The doctor/patient relationship in geriatric care.

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：:Lower intestinal bleeding in the elderly is a common problem with numerous and varied causes. Its diagnosis and treatment require a careful, systematic approach by physicians with special expertise. Under the proper circumstances, elderly patients with lower intestinal bleeding do well, even when surgery is required. ...

journal_title：Clinics in geriatric medicine

authors： Reinus JF,Brandt LJ

更新日期：1991-05-01 00:00:00

abstract：:Depression is one of the most serious and prevalent neuropsychiatric disorders of old age. Despite its prevalence, depression in the aged is frequently unrecognized or is misdiagnosed. This article reviews the existing knowledge of several sleep-related areas and discusses possible future studies into sleep as a progn...

journal_title：Clinics in geriatric medicine

authors： Hoch CC,Buysse DJ,Reynolds CF 3rd

更新日期：1989-05-01 00:00:00

abstract：:Cancer screening of the elderly is warranted for those cancers for which early detection and treatment improve life expectancy. There is excellent evidence to include screening for breast cancer with clinical examination and mammography for elderly women. There is also reasonable evidence to screen for cervical cancer...

journal_title：Clinics in geriatric medicine

authors： Oddone EZ,Feussner JR,Cohen HJ

更新日期：1992-02-01 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：:In developing and validating the concept of frailty as a geriatric syndrome, it has been necessary to distinguish the clinical expression of frailty from normal age-related changes and other age-related disease pathologies. A framework for excluding potentially confounding disease and a working clinical tool to diagno...

journal_title：Clinics in geriatric medicine

authors： Fedarko NS

更新日期：2011-02-01 00:00:00

abstract：:Intraperitoneal infections or inflammatory disease in elderly patients are a diagnostic challenge that will be encountered with increasing frequency in the aging population of the United States. Diagnostic clues are not overt and frequently appear late in the course of the disease. Confusion and subtle changes in clin...

journal_title：Clinics in geriatric medicine

authors： Hill AB,Meakins JL

更新日期：1992-11-01 00:00:00

abstract：:All evidence suggests that the elderly population of today and tomorrow will continue to depend on the private car to give them freedom, independence, and choice--as do younger travellers. Given the demographic changes in the United States, it seems very unlikely that other modes or options can provide anywhere near t...

journal_title：Clinics in geriatric medicine

authors： Rosenbloom S

更新日期：1993-05-01 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：: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：: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：:The importance of education in preventing and treating patients with pressure ulcers is evident by the inclusion of recommendations for educational objectives in the clinical guidelines by the Agency for Health Care Policy and Research. Both caregiver and client should be assessed for knowledge of pressure ulcers. Phy...

journal_title：Clinics in geriatric medicine

authors： Ayello EA,Mezey M,Amella EJ

更新日期：1997-08-01 00:00:00

abstract：:The geriatric population has become a major component in the practice of medical speech-language pathology. This article discusses normal and abnormal functions of speech, voicing, language, cognition, and swallowing. Particular attention is given to disorders affecting the geriatric population. Evaluation, treatment,...

journal_title：Clinics in geriatric medicine

authors： Ashley J,Duggan M,Sutcliffe N

更新日期：2006-05-01 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：: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：:Mesenteric ischemia is a well-recognized clinical entity among the elderly. Although first described more than 500 years ago, advances in both diagnostic and treatment regimens only minimally have improved on the bleak morbidity and mortality rates associated with this disease. Significant progress, however, has been ...

journal_title：Clinics in geriatric medicine

authors： Ruotolo RA,Evans SR

更新日期：1999-08-01 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：:Urinary incontinence is a prevalent condition in elderly women with significant associated morbidity. Incontinence can by grouped into several types: stress incontinence, urgency incontinence, overflow incontinence, functional incontinence, and mixed urinary incontinence. Careful evaluation, including history and phys...

journal_title：Clinics in geriatric medicine

authors： Parker WP,Griebling TL

更新日期：2015-11-01 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：:The routine prescription of hormone replacement therapy for elderly women to prevent heart disease is not indicated. Until better data are available, the use of estrogens primarily to prevent heart disease probably should be reserved for women at high risk by virtue of their LDL/HDL ratio or the presence of manifest c...

journal_title：Clinics in geriatric medicine

authors： Barrett-Connor E,Miller V

更新日期：1993-02-01 00:00:00

abstract：:Elder abuse and neglect is estimated to affect approximately 700,000 to 1.2 million elderly people a year with an estimated annual cost of tens of billions of dollars. Despite the large population at risk, its significant morbidity and mortality, and substantial cost to society, elder abuse continues to be underrecogn...

journal_title：Clinics in geriatric medicine

authors： Bond MC,Butler KH

更新日期：2013-02-01 00:00:00

abstract：:Chest pain is one of the most common and serious chief complaints. Geriatricians must be well versed in evaluating elderly patients who have chest pain. This article discusses the initial diagnostic evaluation of elderly patients with chest pain. Specific emphasis is placed on identifying acute coronary syndromes, aor...

journal_title：Clinics in geriatric medicine

authors： Kelly BS

更新日期：2007-05-01 00:00:00

abstract：:In summary, herbs are commonly used, and it is the physician's responsibility to have better documentation of this practice by encouraging patients to report use of herbs, and to look for any unusual side effects that can occur in terms of herb-drug or herb-herb interactions. ...

journal_title：Clinics in geriatric medicine

authors： Tariq SH

更新日期：2004-05-01 00:00:00

abstract：:Tests of performance and alertness in normal older subjects undergoing sleep loss reveal loss of performance and alertness similar to that seen in younger individuals. Recovery of performance ability occurs with one night of normal sleep, even following periods of sleep loss up to 64 hours in length. Older individuals...

journal_title：Clinics in geriatric medicine

authors： Bonnet MH,Arand DL

更新日期：1989-05-01 00:00:00

abstract：:Pulmonary hypertension is a pathologic hemodynamic condition defined by a mean pulmonary arterial pressure of 25 mm Hg or greater at rest. Because of age-associated stiffening of the heart and the pulmonary vasculature and the higher prevalence in the elderly of comorbidities associated with the development of pulmona...

journal_title：Clinics in geriatric medicine

authors： Poor H

更新日期：2017-11-01 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：:The elderly have few bleeding disorders related exclusively to the aging process. However, abnormalities of coagulation are seen frequently in this group as complications of other illnesses. Thus a good understanding of basic coagulation physiology and testing will provide the necessary tools for therapeutic guidance....

journal_title：Clinics in geriatric medicine

authors： Stemerman MB

更新日期：1985-11-01 00:00:00

abstract：:Elderly individuals, worldwide, are on the rise, posing new challenges to care providers. Hypertension is highly prevalent in elderly individuals, and multiple challenges face care providers while managing it. In addition to treating hypertension, the physician must treat other modifiable cardiovascular risk factors i...

journal_title：Clinics in geriatric medicine

authors： Turgut F,Yesil Y,Balogun RA,Abdel-Rahman EM

更新日期：2013-08-01 00:00:00

abstract：:Falls, syncope, and the associated complications are among the most serious problems that face the elderly population. The most common underlying causes and risk factors for falls include muscle weakness, gait and balance problems, visual impairment, cognitive impairment, depression, functional decline, and particular...

journal_title：Clinics in geriatric medicine

authors： Rubenstein LZ,Josephson KR

更新日期：2002-05-01 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