Psychosocial aspects of cancer in the elderly.

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：: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：: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：: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：: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：: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：:There is no single definition of polypharmacy. Use of 5 or more medications commonly is used. An alternative, quantitative definition, such as use of more medications than clinically indicated or use of unnecessary or harmful prescribing, has been proposed. Protocols or algorithms to improve polypharmacy and prescribi...

journal_title：Clinics in geriatric medicine

authors： Levy HB

更新日期：2017-05-01 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：: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：: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：: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：: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：: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：: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：: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：:Research has conclusively established that normal diploid cells in culture have a limited replicative life span, and that cells from adult organisms have a shorter life span than cells from young organisms or embryos. Although it is unlikely that death of the organism is caused by failure in cellular proliferative cap...

journal_title：Clinics in geriatric medicine

authors： Stanulis-Praeger B

更新日期：1989-02-01 00:00:00

abstract：:This article provides a comprehensive review of the outcomes of polypharmacy in nursing homes. Our review had some limitations. First, we only included studies beginning in 1990, and significant earlier studies are not included. Only English language articles were included. We only researched studies from MEDLINE, and...

journal_title：Clinics in geriatric medicine

authors： Tamura BK,Bell CL,Inaba M,Masaki KH

更新日期：2012-05-01 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：: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：:Depression is common in geriatric patients, especially in those with multiple comorbidities and polypharmacy. Depression in older adults is often underdiagnosed and undertreated. Initial screening for depression can easily be accomplished in the waiting room. Yet the clinical interview still remains the gold standard ...

journal_title：Clinics in geriatric medicine

authors： Grossberg GT,Beck D,Zaidi SNY

更新日期：2017-08-01 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：: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：: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：:Elderly patients with cardiovascular disease require slightly different management strategies compared with younger patients. Diagnosis is more difficult. Procedures, both diagnostic and therapeutic, are more dangerous. Despite higher risks, elderly patients have much to gain from aggressive therapies such as angiopla...

journal_title：Clinics in geriatric medicine

authors： Fein SA,Breisblatt W,Doyle JT,Singh A

更新日期：1994-02-01 00:00:00

abstract：:The elderly have more organic sleep problems disturbing sleep and contributing to insomnia than younger individuals. The most common disorders afflicting the elderly are obstructive sleep apnea, restless legs syndrome, and nocturnal myoclonus. Poor sleep habits often aggravate or contribute to the ongoing difficulty w...

journal_title：Clinics in geriatric medicine

authors： Wooten V

更新日期：1992-05-01 00:00:00

abstract：:Psychomotor assessment is a collaborative effort between the neurologic and the neuropsychologic evaluation. Changes associated with normal aging must be differentiated from signs and symptoms that indicate abnormal functioning. Recent developments in computer-based technology should add to the precision and accuracy ...

journal_title：Clinics in geriatric medicine

authors： Mahurin RK,Inbody SB

更新日期：1989-08-01 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：: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：: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：: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