The doctor-patient relationship in the home.

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：: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

abstract：:As knowledge of molecular and cellular mechanisms of development and aging is elucidated, the need to understand the relationships among tissues, organ systems, health habits, nutrition, physical activity, and environmental factors on successful aging becomes more explicit. Progress in our understanding of how the imm...

journal_title：Clinics in geriatric medicine

authors： Heuser MD,Adler WH

更新日期：1997-11-01 00:00:00

abstract：:The importance of education in preventing and treating patients with pressure ulcers is evident by the inclusion of recommendations for educational objectives in the clinical guidelines by the Agency for Health Care Policy and Research. Both caregiver and client should be assessed for knowledge of pressure ulcers. Phy...

journal_title：Clinics in geriatric medicine

authors： Ayello EA,Mezey M,Amella EJ

更新日期：1997-08-01 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 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：: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：:To summarize, there has been shamefully little empirical research directly examining the prevalence and correlates of pain among cognitively impaired older people. Even less is known about techniques for assessing and managing pain in this group. Existing evidence suggests that cognitively impaired older persons may v...

journal_title：Clinics in geriatric medicine

authors： Parmelee PA

更新日期：1996-08-01 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：: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：:More than half of all lymphomas occur in patients aged 60 years or older. This article reviews the management of low-grade and aggressive histology lymphomas in patients older than age 65. Cyclophosphamide, doxorubicin, vincristine, and prednisone (CHOP) chemotherapy is well tolerated in patients who have a good perfo...

journal_title：Clinics in geriatric medicine

authors： O'Reilly SE,Connors JM,Macpherson N,Klasa R,Hoskins P

更新日期：1997-05-01 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：:The number of patients with atrial fibrillation (AF) who are of advanced age or have multiple comorbidities is expected to increase substantially. Older patients with AF generally gain a net benefit from anticoagulation. Guidelines typically recommend anticoagulation. There are multiple challenges in the safe use of a...

journal_title：Clinics in geriatric medicine

authors： Parks AL,Fang MC

更新日期：2016-05-01 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：:Most Americans will be afflicted by some form of spine-related pain in their lifetime. In older patients, the most frequent source of back pain is lumbar spinal stenosis or vertebral compression fracture. Although most back pain is self-limited, some patients will require interventional techniques. This article review...

journal_title：Clinics in geriatric medicine

authors： Lavelle WF,Lavelle ED,Smith HS

更新日期：2008-05-01 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：:Older adults receive care from various settings, including acute care hospitals, skilled nursing facilities, nursing homes, group homes, outpatient primary care, specialty clinics, and home. In these various settings, older adults are exposed to pathogens, which makes them "vectors" that transport pathogens from one s...

journal_title：Clinics in geriatric medicine

authors： Mody L

更新日期：2007-08-01 00:00:00

abstract：:Hip surgery is the most common major orthopedic procedure performed in the elderly. The indications are fracture and pain secondary to degenerative arthritis. Patients undergoing hip replacement for arthritis have excellent outcomes with decreased pain, increased mobility, and a low mortality. Age should not be a cont...

journal_title：Clinics in geriatric medicine

authors： Ochs M

更新日期：1990-08-01 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：:Falls, syncope, and the associated complications are among the most serious problems that face the elderly population. The most common underlying causes and risk factors for falls include muscle weakness, gait and balance problems, visual impairment, cognitive impairment, depression, functional decline, and particular...

journal_title：Clinics in geriatric medicine

authors： Rubenstein LZ,Josephson KR

更新日期：2002-05-01 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：: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：: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：:Environmental change offers an attractive approach to falls prevention, particularly as part of multidimensional intervention strategies. This article reviews and summarizes prior research that has examined environmental factors in falls experienced by older people in community and long-term care settings. Limitations...

journal_title：Clinics in geriatric medicine

authors： Connell BR

更新日期：1996-11-01 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：:The intent of this review is to highlight several difficult questions from a personal perspective while caring for debilitated elderly patients in a nursing home. These problems appear to be encountered less frequently in the acute-care setting. Where possible, supporting literature is cited and legal precedent is ind...

journal_title：Clinics in geriatric medicine

authors： Wood JS

更新日期：1986-08-01 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：:Suicide in the elderly is a growing problem. The elderly population is increasing, and elderly patients have multiple issues that place them at higher risk of suicidality. These issues include physical illnesses, mental illness, loss of functional status, isolation, and family, financial, and social factors. Access to...

journal_title：Clinics in geriatric medicine

authors： Brooks SE,Burruss SK,Mukherjee K

更新日期：2019-02-01 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：: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