Infections in elderly persons. An altered clinical presentation.

abstract：:Physical activity protects against the development of chronic disease and disability. There appears to be little risk of damage to joints from regular, moderate-level exercise. Patients with arthritis can safely participate in exercise programs and often have relief of pain and disability. The most difficult problem f...

journal_title：Clinics in geriatric medicine

authors： Ettinger WH Jr

更新日期：1998-08-01 00:00:00

abstract：:This article discusses the usefulness of neuropsychological testing in AD, as an adjunct to the diagnosis, as a means of the evaluation of progression, and response to treatment. Clinical neuropsychological tests that have direct relevance to AD are reviewed, with particular emphasis on recently developed tests of mem...

journal_title：Clinics in geriatric medicine

authors： Koss E

更新日期：1994-05-01 00:00:00

abstract：:Physical abuse of the elderly is a significant public health concern. The true prevalence of all types is unknown, and under-reporting is known to be significant. The geriatric population is projected to increase dramatically over the next 10 years, and the number of abused individuals is projected to increase also. I...

journal_title：Clinics in geriatric medicine

authors： Young LM

更新日期：2014-11-01 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：:Dry eye and dry mouth symptoms are each reported by up to 30% of persons more than 65 years of age, particularly in women. Medication side effects are the most common contributing factors. The evaluation of these symptoms requires measures of ocular and oral dryness. Sjögren syndrome is the prototypic disease associat...

journal_title：Clinics in geriatric medicine

authors： Baer AN,Walitt B

更新日期：2017-02-01 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：:Half of all lung cancers occur in persons aged 65 years and older. The symptoms of lung cancer in the elderly may be nonspecific and misleading. Age trends in incidence, histologic subtype, and stage suggest that selective screening of older persons for lung cancer should be studied. Recent data reveal that the mortal...

journal_title：Clinics in geriatric medicine

authors： O'Rourke MA,Crawford J

更新日期：1987-11-01 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：: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：:Treatment of alcohol dependence among older alcoholic patients should be multidimensional to address as many potential relapse factors as possible. As the literature suggests, alcohol-related disorders often are under diagnosed and under treated. More efforts are needed to identify and improve diagnosis of these disor...

journal_title：Clinics in geriatric medicine

authors： Sattar SP,Petty F,Burke WJ

更新日期：2003-11-01 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：: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：:In this article we have attempted to review basic aspects of the respiratory immune system and some of what is known about the effects of aging on immunity. We have discussed the more common forms of interstitial lung disease as they relate to the elderly patient and have outlined a general method of approaching inter...

journal_title：Clinics in geriatric medicine

authors： Young KR Jr,Merrill WW

更新日期：1986-05-01 00:00:00

abstract：:Chest pain is one of the most common and serious chief complaints. Geriatricians must be well versed in evaluating elderly patients who have chest pain. This article discusses the initial diagnostic evaluation of elderly patients with chest pain. Specific emphasis is placed on identifying acute coronary syndromes, aor...

journal_title：Clinics in geriatric medicine

authors： Kelly BS

更新日期：2007-05-01 00:00:00

abstract：:Musculoskeletal disease is not an inevitable consequence of aging. Complaints of musculoskeletal disease indicate disease. Differential diagnosis relies on clinical skills. Management is directed toward maintaining function. ...

journal_title：Clinics in geriatric medicine

authors： Ettinger WH Jr

更新日期：1988-05-01 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：: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：: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：: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：: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：: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：:This article presents an up-to-date review of the literature on hormone augmentation in the elderly to help primary care physicians better evaluate and utilize hormone replacement and optimization strategies to benefit their patients. The scientific literature suggests that hormone supplementation with estrogen, proge...

journal_title：Clinics in geriatric medicine

authors： Schwartz E,Holtorf K

更新日期：2011-11-01 00:00:00

abstract：:Transitions in care are a vulnerable time period for patients during which unintended errors may occur. This article discusses potential risks that could occur during care transitions, suggested improvements, and the transition from hospital to skilled nursing facilities for patients needing rehabilitation after their...

journal_title：Clinics in geriatric medicine

authors： Eslami M,Tran HP

更新日期：2014-05-01 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：: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：: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：:The efficacy of endarterectomy for patients with symptomatic high-grade stenosis of the extracranial carotid artery has been firmly established. Those with asymptomatic carotid disease may also be candidates for the operation. A thorough understanding of the benefits and risks of the operation for the individual patie...

journal_title：Clinics in geriatric medicine

authors： Goldstein LB

更新日期：1999-11-01 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：: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：: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