ITEMS IN AFP WITH KEYWORD:
Mar 1, 2014 Issue
Complex Care: Treating an Older Patient with Multiple Comorbidities [Curbside Consultation]
Although there are guidelines for management of single chronic illnesses, the evidence base for management of multiple comorbidities is lacking. The American Geriatrics Society described a clinical approach to managing patients with multiple comorbidities in 2012.
The herpes zoster (shingles) vaccine has demonstrated effectiveness in preventing shingles in older adults. Vaccination benefit was greater in persons 60 to 69 years of age than in those 70 years and older. Local injection site reactions were common.
Functional disability is common in older adults. It is often episodic and is associated with a high risk of subsequent health decline. The severity of disability is determined by physical impairments caused by underlying medical conditions, and by external factors such as social support, financial s...
Debility not otherwise specified (NOS) has surpassed lung cancer as the most common diagnosis in hospices. In August 2013, the Centers for Medicare and Medicaid Services issued a rule that debility NOS and adult failure to thrive can no longer be listed as principal hospice diagnoses, but rather, secondary comorbid conditions.
Apr 1, 2013 Issue
Appropriate Use of Polypharmacy for Older Patients [Cochrane for Clinicians]
Multidisciplinary interventions that address polypharmacy decrease inappropriate prescribing and medication-related problems in patients 65 years and older, but it is not clear if they reduce hospital admissions or improve quality of life. Most interventions studied were led by pharmacists or health...
Jan 15, 2013 Issue
Screening for Hearing Loss in Older Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The U.S. Preventive Services Task Force (USPSTF) concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for hearing loss in asymptomatic adults 50 years or older.
Although falls are a common cause of injury in older persons, they are not just a normal part of the aging process. The American Geriatrics Society and British Geriatrics Society recommend that all adults older than 65 years be screened annually for a history of falls or balance impairment. An indiv...
Nov 1, 2011 Issue
Cognitive Interventions for Improving Cognitive Function [Cochrane for Clinicians]
Compared with no treatment, cognitive interventions improved cognitive performance in healthy older adults and older adults with mild cognitive impairments. However, there is inadequate evidence to determine which aspects of these interventions are effective.
Disability and mobility problems increase with age. Assistive devices such as canes, crutches, and walkers can be used to increase a patient’s base of support, improve balance, and increase activity and independence, but they are not without significant musculoskeletal and metabolic demands. Most pa...
The geriatric assessment is a multidimensional, multidisciplinary assessment designed to evaluate an older person’s functional ability, physical health, cognition and mental health, and socioenvironmental circumstances. It is usually initiated when the physician identifies a potential problem. Speci...