Polypharmacy Reduction Strategies: Tips on Incorporating American Geriatrics Society Beers and Screening Tool of Older People's Prescriptions Criteria.

abstract：:Osteoarthritis (OA) is the most common cause of chronic disability in older adults. Although classically considered a "wear and tear" degenerative condition of articular joints, recent studies have demonstrated an inflammatory component to OA that includes increased activity of several cytokines and chemokines in join...

journal_title：Clinics in geriatric medicine

authors： Loeser RF

更新日期：2010-08-01 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：: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：:Efforts toward early detection of Alzheimer disease (AD) have focused on refinement and identification of diagnostic markers, with the goal of preventing or delaying disease progression. Mild cognitive impairment (MCI) has emerged as a potential precursor to dementia. Though not without controversy, MCI has been assoc...

journal_title：Clinics in geriatric medicine

authors： Bensadon BA,Odenheimer GL

更新日期：2013-11-01 00:00:00

abstract：:Parkinson disease is a complex, age-related, neurodegenerative disease associated with dopamine deficiency and both motor and nonmotor deficits. Many environmental and genetic factors influence Parkinson disease risk, with different factors predominating in different patients. These factors converge on specific pathwa...

journal_title：Clinics in geriatric medicine

authors： Simon DK,Tanner CM,Brundin P

更新日期：2020-02-01 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：:Patients commonly are left to suffer from pain that affects their daily lives. The prevalence of undertreated, moderate to severe pain is a public health problem in many countries, including the United States. In many cases, opioids should be the mainstay for the treatment of this level of pain, but they often are not...

journal_title：Clinics in geriatric medicine

authors： Fujimoto D

更新日期：2001-08-01 00:00:00

abstract：:Older patients with cancer are best served by a multidisciplinary approach with palliative care (PC) playing an integral role. PC focuses on symptom control irrespective of its cause and should not be associated only with terminal care. It provides an additional layer of support in the care of patients with cancer wit...

journal_title：Clinics in geriatric medicine

authors： Alexander K,Goldberg J,Korc-Grodzicki B

更新日期：2016-02-01 00:00:00

abstract：:Although exercise capacity declines with age, the decline appears to be slight when measured in healthy, physically active subjects. There is growing evidence that exercise has a positive influence on increasing healthy function and decreasing the impact of diseases common in the elderly. While the dose-response relat...

journal_title：Clinics in geriatric medicine

authors： Gorman KM,Posner JD

更新日期：1988-02-01 00:00:00

abstract：:Despite advances in preventive dentistry, many elderly persons present with several missing teeth replaced by oral prostheses of various kinds. An increasing number of prostheses are retained and supported by oral implants. Maintaining a complete dentition with fixed, removable, or implant-retained prostheses improves...

journal_title：Clinics in geriatric medicine

authors： Guckes AD,Cooper LF

更新日期：1992-08-01 00:00:00

abstract：:Bone is a complex organ which contains an organic matrix which serves as scaffolding, includes mineral as calcium distributed in a pattern providing structure and serves as an ion reservoir for the body. Throughout life it dynamically changes in response to changes in activity, body mass, and weight bearing. It is imp...

journal_title：Clinics in geriatric medicine

authors： Simon LS

更新日期：2005-08-01 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：:This article reviews the clinical manifestations, diagnostic criteria, and treatment strategies for the acute leukemias, the myelodysplastic syndrome, Hodgkin's disease, and the non-Hodgkin's lymphomas in the elderly. These are relatively common diseases in the elderly, and age is traditionally thought to be a bad pro...

journal_title：Clinics in geriatric medicine

authors： Antin JH,Rosenthal DS

更新日期：1985-11-01 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：: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：:Nighttime sleep disruption is characteristic of long-term care residents, is typically accompanied by daytime sleepiness, and may be caused by a multitude of factors. Causal factors include medical and psychiatric illness, medications, circadian rhythm abnormalities, sleep disordered breathing and other primary sleep ...

journal_title：Clinics in geriatric medicine

authors： Martin JL,Ancoli-Israel S

更新日期：2008-02-01 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：: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：: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 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

abstract：:The pathophysiology of stone disorder in older adults, as compared to their younger counterparts, has not been thoroughly investigated. This article examines the differences in serum and urine chemistries between groups that are younger and older than 60 years of age. The principal finding is that stone formation occu...

journal_title：Clinics in geriatric medicine

authors： Goldfarb DS,Parks JH,Coe FL

更新日期：1998-05-01 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：:Elderly individuals not only live longer but are also more active than in the past. Accompanying this increase in activity is the number of older trauma victims. The effect of aging on response to injury is reviewed, and the initial evaluation and treatment of geriatric trauma are delineated in this article. Specific ...

journal_title：Clinics in geriatric medicine

authors： Levy DB,Hanlon DP,Townsend RN

更新日期：1993-08-01 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：: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：:Pain is a common problem encountered among elderly people in subacute and long-term care facilities. Pain often is underestimated and undertreated in these settings. Most pain problems can be improved by careful assessment and careful use of analgesic drugs and nondrug strategies. Subacute care and other long-term car...

journal_title：Clinics in geriatric medicine

authors： Ferrell BA

更新日期：2000-11-01 00:00:00

abstract：:Early Parkinson disease is the approximate time period between initial diagnosis and the onset of motor fluctuations. Treatment requires an integrative approach, including identification of motor and nonmotor symptoms, choice of pharmacologic treatment, and emphasis on exercise. Patients should be treated for motor sy...

journal_title：Clinics in geriatric medicine

authors： Zesiewicz TA,Bezchlibnyk Y,Dohse N,Ghanekar SD

更新日期：2020-02-01 00:00:00

abstract：:There are three major obstacles to a recommendation for screening the elderly for NIDDM. The first is the conflicting evidence as to whether early detection and treatment reduce complications. The second is that treatment of hyperglycemia with attainment of euglycemia is difficult to achieve in the elderly. Nondrug th...

journal_title：Clinics in geriatric medicine

authors： Trilling JS

更新日期：1990-11-01 00:00:00

abstract：:Over one-third of Medicare stroke patients are admitted to nursing homes for rehabilitation. Patients with stroke who are admitted to nursing homes are extremely heterogeneous, including both those with minimal physical and cognitive impairment and those who are totally physically dependent. Quality measures that are ...

journal_title：Clinics in geriatric medicine

authors： Kramer AM,Coleman EA

更新日期：1999-11-01 00:00:00

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