Sarcopenia: origins and clinical relevance.

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：:Clinical assessment of fitness to drive can be a challenging part of primary care of older adults. There are no guidelines on screening for driver safety, so it falls to provider judgment on when to assess older drivers. This review offers recommendations on when to assess for driver safety based on red flag condition...

journal_title：Clinics in geriatric medicine

authors： Morgan E

更新日期：2018-02-01 00:00:00

abstract：:Although many individuals who have had strokes or other physical problems assume that they can no longer drive, they are often unaware of retraining programs. In addition to formal courses supported by sponsoring agencies, such as the AAA, there are also programs run by occupational therapists. This article addresses ...

journal_title：Clinics in geriatric medicine

authors： Hunt LA

更新日期：1993-05-01 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：:The definition of sarcopenia continues to evolve, from an observational phenomenon to a differential diagnostic approach. Clinical relevance for sarcopenia is defined by a loss in lean muscle mass and impairment of functional status. A therapeutic approach to the loss of skeletal muscle mass and strength in older pers...

journal_title：Clinics in geriatric medicine

authors： Thomas DR

更新日期：2010-05-01 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：:Normal aging is associated with a multitude of changes in the cardiovascular system, including decreased compliance of blood vessels, mild concentric left ventricular hypertrophy, an increased contribution of atrial contraction to left ventricular filling, and a higher incidence of many cardiac arrhythmias, both brady...

journal_title：Clinics in geriatric medicine

authors： Chow GV,Marine JE,Fleg JL

更新日期：2012-11-01 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：:Older women are at a significantly increased risk of developing ovarian, endometrial, and cervical cancers. When an elderly woman develops one of these malignancies, she is more likely to die from it than a younger woman. The increased mortality-to-incidence ratio may be related primarily to the more advanced stage at...

journal_title：Clinics in geriatric medicine

authors： McGonigle KF,Lagasse LD,Karlan BY

更新日期：1993-02-01 00:00:00

abstract：:New data have shown that sebum secretion is highest in young adults and then declines steadily throughout life in both men and women. This parallels the decline in androgen levels, but this cannot be the sole factor because there is so much overlap in sebaceous gland activity between men and women. The increased occur...

journal_title：Clinics in geriatric medicine

authors： Downing DT,Stewart ME,Strauss JS

更新日期：1989-02-01 00:00:00

abstract：:Because of its wide prevalence and its grave consequences on the health of older persons, malnutrition requires immediate attention. Physicians in general have been described as being nutritionally blind in their slowness to recognize undernutrition. A high degree of suspicion, a thorough history and physical examinat...

journal_title：Clinics in geriatric medicine

authors： Omran ML,Salem P

更新日期：2002-11-01 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：: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：: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：: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：: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：:In attempting to understand the role of visual perception in falls and their prevention, the relationship between the locomoting individual and the surrounding environment must be considered. Falls will occur when necessary properties of the environment and visual sources of information about them are inadequate, or w...

journal_title：Clinics in geriatric medicine

authors： Owen DH

更新日期：1985-08-01 00:00:00

abstract：:"Birth and death are the most singular events we experience and therefore the contemplation of death as of birth should be a thing of beauty." The hospice movement emerged out of an awareness that the needs of the dying patient were not being adequately met by the modern medical establishment. It has brought about a p...

journal_title：Clinics in geriatric medicine

authors： Mathew LM,Scully JH

更新日期：1986-08-01 00:00:00

abstract：:The aging kidney suffers reduction both in mass and in glomerular filtration rate. These changes may be totally or partially due to atherosclerosis and hypertension, which reduce renal blood flow. Superimposed on these processes, and perhaps responsible for primary loss of renal mass irrespective of renal vascular dis...

journal_title：Clinics in geriatric medicine

authors： Kaysen GA,Myers BD

更新日期：1985-02-01 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：:In end-of-life care, attending to spiritual needs ensures that a dying patient has the opportunity to find meaning in the midst of suffering and to have the opportunity for love, compassion, and partnership in their final journey. This article summarizes some of the beliefs and traditions from Judaism, Islam, and Chri...

journal_title：Clinics in geriatric medicine

authors： Puchalski CM,Dorff RE,Hendi IY

更新日期：2004-11-01 00:00:00

abstract：:Glaucoma is one of the leading causes of blindness in adult Americans. This disease remains undetected in one half of the people with this disease. Primary open angle glaucoma is the most common form of the disease. Patients at risk for glaucoma usually have one or more of the following characteristics: advanced age, ...

journal_title：Clinics in geriatric medicine

authors： Kendrick R

更新日期：1999-02-01 00:00:00

abstract：:Musculoskeletal changes that are related to osteoporosis can be prevented, challenged, or reduced with implementation of proper rehabilitation programs. The nonpharmacologic interventions recommended here are evidence-based and have resulted from controlled trials and studies. ...

journal_title：Clinics in geriatric medicine

authors： Sinaki M

更新日期：2003-05-01 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：: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：:American health-care practitioners are faced with a rapidly growing, geriatric, Hispanic-American population. This group shares certain cultural links but is largely heterogeneous and comprised of many subgroups, the largest of which are Mexican Americans, Puerto Ricans, and Cuban Americans. Health-care practitioners ...

journal_title：Clinics in geriatric medicine

authors： Pousada L

更新日期：1995-02-01 00:00:00

abstract：:The majority of patients with acute diverticulitis can be managed medically. Some will have a complication of diverticulitis such as free perforation with peritonitis, abscess formation, obstruction, or fistula formation. Perhaps even a larger number will develop recurrent diverticulitis, which is associated with an i...

journal_title：Clinics in geriatric medicine

authors： Symmonds RE Jr

更新日期：1985-05-01 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：: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：: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