ITEMS IN AFP WITH KEYWORD:
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.
Combined treatment with citalopram plus methylphenidate provided faster improvement of depression symptoms in older patients with unipolar depression. Combined treatment was also more likely than either medication alone to lead to remission of depression at four weeks and 16 weeks.
How does pneumonia present clinically in these patients? How is the diagnosis confirmed? What is the recommended timing and duration of antibiotic therapy? Which patients should be transferred to the hospital? Review the answers to these questions and more.
Jul 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults [Putting Prevention into Practice]
N.D. is a 72-year-old white man who presents for a preventive visit. He smokes, and his medical history is significant for essential hypertension, which is stable and well controlled with medication. N.D.'s close friend was recently diagnosed with dementia, and N.D. is concerned that he may receive ...
Mar 15, 2015 Issue
Screening for Cognitive Impairment in Older Adults: Recommendation Statement [U.S. Preventive Services Task Force]
The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for cognitive impairment.
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...