Elder physical abuse.

abstract：:When the elderly are afflicted by malignancy, chances are good that at some point in the course of their illness the skeleton will be involved. Bone metastases, hypercalcemia, and other paraneoplastic syndromes are commonly encountered and require definitive diagnosis and management. In general, the therapy for the el...

journal_title：Clinics in geriatric medicine

authors： Kochersberger GG,Lyles KW

更新日期：1987-08-01 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：: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：: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：: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：:Cardiovascular disease (CVD) is the leading cause of death and disease burden globally. Improving reach, access, and effectiveness of postdischarge care through cardiac rehabilitation and secondary prevention strategies is an international priority. The current proliferation of mobile technology has resulted in widesp...

journal_title：Clinics in geriatric medicine

authors： Redfern J

更新日期：2019-11-01 00:00:00

abstract：:The intent of this review is to highlight several difficult questions from a personal perspective while caring for debilitated elderly patients in a nursing home. These problems appear to be encountered less frequently in the acute-care setting. Where possible, supporting literature is cited and legal precedent is ind...

journal_title：Clinics in geriatric medicine

authors： Wood JS

更新日期：1986-08-01 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：: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：:Information derived from the relationship of the primary care physician with an older patient provides the best possible way to eliminate or minimize many ethical conflicts that arise in the care of the very old. The conscientious physician can seek information regarding the patient's personal value scheme and his or ...

journal_title：Clinics in geriatric medicine

authors： Jahnigen DW,Schrier RW

更新日期：1986-08-01 00:00:00

abstract：:Lifespans worldwide continue to get progressively longer as we learn more about the science of aging, adopt more healthy lifestyles, and develop better technology to promote successful longevity. Unfortunately, with advanced age comes bone loss and an increased risk for skeletal fractures. Much is known about age-rela...

journal_title：Clinics in geriatric medicine

authors： Gunby MC,Morley JE

更新日期：1994-11-01 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：: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：:Although the increased need for studies assessing the influence of age on the pharmacokinetics and pharmacodynamics of all drugs has been emphasized, relatively little is known about NSAIDs in the elderly. The pharmacokinetics of some NSAIDs have been examined in elderly subjects; unfortunately, recent data indicate t...

journal_title：Clinics in geriatric medicine

authors： Murray MD,Brater DC

更新日期：1990-05-01 00:00:00

abstract：:Quality of life is becoming increasingly important in assessing the impact of therapy for hypertension in elderly persons. Although the concept of quality of life is new and is in need of further definition, good measures already exist to examine the effects of therapy in the major domains of quality of life such as s...

journal_title：Clinics in geriatric medicine

authors： Weiler PG

更新日期：1989-11-01 00:00:00

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：: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：: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：: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：: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：:In hematopoiesis, mature blood cells, granulocytes, erythrocytes, and megakaryocytes originate from hematopoietic stem cells. With age, changes in hematopoiesis may have clinical consequences: defective immune responses, cytopenias (most commonly anemia and lymphopenia), hematological malignancy, and effects mediated ...

journal_title：Clinics in geriatric medicine

authors： Groarke EM,Young NS

更新日期：2019-08-01 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：:Skin ulcers of the lower extremities have a chronic, relapsing course and often are difficult to manage. Leg ulcers remain a significant management challenge to health care professionals. This article focuses on the various causes of leg ulcers, with an emphasis on venous disease. Characteristic clinical findings and ...

journal_title：Clinics in geriatric medicine

authors： Paquette D,Falanga V

更新日期：2002-02-01 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：: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 number of patients with atrial fibrillation (AF) who are of advanced age or have multiple comorbidities is expected to increase substantially. Older patients with AF generally gain a net benefit from anticoagulation. Guidelines typically recommend anticoagulation. There are multiple challenges in the safe use of a...

journal_title：Clinics in geriatric medicine

authors： Parks AL,Fang MC

更新日期：2016-05-01 00:00:00

abstract：:Gastroesophageal reflux disease (GERD) is a common disorder among elderly patients seeking medical care. Diagnosis and management of GERD in the older patient is a unique challenge for both the primary care provider and the gastroenterologist. Such patients may have atypical symptoms, more severe disease, and a higher...

journal_title：Clinics in geriatric medicine

authors： Soumekh A,Schnoll-Sussman FH,Katz PO

更新日期：2014-02-01 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 treatment of nonpain symptoms is integral to good palliative care of the terminally ill elder. This article reviews the management of common physical symptoms observed during the dying process, including nausea and vomiting, dyspnea, cough, constipation, diarrhea, bowel obstruction, and xerostomia. Alleviation of ...

journal_title：Clinics in geriatric medicine

authors： Rousseau P

更新日期：1996-05-01 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