The past, present, and future of house calls.

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：:Colorectal cancer is one of the leading causes of death in older men and women. Therefore, this age-related cancer is of particular importance to geriatricians. The high incidence of this cancer may be decreased by dietary modifications recommended by the American Cancer Society. Early cancer detection is important to...

journal_title：Clinics in geriatric medicine

authors： Neilan BA

更新日期：1987-11-01 00:00:00

abstract：:This article draws attention to some of the unique aspects of diabetes mellitus in the elderly and outlines the principles of management of diabetes in this age group with emphasis on diet therapy. The implications of the Diabetes Control and Complications Trial for the elderly person with diabetes is also briefly dis...

journal_title：Clinics in geriatric medicine

authors： Fonseca V,Wall J

更新日期：1995-11-01 00:00:00

abstract：:Advance directives cover a wide variety of situations concerning the advance planning for medical care. Advance directives have existed for approximately 20 years; however, their forms and uses are presently expanding and evolving. This article presents advance directives, their various forms and uses, and reviews the...

journal_title：Clinics in geriatric medicine

authors： Cox DM,Sachs GA

更新日期：1994-08-01 00:00:00

abstract：:Older adults disproportionately sustain morbidity and mortality due to vaccine-preventable illnesses. Despite this observation, adult immunization rates continue to lag behind national goals. Reduced vaccine efficacy in older adults leading to apathy regarding the need for vaccine administration, unrealistic expectati...

journal_title：Clinics in geriatric medicine

authors： High K

更新日期：2007-08-01 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：: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：: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：:A wide array of clinical trials over the past two decades has established that aspirin is indicated to prevent myocardial infarction in patients with clinically evident coronary artery disease, and to prevent stroke in patients with a history of stroke or TIAs. The most likely mechanism by which aspirin decreases the ...

journal_title：Clinics in geriatric medicine

authors： Dalen JE,Goldberg RJ

更新日期：1992-02-01 00:00:00

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：: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：:Major focuses of geriatric medicine are cardiovascular diseases with increases in prevalence in older people and how aging might modify the risk factors, clinical manifestations, treatment strategies, and prognoses of these diseases. Quantitative information on age-associated alterations in cardiovascular structure an...

journal_title：Clinics in geriatric medicine

authors： Lakatta EG

更新日期：2000-08-01 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：: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：: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：:Norovirus infection usually results in acute gastroenteritis, often with incapacitating nausea, vomiting, and diarrhea. It is highly contagious and resistant to eradication with alcohol-based hand sanitizer. Appropriate preventative and infection control measures can mitigate the morbidity and mortality associated wit...

journal_title：Clinics in geriatric medicine

authors： White MB,Rajagopalan S,Yoshikawa TT

更新日期：2016-08-01 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：: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：: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：: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：:Balance disorders are common in the elderly and can lead to falls, with resultant severe morbidity and even mortality. Progressive loss of vestibular function begins in middle age and is affected by multiple disease processes. Polypharmacy impacts many disease processes in the elderly, with balance function being one ...

journal_title：Clinics in geriatric medicine

authors： Eibling D

更新日期：2018-05-01 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：:Patients often present for evaluation of a suspicious cancer symptom after a delay. They appear to tolerate cancer treatment as well as younger patients, and, in studies comparing them on psychosocial parameters of adaptation, they appear to adjust better than younger patients. Attention to pre-existing social problem...

journal_title：Clinics in geriatric medicine

authors： Holland JC,Massie MJ

更新日期：1987-08-01 00:00:00

abstract：:Healthy aging is a process that occurs over the life cycle. Health habits established early and practiced throughout life impact longevity, the ability to reach old age, and the health with which one experiences older adulthood. The new field of lifestyle medicine addresses root causes of disease by targeting nutritio...

journal_title：Clinics in geriatric medicine

authors： Friedman SM

更新日期：2020-11-01 00:00:00

abstract：:Collaboration of professionals from diverse disciplines is required to address the multiple, complex issues and needs of community-dwelling elders who are abused or neglected. Reporting suspected elder abuse or neglect cases to Adult Protective Service (APS) agencies provides access to services that address the social...

journal_title：Clinics in geriatric medicine

authors： Dyer CB,Heisler CJ,Hill CA,Kim LC

更新日期：2005-05-01 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：: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：:Tests of performance and alertness in normal older subjects undergoing sleep loss reveal loss of performance and alertness similar to that seen in younger individuals. Recovery of performance ability occurs with one night of normal sleep, even following periods of sleep loss up to 64 hours in length. Older individuals...

journal_title：Clinics in geriatric medicine

authors： Bonnet MH,Arand DL

更新日期：1989-05-01 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：:Cardiovascular risk factors have been associated with 2 common manifestation of unhealthy brain in older people, cognitive impairment and depression. The evidence for these effects is almost entirely observational, but links hypertension, smoking, hypercholesterolemia, diabetes mellitus, and hyperhomocysteinemia with ...

journal_title：Clinics in geriatric medicine

authors： Flicker L

更新日期：2010-02-01 00:00:00