Driving Dilemmas: A Guide to Driving Assessment in Primary Care.

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：: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：: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：:Urinary incontinence (UI) in the older adult is a multisystem health problem that has an impact on the lives of millions of older adults. Advanced practice nurses (APNs) specializing in gerontology,family, and adult practice are equipped educationally with the expertise to prevent, assess, and manage this health probl...

journal_title：Clinics in geriatric medicine

authors： Cacchione PZ,Decker SA

更新日期：2004-08-01 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：:As our population continues to age, the early diagnosis and optimal management of patients with gastroesophageal reflux disease becomes paramount. Maintaining a low threshold for evaluating atypical symptoms in this population is key to improving outcomes. Should patients develop complications including severe esophag...

journal_title：Clinics in geriatric medicine

authors： Otaki F,Iyer PG

更新日期：2021-02-01 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：:This article presents an up-to-date review of the literature on hormone augmentation in the elderly to help primary care physicians better evaluate and utilize hormone replacement and optimization strategies to benefit their patients. The scientific literature suggests that hormone supplementation with estrogen, proge...

journal_title：Clinics in geriatric medicine

authors： Schwartz E,Holtorf K

更新日期：2011-11-01 00:00:00

abstract：:The high prevalence, morbidity, and mortality of infectious diseases in the geriatric population mandates that clinicians caring for older patients become better acquainted and familiar with the special and unique characteristics and features of this common clinical problem. Only through such awareness and understandi...

journal_title：Clinics in geriatric medicine

authors： Norman DC,Toledo SD

更新日期：1992-11-01 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 oral cavity is responsible for two essential functions: the production of speech and the initiation of alimentation. All of the specialized oral tissues and sensory systems that allow for the execution of these functions are susceptible to age-, disease-, and treatment-related changes, and alterations in any one o...

journal_title：Clinics in geriatric medicine

authors： Ship JA

更新日期：1992-08-01 00:00:00

abstract：:An analysis of the risk factors and clinical presentation of intracerebral hemorrhage in the elderly is provided. Specific pathogenic mechanisms that apply to the elderly, such as cerebral amyloid angiopathy, are discussed in detail. General management of intracerebral hemorrhage is discussed, along with specific issu...

journal_title：Clinics in geriatric medicine

authors： Kase CS

更新日期：1991-08-01 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：: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：: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：:Within some parts of the United Kingdom major deficiencies in diabetes care for older adults exist; these include lack of screening for the disorder, failure to evaluate complications, lack of individual management plans, and failure to appreciate the role of informal caregivers. The prevalence of diabetes in the elde...

journal_title：Clinics in geriatric medicine

authors： Sinclair AJ

更新日期：1999-05-01 00:00:00

abstract：:Patients often present for evaluation of a suspicious cancer symptom after a delay. They appear to tolerate cancer treatment as well as younger patients, and, in studies comparing them on psychosocial parameters of adaptation, they appear to adjust better than younger patients. Attention to pre-existing social problem...

journal_title：Clinics in geriatric medicine

authors： Holland JC,Massie MJ

更新日期：1987-08-01 00:00:00

abstract：:Aging implies changes in joint components over a continuum of time that contribute later in life to an increasing frequency of clinical complaints and impairments in function and mobility. This article considers how aging appears to modify the articular cartilage, subchondral bone, muscle, the soft tissues, synovial m...

journal_title：Clinics in geriatric medicine

authors： Hamerman D

更新日期：1998-08-01 00:00:00

abstract：:Major focuses of geriatric medicine are cardiovascular diseases with increases in prevalence in older people and how aging might modify the risk factors, clinical manifestations, treatment strategies, and prognoses of these diseases. Quantitative information on age-associated alterations in cardiovascular structure an...

journal_title：Clinics in geriatric medicine

authors： Lakatta EG

更新日期：2000-08-01 00:00:00

abstract：:Gait disorders in elderly individuals are a major cause of falls and their attendant morbidities. Ataxia is one of the neurologic components of fall risk, as are inattention or confusion, visual impairment, vestibular impairment, subcortical white matter disease, parkinsonism, weakness, sensory loss, orthostasis or ar...

journal_title：Clinics in geriatric medicine

authors： Perlman SL

更新日期：2006-11-01 00:00:00

abstract：:Footwear is a modifiable risk factor for falls in older adults, including populations with metabolic disease, inflammatory arthritis, and neurodegenerative disease. Ill-fitting footwear, and specific design features, such as elevated heels and backless styles, can impair balance control and heighten the risk of fallin...

journal_title：Clinics in geriatric medicine

authors： Hatton AL,Rome K

更新日期：2019-05-01 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：:This review focuses on studies that pertain to obesity and aging. The prevalence of obesity in the elderly is discussed, with an emphasis on body-fat distribution as it relates to morbidity and mortality rates. Treatment options, such as physical activity, growth hormones, and drug therapy, are briefly mentioned. A se...

journal_title：Clinics in geriatric medicine

authors： Kotz CM,Billington CJ,Levine AS

更新日期：1999-05-01 00:00:00

abstract：:This article draws attention to some of the unique aspects of diabetes mellitus in the elderly and outlines the principles of management of diabetes in this age group with emphasis on diet therapy. The implications of the Diabetes Control and Complications Trial for the elderly person with diabetes is also briefly dis...

journal_title：Clinics in geriatric medicine

authors： Fonseca V,Wall J

更新日期：1995-11-01 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：: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：:Cardiovascular risk factors have been associated with 2 common manifestation of unhealthy brain in older people, cognitive impairment and depression. The evidence for these effects is almost entirely observational, but links hypertension, smoking, hypercholesterolemia, diabetes mellitus, and hyperhomocysteinemia with ...

journal_title：Clinics in geriatric medicine

authors： Flicker L

更新日期：2010-02-01 00:00:00

abstract：:Half of all lung cancers occur in persons aged 65 years and older. The symptoms of lung cancer in the elderly may be nonspecific and misleading. Age trends in incidence, histologic subtype, and stage suggest that selective screening of older persons for lung cancer should be studied. Recent data reveal that the mortal...

journal_title：Clinics in geriatric medicine

authors： O'Rourke MA,Crawford J

更新日期：1987-11-01 00:00:00

abstract：:The long-term outcomes following primary TJA for OA are favorable. However, surgery alone fails to fully restore physical function and address longstanding impairments associated with chronic joint disease. Older adults undergoing TJA can gain similar benefits as those who are younger; however, the elderly are at incr...

journal_title：Clinics in geriatric medicine

authors： Westby MD

更新日期：2012-08-01 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