Role of Emerging Technologies in Geriatric Pain Management.

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：: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：: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：:Falling is often a multifactorial syndrome that can be viewed from several perspectives, including pathophysiologic, biomedical, functional, and ecologic models. The history, physical examination, and performance testing are the cornerstones of evaluation. Diagnostic testing in selected cases and environmental evaluat...

journal_title：Clinics in geriatric medicine

authors： Studenski S,Rigler SK

更新日期：1996-11-01 00:00:00

abstract：:A comprehensive practical approach to the diagnosis, staging, and treatment of carcinoma of the prostate is presented. Prostatic cancer in the elderly patient is not a benign clinical condition. The approach is designed to minimize the morbidity of the disease process and to allow the patient to live as normal a life ...

journal_title：Clinics in geriatric medicine

authors： Keegan GT,Coffield KS,Singh EO,Kroening PM

更新日期：1985-05-01 00:00:00

abstract：:This review describes the effect of type 2 diabetes on fat mass, fat distribution, and lean mass, and changes in these parameters, in older adults, focusing on observational studies. Studies show that type 2 diabetes is associated with an unfavorable body composition characterized by more visceral fat, less thigh subc...

journal_title：Clinics in geriatric medicine

authors： Koster A,Schaap LA

更新日期：2015-02-01 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：: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：: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：: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：: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：: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：:This paper presents process and outcome data for a geriatric assessment unit in a rehabilitation hospital whose focus is on short-term rehabilitation. While the results presented here are positive, they are descriptive and do not prove a cause and effect relationship between the geriatric assessment and rehabilitation...

journal_title：Clinics in geriatric medicine

authors： Applegate WB,Akins DE,Elam JT

更新日期：1987-02-01 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：: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：:Geriatric patients are at a high risk for the development of postoperative delirium. By recognizing predisposing and precipitating risk factors, preventive measures can be undertaken to reduce this risk. Accurate and timely diagnosis is essential, and we offer therapeutic strategies to help reduce the high morbidity a...

journal_title：Clinics in geriatric medicine

authors： Bagri AS,Rico A,Ruiz JG

更新日期：2008-11-01 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：:Epidemiological data suggests that the prevalence of musculoskeletal and neuropathic pain increases with age until at least late mid-life, though the pattern is somewhat unclear beyond this point. And though the prevalence of some types of pain may peak in late midlife, pain is still a substantial and common complaint...

journal_title：Clinics in geriatric medicine

authors： Savvas SM,Gibson SJ

更新日期：2016-11-01 00:00:00

abstract：:This article discusses the specific effects of smoking on the heart and coronary arteries and demonstrates how these effects increase the risk for cardiovascular morbidity and mortality. The conflicting results of various studies concerning the association of smoking and coronary heart disease in older persons are rev...

journal_title：Clinics in geriatric medicine

authors： Tresch DD,Aronow WS

更新日期：1996-02-01 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：: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：:An understanding of the causes, nature, and course of intellectual impairment in Parkinson's disease (PD) is essential for the correct development of therapy. This article reviews the causes of the dementia of PD, its primary clinical and pathological features, and its course. ...

journal_title：Clinics in geriatric medicine

authors： Mortimer JA

更新日期：1988-11-01 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：:Musculoskeletal disease is not an inevitable consequence of aging. Complaints of musculoskeletal disease indicate disease. Differential diagnosis relies on clinical skills. Management is directed toward maintaining function. ...

journal_title：Clinics in geriatric medicine

authors： Ettinger WH Jr

更新日期：1988-05-01 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：: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：: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：: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