_title：Clinics in geriatric medicine

authors： Spencer H,Kramer L

更新日期：1987-05-01 00:00:00

abstract：:Contemporary acute hospital care of older adults must include special attention to the transitional, or peridischarge, phase of hospitalization. This article reviews the evidence from outcomes data and economic factors that demonstrate that precise transitional planning is a critical element in the care of older hospi...

journal_title：Clinics in geriatric medicine

authors： Hall WJ,Oskvig RO

更新日期：1998-11-01 00:00:00

abstract：:Treatment of alcohol dependence among older alcoholic patients should be multidimensional to address as many potential relapse factors as possible. As the literature suggests, alcohol-related disorders often are under diagnosed and under treated. More efforts are needed to identify and improve diagnosis of these disor...

journal_title：Clinics in geriatric medicine

authors： Sattar SP,Petty F,Burke WJ

更新日期：2003-11-01 00:00:00

abstract：:Improvements in delivery systems for enteral feeding, in formulas, and in the understanding of complications have made the technology for enteral feeding easy to apply. Adequate nutrients can be delivered, and individual tolerance for feeding is acceptable. The remaining question is when to apply the technology. Formu...

journal_title：Clinics in geriatric medicine

authors： Haddad RY,Thomas DR

更新日期：2002-11-01 00:00:00

abstract：:There is strong evidence supporting the benefit of antihypertensive treatment in older patients. Blood pressure goal and drug selection in the elderly is similar to that in younger populations, but there are a few special considerations in these patients. A number of studies have been conducted to determine the drugs ...

journal_title：Clinics in geriatric medicine

authors： Rashidi A,Wright JT Jr

更新日期：2009-05-01 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：:Dementia with Lewy bodies (DLB) is the second most common neurodegenerative dementia following Alzheimer disease. It stems from the formation of Lewy bodies, which contain aggregates of the misfolded protein, α-synuclein. These deposit in areas of the nervous system and brain, leading to neuronal cell death and causin...

journal_title：Clinics in geriatric medicine

authors： Sanford AM

更新日期：2018-11-01 00:00:00

abstract：:Although dementias are defined by their cognitive and functional deficits, psychiatric problems are common, contribute to patient distress and caregiver burden, and precipitate institutionalization. Successful treatment involves understanding that physiologic, psychological, and environmental factors can contribute to...

journal_title：Clinics in geriatric medicine

authors： Wang LY,Borisovskaya A,Maxwell AL,Pascualy M

更新日期：2014-08-01 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：:Falls are a major health concern for elderly people and cause substantial health care costs. The authors used meta-analytic findings on the effectiveness of fall prevention interventions to determine cost-effectiveness of a proposed Medicare fall prevention program for people who experience a recent fall. Using publis...

journal_title：Clinics in geriatric medicine

authors： Wu S,Keeler EB,Rubenstein LZ,Maglione MA,Shekelle PG

更新日期：2010-11-01 00:00:00

abstract：:This article attempts to summarize some of the pertinent literature in the context of the authors' clinical experience and suggests that a comprehensive psychiatric and medical evaluation, as well as a combined behavioral/environmental approach together with appropriate pharmacotherapy, are important tools in the mana...

journal_title：Clinics in geriatric medicine

authors： Mintzer JE,Hoernig KS,Mirski DF

更新日期：1998-02-01 00:00:00

abstract：:Urinary infection is the most common infection in elderly populations. There is a high prevalence of asymptomatic bacteriuria, but this is benign and does not require treatment. A urine specimen for culture should be obtained before initiating antimicrobial therapy for symptomatic infection. Antimicrobial treatment re...

journal_title：Clinics in geriatric medicine

authors： Nicolle LE

更新日期：2009-08-01 00:00:00

abstract：:Postprandial hypotension is a prevalent condition in the elderly population and seems to be more common in frail elderly individuals who may be more susceptible to complications such as syncope and falls. Diagnosis is relatively easy and may be reversible in many cases. The epidemiology and pathophysiology of postpran...

journal_title：Clinics in geriatric medicine

authors： O'Mara G,Lyons D

更新日期：2002-05-01 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：:In hematopoiesis, mature blood cells, granulocytes, erythrocytes, and megakaryocytes originate from hematopoietic stem cells. With age, changes in hematopoiesis may have clinical consequences: defective immune responses, cytopenias (most commonly anemia and lymphopenia), hematological malignancy, and effects mediated ...

journal_title：Clinics in geriatric medicine

authors： Groarke EM,Young NS

更新日期：2019-08-01 00:00:00