Evaluation and management of the elderly patient at risk for postoperative delirium.

abstract：:Subacute care is a program of care for individuals with recent or current illness or injury. Currently, the services received by patients in subacute care vary considerably among sites, partly because these sites may specialize in certain treatments and partly because providers often define subacute care according to ...

journal_title：Clinics in geriatric medicine

authors： Levenson S

更新日期：2000-11-01 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 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：: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

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：:Pain is a common problem encountered among elderly people in subacute and long-term care facilities. Pain often is underestimated and undertreated in these settings. Most pain problems can be improved by careful assessment and careful use of analgesic drugs and nondrug strategies. Subacute care and other long-term car...

journal_title：Clinics in geriatric medicine

authors： Ferrell BA

更新日期：2000-11-01 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：: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：: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：:Hypoglycemia is a serious problem in older patients with diabetes mellitus. This chapter discusses risk factors associated with hypoglycemia and approaches to mitigation of the risk for hypoglycemia. Specific considerations include selection of glucose lowering agents, comorbid conditions and the implications of decli...

journal_title：Clinics in geriatric medicine

authors： Hoogwerf BJ

更新日期：2020-08-01 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：: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：:Aspirin in a dose of 160 to 325 mg should be administered on day 1 of an acute MI and continued indefinitely on a daily basis. Thrombolytic therapy should be administered within 6 to 12 hours after the onset of an acute MI with ST segment elevation or with left bundle branch block. Primary coronary angioplasty when av...

journal_title：Clinics in geriatric medicine

authors： Aronow WS

更新日期：2001-02-01 00:00:00

abstract：:Nighttime sleep disruption is characteristic of long-term care residents, is typically accompanied by daytime sleepiness, and may be caused by a multitude of factors. Causal factors include medical and psychiatric illness, medications, circadian rhythm abnormalities, sleep disordered breathing and other primary sleep ...

journal_title：Clinics in geriatric medicine

authors： Martin JL,Ancoli-Israel S

更新日期：2008-02-01 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：:Footwear is a modifiable risk factor for falls in older adults, including populations with metabolic disease, inflammatory arthritis, and neurodegenerative disease. Ill-fitting footwear, and specific design features, such as elevated heels and backless styles, can impair balance control and heighten the risk of fallin...

journal_title：Clinics in geriatric medicine

authors： Hatton AL,Rome K

更新日期：2019-05-01 00:00:00

abstract：:What are the dermatologic needs of aging and skin disease in the elderly in the new millennium? This question may be impossible to answer, but predictions may be derived from current sources of data. Data from the US Census Bureau and the National Ambulatory Medical Care Survey are used to characterize current use of ...

journal_title：Clinics in geriatric medicine

authors： Smith ES,Fleischer AB Jr,Feldman SR

更新日期：2001-11-01 00:00:00

abstract：:Behavioral signs and symptoms in dementia are common, morbid, classifiable, and treatable. The current state-of-the-art approach is to evaluate carefully for social or environmental causes, intercurrent medical conditions, or other triggers of the behavior and attempt to deal with those directly. When these conservati...

journal_title：Clinics in geriatric medicine

authors： Tariot PN,Ryan JM,Porsteinsson AP,Loy R,Schneider LS

更新日期：2001-05-01 00:00:00

abstract：:This article summarizes the common, superficial, cutaneous, fungal infections that are found in older adults. The epidemiology, classic appearance, and current treatments of these fungal infections are discussed. These common skin pathogens occur in many older adults. ...

journal_title：Clinics in geriatric medicine

authors： Varade RS,Burkemper NM

更新日期：2013-05-01 00:00:00

abstract：:Both primary and secondary cancer prevention may improve cancer control among older persons. Although chemoprevention of cancer is feasible, the agents currently used for chemoprevention have several complications. As a result, the use of these substances should be individualized based on risk-benefit ratio. It is rea...

journal_title：Clinics in geriatric medicine

authors： Balducci L,Beghé C

更新日期：2002-08-01 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：:Schizophrenia in late life includes both chronic early-onset schizophrenia and late-onset schizophrenia. Treatment with neuroleptics in relatively low doses is often useful in controlling psychotic symptoms in these patients. The value of neuroleptics is limited, however, by the risks of side effects such as tardive d...

journal_title：Clinics in geriatric medicine

authors： Tran-Johnson TK,Krull AJ,Jeste DV

更新日期：1992-05-01 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：:This article reviews the literature on transitional care to and from the LTC environment, highlighting strategies to improve the quality of care transitions. Several factors are vital in the improvement of systems of care dealing with transitions. Key factors include communication with and among health care providers,...

journal_title：Clinics in geriatric medicine

authors： Oakes SL,Gillespie SM,Ye Y,Finley M,Russell M,Patel NK,Espino D

更新日期：2011-05-01 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：: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：: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：: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：:The number of people in nursing homes is growing at a rapid rate as the population includes greater numbers of elderly Americans. Psychiatric disorders, including depression, anxiety, and paranoia, are commonly seen among this group. Recognition and treatment of these disorders by health care professionals can improve...

journal_title：Clinics in geriatric medicine

authors： Phan TT,Reifler BV

更新日期：1988-08-01 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