Nutrition and hydration in terminally ill patients: an update.

abstract：:Intraperitoneal infections or inflammatory disease in elderly patients are a diagnostic challenge that will be encountered with increasing frequency in the aging population of the United States. Diagnostic clues are not overt and frequently appear late in the course of the disease. Confusion and subtle changes in clin...

journal_title：Clinics in geriatric medicine

authors： Hill AB,Meakins JL

更新日期：1992-11-01 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：: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：: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：: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：: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：:Malignant neoplasms of the geriatric skeleton are either primary or metastatic in nature. The vast majority are metastatic to the skeleton from carcinomas. Rarely, a primary skeletal malignancy, usually a chondrosarcoma or a malignant fibrous histiocytoma, develops in the geriatric patient. This article discusses the ...

journal_title：Clinics in geriatric medicine

authors： McGuire DJ,McGuire MH

更新日期：1994-11-01 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：:An analysis of the risk factors and clinical presentation of intracerebral hemorrhage in the elderly is provided. Specific pathogenic mechanisms that apply to the elderly, such as cerebral amyloid angiopathy, are discussed in detail. General management of intracerebral hemorrhage is discussed, along with specific issu...

journal_title：Clinics in geriatric medicine

authors： Kase CS

更新日期：1991-08-01 00:00:00

abstract：:The treatment of nonpain symptoms is integral to good palliative care of the terminally ill elder. This article reviews the management of common physical symptoms observed during the dying process, including nausea and vomiting, dyspnea, cough, constipation, diarrhea, bowel obstruction, and xerostomia. Alleviation of ...

journal_title：Clinics in geriatric medicine

authors： Rousseau P

更新日期：1996-05-01 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：:Cardiovascular disease (CVD) is the leading cause of death and disease burden globally. Improving reach, access, and effectiveness of postdischarge care through cardiac rehabilitation and secondary prevention strategies is an international priority. The current proliferation of mobile technology has resulted in widesp...

journal_title：Clinics in geriatric medicine

authors： Redfern J

更新日期：2019-11-01 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：: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：: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 importance of a thorough history and physical examination in conjunction with appropriate laboratory, radiographic, endoscopic, and urodynamic studies is emphasized, with the goal of defining the cause of incontinence in the elderly. Once the pathologic process that is causing the symptom of incontinence is object...

journal_title：Clinics in geriatric medicine

authors： Leach GE,Yip CM

更新日期：1986-11-01 00:00:00

abstract：:Urinary incontinence is a prevalent condition in elderly women with significant associated morbidity. Incontinence can by grouped into several types: stress incontinence, urgency incontinence, overflow incontinence, functional incontinence, and mixed urinary incontinence. Careful evaluation, including history and phys...

journal_title：Clinics in geriatric medicine

authors： Parker WP,Griebling TL

更新日期：2015-11-01 00:00:00

abstract：:The rapid growth of the geriatric sector of the population has, in part, led to the explosion of the home care industry and the rebirth of the house call. Understanding the population being served is always the first step in providing excellent care. Older people who are frail and homebound have physical, social, and ...

journal_title：Clinics in geriatric medicine

authors： LoFaso V

更新日期：2000-02-01 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：:Prostate cancer (PCa) is a common medical condition in the United States, with an estimated 16% of men receiving a diagnosis during their lifetime. Although it is the second leading cause of cancer-specific deaths among men, PCa will not be the cause of death for most men who are diagnosed with it. Although there are ...

journal_title：Clinics in geriatric medicine

authors： Roussel B,Ouellet GM,Mohile SG,Dale W

更新日期：2015-11-01 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：: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：:Despite advances in preventive dentistry, many elderly persons present with several missing teeth replaced by oral prostheses of various kinds. An increasing number of prostheses are retained and supported by oral implants. Maintaining a complete dentition with fixed, removable, or implant-retained prostheses improves...

journal_title：Clinics in geriatric medicine

authors： Guckes AD,Cooper LF

更新日期：1992-08-01 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：:Approximately one in three Americans has some form of cardiovascular disease (CVD), accounting for one of every 2.8 deaths in the United States in 2004. Two of the major risk factors for CVD are advancing age and obesity. An intervention able to positively impact both aging and obesity, such as caloric restriction (CR...

journal_title：Clinics in geriatric medicine

authors： Cruzen C,Colman RJ

更新日期：2009-11-01 00:00:00

abstract：:To a considerable extent, the advent of the term sarcopenia has contributed to the focus on this important condition and its effects on the quality of life and care of older persons. It is hoped that the advances in our understanding of the etiology and treatment of sarcopenia will further contribute to placing this d...

journal_title：Clinics in geriatric medicine

authors： Rosenberg IH

更新日期：2011-08-01 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：: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：: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：:The long-term outcomes following primary TJA for OA are favorable. However, surgery alone fails to fully restore physical function and address longstanding impairments associated with chronic joint disease. Older adults undergoing TJA can gain similar benefits as those who are younger; however, the elderly are at incr...

journal_title：Clinics in geriatric medicine

authors： Westby MD

更新日期：2012-08-01 00:00:00