ITEMS IN AFP WITH KEYWORD:
Jan 1, 2019 Issue
Deprescribing Benzodiazepine Receptor Agonists for Insomnia in Adults [Practice Guidelines]
A multidisciplinary group of clinicians as part of the Deprescribing Guidelines in the Elderly project has developed evidence-based guidelines focused on deprescribing long-term Benzodiazepine receptor agonists (BZRAs) in patients taking them for insomnia, with the goal of helping physicians and patients make appropriate decisions about BZRA use.
There are four important medication issues to discuss with patients as they get older. Find out more and learn the five steps to individualize deprescribing practices for each patient.
Poems written by a 102-year-old living independently.
During a geriatric preoperative assessment, the physician should address potential risks and benefits of surgery in the context of the patient’s goals and overall health. The assessment should evaluate key areas such as medical comorbidities, cognitive function, decision-making capacity, frailty, fall risk, nutrition, and inappropriate medication use.
The goal of the geriatric assessment is to evaluate factors that influence patients’ overall well-being and to identify problems that impair quality of life. Typical domains to assess include functional status, fall risk, medications, nutrition, vision, hearing, cognition, mood, and toileting. Medicare’s Annual Wellness Visit provides an opportunity to address these elements in a single office visit.
In this meta-analysis, older patients with cognitive impairment who were exposed to light therapy had moderate improvements in behavioral disturbances, small improvements in sleep quality, and moderate improvements in depression. The authors did not report data on responders vs. nonresponders or on the potential adverse effects of treatment.
Feb 1, 2017 Issue
Interventions for Preventing Falls Among Older Adults Living in the Community [Cochrane for Clinicians]
Structured exercise programs and home safety interventions reduce both the rate and the risk of falling among community-dwelling adults 65 years and older, whereas multifactorial assessment and intervention programs reduce the rate of falls but not the risk of falling. Vitamin D supplementation does...
End-of-life discussions in moments of excellent health may pose as much of a challenge as waiting until illness arrives.
Decisions about cancer screening in older patients should be individualized, taking into account life expectancy, potential benefits vs. harms, and patient preferences. Get suggestions on how to incorporate current guidelines into daily practice.