Delirium and Dementia.

abstract：:Cardiovascular disorders are a common cause of falls and syncope in older adults. The most common cardiac disorders linked to falls and syncope are carotid sinus syndrome, postprandial hypotension, orthostatic hypotension, vasovagal syncope, and bradyarrhythmias. It is important to recognize these conditions, because ...

journal_title：Clinics in geriatric medicine

authors： Cronin H,Kenny RA

更新日期：2010-11-01 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：: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：: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：:Diabetic neuropathy is a heterogeneous disease with diverse pathology. Recognition of the clinical homolog of these pathologic processes is necessary in achieving appropriate intervention. Treatment should be individualized so the particular manifestation and underlying pathogenesis of each patient's clinical presenta...

journal_title：Clinics in geriatric medicine

authors： Vinik AI,Strotmeyer ES,Nakave AA,Patel CV

更新日期：2008-08-01 00:00:00

abstract：:To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

journal_title：Clinics in geriatric medicine

authors： Parmelee PA

更新日期：1996-08-01 00:00:00

abstract：:Because of its wide prevalence and its grave consequences on the health of older persons, malnutrition requires immediate attention. Physicians in general have been described as being nutritionally blind in their slowness to recognize undernutrition. A high degree of suspicion, a thorough history and physical examinat...

journal_title：Clinics in geriatric medicine

authors： Omran ML,Salem P

更新日期：2002-11-01 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：: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：:A wide array of clinical trials over the past two decades has established that aspirin is indicated to prevent myocardial infarction in patients with clinically evident coronary artery disease, and to prevent stroke in patients with a history of stroke or TIAs. The most likely mechanism by which aspirin decreases the ...

journal_title：Clinics in geriatric medicine

authors： Dalen JE,Goldberg RJ

更新日期：1992-02-01 00:00:00

abstract：:Older adults receive care from various settings, including acute care hospitals, skilled nursing facilities, nursing homes, group homes, outpatient primary care, specialty clinics, and home. In these various settings, older adults are exposed to pathogens, which makes them "vectors" that transport pathogens from one s...

journal_title：Clinics in geriatric medicine

authors： Mody L

更新日期：2007-08-01 00:00:00

abstract：:The use of radioactive isotopes in thyroid evaluation and therapy gives important information in the endocrine assessment of the aged. Thyroid uptake imaging can be used to establish a hypothyroid or hyperthyroid state and can determine the functional status of a palpable nodule. Investigational agents, such as T1 201...

journal_title：Clinics in geriatric medicine

authors： Freeman SJ,Girolamo RF

更新日期：1995-05-01 00:00:00

abstract：:Balance disorders are common in the elderly and can lead to falls, with resultant severe morbidity and even mortality. Progressive loss of vestibular function begins in middle age and is affected by multiple disease processes. Polypharmacy impacts many disease processes in the elderly, with balance function being one ...

journal_title：Clinics in geriatric medicine

authors： Eibling D

更新日期：2018-05-01 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：:The concept of cognitive reserve (CR) was proposed to account for the discrepancy between levels of brain pathologic process or damage and clinical and cognitive function. We provide a detailed review of prospective longitudinal studies that have investigated the interaction between CR and Alzheimer disease (AD) bioma...

journal_title：Clinics in geriatric medicine

authors： Soldan A,Pettigrew C,Albert M

更新日期：2020-05-01 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：:Subacute care is a program of care for individuals with recent or current illness or injury. Currently, the services received by patients in subacute care vary considerably among sites, partly because these sites may specialize in certain treatments and partly because providers often define subacute care according to ...

journal_title：Clinics in geriatric medicine

authors： Levenson S

更新日期：2000-11-01 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：:Constipation and irritable bowel syndrome are very common in older persons. Constipation is over diagnosed and over treated in older persons. Lifestyle changes, osmotic laxatives, and lubiprostone are the approaches of choice for the management of constipation. Irritable bowel syndrome should be considered in the diff...

journal_title：Clinics in geriatric medicine

authors： Morley JE

更新日期：2007-11-01 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：: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：:Older women may experience sexual dysfunction due to many different causes. Some problems related to menopausal hormonal change may be easily treated with estrogen supplements. Other problems involve intricate interpersonal relations between the woman and her sexual partner and may require a combination of medical the...

journal_title：Clinics in geriatric medicine

authors： Goldstein MK,Teng NN

更新日期：1991-02-01 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：: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：:The importance of a thorough history and physical examination in conjunction with appropriate laboratory, radiographic, endoscopic, and urodynamic studies is emphasized, with the goal of defining the cause of incontinence in the elderly. Once the pathologic process that is causing the symptom of incontinence is object...

journal_title：Clinics in geriatric medicine

authors： Leach GE,Yip CM

更新日期：1986-11-01 00:00:00

abstract：:This article discusses the usefulness of neuropsychological testing in AD, as an adjunct to the diagnosis, as a means of the evaluation of progression, and response to treatment. Clinical neuropsychological tests that have direct relevance to AD are reviewed, with particular emphasis on recently developed tests of mem...

journal_title：Clinics in geriatric medicine

authors： Koss E

更新日期：1994-05-01 00:00:00

abstract：:Palliative care is a public health concern, because the problems faced by patients and their families represent a substantial burden of illness and cost to the society that is likely to increase markedly in the future as the world's population continues to age. There are also inequities in access to palliative care an...

journal_title：Clinics in geriatric medicine

authors： Dzingina MD,Higginson IJ

更新日期：2015-05-01 00:00:00

abstract：:The anorexia of aging is common, leading to adverse health consequences. As populations age, the impacts from anorexia in the older population are set to increase. Only greater awareness will allow for prevention or early intervention. This article discusses the physiologic anorexia of aging, highlights contributing f...

journal_title：Clinics in geriatric medicine

authors： Visvanathan R

更新日期：2015-08-01 00:00:00

abstract：:Behavioral signs and symptoms in dementia are common, morbid, classifiable, and treatable. The current state-of-the-art approach is to evaluate carefully for social or environmental causes, intercurrent medical conditions, or other triggers of the behavior and attempt to deal with those directly. When these conservati...

journal_title：Clinics in geriatric medicine

authors： Tariot PN,Ryan JM,Porsteinsson AP,Loy R,Schneider LS

更新日期：2001-05-01 00:00:00

abstract：:The aging kidney suffers reduction both in mass and in glomerular filtration rate. These changes may be totally or partially due to atherosclerosis and hypertension, which reduce renal blood flow. Superimposed on these processes, and perhaps responsible for primary loss of renal mass irrespective of renal vascular dis...

journal_title：Clinics in geriatric medicine

authors： Kaysen GA,Myers BD

更新日期：1985-02-01 00:00:00